ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
A patient with an abdominal aortic aneurysm is having surgical repair. What is the correct classification for this surgery?
Correct Answer: C
Rationale: Surgical repair of an abdominal aortic aneurysm (AAA) is classified as urgent because it addresses a potentially life-threatening condition requiring prompt intervention to prevent rupture, though not always immediate like emergent surgery . Restorative surgery improves function, not the primary goal here, which is survival. Minor surgery doesn't fit the procedure's complexity or risk. The rationale hinges on timing and necessity: an AAA poses a significant rupture risk, necessitating surgery within hours to days, fitting the urgent category. This contrasts with emergent (immediate, e.g., active bleeding) or elective (planned) surgeries. Nursing prioritizes preoperative preparation and monitoring to stabilize the patient, reflecting the balance between urgency and controlled intervention.
Question 2 of 5
Which clinical features are found in an MH crisis? (Select all that apply.)
Correct Answer: A
Rationale: MH crisis features include sinus tachycardia , jaw rigidity , skin mottling (choice E, not listed), and elevated temperature (choice F, not listed). Hypotension and decreased CO2 aren't typical. The rationale explains pathophysiology: MH causes hypermetabolism, spiking heart rate and muscle rigidity (early signs), progressing to fever and cyanosis. Nursing identifies these for prompt dantrolene use, contrasting with misleading signs like low BP, ensuring timely life-saving action.
Question 3 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 4 of 5
A postoperative patient in the PACU has had an open reduction internal fixation of a left fractured femur. Vital signs are blood pressure 87/49 mm Hg, heart rate 100/min sinus rhythm, respirations 22/min, temperature 98.3°F. The Foley catheter has a total amount of 110 mL of clear, yellow urine in the last 4 hours. Which body systems have been assessed by the nurse? (Select all that apply.)
Correct Answer: B
Rationale: Assessed systems include cardiovascular (choice B, BP, HR), respiratory (choice A, respirations), and renal/urinary (choice E, urine output). Neurovascular and integumentary aren't noted. The rationale ties data to systems: BP/HR reflect cardiac status, respirations lung function, urine output kidney perfusion. Nursing monitors these post-ortho surgery for bleeding or shock, ensuring holistic assessment, distinct from unassessed areas.
Question 5 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.