ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
The nurse is providing discharge teaching to a patient who underwent a cholecystectomy. What symptom should the patient report immediately?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A postoperative client has the following orders: IV lactated Ringers 125 mL/hr, NG tube to low continuous suction, Replace NG output every 4 hours with normal saline over 4 hours, Morphine sulfate 2 mg IV push every hour as needed for pain, NPO, Up in chair tonight. At 1600 (4:00 PM), the nurse measures the nasogastric (NG) output from noon to be 200 mL. What is the clients total IV rate for the next 4 hours?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient has been brought to the ED by the paramedics. The patient is suspected of having ARDS. What intervention should the nurse first anticipate?
Correct Answer: A
Rationale: Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition marked by severe hypoxemia and diffuse lung injury, often requiring immediate airway and ventilatory support. The nurse should first anticipate preparing for intubation because ARDS patients typically progress to respiratory failure, necessitating mechanical ventilation to maintain oxygenation and ventilation when lung compliance drops. Oxygen at 5 L/minute via nasal cannula is insufficient for the profound hypoxemia of ARDS, which often requires high-flow oxygen or positive pressure ventilation. Deep suctioning addresses secretions but not the underlying oxygenation failure, and while corticosteroids may be considered later for inflammation, they are not the initial priority. Intubation ensures a secure airway and allows for precise ventilatory management, critical in ARDS where rapid deterioration is common, aligning with emergency protocols to stabilize the patient.
Question 5 of 5
The perioperative nurse is writing a care plan for a patient who has returned from surgery 2 hours prior. Which measure should the nurse implement to most decrease the patients risk of developing pulmonary emboli (PE)?
Correct Answer: A
Rationale: Pulmonary embolism (PE) risk post-surgery stems from venous stasis, a component of Virchow's triad, making early ambulation the most effective preventive measure. Walking within hours of surgery enhances venous return, prevents deep vein thrombosis (DVT) formation the primary PE source and counters immobility's prothrombotic effects. Increased protein intake aids wound healing but doesn't directly reduce clotting risk. Maintaining a supine position prolongs stasis, heightening DVT and PE likelihood, especially post-surgery when mobility is already limited. Combining aspirin with warfarin increases bleeding risk without superior PE prevention over warfarin alone, and anticoagulants are secondary to physical measures like ambulation. The nurse's focus on early mobilization, alongside elastic stockings or leg exercises, aligns with evidence-based protocols (e.g., SCIP guidelines), significantly lowering PE incidence in perioperative care.