Surgery NCLEX Questions

The nurse is preparing a preoperative teaching plan for a client who is undergoing a bilateral breast reduction. Which aspect of the plan is priority. 1. reduction of risk potential 2. physiological adaption 3. psychosocial integrity 4. health promotion and maintenance

psychosocial integrity

A client is to have a below-the-knee amputation. Prior to the surgery, what should the circulating nurse in the operating room do? 1. Insert a foley catheter 2. start an intravenous infusion 3. Initiate a time out 4. Verify that the surgeon possesses the degree of expertise needed.

3. Initiate a time out.

Before surgery, a client expresses a fear of surgery because 10 years ago the client's sister died in surgery related to complications of anesthesia. What should the nurse do? 1. Reassure the client that technology has changed over the years. 2. Encourage the client to further express concerns. 3. Explain to the client that it is normal to be afraid. 4. Ask the client if any client if any family members had trouble when they had surgery.

4. Ask the client if any family members had trouble when they had surgery.

Prior to going to surgery, the client tells the nurse that it is not possible to hear without a hearing aid and asks to wear it to surgery and recovery. What is the nurses best response? 1. explain to the client that it is policy not to take personal items to surgery because they may be lost or broken. 2. Tell the client that a nurse will bring the hearing aid to PACU as soon as the client wakes up. 3. Explain to the client that the premeditation that will cause sleepiness and it will not be necessary to hear anything. 4. Call surgery and explain the client's concern, and ask if the client can wear the hearing aid to surgery.

Call surgery and explain the client's concern, and ask if the client can wear the hearing aid to surgery.

On the day of a surgery, a client with diabetes who takes insulin on a sliding scale is ordered to have nothing by mouth and all medications withheld. The client's 6am blood glucose level is 300 mg/dl. The nurse should do what? 1. withhold all medications 2. Administer the insulin dose dictated by the sliding scale. 3. Call the health care provider for specific prescriptions based on the glucose level. 4. notify the surgery department

Call the health care provider for specific prescriptions based on the glucose level.

the nurse is reviewing the medical record of a client who is scheduled for a lumbar laminectomy. The nurse should report which finding to the surgeon? 1. pimple on the lower back 2. abnormal ekg 3. hearing aid 4. allergy to iodine

pimple on the lower back

The nurse is assessing a client's nutritional status before surgery. Which observation would indicate poor nutrition in a 5-foot 7-inch female client who is 21 years of age? 1. poor posture 2. brittle nails 3. dull expression 4. weight of 128 lbs

brittle nails