ATI LPN
Perioperative Care Practice Questions Questions
Question 1 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 2 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.
Question 3 of 5
Which patient is most at risk for postoperative nausea and vomiting (PONV)?
Correct Answer: A
Rationale: The patient with motion sickness is most at risk for PONV due to vestibular sensitivity. NG tubes , weight loss , and MIS have less direct impact. The rationale ties to physiology: motion sickness history predicts opioid or anesthetic-induced nausea, a PONV trigger. Nursing anticipates antiemetics, targeting this risk, distinct from procedural or nutritional factors.
Question 4 of 5
A patient becomes restless and agitated in the post anesthesia care unit (PACU) as he begins to regain consciousness. The first action the nurse should take is:
Correct Answer: D
Rationale: Check the patient's oxygen saturation with pulse oximetry,' as restlessness may indicate hypoxia, a priority to assess unlike 'lateral position' (A), 'orientation' (B), or 'pain meds' (C), which follow ABCs. In nursing, oxygenation drives initial action; D aligns with NCLEX Perioperative, ensuring airway and breathing assessment first.
Question 5 of 5
Which of the following statements is the correct way for patients to splint incisions when they cough?
Correct Answer: D
Rationale: The correct splinting method is holding one hand gently over the incision and breathing deeply before coughing . Medium pressure lacks specificity; strong pressure risks damage; interlacing is impractical. The rationale explains technique: gentle support stabilizes the incision, reducing dehiscence risk during coughing's strain, while deep breathing aids lung expansion. Nursing teaches this, ensuring comfort and safety, distinct from excessive force or awkward positioning, promoting healing.