ATI LPN
Perioperative Nursing 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
Which statement best describes the collaborative roles of the nurse and surgeon when obtaining the informed consent?
Correct Answer: C
Rationale: The best description is that the nurse witnesses the patient's signature after the physician explains and before sedation , ensuring legal and ethical consent. Choice A reverses roles; choice B lacks specificity; choice D denies ongoing nursing duties. The rationale emphasizes collaboration: the surgeon informs, the nurse verifies comprehension and voluntariness, witnessing pre-sedation to ensure clarity. This protects patient autonomy, prevents coercion, and aligns with nursing's advocacy role, distinct from merely preparing forms or disengaging post-signature.
Question 3 of 5
The acute, life-threatening complication of MH results from the use of which agents?
Correct Answer: B
Rationale: Malignant hyperthermia (MH) results from succinylcholine and inhalation agents , known triggers in genetically susceptible patients. Hypnotics , nitrous oxide , and fentanyl don't typically cause MH. The rationale identifies etiology: succinylcholine (a depolarizing relaxant) and volatile anesthetics (e.g., halothane) disrupt calcium regulation in muscles, causing hypermetabolism. Nursing recognizes these agents to anticipate MH, ensuring rapid intervention (e.g., dantrolene), critical for survival, distinguishing MH from other anesthetic complications.
Question 4 of 5
Which patient would be a candidate for moderate sedation? (Select all that apply.)
Correct Answer: A
Rationale: Moderate sedation suits endoscopy , fracture reduction , and catheterization . Cesarean requires deeper anesthesia. The rationale explains suitability: moderate sedation (e.g., midazolam) keeps patients responsive yet relaxed for brief, less invasive procedures, unlike major surgeries needing general anesthesia. Nursing monitors consciousness and vitals, ensuring safety, tailored to procedure type.
Question 5 of 5
The nurse transfers a patient to the PACU with an incision and drainage of an abscess in the right groin under general anesthesia. Blood pressure is 80/47 mm Hg, heart rate 117/min in sinus tachycardia, respiratory rate 28/min, pulse oximetry reading 93% on oxygen at 3 L nasal cannula, temp is 38.5°C. Using the SBAR charting format, which information should be included in assessment?
Correct Answer: C
Rationale: In SBAR's assessment, vital signs and wound output are key, showing instability (hypotension, tachycardia, fever). Procedure is situation; orders are recommendation; history is background. The rationale follows SBAR: assessment presents objective data (BP 80/47, HR 117, temp 38.5°C), signaling shock or infection, guiding interventions. Nursing communicates clearly, ensuring team response, distinct from context or orders.