ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
The nurse is performing a surgical hand scrub, and holds the hands in which position when rinsing?
Correct Answer: C
Rationale: Higher than the elbows,' as this position during a surgical scrub ensures water flows from clean hands to less clean forearms, maintaining asepsis. 'Straight out' (A) or 'lower' (B) risks contamination from runoff. 'Irrelevant' (D) dismisses technique importance. In nursing, proper scrub protocol prevents surgical site infections; C aligns with NCLEX Perioperative, emphasizing sterile field integrity through standardized hand positioning.
Question 2 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 3 of 5
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour?
Correct Answer: A
Rationale: Urine output of 20 ml/hour,' as it's below the minimum 30 mL/hour for adults, signaling potential renal or circulatory issues post-surgery requiring close monitoring. 'Temperature of 37.6 C' (B) is normal. 'Blood pressure of 114/70' (C) is stable. 'Serous drainage' (D) is expected. In nursing, urine output reflects perfusion; A aligns with NCLEX Perioperative, prioritizing early detection of complications over normal findings.
Question 4 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 5 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.