ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
The nurse is caring for a patient who is about to have surgery. Which intervention will be included in the patient's care to meet the goals for risk for perioperative positioning injury related to immobilization during surgical procedure?
Correct Answer: D
Rationale: Pad all bony prominences and avoid hyperextension of extremities,' as it directly addresses the risk for perioperative positioning injury due to immobilization. Padding protects skin and bones from pressure ulcers, while avoiding hyperextension prevents joint or nerve damage during prolonged stillness key goals for this nursing diagnosis. 'Use adequate assistance' (A) ensures safe transfer but doesn't mitigate positioning risks once on the table. 'Watch for hypovolemia' (B) relates to fluid status, not positioning injury. 'Therapeutic touch and imagery' (C) reduces anxiety, not physical risk from immobilization. In nursing, proper positioning (e.g., padding heels, aligning limbs) is critical during surgery to prevent complications like neuropathy or skin breakdown, aligning with safety standards. D's specificity to immobilization hazards distinguishes it as the best intervention per NCLEX Reduction of Risk Potential criteria.
Question 2 of 5
A client who has undergone preadmission testing has had blood drawn for serum laboratory studies, including a complete blood count, coagulation studies, and electrolytes and creatinine levels. Which laboratory result would be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Which action will the nurse take immediately after surgery for a patient who received ketamine (Ketalar) as an anesthetic agent?
Correct Answer: D
Rationale: Provide a quiet environment in the postanesthesia care unit,' as ketamine's hallucinogenic effects warrant a calm setting to reduce postoperative agitation. 'Higher analgesics' (A) aren't needed ketamine provides analgesia. 'Atropine for bradycardia' (B) is irrelevant ketamine increases heart rate. 'Question benzodiazepines' (C) is wrong they complement ketamine. In nursing, managing ketamine's side effects is key; D aligns with NCLEX Physiological Integrity, prioritizing patient comfort and safety.
Question 4 of 5
In the ongoing postoperative period, the nurse independently determines, within the protocols of the hospital, the need for which provision of care?
Correct Answer: C
Rationale: Assessment intervals,' as nurses independently adjust monitoring frequency within protocols based on patient status unlike 'diet' (A) or 'IV solutions' (D), which require orders, or 'activity level' (B), often physician-directed. In nursing, autonomous assessment timing reflects patient acuity; C aligns with NCLEX Perioperative, emphasizing nurse-driven vigilance over prescribed interventions.
Question 5 of 5
Which is the priority initial assessment for a patient who is admitted to the postanesthesia care unit (PACU)?
Correct Answer: C
Rationale: Respirations,' as airway and breathing (per ABCs) are the priority in PACU post-anesthesia assessing respirations detects hypoxia first. 'Heart rate' (A), 'temperature' (B), and 'blood pressure' (D) follow. In nursing, respiratory status drives immediate action; C aligns with NCLEX Perioperative, emphasizing airway management.