ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
Which statement is true regarding the patient who has given consent for a surgical procedure?
Correct Answer: A
Rationale: The true statement is that necessary information about the surgery's nature and reason has been provided , defining informed consent legally and ethically. Length of stay isn't part of consent; surgeon experience isn't required; nurses don't detail procedures that's the surgeon's role. The rationale centers on consent's purpose: patients must understand the procedure, risks, benefits, and alternatives to make autonomous decisions. Nursing ensures this process, often witnessing signatures, but doesn't deliver surgical specifics, distinguishing consent from administrative or experiential disclosures.
Question 2 of 5
Which definition is appropriate for local anesthesia?
Correct Answer: C
Rationale: Local anesthesia involves injecting anesthetic into tissues around an incision . Choice A and D describe regional (nerve block); choice B is epidural. The rationale defines scope: local numbs a small area (e.g., lidocaine for suturing), distinct from broader nerve or spinal blocks. Nursing ensures precise application, minimizing systemic effects, enhancing minor procedure safety.
Question 3 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 4 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 5 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.