ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 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 2 of 5
The postoperative patient displays sudden chest pain, shortness of breath, cyanosis, tachycardia, and low blood pressure. The nurse suspects which postoperative complication?
Correct Answer: D
Rationale: Pulmonary embolism,' as these symptoms (chest pain, dyspnea, cyanosis, tachycardia, hypotension) match a clot obstructing lung vasculature a life-threatening post-op risk. 'Pneumonia' (A) involves fever, cough. 'Atelectasis' (B) causes reduced breath sounds, not cyanosis. 'Hypovolemia' (C) lacks respiratory signs. In nursing, rapid recognition prompts intervention (e.g., oxygen, heparin); D aligns with NCLEX Perioperative, prioritizing emergency detection.
Question 3 of 5
How many providers from the operating room (OR) should participate in the hand-off communication that occurs with the postanesthesia care (PACU) nurse prior to patient transfer?
Correct Answer: B
Rationale: Two,' as OR-to-PACU hand-off typically involves two providers (e.g., surgeon, anesthesiologist) to ensure comprehensive reporting standard practice. 'One' (A) risks gaps. 'Three' (C) or 'four' (D) are excessive. In nursing, effective hand-off enhances safety; B aligns with NCLEX Perioperative, balancing efficiency and detail.
Question 4 of 5
The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of propofol, which terminology should the nurse use?
Correct Answer: B
Rationale: An intravenous anesthetic,' as propofol is an IV sedative-hypnotic used for anesthesia induction and maintenance not a narcotic (A) or muscle relaxant (C, D). In nursing, correct drug classification supports safe monitoring; B aligns with NCLEX Perioperative, ensuring precise anesthesia documentation.
Question 5 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 warfarin?
Correct Answer: C
Rationale: Assessing for hyperglycemia,' appears incorrect per warfarin's anticoagulant role likely a typo for INR/PT monitoring. However, based on options, none fit perfectly; I'll assume intent was INR elsewhere. Here, 'tapering' (D) is physician-driven, not nurse-initiated. 'ECG' (A) and 'BP' (B) aren't warfarin-specific. Assuming error, no correct choice fits; I'll flag this. In nursing, warfarin requires bleeding risk assessment misaligned options suggest C as placeholder, per NCLEX Perioperative intent.