ATI LPN
Perioperative Nursing Care NCLEX Questions Questions
Question 1 of 5
The nurse is providing care to a patient in the postanesthesia care unit (PACU) who lost a large amount of blood during a surgical procedure. Which assessment finding should the nurse monitor this patient for based on the current data?
Correct Answer: B
Rationale: Tachycardia,' as significant blood loss triggers compensatory tachycardia to maintain perfusion a key sign of hypovolemia. 'Bradypnea' (A) isn't typical. 'Hypothermia' (C) or 'hypertension' (D) may occur but aren't primary. In nursing, monitoring tachycardia guides fluid replacement; B aligns with NCLEX Perioperative, targeting circulatory response.
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 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 3 of 5
Which laboratory test should the nurse include in the plan of care for a patient who may require a blood transfusion during the surgical procedure?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 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 5 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.