ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
Which action by the nurse best demonstrates accountability in the operating room?
Correct Answer: C
Rationale: Double-checking that the surgical site is clearly marked and visible after draping,' as it best shows accountability by preventing errors like wrong-site surgery a critical safety issue. Ensuring the site remains visible post-draping upholds the nurse's duty to verify procedure accuracy. 'Warm blankets' (A) provide comfort, not error prevention. 'Holding hands' (B) and 'calming speech' (D) reduce anxiety but don't address procedural safeguards. In nursing, accountability involves active risk reduction; site verification aligns with protocols (e.g., Joint Commission standards), directly impacting patient safety. C's focus on error prevention over comfort distinguishes it per NCLEX Safety and Infection Control criteria.
Question 2 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 3 of 5
Which nursing action should the operating room (OR) nurse manager delegate to the registered nurse first assistant (RNFA) when caring for a surgical patient?
Correct Answer: B
Rationale: Make surgical incision and suture incisions as needed,' as it fits the RNFA's advanced scope performing surgical tasks like cutting and suturing. 'Adjust anesthetics' (A) is the ACP's role. 'Coordinate transfer' (C) and 'teaching' (D) are circulating nurse duties. In nursing, delegation matches expertise; B aligns with NCLEX Safe and Effective Care Environment and Delegation, ensuring role-appropriate care.
Question 4 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 5 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.