NCLEX Questions Perioperative Care

ATI LPN · NCLEX Questions Perioperative Care

Question 1 of 100

Which of the following is severed to achieve a permanent sterility?

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ATI LPN · NCLEX Questions Perioperative Care

Question 2 of 100

During a simulation on intraoperative counts in which peer 'teams' competed, Team 2 was determined to have demonstrated best practice in performing surgical counts. This team, whose members included a RN, CNOR, and CST, reviewed the unit practice standard and current AORN evidence-based guidelines. Select the appropriate order of counts that they demonstrated to their peers.

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ATI LPN · NCLEX Questions Perioperative Care

Question 3 of 100

Stroke volume is determined by

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ATI LPN · NCLEX Questions Perioperative Care

Question 4 of 100

A tracing of electrical activity of the brain is called

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ATI LPN · NCLEX Questions Perioperative Care

Question 5 of 100

The broad ligament is made up of the following EXCEPT

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ATI LPN · NCLEX Questions Perioperative Care

Question 6 of 100

Which action will the nurse take in order to evaluate the effectiveness of Buck's traction for a 62-year-old patient who has an intracapsular fracture of the right femur?

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ATI LPN · NCLEX Questions Perioperative Care

Question 7 of 100

The approximate gestation period in human is

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ATI LPN · NCLEX Questions Perioperative Care

Question 8 of 100

The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider?

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ATI LPN · NCLEX Questions Perioperative Care

Question 9 of 100

A 52-year-old 425-pound male patient is scheduled for surgery at the bariatric surgery center in 3 days. He has osteoarthritis and had a spinal fusion when he was 13. His long-time neighbor, a perioperative nurse at the bariatric center, has asked to be the patient's circulating nurse and is contemplating his plan of care. He shared his concern that he would not be able to move himself over to the OR bed and would be embarrassed if the nurses could not lift him. Based on this information, the nurse has identified this nursing diagnosis: ___ and these three positioning-relevant nursing interventions: ___ Select from the options to fill in the blanks.

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ATI LPN · NCLEX Questions Perioperative Care

Question 10 of 100

A patient who is 2 days postoperative for abdominal surgery states, 'I coughed and heard something pop.' The nurse's immediate assessment reveals an opened incision with a portion of large intestine protruding. Which statements apply to this clinical situation? (Select all that apply.)

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ATI LPN · NCLEX Questions Perioperative Care

Question 11 of 100

Heavy marcaine is considered hyperbaric because

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ATI LPN · NCLEX Questions Perioperative Care

Question 12 of 100

The following are bacterial shapes EXCEPT

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ATI LPN · NCLEX Questions Perioperative Care

Question 13 of 100

A 90-year-old female patient is scheduled to undergo a partial mastectomy for the treatment of breast cancer. What nursing diagnosis should the nurse prioritize when planning this patient's postoperative care?

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ATI LPN · NCLEX Questions Perioperative Care

Question 14 of 100

Which action will the nurse take immediately after surgery for a patient who received ketamine (Ketalar) as an anesthetic agent?

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ATI LPN · NCLEX Questions Perioperative Care

Question 15 of 100

Which is the priority initial assessment for a patient who is admitted to the postanesthesia care unit (PACU)?

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ATI LPN · NCLEX Questions Perioperative Care

Question 16 of 100

A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?

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ATI LPN · NCLEX Questions Perioperative Care

Question 17 of 100

The nurse is caring for a 79-year-old man who has returned to the postsurgical unit following abdominal surgery. The patient is unable to ambulate and is now refusing to wear an external pneumatic compression stocking. The nurse should explain that refusing to wear external pneumatic compression stockings increases his risk of what postsurgical complication?

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ATI LPN · NCLEX Questions Perioperative Care

Question 18 of 100

The nurse is reviewing the surgical consent with the patient during preoperative education. The patient indicates that he does not understand what procedure will be completed. What is the nurse's best next step?

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ATI LPN · NCLEX Questions Perioperative Care

Question 19 of 100

The hormone that maintains pregnancy is secreted by the

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ATI LPN · NCLEX Questions Perioperative Care

Question 20 of 100

The scrub nurse is handing instruments to the surgeon. What technique maintains sterility?

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ATI LPN · NCLEX Questions Perioperative Care

Question 21 of 100

Research process is

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ATI LPN · NCLEX Questions Perioperative Care

Question 22 of 100

A patient has been brought to the ED by the paramedics. The patient is suspected of having ARDS. What intervention should the nurse first anticipate?

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ATI LPN · NCLEX Questions Perioperative Care

Question 23 of 100

The limit for exposure to ethylene oxide are of airborne ethylene oxide expressed as a time weighted average for an eight hour work shift in a 40 hour work week.

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ATI LPN · NCLEX Questions Perioperative Care

Question 24 of 100

The perioperative nurse closes the door, keeps room quiet, stands by to assist and initiate cricoid pressure if requested during the

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ATI LPN · NCLEX Questions Perioperative Care

Question 25 of 100

A nurse is teaching a client about the use of an incentive spirometer in the postoperative period. The nurse should include which of the following pieces of information in discussions with the client?

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ATI LPN · NCLEX Questions Perioperative Care

Question 26 of 100

The home care nurse is monitoring a patient discharged home after resolution of a pulmonary embolus. For what potential complication would the home care nurse be most closely monitoring this patient?

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ATI LPN · NCLEX Questions Perioperative Care

Question 27 of 100

The nurse is providing care for a patient who underwent a splenectomy 48 hours ago following a motor vehicle accident. During the morning assessment, the nurse notes that the patient's urine output has been less than 20 mL/h for the past 4 hours and his blood pressure is 96/50 mm Hg. What should the nurse do first?

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ATI LPN · NCLEX Questions Perioperative Care

Question 28 of 100

factor prevents dissatisfaction within an organization environment

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ATI LPN · NCLEX Questions Perioperative Care

Question 29 of 100

The following are examples of deficiency diseases EXCEPT

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ATI LPN · NCLEX Questions Perioperative Care

Question 30 of 100

The family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take next?

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ATI LPN · NCLEX Questions Perioperative Care

Question 31 of 100

The following are goals for conducting nursing research except

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ATI LPN · NCLEX Questions Perioperative Care

Question 32 of 100

A student nurse is developing a teaching plan for an adult patient with asthma. Which teaching point should have the highest priority in the plan of care that the student is developing?

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ATI LPN · NCLEX Questions Perioperative Care

Question 33 of 100

A nurse is caring for a patient who has been admitted with an exacerbation of chronic bronchiectasis. The nurse should expect to assess the patient for which of the following clinical manifestations?

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ATI LPN · NCLEX Questions Perioperative Care

Question 34 of 100

The following are examples of musculoskeletal diseases EXCEPT

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ATI LPN · NCLEX Questions Perioperative Care

Question 35 of 100

A male patient had a vasectomy in his urologist's office. The small incision was closed with sutures that are synthetic and will 'dissolve and fall out' after 2 to 3 weeks. As the procedure ended, he heard the doctor ask the nurse for 5-0:

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ATI LPN · NCLEX Questions Perioperative Care

Question 36 of 100

From a pharmacokinetic perspective, which of these routes of administering drugs is nearly identical to intramuscular administration?

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ATI LPN · NCLEX Questions Perioperative Care

Question 37 of 100

The nurse is caring for a postoperative patient who is recovering from abdominal surgery. The nurse notes that the patient's breath sounds are clear but diminished, shallow, and slightly labored. The patient's pulse oximetry is 96% on room air. What is the priority action of the nurse?

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ATI LPN · NCLEX Questions Perioperative Care

Question 38 of 100

A sharps-safe area on the sterile field between the scrub person and the surgeon where sharps can be transferred to the surgeon from the scrub person and returned to the scrub person after use is referred to as the:

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ATI LPN · NCLEX Questions Perioperative Care

Question 39 of 100

The nurse prepares to insert a peripheral intravascular catheter in a client requiring fluids. Which antiseptic is preferred for prepping the skin prior to insertion of the catheter?

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ATI LPN · NCLEX Questions Perioperative Care

Question 40 of 100

Suxamethonium is a

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ATI LPN · NCLEX Questions Perioperative Care

Question 41 of 100

Which term should the nurse document for a patient who is having surgery for the removal of the gallbladder?

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ATI LPN · NCLEX Questions Perioperative Care

Question 42 of 100

After receiving 2 L of normal saline, the central venous pressure for a patient who has septic shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. The nurse will anticipate an order for

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ATI LPN · NCLEX Questions Perioperative Care

Question 43 of 100

Which parameter for NPO status is appropriate when providing care to a pediatric patient in the preoperative period?

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ATI LPN · NCLEX Questions Perioperative Care

Question 44 of 100

Norms, values and behavioural attitudes peculiar to a particular society is referred to as

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ATI LPN · NCLEX Questions Perioperative Care

Question 45 of 100

A postoperative patient rapidly presents with hypotension; rapid, thready pulse; oliguria; and cold, pale skin. The nurse suspects that the patient is experiencing a hemorrhage. What should be the nurse's first action?

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ATI LPN · NCLEX Questions Perioperative Care

Question 46 of 100

A colostomy is scheduled to be done on a patient who has severe Crohn's disease. What is the correct classification for this surgery?

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ATI LPN · NCLEX Questions Perioperative Care

Question 47 of 100

The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is appropriate for the patient who is prescribed amiodarone?

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ATI LPN · NCLEX Questions Perioperative Care

Question 48 of 100

The circulating nurse is preparing a patient for a craniotomy. What should the nurse ensure?

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ATI LPN · NCLEX Questions Perioperative Care

Question 49 of 100

A postoperative client has the following orders: IV lactated Ringers 125 mL/hr, NG tube to low continuous suction, Replace NG output every 4 hours with normal saline over 4 hours, Morphine sulfate 2 mg IV push every hour as needed for pain, NPO, Up in chair tonight. At 1600 (4:00 PM), the nurse measures the nasogastric (NG) output from noon to be 200 mL. What is the clients total IV rate for the next 4 hours?

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ATI LPN · NCLEX Questions Perioperative Care

Question 50 of 100

The following are examples of acute diseases EXCEPT

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ATI LPN · NCLEX Questions Perioperative Care

Question 51 of 100

The force that prompts individuals or groups to observe the rules, standards and procedures deemed necessary in any organization is

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ATI LPN · NCLEX Questions Perioperative Care

Question 52 of 100

Patient's rights are derived from the principle of

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ATI LPN · NCLEX Questions Perioperative Care

Question 53 of 100

A nurse is caring for a patient following knee surgery that was performed under a spinal anesthetic. What intervention should the nurse implement to prevent a spinal headache?

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ATI LPN · NCLEX Questions Perioperative Care

Question 54 of 100

The relationship between the Perioperative Patient Focused Model and the PNDS is evidenced by their unique language and use of the nursing process to guide care. The most notable feature of their similarity is that the PNDS:

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ATI LPN · NCLEX Questions Perioperative Care

Question 55 of 100

A patient is being discharged 4 days after hip replacement surgery using the posterior approach. Which patient action requires immediate intervention by the nurse?

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ATI LPN · NCLEX Questions Perioperative Care

Question 56 of 100

The nurse is preparing the patient for surgery. Which common laboratory tests does the nurse anticipate to be ordered? (Select all that apply.)

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ATI LPN · NCLEX Questions Perioperative Care

Question 57 of 100

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']

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ATI LPN · NCLEX Questions Perioperative Care

Question 58 of 100

The occupational health nurse will teach the patient whose job involves many hours of typing about the need to

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ATI LPN · NCLEX Questions Perioperative Care

Question 59 of 100

What instruction is most appropriate for a client preparing for surgery?

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ATI LPN · NCLEX Questions Perioperative Care

Question 60 of 100

The OR is a danger-prone area for both patients and staff. Providing a safe environment of care for the patient involves identifying, mitigating, and managing the hazards inherent in surgical care. Choose the answer below that completes the blanks in this sentence: The risk of the surgical hazard of ___ can be mitigated through ___

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ATI LPN · NCLEX Questions Perioperative Care

Question 61 of 100

Which intervention for postsurgical care of a patient is correct?

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ATI LPN · NCLEX Questions Perioperative Care

Question 62 of 100

Before assisting a patient with ambulation 2 days after a total hip replacement, which action is most important for the nurse to take?

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ATI LPN · NCLEX Questions Perioperative Care

Question 63 of 100

Ketamine is a short-acting induction and IV or intramuscular (IM) maintenance agent. Patients are able to maintain their airways. It is a suitable agent to use with small children and burn patients. The concern with this agent is that in large doses it may cause:

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ATI LPN · NCLEX Questions Perioperative Care

Question 64 of 100

During the admission interview, the nurse initiated the discharge teaching and demonstrated crutch-walking activities. The teaching activities are what stage of the nursing process?

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ATI LPN · NCLEX Questions Perioperative Care

Question 65 of 100

An asthma nurse educator is working with a group of adolescent asthma patients. What intervention is most likely to prevent asthma exacerbations among these patients?

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ATI LPN · NCLEX Questions Perioperative Care

Question 66 of 100

The nurse is caring for a patient who underwent a craniotomy 48 hours ago. During the assessment, the nurse notes that the patient's pupils are unequal and sluggish to react to light. What should the nurse do first?

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ATI LPN · NCLEX Questions Perioperative Care

Question 67 of 100

The main purpose of haemostasis during surgical procedure is to

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Question 68 of 100

The structural and functional unit of the kidney is the

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ATI LPN · NCLEX Questions Perioperative Care

Question 69 of 100

The following are examples of protozoan diseases EXCEPT

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ATI LPN · NCLEX Questions Perioperative Care

Question 70 of 100

The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Reasons for this intervention include

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ATI LPN · NCLEX Questions Perioperative Care

Question 71 of 100

The best diagnosis study to detect calcium disorder in children is:

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ATI LPN · NCLEX Questions Perioperative Care

Question 72 of 100

The perioperative nurse noticed abrasions on a patient's elbows when she visited him in the intensive care unit (ICU) the day after his 6-hour abdominal surgery. The patient told her that the ICU nurses had difficulty pulling him back up in bed every time he slid down toward the bottom, and he was not able to be much help in moving himself. This skin injury was probably the result of which physical force?

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ATI LPN · NCLEX Questions Perioperative Care

Question 73 of 100

The nurse is caring for a patient who is admitted to the ER with the diagnosis of acute appendicitis. The nurse notes during the assessment that the patient's ribs and xiphoid process are prominent. The patient states she exercises two to three times daily and her mother indicates that she is being treated for anorexia nervosa. How should the nurse best follow up these assessment data?

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ATI LPN · NCLEX Questions Perioperative Care

Question 74 of 100

The nurse is performing a preadmission assessment of a patient scheduled for a bilateral mastectomy. Of what purpose of the preadmission assessment should the nurse be aware?

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ATI LPN · NCLEX Questions Perioperative Care

Question 75 of 100

A patient is scheduled for a radical prostatectomy. Before signing the consent, the patient tells the nurse, 'I am not sure if this surgery is safe.' Which response by the nurse is the most appropriate?

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ATI LPN · NCLEX Questions Perioperative Care

Question 76 of 100

The OR nurse is providing care for a 25-year-old major trauma patient who has been involved in a motorcycle accident. The nurse should know that the patient is at increased risk for what complication of surgery?

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ATI LPN · NCLEX Questions Perioperative Care

Question 77 of 100

Therapeutic hypothermia can be achieved through all but one of the following

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ATI LPN · NCLEX Questions Perioperative Care

Question 78 of 100

In the ongoing postoperative period, the nurse independently determines, within the protocols of the hospital, the need for which provision of care?

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ATI LPN · NCLEX Questions Perioperative Care

Question 79 of 100

The circulating nurse is admitting a patient prior to surgery and proceeds to greet the patient and discuss what the patient can expect in surgery. What aspect of therapeutic communication should the nurse implement?

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ATI LPN · NCLEX Questions Perioperative Care

Question 80 of 100

The muscle that separates the thoracic cavity from the abdominal cavity is

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ATI LPN · NCLEX Questions Perioperative Care

Question 81 of 100

The diagnosis of congenital megacolon is best confirmed by

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ATI LPN · NCLEX Questions Perioperative Care

Question 82 of 100

A 5-year-old boy with a history of cystic fibrosis appears with fever and increased coughing for the past 3 days. Physical examination reveals bilateral coarse crackles. Most likely diagnosis is:

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ATI LPN · NCLEX Questions Perioperative Care

Question 83 of 100

During removal of chest tube, patient is advised to

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Question 84 of 100

To verify the correct placement of an oral endotracheal tube (ET) after insertion, the best initial action by the nurse is to

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Question 85 of 100

The following are parts of the peripheral nervous system EXCEPT

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Question 86 of 100

During surgery, what things do anesthesia personnel monitor, measure, and assess? (Select all that apply.)

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ATI LPN · NCLEX Questions Perioperative Care

Question 87 of 100

Which medical condition increases a patient's risk for surgical wound infection?

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Question 88 of 100

The following are accessory organs of digestion EXCEPT

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Question 89 of 100

The ovaries secrete all the following except

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Question 90 of 100

Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take?

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ATI LPN · NCLEX Questions Perioperative Care

Question 91 of 100

Which of the following conditions is commonly associated with obese patients and of primary concern when scheduled for surgery? Select all that apply

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Question 92 of 100

The following are examples of bacterial toxins EXCEPT

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Question 93 of 100

The nurse is caring for a patient who is about to have surgery. Which intervention will be included in the patient's care to meet the goals for risk for perioperative positioning injury related to immobilization during surgical procedure?

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Question 94 of 100

The nurse is providing discharge teaching to a patient who underwent a cholecystectomy. What symptom should the patient report immediately?

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Question 95 of 100

An error that is committed when the researcher accepts a false hypothesis is called

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Question 96 of 100

The nurse is monitoring a patient in the postanesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which of the following actions would be most appropriate for this patient?

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ATI LPN · NCLEX Questions Perioperative Care

Question 97 of 100

A client who has undergone preadmission testing has had blood drawn for serum laboratory studies, including a complete blood count, coagulation studies, and electrolytes and creatinine levels. Which laboratory result would be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?

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Question 98 of 100

The surgical removal of the testis is called

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Question 99 of 100

The following factors are to be considered in the use of chemical agent EXCEPT

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Question 100 of 100

The perioperative nurse is writing a care plan for a patient who has returned from surgery 2 hours prior. Which measure should the nurse implement to most decrease the patients risk of developing pulmonary emboli (PE)?

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