Which action best describes the role of the certified registered nurse anesthetist (CRNA) on the surgical care team?

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NCLEX Practice Questions on Perioperative Care Questions

Question 1 of 5

Which action best describes the role of the certified registered nurse anesthetist (CRNA) on the surgical care team?

Correct Answer: B

Rationale: Releases or discharges patients from the postanesthesia care area,' as it's within the CRNA's scope, which includes preanesthetic assessment, anesthesia delivery, airway management, and postanesthesia care. 'Same as anesthesiologist' (A) overstates autonomy CRNAs collaborate, not duplicate. 'Administers anesthetics ordered by the anesthesiologist' (C) implies less independence than CRNAs have (they select/administer). 'Direct supervision' (D) underestimates CRNA autonomy in airway management. In nursing, understanding CRNA roles ensures team efficiency; B aligns with NCLEX Safe and Effective Care Environment, reflecting their comprehensive anesthesia responsibilities.

Question 2 of 5

The postanesthesia care nurse is providing care to a patient with fluid volume overload who is experiencing cardiac dysrhythmias. Which laboratory test should the nurse monitor for this patient?

Correct Answer: B

Rationale: Serum potassium,' as dysrhythmias in fluid overload often stem from potassium imbalances (hyper- or hypokalemia) critical to monitor. 'Glucose' (A) doesn't directly cause dysrhythmias. 'PT time' (C) is for clotting. 'BUN' (D) reflects kidney function, not rhythm. In nursing, potassium guides arrhythmia management (e.g., diuretics); B aligns with NCLEX Perioperative, targeting cardiac stability.

Question 3 of 5

The nurse is performing a surgical hand scrub, and holds the hands in which position when rinsing?

Correct Answer: C

Rationale: Higher than the elbows,' as this position during a surgical scrub ensures water flows from clean hands to less clean forearms, maintaining asepsis. 'Straight out' (A) or 'lower' (B) risks contamination from runoff. 'Irrelevant' (D) dismisses technique importance. In nursing, proper scrub protocol prevents surgical site infections; C aligns with NCLEX Perioperative, emphasizing sterile field integrity through standardized hand positioning.

Question 4 of 5

The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of succinylcholine, which terminology should the nurse use?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 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 insulin?

Correct Answer: D

Rationale: Assessing blood glucose levels closely during the perioperative period,' as insulin requires tight glucose monitoring due to fasting and stress. 'ECG' (A) and 'BP' (B) are secondary. 'Holding' (C) risks hyperglycemia. In nursing, glucose control prevents crises; D aligns with NCLEX Perioperative, prioritizing diabetic management.

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