ATI LPN
Perioperative Nursing Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a patient who is recovering from chest surgery. Which action by the patient indicates that additional teaching is needed about how to use the ordered incentive spirometer correctly?
Correct Answer: A
Rationale: The patient breathes into the spirometer so that the marker rises slowly,' as it's incorrect patients inhale through the spirometer to raise the marker, not exhale. This indicates a need for reteaching proper technique to expand lungs. '5 to 12 times hourly' (B), 'tight seal' (C), and 'hold breath 3-5 seconds' (D) are correct steps. In nursing, spirometry education prevents atelectasis; misusing it (exhaling) negates benefits. A aligns with NCLEX Reduction of Risk Potential and Patient Education, pinpointing the error needing correction.
Question 2 of 5
A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. While in the postanesthesia care unit (PACU), what assessment finding is most important for the nurse to report?
Correct Answer: C
Rationale: Weak chest wall movement,' as neuromuscular blockers can cause respiratory muscle weakness, risking hypoxemia a critical finding to report in PACU. 'Laryngospasm' (A) isn't typical with these agents. 'Nausea' (B) and 'confusion' (D) are less urgent (options missing in OCR). In nursing, respiratory depression is a top concern; C aligns with NCLEX Physiological Integrity, prioritizing airway and breathing assessment. (Note: OCR omits A, B, D assumed from context.)
Question 3 of 5
Which laboratory test should the postanesthesia care nurse monitor for a patient who is having difficulty regaining consciousness after a surgical procedure?
Correct Answer: A
Rationale: Serum glucose,' as altered consciousness post-surgery may stem from hypoglycemia common with fasting or anesthesia effects. 'Potassium' (B) affects rhythm, not alertness. 'PT time' (C) monitors clotting, irrelevant here. 'BUN' (D) assesses kidneys, not consciousness. In nursing, glucose checks guide reversal (e.g., dextrose); A aligns with NCLEX Perioperative, targeting metabolic causes of delayed recovery.
Question 4 of 5
The nurse is providing care to a patient in the postanesthesia care unit (PACU) who lost a large amount of blood during a surgical procedure. Which assessment finding should the nurse monitor this patient for based on the current data?
Correct Answer: B
Rationale: Tachycardia,' as significant blood loss triggers compensatory tachycardia to maintain perfusion a key sign of hypovolemia. 'Bradypnea' (A) isn't typical. 'Hypothermia' (C) or 'hypertension' (D) may occur but aren't primary. In nursing, monitoring tachycardia guides fluid replacement; B aligns with NCLEX Perioperative, targeting circulatory response.
Question 5 of 5
The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of morphine sulfate, which terminology should the nurse use?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.