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Preoperative Nursing-NCLEX Exam Update 2023 2024 Questions and Explained 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.
- B.
- C.
- D.
- Use a cuff that is wide enough to cover two-thirds of the client’s upper
Obtain a cuff that covers the upper one-third of the client’s arm.
Position the cuff approximately 4 inches above the antecubital arm.
Use a cuff that is wide enough to cover two-thirds of the client’s upper arm.
Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound.Correct Answer
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.
- B.
- C.
- D.
- Hemoglobin 9.5 mg/dl.
Platelet count of 250,000/cu.mm.
Total cholesterol of 325 mg/dl.
Blood urea nitrogen (BUN)) 17 mg/dl.
Hemoglobin 9.5 mg/dl.Correct Answer
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?
- 2 / 3
Turn, cough, and deep breathe every 30 minutes around the clock.
- B.
- C.
- D.
- Get the client out of bed and ambulate to a bedside chair.
Get the client out of bed and ambulate to a bedside chair.
Provide a passive range of motion three times a day.
It is not necessary to worry about complications of immobility on the first postoperative day.Correct Answer
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.
- B.
- / 3
Start administration of oxygen through a nasal cannula.
Call for assistance.
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