ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a male patient who is having open heart surgery. The patient's chest is covered with thick hair, so the surgical technician begins to shave the patient's skin near the operative site. Which action by the technician requires intervention by the nurse to correct the technique?
Correct Answer: A
Rationale: A straight safety razor and antibiotic foam is used,' as it requires nurse intervention. Straight razors can nick the skin, increasing infection risk by creating entry points for bacteria, despite antibiotic foam contradicting safe preoperative hair removal standards. 'Disposable electric trimmers' (B) are correct, minimizing skin trauma. 'Antibacterial soap' (C) is standard for cleansing, reducing microbial load safely. 'Only hair around the site' (D) is appropriate, limiting unnecessary exposure. In nursing, preventing infection is paramount; razors are outdated due to evidence linking cuts to surgical site infections. The technician's use of a razor (A) deviates from best practice (clippers preferred), necessitating correction to align with NCLEX Safety and Infection Control principles.
Question 2 of 5
The nurse receives a telephone call from the postanesthesia care unit, stating that a client is being transferred to the surgical unit. The nurse plans to take which action first on arrival of the client?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
While in the holding area, a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority?
Correct Answer: B
Rationale: Alert the anesthesia care provider of the family member's reaction to surgery,' as a fever history suggests malignant hyperthermia (MH) a genetic risk requiring immediate ACP notification for precautions (e.g., dantrolene). 'Sticker' (A) delays communication. 'Reassurance' (C) lacks action. 'Acetaminophen' (D) doesn't prevent MH. In nursing, proactive risk reporting is critical; B aligns with NCLEX Physiological Integrity and Prioritization, ensuring timely intervention.
Question 4 of 5
The postoperative patient displays sudden chest pain, shortness of breath, cyanosis, tachycardia, and low blood pressure. The nurse suspects which postoperative complication?
Correct Answer: D
Rationale: Pulmonary embolism,' as these symptoms (chest pain, dyspnea, cyanosis, tachycardia, hypotension) match a clot obstructing lung vasculature a life-threatening post-op risk. 'Pneumonia' (A) involves fever, cough. 'Atelectasis' (B) causes reduced breath sounds, not cyanosis. 'Hypovolemia' (C) lacks respiratory signs. In nursing, rapid recognition prompts intervention (e.g., oxygen, heparin); D aligns with NCLEX Perioperative, prioritizing emergency detection.
Question 5 of 5
How many providers from the operating room (OR) should participate in the hand-off communication that occurs with the postanesthesia care (PACU) nurse prior to patient transfer?
Correct Answer: B
Rationale: Two,' as OR-to-PACU hand-off typically involves two providers (e.g., surgeon, anesthesiologist) to ensure comprehensive reporting standard practice. 'One' (A) risks gaps. 'Three' (C) or 'four' (D) are excessive. In nursing, effective hand-off enhances safety; B aligns with NCLEX Perioperative, balancing efficiency and detail.