ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which risk factor should the nurse include in the preoperative plan of care for a patient who smokes?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client who has undergone preadmission testing, has had blood drawn for serum lab studies, including a complete blood count, coagulation studies and electrolytes and creatine levels. Which lab result should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?
Correct Answer: B
Rationale: Hemoglobin, 8.0 g/dL,' as it's below normal (12-16 g/dL women, 14-18 g/dL men), risking poor oxygenation and possibly delaying surgery unlike 'sodium 141' (A), 'platelets 210,000' (C), or 'creatine 0.8' (D), all normal. In nursing, anemia flags intervention; B aligns with NCLEX Perioperative, prioritizing surgical readiness.