ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
The nurse on the medical-surgical unit is caring for a postoperative patient. Which assessment criteria indicate to the nurse that the patient is experiencing respiratory difficulty? (Select all that apply.)
Correct Answer: B
Rationale: Respiratory difficulty signs include accessory muscle use , crowing sounds , and elevated respiratory rate (choice E, not listed). SpO2 94% is mild; BP drop is unrelated. The rationale identifies distress: accessory muscles and stridor signal effort or obstruction; rate increase reflects compensation. Nursing intervenes (e.g., oxygen), distinguishing from normal variations, ensuring airway management.
Question 2 of 5
ASA (aspirin) should be discontinued...
Correct Answer: D
Rationale: Aspirin should be discontinued 7-10 days before surgery due to its antiplatelet effect lasting about 10 days. Longer 30 days , 60 days is excessive; 1-3 days is insufficient. The rationale focuses on pharmacology: aspirin irreversibly inhibits platelets, increasing bleeding risk; stopping 7-10 days allows new platelet formation, balancing hemostasis with cardiovascular needs. Nursing coordinates this, consulting surgeons for cardiac patients, ensuring safety, distinct from overly cautious or rushed timelines.
Question 3 of 5
Name that position: It is also known as the Trendelenburg position with legs apart. The basic angle is a 30-degree Trendelenburg with the hips flexed at 15 degrees; this can be adjusted with leg supports.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The perioperative nurse is preparing the room for a Femoropopliteal Bypass. All of the following supplies and equipment should be available except:
Correct Answer: D
Rationale: Crafts of multiple sizes and shapes,' likely a typo for 'grafts,' but assuming intent, all others (A-C) are vascular surgery essentials X-ray for imaging, catheters for clots, hemoclips for hemostasis while 'crafts' is unclear. In nursing, relevant supplies matter; D aligns with NCLEX Perioperative, excluding irrelevant items.
Question 5 of 5
The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs the nurse that he drinks approximately two bottles of wine each day and has for the last several years. What postoperative difficulties can the nurse anticipate for this patient?
Correct Answer: B
Rationale: Alcohol withdrawal syndrome (AWS) may be anticipated between 48 and 96 hours (2 to 4 days) after the patient's last alcohol intake, not immediately , during anesthesia , or as late as a week . Chronic heavy alcohol use, like two bottles of wine daily for years, increases postoperative risks due to physical dependence. AWS can include tremors, seizures, and delirium, with a significant mortality rate if untreated. The nurse must anticipate this timing to monitor and manage symptoms effectively, aligning with preoperative assessment principles for substance use history.