ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 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.
Question 2 of 5
A 68-year-old scheduled for a hemiorrhaphy at an ambulatory surgical center expresses concern that he will not have enough care at home and asks if he can stay in the hospital after the surgery. The best response by the nurse is,
Correct Answer: A
Rationale: Who is available to help you at home after the surgery?,' as it assesses support systems, addressing the patient's concern unlike 'reassurance' (B), dismissive, 'self-care teaching' (C), evasive, or 'insurance' (D), irrelevant. In nursing, exploring resources ensures discharge safety; A aligns with NCLEX Perioperative, prioritizing patient-centered planning.
Question 3 of 5
ASA (aspirin) should be discontinued...
Correct Answer: D
Rationale: Aspirin should be discontinued 7-10 days before surgery due to its antiplatelet effect lasting about 10 days. Longer 30 days , 60 days is excessive; 1-3 days is insufficient. The rationale focuses on pharmacology: aspirin irreversibly inhibits platelets, increasing bleeding risk; stopping 7-10 days allows new platelet formation, balancing hemostasis with cardiovascular needs. Nursing coordinates this, consulting surgeons for cardiac patients, ensuring safety, distinct from overly cautious or rushed timelines.
Question 4 of 5
Name that position: It is also known as the Trendelenburg position with legs apart. The basic angle is a 30-degree Trendelenburg with the hips flexed at 15 degrees; this can be adjusted with leg supports.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The perioperative nurse is preparing the room for a Femoropopliteal Bypass. All of the following supplies and equipment should be available except:
Correct Answer: D
Rationale: Crafts of multiple sizes and shapes,' likely a typo for 'grafts,' but assuming intent, all others (A-C) are vascular surgery essentials X-ray for imaging, catheters for clots, hemoclips for hemostasis while 'crafts' is unclear. In nursing, relevant supplies matter; D aligns with NCLEX Perioperative, excluding irrelevant items.