ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
A patient is requesting moderate sedation for repair of a torn meniscus and has no medical contraindications. How does the nurse respond to this patient's request?
Correct Answer: B
Rationale: The nurse suggests discussing with the surgeon and anesthesiologist , empowering the patient. Choice A deflects; choice C assumes preference; choice D discourages. The rationale supports autonomy: sedation choice involves medical feasibility and patient comfort, requiring expert input. Nursing facilitates communication, ensuring informed decisions, aligning with collaborative care, distinct from dismissive or suggestive responses.
Question 2 of 5
What criteria guide the handoff report when a patient is transferred from the OR to the PACU? (Select all that apply.)
Correct Answer: A
Rationale: Handoff criteria include two-way verbal interaction , clear language , and standardized reports . PACU questions are irrelevant. The rationale ensures continuity: verbal exchange clarifies details, clarity prevents errors, standardization (e.g., SBAR) covers essentials. Nursing facilitates seamless care, confirming understanding, distinct from procedural inquiries, optimizing patient transition.
Question 3 of 5
The preoperative order is lorazepam (Ativan) 1 mg intravenous (IV) now. Which of the following is the most appropriate action for the nurse to take prior to the administration of this medication?
Correct Answer: D
Rationale: Assist the patient to the bathroom to void,' as lorazepam, a sedative, impairs mobility and consciousness, making pre-administration voiding critical unlike 'potassium' (A), unrelated, 'allergy' (B), irrelevant, or 'nausea explanation' (C), incorrect. In nursing, safety precedes sedation; D aligns with NCLEX Perioperative, ensuring bladder emptying reduces intraoperative risks.
Question 4 of 5
Patients who smoke are urged to stop...
Correct Answer: D
Rationale: Smokers should stop at least 60 days before surgery to optimize lung function and healing. Shorter periods 7-10 days , 14 days , 30 days reduce but don't fully mitigate risks. The rationale ties to physiology: smoking impairs oxygenation and wound repair; 6-8 weeks allows ciliary regeneration and carbon monoxide clearance, per surgical guidelines. Nursing educates on this, contrasting shorter cessation's limited benefits, ensuring reduced complications like pneumonia or dehiscence, critical for perioperative success.
Question 5 of 5
Which laboratory result would require immediate intervention by the nurse for the client scheduled for surgery?
Correct Answer: A
Rationale: Potassium 2.4 mEq/L,' as hypokalemia risks arrhythmias under anesthesia, requiring urgent action unlike 'calcium 9.2' (B), normal, 'bleeding time 2' (C), normal, or 'hemoglobin 15' (D), normal. In nursing, electrolyte imbalances prompt intervention; A aligns with NCLEX Perioperative, prioritizing surgical safety.