ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 1 of 98
The Perioperative Patient Focused Model presents key components of nursing influence that guide patient care. Select the statement that best describes the dynamic relationship within the model.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 2 of 98
The nurse is caring for a patient who is scheduled to have a needle biopsy of the pleura. The patient has had a consultation with the anesthesiologist and a conduction block will be used. Which local conduction block can be used to block the nerves leading to the chest?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 3 of 98
The nurse in the ED is caring for a man who has returned to the ED 4 days after receiving stitches for a knife wound on his hand. The wound is now infected, so the stitches were removed, and the wound is cleaned and packed with gauze. The ED doctor plans to have the man return tomorrow to remove the packing and resuture the wound. You are aware that the wound will now heal by what means?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 4 of 98
A circulating nurse notes the surgeon dons gown and gloves using appropriate sterile procedure but then folds hands together below hips. What action by the nurse is best?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 5 of 98
The nurse's obligation to be truthful to her clients is called the principle of
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 6 of 98
The following are examples of nosocomial infections EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 7 of 98
The nurse is caring for a patient who underwent a left below-the-knee amputation 48 hours ago. During the assessment, the nurse notes that the patient is reporting a burning sensation in the toes of his left foot, which is no longer there. What does this finding suggest?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 8 of 98
The nurse on the medical-surgical unit is caring for a postoperative patient. Which assessment criteria indicate to the nurse that the patient is experiencing respiratory difficulty? (Select all that apply.)
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 9 of 98
The nurse is performing a surgical hand scrub, and holds the hands in which position when rinsing?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 10 of 98
The patient is scheduled to have minimally invasive surgery (MIS) for a laparoscopic cholecystectomy. Part of this surgery is the injection of air (insufflation) into the abdomen to separate and better see the organs. What patient teaching must the nurse do about the insufflation?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 11 of 98
The nurse is caring for a patient who requires emergency surgery for injuries sustained in a motor vehicle accident. The patient was on his way back to work after having lunch with colleagues when the accident happened. What is the highest priority Nursing diagnosis for this patient?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 12 of 98
A split-thickness skin graft is also referred to as
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 13 of 98
Which of the following is correct about nitrous oxide?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 14 of 98
Endoscopic visualization of the urinary bladder is
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 15 of 98
A patient undergoing a laparoscopic Nissen fundoplication procedure will be positioned in both high and low lithotomy during the procedure. After the patient is repositioned into low lithotomy, the perioperative nurse should:
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 16 of 98
The nurse is caring for a postoperative patient with an abdominal incision. A pillow is used during coughing to provide
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 17 of 98
After the health care provider has recommended amputation for a patient who has nonhealing ischemic foot ulcers, the patient tells the nurse that he would rather die than have an amputation. Which response by the nurse is best?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 18 of 98
The recovery room nurse is admitting a patient from the OR following the patient's successful splenectomy. What is the first assessment that the nurse should perform on this newly admitted patient?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 19 of 98
The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs the nurse that he drinks approximately two bottles of wine each day and has for the last several years. What postoperative difficulties can the nurse anticipate for this patient?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 20 of 98
Which of the following is NOT a factor to be considered in theatre design?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 21 of 98
Which finding is the best indicator that the fluid resuscitation for a patient with hypovolemic shock has been effective?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 22 of 98
The postanesthesia care nurse is providing care to a patient with fluid volume overload who is experiencing cardiac dysrhythmias. Which laboratory test should the nurse monitor for this patient?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 23 of 98
ASA (aspirin) should be discontinued...
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 24 of 98
A 21-year-old patient is positioned on the OR bed prior to knee surgery to correct a sports-related injury. The anesthesiologist administers the appropriate anesthetic. The OR nurse should anticipate which of the following events as the team's next step in the care of this patient?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 25 of 98
A 36-year-old woman was preoperatively admitted for laparoscopic cholecystectomy with operative cholangiogram. She was then interviewed by her perioperative nurse in the preoperative intake lounge. The patient's weight on admission was 245 lb. After the assessment, the nurse returned to the operating room (OR) and modified the standard plan of care by instituting risk reduction strategies that were derived from information from the preoperative assessment. A good example of this action would best be described by:
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 26 of 98
Saltatory conduction occurs only
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 27 of 98
The following are examples of connective tissues EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 28 of 98
A nurse is preparing the client for transfer to the operating room (OR). The nurse should take which of the following actions in the care of this client at this time?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 29 of 98
The nurse notes thick, white secretions in the endotracheal tube (ET) of a patient who is receiving mechanical ventilation. Which intervention will be most effective in addressing this problem?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 30 of 98
The following are examples of viral diseases EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 31 of 98
The following are examples of mental disorders EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 32 of 98
Which action best describes the role of the certified registered nurse anesthetist (CRNA) on the surgical care team?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 33 of 98
A nurse is monitoring a client after moderate sedation. The nurse documents the clients Ramsay Sedation Scale (RSS) score at 3. What action by the nurse is best?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 34 of 98
Researchers in Toronto (Wong J, et al, 2009) developed a research tool to evaluate recovery after ambulatory surgery, focusing on functional abilities after discharge. Select the true statement about the benefits of a functional recovery index for ambulatory surgery patients.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 35 of 98
Which action by the nurse best demonstrates accountability in the operating room?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 36 of 98
The surgical treatment of choice for abscess of bartholin gland is
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 37 of 98
The following are examples of metabolic diseases EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 38 of 98
Which action is a priority for the nurse to take when the low pressure alarm sounds for a patient who has an arterial line in the left radial artery?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 39 of 98
Which nursing action for a patient who has had right hip replacement surgery can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 40 of 98
The stages of general anaesthesia were first observed by when Ether was used as anaesthesia in 1937.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 41 of 98
The patient with neurogenic shock is receiving a phenylephrine (Neo-Synephrine) infusion through a right forearm IV. Which assessment finding obtained by the nurse indicates a need for immediate action?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 42 of 98
The nurse's aide notifies the nurse that a patient has decreased oxygen saturation levels. The nurse assesses the patient and finds that he is tachypneic, has crackles on auscultation, and his sputum is frothy and pink. The nurse should suspect what complication?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 43 of 98
Select the positioning device and accessory commonly used for neurosurgical procedures.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 44 of 98
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient's laboratory tests and allergies. In which perioperative nursing phase would this work be completed?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 45 of 98
A nurses assessment reveals that a client with COPD may be experiencing bronchospasm. What assessment finding would suggest that the patient is experiencing bronchospasm?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 46 of 98
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?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 47 of 98
The perioperative nurse is preparing the room for a Femoropopliteal Bypass. All of the following supplies and equipment should be available except:
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 48 of 98
The process of micturition is controlled by the nervous system
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 49 of 98
The part of the CPU that coordinates and manages all activities of scheduling and timing is
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 50 of 98
Name that position: It is also known as the Trendelenburg position with legs apart. The basic angle is a 30-degree Trendelenburg with the hips flexed at 15 degrees; this can be adjusted with leg supports.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 51 of 98
The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 52 of 98
An individual that is incubating an infectious disease and is capable of spreading it during incubation period is known as
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 53 of 98
The following are examples of exocrine glands EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 54 of 98
The next line of treatment following unsuccessful manual reduction of intussusception is
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 55 of 98
The nurse is caring for a trauma victim in the ED who will require emergency surgery due to injuries. Before the patient leaves the ED for the OR, the patient goes into cardiac arrest. The nurse assists in the successful resuscitation and proceeds to release the patient to the OR staff. When can the ED nurse perform the preoperative assessment?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 56 of 98
A hospital has been the site of an increased incidence of hospital-acquired pneumonia (HAP). What is an important measure for the prevention of HAP?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 57 of 98
The nurse is providing care for a patient on postoperative day 2 following a colectomy. The patient's temperature is 101.8°F (38.8°C). What should the nurse do first?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 58 of 98
A postoperative client has respiratory depression after receiving midazolam (Versed) for sedation. Which action by the nurse is most appropriate?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 59 of 98
MH is a rare, multifaceted syndrome with an increased incidence in individuals with central core diseases such as:
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 60 of 98
Which of the meningeal covering fuses with the periosteum of coccyx?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 61 of 98
The structural and functional unit of the thyroid gland is the
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 62 of 98
A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 63 of 98
A patient cared for in the PACU has had a colostomy placed for treatment of Crohn's disease. The nurse assesses that an abdominal dressing is 25% saturated with serosanguineous drainage and notes that the incision is intact. An IV is infusing with D5/lactated Ringer's at 100 mL/hr through a 20g peripheral IV access. Auscultation of abdomen reveals hypoactive bowel sounds in all four quadrants, abdomen soft, and no distention. Foley catheter is in place and draining yellow urine with sediment, 375 mL output in Foley bag. Which body systems have been assessed by the nurse? (Select all that apply.)
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 64 of 98
An X-ray of a trauma patient reveals rib fractures and the patient is diagnosed with a small flail chest injury. Which intervention should the nurse include in the patients plan of care?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 65 of 98
A female patient with end-stage pancreatic cancer was admitted from hospice for a celiac plexus block to treat intractable pain. She had a Whipple procedure 18 months earlier and enjoyed a good quality of life until 3 weeks ago. She wanted to be able to complete 'getting her things in order' and saying good-bye to her friends and family while enjoying her last days pain-free. The patient insisted that her Do Not Resuscitate (DNR) status NOT be rescinded. She was conscious and competent and knew what was best for herself. The patient was taking full advantage of what provision for her care?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 66 of 98
Which of the skin conditions would most likely result from liver failure?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 67 of 98
The following are examples of fungal diseases EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 68 of 98
The nurse educator is evaluating the care that a new registered nurse (RN) provides to a patient receiving mechanical ventilation. Which action by the new RN indicates the need for more education?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 69 of 98
The delimitation of the study is referred to as
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 70 of 98
While the surgical patient is anesthetized, the scrub nurse hears a member of the surgical team make an inappropriate remark about the patient's weight. How should the nurse best respond?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 71 of 98
Which information obtained by the nurse about a 29-year-old patient with a lumbar vertebral compression fracture is most important to report to the health care provider?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 72 of 98
The following are examples of monosaccharides EXCEPT
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 73 of 98
These hemostatic devices date back to a period in time when they consisted of a product that was harvested from the ocean. They continue to be used today in every surgical procedure where a considerable amount of bleeding may be encountered and are still made of a natural product, but not from the ocean. Select the appropriate hemostatic device that fits this description.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 74 of 98
The nurse is caring for a patient who underwent a thyroidectomy 36 hours ago. The patient reports difficulty swallowing and hoarseness. What should the nurse suspect?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 75 of 98
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?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 76 of 98
Which of the following is an adverse effect of frusemide?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 77 of 98
A patient in the ICU is status post embolectomy after a pulmonary embolus. What assessment parameter does the nurse monitor most closely on a patient who is postoperative following an embolectomy?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 78 of 98
The surgical team understands that time is crucial in recognizing and treating an MH crisis. Once recognized, what is the treatment of choice?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 79 of 98
The nurse is caring for a patient in the postoperative period following an abdominal hysterectomy. The patient states, 'I don't want to use my pain meds because they'll make me dependent and I won't get better as fast.' Which response is most important when explaining the use of pain medication?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 80 of 98
The effect of a 'contre-coup' injury is felt
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 81 of 98
The nurse is preparing a patient for a surgical procedure on the right great toe. Which of the following actions would be most important to include in this patient's preparation?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 82 of 98
A 68-year-old scheduled for a hemiorrhaphy at an ambulatory surgical center expresses concern that he will not have enough care at home and asks if he can stay in the hospital after the surgery. The best response by the nurse is,
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Question 83 of 98
Select the guideline that complements the design of the culture of safety model.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 84 of 98
Redivac drain is an example of drain
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 85 of 98
Weighing sponges is a valuable tool for meticulous calculation of blood and fluid loss when conducted correctly and used in appropriate circumstances. Select the response that correctly reflects the best practice in weighing sponges.
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 86 of 98
Which nursing action should the operating room (OR) nurse manager delegate to the registered nurse first assistant (RNFA) when caring for a surgical patient?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 87 of 98
The amount of air inspired or expired in a single breath is
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 88 of 98
The greater omentum is to the small intestine
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 89 of 98
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?
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Question 90 of 98
The nurse is reviewing a patient's preoperative checklist. Which item must be confirmed before sending the patient to the OR?
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Question 91 of 98
A 76-year-old patient is having a bilateral cataract removal. What is the correct classification for this surgery?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 92 of 98
The nurse has given the ordered preoperative medications to the patient. What actions must the nurse take after administering these drugs? (Select all that apply.)
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Question 93 of 98
The ambulatory surgical nurse calls to check on the patient at home the morning after surgery. The patient is reporting continued nausea and vomiting. Which of the following discharge education points should be reviewed with the patient?
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ATI LPN · NCLEX Practice Questions on Perioperative Care
Question 94 of 98
The anaesthesia provider evaluates the airway for the risk of difficult intubation using the
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Question 95 of 98
Noise tends to distort at any stage in the system
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Question 96 of 98
Use the following scores of TEN (10) students in Statistics listed below to answer Questions 29 and 30 : 70,63,54,82,60,75,13,64,40,74 The mean of the scores is
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Question 97 of 98
The circulating nurse is monitoring a patient under spinal anesthesia. What complication should the nurse watch for?
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Question 98 of 98
A blood vessel that withstands high pulse pressure would have
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