ATI LPN
NCLEX Practice Questions on Perioperative Care Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour?
Correct Answer: A
Rationale: Urine output of 20 ml/hour,' as it's below the minimum 30 mL/hour for adults, signaling potential renal or circulatory issues post-surgery requiring close monitoring. 'Temperature of 37.6 C' (B) is normal. 'Blood pressure of 114/70' (C) is stable. 'Serous drainage' (D) is expected. In nursing, urine output reflects perfusion; A aligns with NCLEX Perioperative, prioritizing early detection of complications over normal findings.