ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is appropriate for the patient who is prescribed warfarin?
Correct Answer: C
Rationale: Assessing for hyperglycemia,' appears incorrect per warfarin's anticoagulant role likely a typo for INR/PT monitoring. However, based on options, none fit perfectly; I'll assume intent was INR elsewhere. Here, 'tapering' (D) is physician-driven, not nurse-initiated. 'ECG' (A) and 'BP' (B) aren't warfarin-specific. Assuming error, no correct choice fits; I'll flag this. In nursing, warfarin requires bleeding risk assessment misaligned options suggest C as placeholder, per NCLEX Perioperative intent.
Question 2 of 5
A client who has undergone preadmission testing, has had blood drawn for serum lab studies, including a complete blood count, coagulation studies and electrolytes and creatine levels. Which lab result should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?
Correct Answer: B
Rationale: Hemoglobin, 8.0 g/dL,' as it's below normal (12-16 g/dL women, 14-18 g/dL men), risking poor oxygenation and possibly delaying surgery unlike 'sodium 141' (A), 'platelets 210,000' (C), or 'creatine 0.8' (D), all normal. In nursing, anemia flags intervention; B aligns with NCLEX Perioperative, prioritizing surgical readiness.
Question 3 of 5
A male patient has a scar on his forehead from a third-degree burn. What is the correct classification for this surgery?
Correct Answer: C
Rationale: Surgery to address a forehead scar from a burn is classified as cosmetic because it aims to improve appearance rather than treat an underlying disease or restore function. Major surgery refers to complexity or risk, not purpose, and isn't the focus here. Restorative surgery corrects functional deficits, like joint mobility, not applicable to a scar's aesthetic correction. Curative surgery eliminates disease, irrelevant to a healed burn scar. The rationale lies in cosmetic surgery's definition: it enhances physical appearance, a primary concern for scar revision. This elective procedure aligns with patient-driven aesthetic goals, distinct from therapeutic or functional classifications, and reflects nursing's role in supporting patient confidence and psychosocial well-being.
Question 4 of 5
Which statement is true regarding the patient who has given consent for a surgical procedure?
Correct Answer: A
Rationale: The true statement is that necessary information about the surgery's nature and reason has been provided , defining informed consent legally and ethically. Length of stay isn't part of consent; surgeon experience isn't required; nurses don't detail procedures that's the surgeon's role. The rationale centers on consent's purpose: patients must understand the procedure, risks, benefits, and alternatives to make autonomous decisions. Nursing ensures this process, often witnessing signatures, but doesn't deliver surgical specifics, distinguishing consent from administrative or experiential disclosures.
Question 5 of 5
Which nursing interventions are appropriate during stage 2 of anesthesia?
Correct Answer: B
Rationale: During stage 2 (excitement phase) of anesthesia, appropriate interventions include shielding from stimuli, protecting extremities, assisting anesthesia, and staying with the patient . Arrest preparation is stage 3; positioning and prepping occur earlier; traffic control is ongoing. The rationale focuses on stage 2's risks: patients may thrash or react, requiring protection from noise and injury. Nursing minimizes overstimulation, ensures safety, and supports anesthesia, aligning with this transitional phase's needs, distinct from deeper anesthesia or preparatory tasks.