ATI LPN
NCLEX Practice Questions on Perioperative Care 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 insulin?
Correct Answer: D
Rationale: Assessing blood glucose levels closely during the perioperative period,' as insulin requires tight glucose monitoring due to fasting and stress. 'ECG' (A) and 'BP' (B) are secondary. 'Holding' (C) risks hyperglycemia. In nursing, glucose control prevents crises; D aligns with NCLEX Perioperative, prioritizing diabetic management.
Question 2 of 5
A nurse is preparing the client for transfer to the operating room (OR). The nurse should take which of the following actions in the care of this client at this time?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 76-year-old patient is having a bilateral cataract removal. What is the correct classification for this surgery?
Correct Answer: C
Rationale: Bilateral cataract removal is classified as elective surgery because it is scheduled in advance to improve vision, not driven by immediate necessity. Major surgery reflects complexity, not timing or purpose, and cataracts are outpatient procedures. Cosmetic surgery enhances appearance, not function, unlike cataracts, which restore sight. Emergent surgery addresses acute threats, inapplicable here. The rationale centers on elective surgery's definition: it's planned, patient-driven, and non-urgent, allowing preparation time. For a 76-year-old, it enhances quality of life by addressing age-related vision loss, distinguishing it from urgent or emergent categories. Nursing focuses on preoperative education and safety, supporting the elective nature.
Question 4 of 5
The nurse has given the ordered preoperative medications to the patient. What actions must the nurse take after administering these drugs? (Select all that apply.)
Correct Answer: A
Rationale: After preoperative medications, the nurse raises side rails , ensures call light access , and instructs no bed exit for safety due to sedation. Signing consent must occur pre-medication. The rationale focuses on sedation effects: drugs like benzodiazepines cause drowsiness, increasing fall risk. Side rails and instructions prevent injury; call light ensures assistance. Consent post-medication is invalid due to impaired judgment, highlighting nursing's role in timing and safety, protecting the patient during vulnerability.
Question 5 of 5
The surgical team understands that time is crucial in recognizing and treating an MH crisis. Once recognized, what is the treatment of choice?
Correct Answer: D
Rationale: Dantrolene sodium is the treatment of choice for an MH crisis, reversing muscle hypermetabolism. Danazol , phenytoin , and diazepam treat other conditions. The rationale focuses on mechanism: dantrolene inhibits calcium release in muscles, halting MH's cascade (tachycardia, rigidity, fever). Administered IV rapidly, it's stocked on MH carts, reflecting nursing's role in preparedness and delivery, critical for survival in this time-sensitive emergency, distinct from unrelated medications.