ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
The nurse has given the ordered preoperative medications to the patient. What actions must the nurse take after administering these drugs? (Select all that apply.)
Correct Answer: A
Rationale: After preoperative medications, the nurse raises side rails , ensures call light access , and instructs no bed exit for safety due to sedation. Signing consent must occur pre-medication. The rationale focuses on sedation effects: drugs like benzodiazepines cause drowsiness, increasing fall risk. Side rails and instructions prevent injury; call light ensures assistance. Consent post-medication is invalid due to impaired judgment, highlighting nursing's role in timing and safety, protecting the patient during vulnerability.
Question 2 of 5
The patient is scheduled to have minimally invasive surgery (MIS) for a laparoscopic cholecystectomy. Part of this surgery is the injection of air (insufflation) into the abdomen to separate and better see the organs. What patient teaching must the nurse do about the insufflation?
Correct Answer: C
Rationale: The nurse teaches about abdominal discomfort from insufflation , a common MIS effect. Incisions and discharge are unrelated; drainage tubes aren't typical. The rationale addresses physiology: CO2 insufflation lifts organs but may cause referred pain (e.g., shoulder) post-op. Nursing prepares patients for this, reducing anxiety and promoting recovery, specific to MIS, distinct from procedural or discharge details.
Question 3 of 5
A patient cared for in the PACU has had a colostomy placed for treatment of Crohn's disease. The nurse assesses that an abdominal dressing is 25% saturated with serosanguineous drainage and notes that the incision is intact. An IV is infusing with D5/lactated Ringer's at 100 mL/hr through a 20g peripheral IV access. Auscultation of abdomen reveals hypoactive bowel sounds in all four quadrants, abdomen soft, and no distention. Foley catheter is in place and draining yellow urine with sediment, 375 mL output in Foley bag. Which body systems have been assessed by the nurse? (Select all that apply.)
Correct Answer: B
Rationale: Assessed systems include gastrointestinal (choice B, bowel sounds, dressing), renal/urinary (choice A, Foley), and integumentary (choice E, incision). Respiratory and musculoskeletal aren't noted. The rationale links findings: hypoactive bowels and drainage assess GI/colostomy status; urine output checks kidneys; incision monitors skin. Nursing evaluates post-colostomy function and healing, distinct from unassessed systems.
Question 4 of 5
The nurse on the medical-surgical unit is caring for a postoperative patient. Which assessment criteria indicate to the nurse that the patient is experiencing respiratory difficulty? (Select all that apply.)
Correct Answer: B
Rationale: Respiratory difficulty signs include accessory muscle use , crowing sounds , and elevated respiratory rate (choice E, not listed). SpO2 94% is mild; BP drop is unrelated. The rationale identifies distress: accessory muscles and stridor signal effort or obstruction; rate increase reflects compensation. Nursing intervenes (e.g., oxygen), distinguishing from normal variations, ensuring airway management.
Question 5 of 5
A 68-year-old scheduled for a hemiorrhaphy at an ambulatory surgical center expresses concern that he will not have enough care at home and asks if he can stay in the hospital after the surgery. The best response by the nurse is,
Correct Answer: A
Rationale: Who is available to help you at home after the surgery?,' as it assesses support systems, addressing the patient's concern unlike 'reassurance' (B), dismissive, 'self-care teaching' (C), evasive, or 'insurance' (D), irrelevant. In nursing, exploring resources ensures discharge safety; A aligns with NCLEX Perioperative, prioritizing patient-centered planning.