ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour?
Correct Answer: A
Rationale: Urine output of 20 ml/hour,' as it's below the minimum 30 mL/hour for adults, signaling potential renal or circulatory issues post-surgery requiring close monitoring. 'Temperature of 37.6 C' (B) is normal. 'Blood pressure of 114/70' (C) is stable. 'Serous drainage' (D) is expected. In nursing, urine output reflects perfusion; A aligns with NCLEX Perioperative, prioritizing early detection of complications over normal findings.
Question 2 of 5
A 76-year-old patient is having a bilateral cataract removal. What is the correct classification for this surgery?
Correct Answer: C
Rationale: Bilateral cataract removal is classified as elective surgery because it is scheduled in advance to improve vision, not driven by immediate necessity. Major surgery reflects complexity, not timing or purpose, and cataracts are outpatient procedures. Cosmetic surgery enhances appearance, not function, unlike cataracts, which restore sight. Emergent surgery addresses acute threats, inapplicable here. The rationale centers on elective surgery's definition: it's planned, patient-driven, and non-urgent, allowing preparation time. For a 76-year-old, it enhances quality of life by addressing age-related vision loss, distinguishing it from urgent or emergent categories. Nursing focuses on preoperative education and safety, supporting the elective nature.
Question 3 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 4 of 5
The surgical team understands that time is crucial in recognizing and treating an MH crisis. Once recognized, what is the treatment of choice?
Correct Answer: D
Rationale: Dantrolene sodium is the treatment of choice for an MH crisis, reversing muscle hypermetabolism. Danazol , phenytoin , and diazepam treat other conditions. The rationale focuses on mechanism: dantrolene inhibits calcium release in muscles, halting MH's cascade (tachycardia, rigidity, fever). Administered IV rapidly, it's stocked on MH carts, reflecting nursing's role in preparedness and delivery, critical for survival in this time-sensitive emergency, distinct from unrelated medications.
Question 5 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.