ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
Correct Answer: D
Rationale: Choice D as pantoprazole prevents stress ulcers in SIRS, and occult blood checks for bleeding reduction. Bowel sounds (choice A), pain (choice B), and nausea (choice C) don't directly measure ulcer prevention. This reflects NCLEX Physiological Integrity, evaluating therapy outcomes by monitoring gastrointestinal complications in critical illness.
Question 2 of 5
The nurse is caring for a male patient who is having open heart surgery. The patient's chest is covered with thick hair, so the surgical technician begins to shave the patient's skin near the operative site. Which action by the technician requires intervention by the nurse to correct the technique?
Correct Answer: A
Rationale: A straight safety razor and antibiotic foam is used,' as it requires nurse intervention. Straight razors can nick the skin, increasing infection risk by creating entry points for bacteria, despite antibiotic foam contradicting safe preoperative hair removal standards. 'Disposable electric trimmers' (B) are correct, minimizing skin trauma. 'Antibacterial soap' (C) is standard for cleansing, reducing microbial load safely. 'Only hair around the site' (D) is appropriate, limiting unnecessary exposure. In nursing, preventing infection is paramount; razors are outdated due to evidence linking cuts to surgical site infections. The technician's use of a razor (A) deviates from best practice (clippers preferred), necessitating correction to align with NCLEX Safety and Infection Control principles.
Question 3 of 5
The nurse will be caring for a patient who has just arrived on the medical-surgical unit following surgical repair of his fractured right ankle. Which is the priority action of the nurse when the patient arrives on the unit?
Correct Answer: D
Rationale: Check pulse oximetry and obtain a full set of vital signs,' as initial postoperative assessment establishes a baseline vital signs (including oxygenation) reflect stability after anesthesia and surgery. 'Call light instruction' (A) aids communication but isn't urgent. 'Assess toes' (B) checks circulation, secondary to systemic status. 'Pain medication timing' (C) follows vital sign confirmation. In nursing, holistic assessment (ABCs) takes precedence; D aligns with NCLEX Management of Care and Clinical Judgment, ensuring broad stability before focused checks.
Question 4 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 5 of 5
While in the holding area, a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority?
Correct Answer: B
Rationale: Alert the anesthesia care provider of the family member's reaction to surgery,' as a fever history suggests malignant hyperthermia (MH) a genetic risk requiring immediate ACP notification for precautions (e.g., dantrolene). 'Sticker' (A) delays communication. 'Reassurance' (C) lacks action. 'Acetaminophen' (D) doesn't prevent MH. In nursing, proactive risk reporting is critical; B aligns with NCLEX Physiological Integrity and Prioritization, ensuring timely intervention.