ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
The OR nurse is monitoring a patient's blood loss. What should the nurse report to the surgeon?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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 3 of 5
A client has developed malignant hyperthermia. The clients potassium is 6.5 mEq/L. What action by the nurse takes priority?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. While assisting with a subclavian vein central line insertion, the nurse notes the clients oxygen saturation rapidly dropping. The patient complains of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include what?
Correct Answer: A
Rationale: A pneumothorax, a collapsed lung from air in the pleural space, disrupts normal lung expansion, leading to distinct assessment findings. Diminished or absent breath sounds on the affected side occur because air cannot enter the collapsed lung segment, reducing or eliminating audible airflow during auscultation. This is a classic sign, especially post-procedure like central line insertion, which risks pleural puncture. Paradoxical chest wall movement is specific to flail chest, where multiple rib fractures cause a segment to move oppositely during breathing, not a simple pneumothorax. Sudden loss of consciousness might indicate severe hypoxia or tension pneumothorax but isn't a primary sign. Muffled heart sounds suggest pericardial tamponade, a cardiac issue unrelated to pneumothorax. The nurse's observation of respiratory distress and absent breath sounds strongly supports pneumothorax, warranting immediate intervention like chest tube insertion.