ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
The patient is scheduled to have minimally invasive surgery (MIS) for a laparoscopic cholecystectomy. Part of this surgery is the injection of air (insufflation) into the abdomen to separate and better see the organs. What patient teaching must the nurse do about the insufflation?
Correct Answer: C
Rationale: The nurse teaches about abdominal discomfort from insufflation , a common MIS effect. Incisions and discharge are unrelated; drainage tubes aren't typical. The rationale addresses physiology: CO2 insufflation lifts organs but may cause referred pain (e.g., shoulder) post-op. Nursing prepares patients for this, reducing anxiety and promoting recovery, specific to MIS, distinct from procedural or discharge details.
Question 2 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 3 of 5
A 68-year-old scheduled for a hemiorrhaphy at an ambulatory surgical center expresses concern that he will not have enough care at home and asks if he can stay in the hospital after the surgery. The best response by the nurse is,
Correct Answer: A
Rationale: Who is available to help you at home after the surgery?,' as it assesses support systems, addressing the patient's concern unlike 'reassurance' (B), dismissive, 'self-care teaching' (C), evasive, or 'insurance' (D), irrelevant. In nursing, exploring resources ensures discharge safety; A aligns with NCLEX Perioperative, prioritizing patient-centered planning.
Question 4 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 5 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.