ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 of 5
Which finding is the best indicator that the fluid resuscitation for a patient with hypovolemic shock has been effective?
Correct Answer: B
Rationale: Choice B as adequate urine output (60 mL/hr) reflects restored renal perfusion, the best sign of effective fluid resuscitation in hypovolemic shock. Hemoglobin (choice A), CVP (choice C), and MAP (choice D) inform status but not organ perfusion directly. This aligns with NCLEX Physiological Integrity, evaluating end-organ response to therapy.
Question 2 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 3 of 5
The nurse is caring for a patient who requires emergency surgery for injuries sustained in a motor vehicle accident. The patient was on his way back to work after having lunch with colleagues when the accident happened. What is the highest priority Nursing diagnosis for this patient?
Correct Answer: B
Rationale: Risk for aspiration,' as a recent meal increases stomach contents, heightening aspiration risk under anesthesia a life-threatening priority in emergency surgery. 'Imbalanced temperature' (A) is less urgent. 'Positioning injury' (C) is a concern but secondary to airway. 'Delayed recovery' (D) is a longer-term risk. In nursing, ABCs prioritize airway; a full stomach demands precautions (e.g., rapid sequence intubation). B aligns with NCLEX Management of Care and Clinical Judgment, emphasizing immediate danger over other risks.
Question 4 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 5 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.