ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
A patient arrives at the PACU and the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient had received fentanyl during surgery. What is the nurse's best priority first action?
Correct Answer: D
Rationale: The priority is maintaining an open airway due to fentanyl's respiratory depression (rate 10, retractions). Monitoring (choice B, C) and waiting delay intervention. The rationale follows ABCs: opioids suppress breathing, risking hypoxia; positioning or suction clears obstruction. Nursing acts immediately, then oxygenates , reversing compromise, critical for survival, distinct from passive observation.
Question 2 of 5
The nurse is preparing to discharge a patient from the ambulatory surgery center following an inguinal hernia repair. The nurse delays the release of the patient upon discovering that the patient:
Correct Answer: C
Rationale: Has not voided since before surgery,' as inability to void may indicate retention, requiring monitoring unlike 'morphine' (A), manageable, '92% saturation' (B), borderline, or 'vomiting' (D), resolving. In nursing, voiding ensures recovery; C aligns with NCLEX Perioperative, prioritizing physiologic stability for discharge.
Question 3 of 5
Healthy patients are allowed clear liquids up to...
Correct Answer: D
Rationale: Healthy patients can have clear liquids up to 2 hours before an elective procedure , per ASA guidelines. Longer 8 hours , 4 hours , 3 hours reflects outdated rules. The rationale addresses safety: 2 hours allows hydration without aspiration risk, as clear liquids (e.g., water) empty quickly. Nursing ensures NPO compliance, contrasting with older, stricter fasts, optimizing patient comfort and perioperative stability.
Question 4 of 5
Trauma patient is unconscious and needs emergent surgery. The family is 2 hours away but on the way. The circulating nurse should:
Correct Answer: B
Rationale: Have the surgeon document the case is emergent and proceed with the set up,' as emergencies allow surgery without consent if documented unlike 'wait for family' (A), delaying, 'dual signature' (C), invalid, or 'not applicable' (D), incorrect. In nursing, urgency trumps consent delays; B aligns with NCLEX Perioperative, ensuring legal action.
Question 5 of 5
Your 87 year old patient… is being prepared for a lumpectomy and node dissection under general anesthesia… It is most appropriate to:
Correct Answer: A
Rationale: Allow her to keep her glasses and hearing aides on until immediately before she is anesthetized,' as it aids communication pre-anesthesia unlike 'explain then store' (B), 'leave in place' (C), unsafe, or 'give to daughter' (D), premature. In nursing, sensory aids enhance prep; A aligns with NCLEX Perioperative, balancing safety and communication.