ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
Before assisting a patient with ambulation 2 days after a total hip replacement, which action is most important for the nurse to take?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider?
Correct Answer: B
Rationale: Choice B as cool, clammy skin signals progression from early warm septic shock to hypoperfusion, needing urgent reporting. BP (choice A), saturation (choice C), and heart rate (choice D) are concerning but expected. This aligns with NCLEX Physiological Integrity, prioritizing signs of worsening shock.
Question 3 of 5
The nurse is caring for a patient who is about to have surgery. Which intervention will be included in the patient's care to meet the goals for risk for perioperative positioning injury related to immobilization during surgical procedure?
Correct Answer: D
Rationale: Pad all bony prominences and avoid hyperextension of extremities,' as it directly addresses the risk for perioperative positioning injury due to immobilization. Padding protects skin and bones from pressure ulcers, while avoiding hyperextension prevents joint or nerve damage during prolonged stillness key goals for this nursing diagnosis. 'Use adequate assistance' (A) ensures safe transfer but doesn't mitigate positioning risks once on the table. 'Watch for hypovolemia' (B) relates to fluid status, not positioning injury. 'Therapeutic touch and imagery' (C) reduces anxiety, not physical risk from immobilization. In nursing, proper positioning (e.g., padding heels, aligning limbs) is critical during surgery to prevent complications like neuropathy or skin breakdown, aligning with safety standards. D's specificity to immobilization hazards distinguishes it as the best intervention per NCLEX Reduction of Risk Potential criteria.
Question 4 of 5
The nurse is caring for a postoperative patient who is recovering from abdominal surgery. The nurse notes that the patient's breath sounds are clear but diminished, shallow, and slightly labored. The patient's pulse oximetry is 96% on room air. What is the priority action of the nurse?
Correct Answer: D
Rationale: Ensure that the patient is using the spirometer 10 times every hour,' as diminished, shallow breathing suggests atelectasis a common post-abdominal surgery issue. Spirometry re-expands alveoli, improving ventilation (despite 96% oximetry, which may drop). 'Pain medication' (A) may worsen respiratory suppression. 'Oxygen' (B) isn't needed at 96%. 'Chest x-ray' (C) is reactive, not proactive. In nursing, preventing respiratory complications is key; D aligns with NCLEX Physiological Adaptation and Gas Exchange, prioritizing non-invasive intervention over medication or diagnostics.
Question 5 of 5
A client who has undergone preadmission testing has had blood drawn for serum laboratory studies, including a complete blood count, coagulation studies, and electrolytes and creatinine levels. Which laboratory result would be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.