ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs the nurse that he drinks approximately two bottles of wine each day and has for the last several years. What postoperative difficulties can the nurse anticipate for this patient?
Correct Answer: B
Rationale: Alcohol withdrawal syndrome (AWS) may be anticipated between 48 and 96 hours (2 to 4 days) after the patient's last alcohol intake, not immediately , during anesthesia , or as late as a week . Chronic heavy alcohol use, like two bottles of wine daily for years, increases postoperative risks due to physical dependence. AWS can include tremors, seizures, and delirium, with a significant mortality rate if untreated. The nurse must anticipate this timing to monitor and manage symptoms effectively, aligning with preoperative assessment principles for substance use history.
Question 4 of 5
The nurse is caring for a patient in the postoperative period following an abdominal hysterectomy. The patient states, 'I don't want to use my pain meds because they'll make me dependent and I won't get better as fast.' Which response is most important when explaining the use of pain medication?
Correct Answer: D
Rationale: Choice D addresses fears of dependency (only with prolonged use) and explains pain relief aids mobility and healing, per postoperative pain management principles. Choice A assumes duration without addressing concerns; B ties age to dependency inaccurately; C misstates oral administration's effect. Effective pain control enhances recovery.
Question 5 of 5
The nurse is caring for a trauma victim in the ED who will require emergency surgery due to injuries. Before the patient leaves the ED for the OR, the patient goes into cardiac arrest. The nurse assists in the successful resuscitation and proceeds to release the patient to the OR staff. When can the ED nurse perform the preoperative assessment?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.