ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
In the PACU, the nurse assesses that a patient is bleeding profusely from an abdominal incision. What is the nurse's best first action?
Correct Answer: B
Rationale: The nurse's first action is applying pressure to control bleeding, an immediate threat. Notifying follows; UAP tasks and labs are secondary. The rationale prioritizes ABCs: hemorrhage risks shock; pressure stems flow, buying time for surgical intervention. Nursing acts swiftly, stabilizing the patient, aligning with emergency protocols, distinct from diagnostic or delegated steps.
Question 2 of 5
The nurse is assigned to provide preoperative teaching to a patient who is scheduled for surgery. When instructing the patient on how to use an incentive spirometer, the nurse determines the patient only understands Spanish. What is the best method for the nurse to teach the patient how to use this equipment?
Correct Answer: C
Rationale: Have the hospital translator available while the nurse demonstrates the procedure and has the patient return the demonstration,' as it ensures accurate, professional translation and hands-on learning unlike 'pamphlet' (A), passive, 'patient translator' (B), unreliable, or 'postop delay' (D), untimely. In nursing, effective teaching requires comprehension and practice; C aligns with NCLEX Perioperative, emphasizing culturally competent education and skill verification.
Question 3 of 5
Which health care provider informs the patient of the benefits and risks of surgery prior to going to surgery?
Correct Answer: B
Rationale: The surgeon informs the patient of surgery's benefits and risks, as they perform the procedure and hold legal responsibility for consent. Physician assistants may assist, but it's not their primary role. Nurses educate and witness, not explain surgically. OR administrators manage logistics. The rationale emphasizes informed consent: the surgeon's expertise ensures accurate, procedure-specific disclosure risks (e.g., bleeding), benefits (e.g., cure) meeting ethical and legal standards. Nursing supports by verifying understanding, but the surgeon's direct communication is key, distinguishing clinical from supportive roles.
Question 4 of 5
The circulating nurse prepares the sterile field in the operating room (OR). Fifteen minutes later, the nurse is informed the surgery is delayed for 20 minutes because the surgeon is working at another hospital. Which is the best action for the nurse to take?
Correct Answer: C
Rationale: Cover the sterile field with a sterile drape until the surgery is about to begin,' as it maintains sterility during a short delay unlike 'monitor' (A), labor-intensive, 'tear down' (B), wasteful, or 'tape doors' (D), ineffective. In nursing, sterile field preservation is practical; C aligns with NCLEX Perioperative, balancing efficiency and asepsis.
Question 5 of 5
The following patient is at risk for latex allergy and should not have latex products used in their care:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.