ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
The nurse is preparing the patient for surgery. Which common laboratory tests does the nurse anticipate to be ordered? (Select all that apply.)
Correct Answer: C
Rationale: Common preoperative lab tests include urinalysis , electrolyte levels , clotting studies (choice E, not listed), and serum creatinine (choice F, not listed). Total cholesterol and uric acid assess chronic conditions, not surgical readiness. The rationale focuses on perioperative needs: urinalysis detects infections or kidney issues; electrolytes ensure metabolic balance; clotting studies prevent bleeding risks; creatinine evaluates renal function for anesthesia clearance. These tests identify complications (e.g., infection, coagulopathy) critical for safety, aligning with nursing's role in preparing patients for anesthesia and surgery, unlike non-urgent lipid or uric acid checks.
Question 2 of 5
Which medical condition increases a patient's risk for surgical wound infection?
Correct Answer: C
Rationale: Diabetes mellitus increases wound infection risk due to impaired immunity and healing. Anxiety , hiatal hernia , and amnesia don't directly affect wounds. The rationale explains pathophysiology: hyperglycemia in diabetes fosters bacterial growth and delays repair, elevating infection rates. Nursing monitors glucose and wound care, mitigating this common surgical risk, distinct from unrelated conditions.
Question 3 of 5
A patient who is 2 days postoperative for abdominal surgery states, 'I coughed and heard something pop.' The nurse's immediate assessment reveals an opened incision with a portion of large intestine protruding. Which statements apply to this clinical situation? (Select all that apply.)
Correct Answer: B
Rationale: This is an emergency with incision evisceration (choice E), requiring moist saline dressings . Dehiscence is partial; urgency understates severity. The rationale explains urgency: protruding intestines signal evisceration, a life-threatening event needing immediate surgery. Nursing covers with saline to prevent drying, calls for help, and stabilizes, distinguishing from dehiscence (outer split), prioritizing rapid intervention.
Question 4 of 5
Which intervention for postsurgical care of a patient is correct?
Correct Answer: D
Rationale: The correct intervention is splinting the wound for support during movement. Knee gatch risks pressure; massage risks emboli; prolonged bedrest increases complications. The rationale supports mobility: splinting reduces dehiscence risk during coughing or transfers, promoting healing. Nursing teaches this, contrasting with harmful (massage) or outdated (bedrest) practices, enhancing recovery safety.
Question 5 of 5
A patient is scheduled for a radical prostatectomy. Before signing the consent, the patient tells the nurse, 'I am not sure if this surgery is safe.' Which response by the nurse is the most appropriate?
Correct Answer: B
Rationale: Tell me what you know about your surgery and the risks involved,' as it encourages the patient to express concerns and assess understanding, facilitating informed consent unlike 'sedative' (A), which avoids discussion, 'general reassurance' (C), vague, or 'surgeon's record' (D), dismissive. In nursing, open-ended questions ensure patient autonomy and reduce anxiety; B aligns with NCLEX Perioperative, prioritizing therapeutic communication and consent education over minimization or medication reliance.