ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
The nurse is caring for a patient who underwent a thyroidectomy 36 hours ago. The patient reports difficulty swallowing and hoarseness. What should the nurse suspect?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse is monitoring a client after moderate sedation. The nurse documents the clients Ramsay Sedation Scale (RSS) score at 3. What action by the nurse is best?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A postoperative client has respiratory depression after receiving midazolam (Versed) for sedation. Which action by the nurse is most appropriate?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
An X-ray of a trauma patient reveals rib fractures and the patient is diagnosed with a small flail chest injury. Which intervention should the nurse include in the patients plan of care?
Correct Answer: A
Rationale: A small flail chest injury, where a segment of ribs is fractured in multiple places, disrupts chest wall stability but, if minor, is managed supportively. Suctioning airway secretions is critical because pain from rib movement discourages coughing, leading to mucus retention and potential atelectasis or pneumonia. This intervention clears the airway, supports ventilation, and prevents complications, aligning with the goal of maintaining respiratory function. Immobilizing ribs with a binder restricts breathing, worsening oxygenation, and is contraindicated. Surgery is rare and reserved for severe cases with large flail segments or internal damage. Immediate sedation and intubation are unnecessary for a small injury unless respiratory failure ensues, which isn't indicated here. The nurse's focus on secretion clearance via suctioning, alongside pain control and breathing exercises, optimizes recovery in this trauma patient.
Question 5 of 5
A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP). What is an important measure for the prevention of HAP?
Correct Answer: B
Rationale: Preventing hospital-acquired pneumonia (HAP), a nosocomial infection occurring 48+ hours post-admission, relies on targeting vulnerable populations, making pneumococcal vaccination a key measure. This vaccine protects against Streptococcus pneumoniae, a leading HAP cause, reducing incidence in older adults or those with chronic illnesses, as supported by CDC guidelines for adults over 65 or with comorbidities. Prophylactic antibiotics aren't standard due to resistance risks and lack of evidence for broad prevention. Routine culture swabs on admission identify pathogens but don't prevent infection, serving more for treatment guidance. Antiretrovirals address HIV, not bacterial pneumonia, and aren't indicated here. Vaccination strengthens immunity in at-risk patients (e.g., elderly, immunocompromised), decreasing HAP rates, hospitalizations, and mortality, aligning with infection control priorities in healthcare settings.