ATI LPN
Perioperative Nursing Care NCLEX Questions Questions
Question 1 of 5
The PACU nurse is caring for a postoperative patient. The patient's oxygen saturation drops from 98% to 88%. What is the nurse's priority action?
Correct Answer: C
Rationale: The priority is calling the Rapid Response Team for an SpO2 drop to 88%, signaling hypoxia needing urgent escalation. Calling providers (choice A, B) or therapist delays. The rationale follows ABCs: 88% indicates respiratory compromise; rapid response delivers immediate expertise (e.g., oxygen, suction). Nursing acts decisively, ensuring oxygenation, distinct from slower consults, critical for patient stability.
Question 2 of 5
Which of the following items is included in a valid informed consent? Select all that apply
Correct Answer: C
Rationale: Valid informed consent requires it be freely given , a physician obtains it , and age isn't strictly 16 or 18 capacity matters more. Choice C is primary for CSV. The rationale defines consent: it must be voluntary (no coercion), physician-led (surgeon typically), and based on competence, not arbitrary age (minors with guardians consent). Physician assistants (choice E, not D here) don't typically obtain it. Nursing ensures this process witnessing, checking voluntariness upholding patient autonomy, distinct from age-based or assistant-led misconceptions.
Question 3 of 5
A client is experiencing confusion in the immediate postoperative period. Which of the following assessments is essential to determine the reason for the confusion?
Correct Answer: C
Rationale: Airway status,' as hypoxia is a common cause of postop confusion, and ABCs prioritize airway unlike 'consciousness' (A), an outcome, 'cardiac rhythm' (B), secondary, or 'anxiety' (D), less urgent. In nursing, oxygenation drives assessment; C aligns with NCLEX Perioperative, ensuring respiratory stability first.
Question 4 of 5
The most common source of pathogens in the surgical suite is:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse is assigned to assist in caring for a client who recently returned from the operating room. On data collection, the nurse notes that the client's vital signs are as follows: blood pressure (BP) 102/62 mm Hg, pulse 91 beats per minute, respirations 16 breaths per minute. Preoperative vital signs were BP 124/78 mm Hg, pulse 74 beats per minute, respirations 20 breaths per minute. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.