ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
A 325-pound male is undergoing a 6-hour abdominal surgery. While asleep and intubated, the surgeon requests the patient to be placed in lithotomy position for a sigmoidoscopy before the open procedure. The team of five nonscrubbed persons lifts the patient with the lift sheet, slides the patient down toward the foot of the OR bed, and places him into position. After the sigmoidoscopy, the perioperative nurse has the team roll the patient to his side for a skin assessment of his back before he is repositioned supine. What injury is the perioperative nurse concerned that she might see?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
An older surgeon explains his justification for his suture choice to the new perioperative nurse in the scrub role. He prefers to suture his intestinal anastomosis with a suture that has multiple filaments braided together because it ties well and holds the knot, which tightens when the thread absorbs the tissue fluids. He also needs a strand that is easy to see and only needs to retain its tensile strength for about 1 year, at which time the intestinal junction will be healed, even though this suture is considered nonabsorbable. He will ask the nurse for a 24-inch 4-0:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
While family members are visiting, a patient has a respiratory arrest and is being resuscitated. Which action by the nurse is best?
Correct Answer: B
Rationale: Choice B as research supports offering family the choice to stay during resuscitation, reducing anxiety and aiding grieving. Assuming stress (choice A) dismisses individual preferences, while forcibly removing family (choice C) or isolating them (choice D) may heighten distress. This patient-centered approach, rooted in psychosocial integrity per NCLEX, respects autonomy and facilitates emotional support. It reflects evidence-based practice showing family presence can improve coping, making it the best action in critical care settings where family involvement is increasingly valued.
Question 4 of 5
While waiting for cardiac transplantation, a patient with severe cardiomyopathy has a ventricular assist device (VAD) implanted. When planning care for this patient, the nurse should anticipate
Correct Answer: D
Rationale: Choice D as VAD insertion sites risk infection, requiring vigilant monitoring. Immunosuppression (choice A) isn't needed for mechanical devices, VADs are temporary (choice B), and mobility is allowed (choice C). This reflects NCLEX physiological integrity, prioritizing infection prevention in critical care.
Question 5 of 5
An 81-year-old patient who has been in the intensive care unit (ICU) for a week is now stable and transfer to the progressive care unit is planned. On rounds, the nurse notices that the patient has new onset confusion. The nurse will plan to
Correct Answer: B
Rationale: Choice B as new confusion likely reflects ICU delirium, best managed by transfer to a less intense environment after informing staff. Lorazepam (choice A) or restraints (choice D) worsen delirium; postponing (choice C) prolongs exposure. This aligns with NCLEX psychosocial integrity, addressing cognitive changes in critical care.