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ATI LPN · Medical Surgical Nursing · Perioperative Care NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?

A. Call the provider to request more analgesia

B. Demonstrate how to splint the incision

C. Have the client take shallower breaths

D. Tell the client a little pain is expected

Expert Explanatory Rationale

Correct Answer: Demonstrate how to splint the incision

Question 2 of 5

A male patient has a scar on his forehead from a third-degree burn. What is the correct classification for this surgery?

A. Major

B. Restorative

C. Cosmetic

D. Curative

Expert Explanatory Rationale

Correct Answer: Cosmetic

Question 3 of 5

The OR nurse is monitoring a patient's blood loss. What should the nurse report to the surgeon?

A. Estimated volume of blood loss

B. Color of the blood

C. Time the bleeding started

D. Location of the patient's IV

Expert Explanatory Rationale

Correct Answer: Estimated volume of blood loss

Question 4 of 5

The OR nurse is participating in the appendectomy of a 20-year-old female patient who has a dangerously low body mass index. The nurse recognizes the patient's consequent risk for hypothermia. What action should the nurse implement to prevent the development of hypothermia?

A. Ensure that IV fluids are warmed to the patient's body temperature.

B. Transfuse packed red blood cells to increase oxygen carrying capacity.

C. Place warmed bags of normal saline at strategic points around the patient's body.

D. Monitor the patient's blood pressure and heart rate vigilantly.

Expert Explanatory Rationale

Correct Answer: Ensure that IV fluids are warmed to the patient's body temperature.

Question 5 of 5

During a surgical procedure using ketamine as the induction and maintenance agent, the perioperative nurse should:

A. promote a safe, quiet, and low-stimulus environment of care.

B. maintain close proximity to the patient and anesthesia provider in case the patient has hallucinations.

C. have the difficult airway cart in the room in case of respiratory distress.

D. monitor the dosage and amount of ketamine used.

Expert Explanatory Rationale

Correct Answer: promote a safe, quiet, and low-stimulus environment of care.

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