ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
The nurse is caring for a patient who requires emergency surgery for injuries sustained in a motor vehicle accident. The patient was on his way back to work after having lunch with colleagues when the accident happened. What is the highest priority Nursing diagnosis for this patient?
Correct Answer: B
Rationale: Risk for aspiration,' as a recent meal increases stomach contents, heightening aspiration risk under anesthesia a life-threatening priority in emergency surgery. 'Imbalanced temperature' (A) is less urgent. 'Positioning injury' (C) is a concern but secondary to airway. 'Delayed recovery' (D) is a longer-term risk. In nursing, ABCs prioritize airway; a full stomach demands precautions (e.g., rapid sequence intubation). B aligns with NCLEX Management of Care and Clinical Judgment, emphasizing immediate danger over other risks.
Question 2 of 5
Which nursing action should the operating room (OR) nurse manager delegate to the registered nurse first assistant (RNFA) when caring for a surgical patient?
Correct Answer: B
Rationale: Make surgical incision and suture incisions as needed,' as it fits the RNFA's advanced scope performing surgical tasks like cutting and suturing. 'Adjust anesthetics' (A) is the ACP's role. 'Coordinate transfer' (C) and 'teaching' (D) are circulating nurse duties. In nursing, delegation matches expertise; B aligns with NCLEX Safe and Effective Care Environment and Delegation, ensuring role-appropriate care.
Question 3 of 5
The postanesthesia care nurse is providing care to a patient with fluid volume overload who is experiencing cardiac dysrhythmias. Which laboratory test should the nurse monitor for this patient?
Correct Answer: B
Rationale: Serum potassium,' as dysrhythmias in fluid overload often stem from potassium imbalances (hyper- or hypokalemia) critical to monitor. 'Glucose' (A) doesn't directly cause dysrhythmias. 'PT time' (C) is for clotting. 'BUN' (D) reflects kidney function, not rhythm. In nursing, potassium guides arrhythmia management (e.g., diuretics); B aligns with NCLEX Perioperative, targeting cardiac stability.
Question 4 of 5
The nurse is performing a surgical hand scrub, and holds the hands in which position when rinsing?
Correct Answer: C
Rationale: Higher than the elbows,' as this position during a surgical scrub ensures water flows from clean hands to less clean forearms, maintaining asepsis. 'Straight out' (A) or 'lower' (B) risks contamination from runoff. 'Irrelevant' (D) dismisses technique importance. In nursing, proper scrub protocol prevents surgical site infections; C aligns with NCLEX Perioperative, emphasizing sterile field integrity through standardized hand positioning.
Question 5 of 5
The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of succinylcholine, which terminology should the nurse use?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.