ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
Which medical condition increases a patient's risk for surgical wound infection?
Correct Answer: C
Rationale: Diabetes mellitus increases wound infection risk due to impaired immunity and healing. Anxiety , hiatal hernia , and amnesia don't directly affect wounds. The rationale explains pathophysiology: hyperglycemia in diabetes fosters bacterial growth and delays repair, elevating infection rates. Nursing monitors glucose and wound care, mitigating this common surgical risk, distinct from unrelated conditions.
Question 2 of 5
Which intervention for postsurgical care of a patient is correct?
Correct Answer: D
Rationale: The correct intervention is splinting the wound for support during movement. Knee gatch risks pressure; massage risks emboli; prolonged bedrest increases complications. The rationale supports mobility: splinting reduces dehiscence risk during coughing or transfers, promoting healing. Nursing teaches this, contrasting with harmful (massage) or outdated (bedrest) practices, enhancing recovery safety.
Question 3 of 5
A patient is scheduled for a radical prostatectomy. Before signing the consent, the patient tells the nurse, 'I am not sure if this surgery is safe.' Which response by the nurse is the most appropriate?
Correct Answer: B
Rationale: Tell me what you know about your surgery and the risks involved,' as it encourages the patient to express concerns and assess understanding, facilitating informed consent unlike 'sedative' (A), which avoids discussion, 'general reassurance' (C), vague, or 'surgeon's record' (D), dismissive. In nursing, open-ended questions ensure patient autonomy and reduce anxiety; B aligns with NCLEX Perioperative, prioritizing therapeutic communication and consent education over minimization or medication reliance.
Question 4 of 5
Which of the following conditions is commonly associated with obese patients and of primary concern when scheduled for surgery? Select all that apply
Correct Answer: A
Rationale: Obese patients face surgical risks like sleep apnea , hypoventilation , wound dehiscence , and wound infection . Choice A is selected as primary for CSV format, but all apply. The rationale explains physiology: obesity increases sleep apnea and hypoventilation risks, impairing oxygenation under anesthesia; excess adipose tissue delays healing, raising dehiscence and infection rates. Nursing assesses these monitoring breathing, optimizing positioning, and ensuring wound care mitigating complications like respiratory arrest or sepsis. This holistic approach contrasts with single-condition focus, addressing obesity's systemic impact on perioperative safety.
Question 5 of 5
The nurse prepares to insert a peripheral intravascular catheter in a client requiring fluids. Which antiseptic is preferred for prepping the skin prior to insertion of the catheter?
Correct Answer: D
Rationale: Chlorhexadine,' as it's the CDC-preferred antiseptic for catheter insertion due to superior antimicrobial action unlike 'acetone' (A), harsh, 'alcohol' (B), less effective alone, or 'iodophor' (C), less persistent. In nursing, infection prevention is key; D aligns with NCLEX Perioperative, reflecting evidence-based practice.