ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
A patient develops respiratory distress after having a left total hip replacement. The patient develops labored breathing and a pulse oximetry reading is 83% on 2 L oxygen via nasal cannula. Which intervention is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: The nurse delegates vital signs checks to UAP , a routine task. Assessing , ordering , and intubating require nursing judgment. The rationale respects scope: UAP can measure vitals (e.g., pulse ox), freeing the nurse to interpret and act on respiratory distress (83% SpO2 signals hypoxia). Nursing retains critical interventions, ensuring timely escalation (e.g., oxygen increase), balancing delegation with expertise.
Question 2 of 5
The medical-surgical nurse is caring for a postoperative patient whose lab values reveal an increase in band cells (immature neutrophils). What is the nurse's best interpretation of this value?
Correct Answer: C
Rationale: Increased band cells suggest infection, a left shift indicating immune response. Transfusion , clotting , and expected rise don't fit. The rationale explains hematology: immature neutrophils surge with bacterial infection, common post-op (e.g., wound). Nursing escalates care (e.g., cultures), distinguishing from normal leukocytosis or unrelated issues, targeting treatment.
Question 3 of 5
During the administration of any regional anesthetic, it is most important that the nurse:
Correct Answer: B
Rationale: Ensure that airway equipment, emergency drugs, and monitors are immediately available,' as regional anesthesia risks (e.g., respiratory depression) demand preparedness over 'neurologic monitoring' (A), 'sensation check' (C), or 'reversal drugs' (D), all secondary. In nursing, safety equipment is critical; B aligns with NCLEX Perioperative, ensuring readiness for emergencies.
Question 4 of 5
The patient who is considered at risk for surgical complications is...
Correct Answer: A
Rationale: A smoker is at high risk for surgical complications due to lung and healing impairments. Arthritis , dehydration , and hypertension pose risks, but smoking's impact is broader. The rationale ties to pathophysiology: smoking reduces oxygenation, increases infection, and delays recovery, per evidence. Nursing targets cessation, contrasting with arthritis (mobility), dehydration (fluids), or HTN (control), prioritizing respiratory and wound outcomes.
Question 5 of 5
The lowest postoperative infection rates are associated with cases where the hair was:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.