ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
The circulating nurse is preparing a patient for a craniotomy. What should the nurse ensure?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
What instruction is most appropriate for a client preparing for surgery?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A postoperative client has the following orders: IV lactated Ringers 125 mL/hr, NG tube to low continuous suction, Replace NG output every 4 hours with normal saline over 4 hours, Morphine sulfate 2 mg IV push every hour as needed for pain, NPO, Up in chair tonight. At 1600 (4:00 PM), the nurse measures the nasogastric (NG) output from noon to be 200 mL. What is the clients total IV rate for the next 4 hours?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient has been brought to the ED by the paramedics. The patient is suspected of having ARDS. What intervention should the nurse first anticipate?
Correct Answer: A
Rationale: Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition marked by severe hypoxemia and diffuse lung injury, often requiring immediate airway and ventilatory support. The nurse should first anticipate preparing for intubation because ARDS patients typically progress to respiratory failure, necessitating mechanical ventilation to maintain oxygenation and ventilation when lung compliance drops. Oxygen at 5 L/minute via nasal cannula is insufficient for the profound hypoxemia of ARDS, which often requires high-flow oxygen or positive pressure ventilation. Deep suctioning addresses secretions but not the underlying oxygenation failure, and while corticosteroids may be considered later for inflammation, they are not the initial priority. Intubation ensures a secure airway and allows for precise ventilatory management, critical in ARDS where rapid deterioration is common, aligning with emergency protocols to stabilize the patient.