ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client?
Correct Answer: D
Rationale: Obtain a telephone consent from a family member, following agency policy,' as sedation impairs consent capacity, and witnessed telephone consent from family is legally valid unlike 'court order' (A), excessive, 'charge nurse signing' (B), invalid, or 'no consent' (C), illegal. In nursing, consent ensures ethics; D aligns with NCLEX Perioperative, balancing urgency and legality.
Question 2 of 5
A 75-year-old patient is having an exploratory laparotomy tomorrow. The wife tells the nurse that at night the patient gets up and walks around his room. What priority action does the nurse take after hearing this information?
Correct Answer: B
Rationale: The priority action is developing a safety plan because a 75-year-old patient wandering at night preoperatively risks falls, especially with potential sedation or unfamiliar settings. Notifying the provider is secondary unless immediate issues arise. Ordering sleep medication addresses symptoms, not safety, and requires assessment first. Telling the patient not to get up is impractical without support. The rationale prioritizes safety: elderly patients have higher fall risks due to age-related declines in balance and strength, amplified by hospital environments. A plan (e.g., bed alarms, assistance) prevents injury, aligning with nursing's proactive risk management, ensuring the patient's stability for surgery.
Question 3 of 5
Which interventions must the operating room (OR) nurses provide for patient physiological integrity during the intraoperative period? (Select all that apply.)
Correct Answer: C
Rationale: OR nurses ensure physiological integrity by monitoring airway, vital signs, ECG, and oxygen saturation , applying padding , and assessing skin . Communicating fears is preoperative. The rationale focuses on real-time safety: monitoring detects hypoxia or dysrhythmias, padding prevents pressure injuries, and skin checks document baseline status. These actions maintain homeostasis during anesthesia, aligning with nursing's vigilance, contrasting with emotional support tasks better suited pre-surgery.
Question 4 of 5
What techniques are essential to performing a proper surgical scrub of the hands by the surgeon, assistants, and scrub nurse? (Select all that apply.)
Correct Answer: A
Rationale: Essential surgical scrub techniques include using a broad-spectrum antimicrobial , holding hands higher than elbows , and scrubbing 3-5 minutes (choice E, not listed). Two-minute scrubs are insufficient; alcohol-based solutions are alternatives, not primary. The rationale ensures sterility: broad-spectrum agents kill pathogens, elevated hands prevent recontamination, and 3-5 minutes ensures thoroughness per guidelines (e.g., AORN). Nursing adheres to this, reducing infection risk, distinct from shorter or less effective methods.
Question 5 of 5
Which description illustrates the beginning of the postoperative period?
Correct Answer: D
Rationale: The postoperative period begins with completion of surgery and transfer to the PACU , marking recovery onset. Arousal in OR , preoperative planning , and closure are earlier. The rationale defines timing: postoperative care starts post-procedure, focusing on stabilization in PACU, distinct from intraoperative or preoperative phases. Nursing shifts to monitoring and intervention, ensuring smooth transition, critical for recovery initiation.