NCLEX Perioperative
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sure pass
Following a surgical procedure, the nurse applies sequential compression devices to
both lower extremities and turns the machine on. The nurse implements this
intervention for which purpose? -CORRECT ANSWER To prevent thrombosis
formation in the veins
The nurse is preparing a client for a right below-the-knee amputation. The nurse
anticipates that the client is likely to experience which psychosocial problems in the
perioperative period? Select all that apply. -CORRECT ANSWER Grief
Anxiety
Altered body image
A client returns from the recovery room following an abdominal surgical procedure.
Following the arrival of the client to the nursing unit, the nurse observed the client has a
patent airway. Which is the next nursing assessment? -CORRECT ANSWER Vital
signs
A client arrives to the surgical nursing unit after surgery. What should be the initial
nursing action after surgery? -CORRECT ANSWER Assess patency of the airway.
The nurse is collecting data from a client who is scheduled for surgery in 1 week in the
ambulatory care surgical center. Which client data are pertinent and should be reported
to the primary health care provider before the surgery? Select all that apply. -CORRECT
ANSWER Is allergic to penicillin
Quit smoking 3 months earlier
Wonders if the surgery could cause incontinence
History of deep venous thrombosis in right leg 10 years earlier
A client has been taking prednisone for 3 years. She is scheduled for abdominal
hysterectomy. The nurse plans care realizing that postoperatively the client is at risk for
which conditions? Select all that apply. -CORRECT ANSWER Increased risk for
dehiscence
Increased likelihood of surgical site infection
The nurse is caring for a postoperative client who has been NPO and the primary health
care provider (PHCP) has prescribed a clear liquid diet. When planning to initiate this
diet, which priority item should the nurse place at the client's bedside? -CORRECT
ANSWER Suction equipment
The nurse is caring for a postoperative client who had a pelvic exenteration. The
primary health care provider has changed the client's diet from nothing by mouth (NPO)
, to clear liquids. The nurse checks for which information before administering the clear
liquids? Select all that apply. -CORRECT ANSWER Presence of bowel sounds
Whether the client has passed flatus
The nurse is reviewing the preoperative prescriptions of a client with a colon tumor who
is scheduled for abdominal perineal resection. The nurse notes that the primary health
care provider has prescribed neomycin sulfate orally for the client. Which is the rationale
for prescribing this medication? -CORRECT ANSWER To decrease the bacteria in the
bowel
The nurse is monitoring an adult client for postoperative complications. Which is most
indicative of a potential postoperative complication that requires further observation? -
CORRECT ANSWER A urinary output of 20 mL/hour
Which types of nourishment should the nurse include when initiating a prescribed clear
liquid diet for a postoperative client who has a gag reflex after surgery under general
anesthesia? Select all that apply. -CORRECT ANSWER Coffee
Ice chips
Beef broth
Lemon flavored gelatin
The nurse has admitted a client to the clinical nursing unit following a right mastectomy.
Which interventions should be included in the plan of care? Select all that apply. -
CORRECT ANSWER Elevate the right arm on one or two pillows.
Ensure that no venipunctures or blood pressures (BPs) are done in the right arm.
The nurse is preparing the client for transfer to the operating room (OR) because of an
emergency situation. The nurse should take which actions in the care of the client?
Select all that apply. -CORRECT ANSWER Ensure that the client has voided.
Verify the time that the client last ate or drank.
Assist the client by contacting family members the client wants notified.
When performing a surgical dressing change of a client's abdominal dressing, the nurse
notes an increase in the amount of drainage and separation of the incision line. The
underlying tissue is visible to the nurse. The nurse should plan to take which action in
the initial care of the wound? -CORRECT ANSWER Apply a sterile dressing soaked
with normal saline.
A surgeon is performing an abdominal hysterectomy. Before the surgery is completed,
the operating room nurse counts the sponges and notes that the sponge count is not
correlating with the preoperative count. Which action by the nurse is important? -
CORRECT ANSWER Informing the surgeon of the situation
The nurse is assisting in caring for a client immediately following an abdominal surgical
procedure who lost a significant amount of blood during surgery. Which findings would
Exam||Newest Exam Upload||100%
sure pass
Following a surgical procedure, the nurse applies sequential compression devices to
both lower extremities and turns the machine on. The nurse implements this
intervention for which purpose? -CORRECT ANSWER To prevent thrombosis
formation in the veins
The nurse is preparing a client for a right below-the-knee amputation. The nurse
anticipates that the client is likely to experience which psychosocial problems in the
perioperative period? Select all that apply. -CORRECT ANSWER Grief
Anxiety
Altered body image
A client returns from the recovery room following an abdominal surgical procedure.
Following the arrival of the client to the nursing unit, the nurse observed the client has a
patent airway. Which is the next nursing assessment? -CORRECT ANSWER Vital
signs
A client arrives to the surgical nursing unit after surgery. What should be the initial
nursing action after surgery? -CORRECT ANSWER Assess patency of the airway.
The nurse is collecting data from a client who is scheduled for surgery in 1 week in the
ambulatory care surgical center. Which client data are pertinent and should be reported
to the primary health care provider before the surgery? Select all that apply. -CORRECT
ANSWER Is allergic to penicillin
Quit smoking 3 months earlier
Wonders if the surgery could cause incontinence
History of deep venous thrombosis in right leg 10 years earlier
A client has been taking prednisone for 3 years. She is scheduled for abdominal
hysterectomy. The nurse plans care realizing that postoperatively the client is at risk for
which conditions? Select all that apply. -CORRECT ANSWER Increased risk for
dehiscence
Increased likelihood of surgical site infection
The nurse is caring for a postoperative client who has been NPO and the primary health
care provider (PHCP) has prescribed a clear liquid diet. When planning to initiate this
diet, which priority item should the nurse place at the client's bedside? -CORRECT
ANSWER Suction equipment
The nurse is caring for a postoperative client who had a pelvic exenteration. The
primary health care provider has changed the client's diet from nothing by mouth (NPO)
, to clear liquids. The nurse checks for which information before administering the clear
liquids? Select all that apply. -CORRECT ANSWER Presence of bowel sounds
Whether the client has passed flatus
The nurse is reviewing the preoperative prescriptions of a client with a colon tumor who
is scheduled for abdominal perineal resection. The nurse notes that the primary health
care provider has prescribed neomycin sulfate orally for the client. Which is the rationale
for prescribing this medication? -CORRECT ANSWER To decrease the bacteria in the
bowel
The nurse is monitoring an adult client for postoperative complications. Which is most
indicative of a potential postoperative complication that requires further observation? -
CORRECT ANSWER A urinary output of 20 mL/hour
Which types of nourishment should the nurse include when initiating a prescribed clear
liquid diet for a postoperative client who has a gag reflex after surgery under general
anesthesia? Select all that apply. -CORRECT ANSWER Coffee
Ice chips
Beef broth
Lemon flavored gelatin
The nurse has admitted a client to the clinical nursing unit following a right mastectomy.
Which interventions should be included in the plan of care? Select all that apply. -
CORRECT ANSWER Elevate the right arm on one or two pillows.
Ensure that no venipunctures or blood pressures (BPs) are done in the right arm.
The nurse is preparing the client for transfer to the operating room (OR) because of an
emergency situation. The nurse should take which actions in the care of the client?
Select all that apply. -CORRECT ANSWER Ensure that the client has voided.
Verify the time that the client last ate or drank.
Assist the client by contacting family members the client wants notified.
When performing a surgical dressing change of a client's abdominal dressing, the nurse
notes an increase in the amount of drainage and separation of the incision line. The
underlying tissue is visible to the nurse. The nurse should plan to take which action in
the initial care of the wound? -CORRECT ANSWER Apply a sterile dressing soaked
with normal saline.
A surgeon is performing an abdominal hysterectomy. Before the surgery is completed,
the operating room nurse counts the sponges and notes that the sponge count is not
correlating with the preoperative count. Which action by the nurse is important? -
CORRECT ANSWER Informing the surgeon of the situation
The nurse is assisting in caring for a client immediately following an abdominal surgical
procedure who lost a significant amount of blood during surgery. Which findings would
