ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
Which term should the nurse document for a patient who is having surgery for the removal of the gallbladder?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which parameter for NPO status is appropriate when providing care to a pediatric patient in the preoperative period?
Correct Answer: B
Rationale: Ensuring no solid foods by mouth for six hours prior to the surgical procedure,' as pediatric NPO allows clear liquids to 2 hours, breast milk to 4 hours, and solids/formula to 6 hours unlike 'total NPO' (A), 'formula to 6' (C), or 'breast milk to 6' (D). In nursing, age-specific NPO reduces risk; B aligns with NCLEX Perioperative, reflecting guidelines.
Question 3 of 5
A client who has had abdominal surgery complains of feeling as though 'something gave way' in the incisional site. The nurse removes the dressing and notes the presence of a loop of bowel protruding through the incision. Which nursing interventions should the nurse take? [Note: Single-answer format assumed from prior pattern despite 'select all']
Correct Answer: D
Rationale: Apply a sterile dressing soaked with normal saline,' as initial care for evisceration protects protruding organs though all options (A-D) are valid in sequence, single-answer format prioritizes first action. In nursing, sterile coverage prevents infection; D aligns with NCLEX Perioperative, addressing urgent wound care. (Note: OCR lists multiple, but prior format suggests single.)
Question 4 of 5
A colostomy is scheduled to be done on a patient who has severe Crohn's disease. What is the correct classification for this surgery?
Correct Answer: C
Rationale: A colostomy for severe Crohn's disease is classified as restorative surgery because it aims to restore gastrointestinal function by bypassing inflamed areas, improving the patient's ability to manage the chronic condition. Palliative surgery focuses on symptom relief without addressing function, which doesn't fully capture the colostomy's purpose. Minor surgery underestimates the procedure's complexity and impact. Curative surgery eliminates disease, but Crohn's is incurable, making this inaccurate. The rationale centers on the restorative goal: the colostomy diverts stool to allow healing and maintain nutrition, enhancing quality of life in a chronic illness. This distinguishes it from curative (disease-ending) or palliative (comfort-focused) surgeries, aligning with nursing's emphasis on functional improvement.
Question 5 of 5
The nurse is preparing the patient for surgery. Which common laboratory tests does the nurse anticipate to be ordered? (Select all that apply.)
Correct Answer: C
Rationale: Common preoperative lab tests include urinalysis , electrolyte levels , clotting studies (choice E, not listed), and serum creatinine (choice F, not listed). Total cholesterol and uric acid assess chronic conditions, not surgical readiness. The rationale focuses on perioperative needs: urinalysis detects infections or kidney issues; electrolytes ensure metabolic balance; clotting studies prevent bleeding risks; creatinine evaluates renal function for anesthesia clearance. These tests identify complications (e.g., infection, coagulopathy) critical for safety, aligning with nursing's role in preparing patients for anesthesia and surgery, unlike non-urgent lipid or uric acid checks.