ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
Which nursing interventions are appropriate during stage 2 of anesthesia?
Correct Answer: B
Rationale: During stage 2 (excitement phase) of anesthesia, appropriate interventions include shielding from stimuli, protecting extremities, assisting anesthesia, and staying with the patient . Arrest preparation is stage 3; positioning and prepping occur earlier; traffic control is ongoing. The rationale focuses on stage 2's risks: patients may thrash or react, requiring protection from noise and injury. Nursing minimizes overstimulation, ensures safety, and supports anesthesia, aligning with this transitional phase's needs, distinct from deeper anesthesia or preparatory tasks.
Question 2 of 5
In the PACU, the nurse assesses that a patient is bleeding profusely from an abdominal incision. What is the nurse's best first action?
Correct Answer: B
Rationale: The nurse's first action is applying pressure to control bleeding, an immediate threat. Notifying follows; UAP tasks and labs are secondary. The rationale prioritizes ABCs: hemorrhage risks shock; pressure stems flow, buying time for surgical intervention. Nursing acts swiftly, stabilizing the patient, aligning with emergency protocols, distinct from diagnostic or delegated steps.
Question 3 of 5
The morning after a patient's lower leg surgery, the nurse notes that the dressing is wet from drainage. The surgeon has not yet been in to see the patient on rounds. What does the nurse do about the dressing?
Correct Answer: B
Rationale: The nurse reinforces the dressing , managing drainage safely. Removing or reapplying risks contamination; waiting delays care. The rationale ensures protection: adding sterile layers absorbs drainage, maintaining a barrier until surgeon assessment. Nursing balances independence and caution, preventing infection, distinct from invasive or passive options, supporting wound integrity.
Question 4 of 5
The nurse is assigned to provide preoperative teaching to a patient who is scheduled for surgery. When instructing the patient on how to use an incentive spirometer, the nurse determines the patient only understands Spanish. What is the best method for the nurse to teach the patient how to use this equipment?
Correct Answer: C
Rationale: Have the hospital translator available while the nurse demonstrates the procedure and has the patient return the demonstration,' as it ensures accurate, professional translation and hands-on learning unlike 'pamphlet' (A), passive, 'patient translator' (B), unreliable, or 'postop delay' (D), untimely. In nursing, effective teaching requires comprehension and practice; C aligns with NCLEX Perioperative, emphasizing culturally competent education and skill verification.
Question 5 of 5
Which health care provider informs the patient of the benefits and risks of surgery prior to going to surgery?
Correct Answer: B
Rationale: The surgeon informs the patient of surgery's benefits and risks, as they perform the procedure and hold legal responsibility for consent. Physician assistants may assist, but it's not their primary role. Nurses educate and witness, not explain surgically. OR administrators manage logistics. The rationale emphasizes informed consent: the surgeon's expertise ensures accurate, procedure-specific disclosure risks (e.g., bleeding), benefits (e.g., cure) meeting ethical and legal standards. Nursing supports by verifying understanding, but the surgeon's direct communication is key, distinguishing clinical from supportive roles.