ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
A patient who is 2 days postoperative for abdominal surgery states, 'I coughed and heard something pop.' The nurse's immediate assessment reveals an opened incision with a portion of large intestine protruding. Which statements apply to this clinical situation? (Select all that apply.)
Correct Answer: B
Rationale: This is an emergency with incision evisceration (choice E), requiring moist saline dressings . Dehiscence is partial; urgency understates severity. The rationale explains urgency: protruding intestines signal evisceration, a life-threatening event needing immediate surgery. Nursing covers with saline to prevent drying, calls for help, and stabilizes, distinguishing from dehiscence (outer split), prioritizing rapid intervention.
Question 2 of 5
A patient is scheduled for a radical prostatectomy. Before signing the consent, the patient tells the nurse, 'I am not sure if this surgery is safe.' Which response by the nurse is the most appropriate?
Correct Answer: B
Rationale: Tell me what you know about your surgery and the risks involved,' as it encourages the patient to express concerns and assess understanding, facilitating informed consent unlike 'sedative' (A), which avoids discussion, 'general reassurance' (C), vague, or 'surgeon's record' (D), dismissive. In nursing, open-ended questions ensure patient autonomy and reduce anxiety; B aligns with NCLEX Perioperative, prioritizing therapeutic communication and consent education over minimization or medication reliance.
Question 3 of 5
Which of the following conditions is commonly associated with obese patients and of primary concern when scheduled for surgery? Select all that apply
Correct Answer: A
Rationale: Obese patients face surgical risks like sleep apnea , hypoventilation , wound dehiscence , and wound infection . Choice A is selected as primary for CSV format, but all apply. The rationale explains physiology: obesity increases sleep apnea and hypoventilation risks, impairing oxygenation under anesthesia; excess adipose tissue delays healing, raising dehiscence and infection rates. Nursing assesses these monitoring breathing, optimizing positioning, and ensuring wound care mitigating complications like respiratory arrest or sepsis. This holistic approach contrasts with single-condition focus, addressing obesity's systemic impact on perioperative safety.
Question 4 of 5
The nurse prepares to insert a peripheral intravascular catheter in a client requiring fluids. Which antiseptic is preferred for prepping the skin prior to insertion of the catheter?
Correct Answer: D
Rationale: Chlorhexadine,' as it's the CDC-preferred antiseptic for catheter insertion due to superior antimicrobial action unlike 'acetone' (A), harsh, 'alcohol' (B), less effective alone, or 'iodophor' (C), less persistent. In nursing, infection prevention is key; D aligns with NCLEX Perioperative, reflecting evidence-based practice.
Question 5 of 5
The limit for exposure to ethylene oxide are of airborne ethylene oxide expressed as a time weighted average for an eight hour work shift in a 40 hour work week.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.