ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
A male patient has a scar on his forehead from a third-degree burn. What is the correct classification for this surgery?
Correct Answer: C
Rationale: Surgery to address a forehead scar from a burn is classified as cosmetic because it aims to improve appearance rather than treat an underlying disease or restore function. Major surgery refers to complexity or risk, not purpose, and isn't the focus here. Restorative surgery corrects functional deficits, like joint mobility, not applicable to a scar's aesthetic correction. Curative surgery eliminates disease, irrelevant to a healed burn scar. The rationale lies in cosmetic surgery's definition: it enhances physical appearance, a primary concern for scar revision. This elective procedure aligns with patient-driven aesthetic goals, distinct from therapeutic or functional classifications, and reflects nursing's role in supporting patient confidence and psychosocial well-being.
Question 2 of 5
Which nursing interventions are appropriate during stage 2 of anesthesia?
Correct Answer: B
Rationale: During stage 2 (excitement phase) of anesthesia, appropriate interventions include shielding from stimuli, protecting extremities, assisting anesthesia, and staying with the patient . Arrest preparation is stage 3; positioning and prepping occur earlier; traffic control is ongoing. The rationale focuses on stage 2's risks: patients may thrash or react, requiring protection from noise and injury. Nursing minimizes overstimulation, ensures safety, and supports anesthesia, aligning with this transitional phase's needs, distinct from deeper anesthesia or preparatory tasks.
Question 3 of 5
Which definition is appropriate for local anesthesia?
Correct Answer: C
Rationale: Local anesthesia involves injecting anesthetic into tissues around an incision . Choice A and D describe regional (nerve block); choice B is epidural. The rationale defines scope: local numbs a small area (e.g., lidocaine for suturing), distinct from broader nerve or spinal blocks. Nursing ensures precise application, minimizing systemic effects, enhancing minor procedure safety.
Question 4 of 5
In the PACU, the nurse assesses that a patient is bleeding profusely from an abdominal incision. What is the nurse's best first action?
Correct Answer: B
Rationale: The nurse's first action is applying pressure to control bleeding, an immediate threat. Notifying follows; UAP tasks and labs are secondary. The rationale prioritizes ABCs: hemorrhage risks shock; pressure stems flow, buying time for surgical intervention. Nursing acts swiftly, stabilizing the patient, aligning with emergency protocols, distinct from diagnostic or delegated steps.
Question 5 of 5
The morning after a patient's lower leg surgery, the nurse notes that the dressing is wet from drainage. The surgeon has not yet been in to see the patient on rounds. What does the nurse do about the dressing?
Correct Answer: B
Rationale: The nurse reinforces the dressing , managing drainage safely. Removing or reapplying risks contamination; waiting delays care. The rationale ensures protection: adding sterile layers absorbs drainage, maintaining a barrier until surgeon assessment. Nursing balances independence and caution, preventing infection, distinct from invasive or passive options, supporting wound integrity.