ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
A nurse is preparing the client for transfer to the operating room (OR). The nurse should take which of the following actions in the care of this client at this time?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse has given the ordered preoperative medications to the patient. What actions must the nurse take after administering these drugs? (Select all that apply.)
Correct Answer: A
Rationale: After preoperative medications, the nurse raises side rails , ensures call light access , and instructs no bed exit for safety due to sedation. Signing consent must occur pre-medication. The rationale focuses on sedation effects: drugs like benzodiazepines cause drowsiness, increasing fall risk. Side rails and instructions prevent injury; call light ensures assistance. Consent post-medication is invalid due to impaired judgment, highlighting nursing's role in timing and safety, protecting the patient during vulnerability.
Question 3 of 5
The surgical team understands that time is crucial in recognizing and treating an MH crisis. Once recognized, what is the treatment of choice?
Correct Answer: D
Rationale: Dantrolene sodium is the treatment of choice for an MH crisis, reversing muscle hypermetabolism. Danazol , phenytoin , and diazepam treat other conditions. The rationale focuses on mechanism: dantrolene inhibits calcium release in muscles, halting MH's cascade (tachycardia, rigidity, fever). Administered IV rapidly, it's stocked on MH carts, reflecting nursing's role in preparedness and delivery, critical for survival in this time-sensitive emergency, distinct from unrelated medications.
Question 4 of 5
The patient is scheduled to have minimally invasive surgery (MIS) for a laparoscopic cholecystectomy. Part of this surgery is the injection of air (insufflation) into the abdomen to separate and better see the organs. What patient teaching must the nurse do about the insufflation?
Correct Answer: C
Rationale: The nurse teaches about abdominal discomfort from insufflation , a common MIS effect. Incisions and discharge are unrelated; drainage tubes aren't typical. The rationale addresses physiology: CO2 insufflation lifts organs but may cause referred pain (e.g., shoulder) post-op. Nursing prepares patients for this, reducing anxiety and promoting recovery, specific to MIS, distinct from procedural or discharge details.
Question 5 of 5
A patient cared for in the PACU has had a colostomy placed for treatment of Crohn's disease. The nurse assesses that an abdominal dressing is 25% saturated with serosanguineous drainage and notes that the incision is intact. An IV is infusing with D5/lactated Ringer's at 100 mL/hr through a 20g peripheral IV access. Auscultation of abdomen reveals hypoactive bowel sounds in all four quadrants, abdomen soft, and no distention. Foley catheter is in place and draining yellow urine with sediment, 375 mL output in Foley bag. Which body systems have been assessed by the nurse? (Select all that apply.)
Correct Answer: B
Rationale: Assessed systems include gastrointestinal (choice B, bowel sounds, dressing), renal/urinary (choice A, Foley), and integumentary (choice E, incision). Respiratory and musculoskeletal aren't noted. The rationale links findings: hypoactive bowels and drainage assess GI/colostomy status; urine output checks kidneys; incision monitors skin. Nursing evaluates post-colostomy function and healing, distinct from unassessed systems.