ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
A nurse is planning the care of a client with bronchiectasis. What goal of care should the nurse prioritize?
Correct Answer: A
Rationale: In bronchiectasis care, the nurse prioritizes the patient successfully mobilizing pulmonary secretions, addressing the disease's core issue chronic bronchial dilation trapping thick, purulent mucus. Effective clearance via chest physiotherapy or postural drainage reduces infection risk, obstruction, and dyspnea, improving ventilation and quality of life in this irreversible condition. Maintaining 98% oxygen saturation is unrealistic 90-94% often suffices in chronic lung disease and not the primary focus. Reducing pulmonary blood pressure isn't a bronchiectasis hallmark; it's more relevant in cor pulmonale or pulmonary hypertension. Resuming prediagnosis function in 72 hours is unfeasible given bronchiectasis's permanence. The nurse's goal of secretion mobilization tracked by sputum volume drives symptom relief, aligning with evidence-based management.
Question 2 of 5
The nurse is preparing to assist the patient in using the incentive spirometer. Which nursing intervention should the nurse provide first?
Correct Answer: A
Rationale: Performing hand hygiene first prevents microbial transmission, a foundational step before any patient contact or device use like the incentive spirometer. This reduces infection risk, critical post-surgery when immunity may be compromised. Positioning in reverse Trendelenburg or high Fowler's follows, aiding lung expansion, but hygiene precedes to ensure safety. Explaining the mouthpiece and instructing slow inhalation are teaching steps, done after hands are clean to avoid contamination. The nurse's adherence to this sequence hygiene first upholds asepsis, setting the stage for effective spirometry to prevent atelectasis, aligning with infection control and respiratory care standards.
Question 3 of 5
The nurse is caring for a patient in the operating suite. Which of the following outcomes would be most appropriate for this patient?
Correct Answer: A
Rationale: Being free of burns at the grounding pad is the most appropriate intraoperative outcome, as cautery use risks electrical burns if pads are misplaced a preventable injury under the nurse's watch. Infection signs emerge post-surgery, not intraoperatively. Nausea and pain are irrelevant during anesthesia patients are unconscious, with symptoms surfacing later. The circulating nurse's focus on equipment safety, like pad placement, ensures skin integrity, aligning with intraoperative advocacy to prevent immediate harm, per surgical care standards.
Question 4 of 5
The following are the functions of socialization EXCEPT
Correct Answer: A
Rationale: Socialization is the process by which individuals acquire the knowledge, skills, and attitudes needed to participate in society. Its functions include moral development (learning ethical standards), personality development (forming individual traits), and the development of defense mechanisms (coping strategies for social pressures). The question asks for an option that is not a function but rather the process itself. 'Socialization,' is the process, not an outcome, making it the exception and the correct answer. 'Moral development,' is a function, as socialization instills moral norms, per Lawrence Kohlberg's stages of moral growth. 'Personality development,' is another function, aligning with Sigmund Freud's view that social interactions shape personality. 'Development of defense mechanism,' is a function too, as individuals learn adaptive responses through social experiences, per psychoanalytic theory. Socialization as a term describes the mechanism, not a specific result, distinguishing it from the functional outcomes in B, C, and D, thus confirming A as the correct choice.
Question 5 of 5
The clear space in bacterial cell structure where waste materials are initially stored is
Correct Answer: A
Rationale: In bacterial cells, the vacuole is a membrane-bound structure that can store waste materials, nutrients, or gases, serving as a temporary holding area. 'Vacuole,' is correct because it aligns with this function, as seen in certain bacteria like cyanobacteria, where gas vacuoles manage buoyancy or waste. 'Mesosomes,' are invaginations of the plasma membrane involved in respiration or cell division, not waste storage. 'Ribosomes,' are sites of protein synthesis, unrelated to storage. 'Nucleoplasm,' refers to the nuclear region in eukaryotic cells, not bacteria, which lack a true nucleus; their genetic material is in the cytoplasm. Bacterial vacuoles, though less common than in eukaryotes, are documented in microbiology texts (e.g., Prescott's Microbiology) as storage compartments, making A the accurate answer, distinct from the metabolic or structural roles of the other options.