Preoperative Nursing-NCLEX Exam Latest Update

Preoperative Nursing-NCLEX Exam Latest Update 2023 2024 Questions and Explained Correct Answers Guaranteed A+ Questions and Answers

• 1.

The nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client?

• A.

Obtain a cuff that covers the upper one-third of the client’s arm.

• B.

Position the cuff approximately 4 inches above the antecubital arm.

• C.

Use a cuff that is wide enough to cover two-thirds of the client’s upper arm.

• D.

Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound.Correct Answer

• Use a cuff that is wide enough to cover two-thirds of the client’s upper

arm.Explanation To obtain an accurate reading in an adult, the blood pressure cuff should cover two-thirds of the client's upper arm; it should be positioned approximately 2 inches above the antecubital space.

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• 2.

Which of the following items on a client’s pre-surgery laboratory results would indicate a need to contact the surgeon?

• A.

Platelet count of 250,000/cu.mm.

• B.

Total cholesterol of 325 mg/dl.

• C.

Blood urea nitrogen (BUN)) 17 mg/dl.

• D.

Hemoglobin 9.5 mg/dl.Correct Answer

• Hemoglobin 9.5 mg/dl.

Explanation The hemoglobin level is low, and the nurse needs to make sure that the surgeon has the most recent laboratory values before surgery. This client may need a transfusion before surgery.

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• 3.

To prevent complications of immobility, which activities would help the nurse plan for the first postoperative day after a colon resection?

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Turn, cough, and deep breathe every 30 minutes around the clock.

• B.

Get the client out of bed and ambulate to a bedside chair.

• C.

Provide a passive range of motion three times a day.

• D.

It is not necessary to worry about complications of immobility on the first postoperative day.Correct Answer

• Get the client out of bed and ambulate to a bedside chair.

Explanation Weight-bearing increases the vascular tone and decreases venous stasis, thereby preventing thrombi from developing; the increase in activity increases respiratory expansion and quality of breathing.

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• 4.

In the recovery room, the postoperative client suddenly becomes cyanotic. What is the most appropriate nursing action?

• A.

Start administration of oxygen through a nasal cannula.

• B.

Call for assistance.

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