ATI LPN
Perioperative Nursing 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 dexamethasone?
Correct Answer: C
Rationale: Assessing for hyperglycemia,' as dexamethasone, a corticosteroid, raises blood sugar, requiring preoperative glucose checks. 'ECG' (A) and 'BP' (B) aren't primary concerns. 'Tapering' (D) is physician-ordered. In nursing, monitoring steroid effects prevents complications; C aligns with NCLEX Perioperative, targeting metabolic risk assessment.
Question 2 of 5
The nurse receives a telephone call from the postanesthesia care unit stating that a client is being transferred to the surgical unit. The nurse plans to take which action first on arrival of the client?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
An appendectomy is being performed on a patient with appendicitis. What is the correct classification for this surgery?
Correct Answer: A
Rationale: An appendectomy for appendicitis is classified as curative surgery because it removes the inflamed appendix to eliminate the disease and prevent complications like rupture. Diagnostic surgery investigates conditions, not applicable here as the diagnosis is clear. Urgent surgery describes timing, not purpose, though this procedure is urgent; classification prioritizes intent. Radical surgery involves extensive removal, typically for cancer, not appendicitis. The rationale focuses on the curative goal: excising the appendix cures the acute infection, aligning with surgical classifications where intent (cure, restore, palliate) defines the category. This distinguishes it from timing-based (urgent) or scope-based (radical) labels, emphasizing nursing's role in supporting recovery from a resolved condition.
Question 4 of 5
Which statement best describes the collaborative roles of the nurse and surgeon when obtaining the informed consent?
Correct Answer: C
Rationale: The best description is that the nurse witnesses the patient's signature after the physician explains and before sedation , ensuring legal and ethical consent. Choice A reverses roles; choice B lacks specificity; choice D denies ongoing nursing duties. The rationale emphasizes collaboration: the surgeon informs, the nurse verifies comprehension and voluntariness, witnessing pre-sedation to ensure clarity. This protects patient autonomy, prevents coercion, and aligns with nursing's advocacy role, distinct from merely preparing forms or disengaging post-signature.
Question 5 of 5
The acute, life-threatening complication of MH results from the use of which agents?
Correct Answer: B
Rationale: Malignant hyperthermia (MH) results from succinylcholine and inhalation agents , known triggers in genetically susceptible patients. Hypnotics , nitrous oxide , and fentanyl don't typically cause MH. The rationale identifies etiology: succinylcholine (a depolarizing relaxant) and volatile anesthetics (e.g., halothane) disrupt calcium regulation in muscles, causing hypermetabolism. Nursing recognizes these agents to anticipate MH, ensuring rapid intervention (e.g., dantrolene), critical for survival, distinguishing MH from other anesthetic complications.