ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
A nurse is monitoring the status of the postoperative client. The nurse would become most concerned with which of the following signs, which could indicate an evolving complication?
Correct Answer: B
Rationale: Increasing restlessness,' as it may signal shock or pain, an evolving issue unlike 'BP 110/70, pulse 86' (A), normal, 'hypoactive bowel sounds' (C), expected, or 'negative Homans'' (D), normal. In nursing, restlessness prompts investigation; B aligns with NCLEX Perioperative, targeting complication detection.
Question 2 of 5
Which nursing intervention is most appropriate for the patient in the operative setting?
Correct Answer: A
Rationale: The most appropriate intervention is ensuring privacy, comfort, and confidentiality , addressing the patient's emotional and physical needs intraoperatively. Preoperative teaching occurs earlier; avoiding discussion isolates the patient; assisting setup isn't patient-focused. The rationale prioritizes dignity: surgery is stressful, and privacy (e.g., draping) with comfort (e.g., positioning) reduces anxiety, while confidentiality upholds trust. Nursing's intraoperative role centers on advocacy, ensuring a supportive environment amidst technical focus, distinct from preoperative or logistical tasks.
Question 3 of 5
A patient experiences MH immediately after induction of anesthesia. What is the nurse anesthetist's first priority action?
Correct Answer: D
Rationale: The first priority in an MH crisis is stopping inhalation agents and succinylcholine , halting the trigger. Dantrolene follows; cooling and labs are secondary. The rationale prioritizes cessation: MH is driven by these agents causing hypermetabolism; stopping them prevents progression. Nursing supports by preparing dantrolene next, but trigger removal is immediate, aligning with ABCs (airway, breathing) and rapid reversal, critical for survival.
Question 4 of 5
The patient received moderate sedation (conscious sedation) by IV prior to a bronchoscopy procedure. Before allowing the patient to have oral liquids, what must the nurse assess in this patient?
Correct Answer: C
Rationale: The nurse assesses the gag reflex before oral intake to prevent aspiration post-sedation. Arousal , speech , and head movement don't ensure swallowing safety. The rationale focuses on airway protection: sedation (e.g., midazolam) depresses reflexes; an absent gag reflex risks choking. Nursing tests this (e.g., swallowing test) post-bronchoscopy, ensuring recovery, critical for safe oral intake, distinct from general responsiveness.
Question 5 of 5
The PACU nurse is assessing a patient transferred in from the OR. Which assessment findings apply to assessment of the cardiovascular system? (Select all that apply.)
Correct Answer: B
Rationale: Cardiovascular findings include absent dorsalis pedis pulse and normal sinus rhythm . Eye opening is neurologic; Foley is renal. The rationale ties to circulation: pulse assesses peripheral flow, rhythm cardiac function. Nursing monitors post-op for vascular compromise (e.g., clot), distinct from neuro or urinary data, ensuring circulatory integrity.