ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
The nurse is caring for a postoperative patient who is recovering from abdominal surgery. The nurse notes that the patient's breath sounds are clear but diminished, shallow, and slightly labored. The patient's pulse oximetry is 96% on room air. What is the priority action of the nurse?
Correct Answer: D
Rationale: Ensure that the patient is using the spirometer 10 times every hour,' as diminished, shallow breathing suggests atelectasis a common post-abdominal surgery issue. Spirometry re-expands alveoli, improving ventilation (despite 96% oximetry, which may drop). 'Pain medication' (A) may worsen respiratory suppression. 'Oxygen' (B) isn't needed at 96%. 'Chest x-ray' (C) is reactive, not proactive. In nursing, preventing respiratory complications is key; D aligns with NCLEX Physiological Adaptation and Gas Exchange, prioritizing non-invasive intervention over medication or diagnostics.
Question 2 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 3 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 4 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.
Question 5 of 5
Which term should the nurse document for a patient who is having surgery for the removal of the gallbladder?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.