ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
A patient with type 1 diabetes mellitus is scheduled for surgery at 0700. Which actions must the nurse perform for this patient before he goes to the operating room? (Select based on priority order.)
Correct Answer: B
Rationale: The priority action is completing the preoperative checklist to ensure safety and readiness (e.g., consents, labs) before transfer. Modifying insulin follows glucose checks , which can be delegated, but checklist completion is urgent. Foot care teaching is postoperative. The rationale prioritizes safety: the checklist confirms critical steps (e.g., NPO status, allergies), preventing errors like wrong-site surgery. Diabetes management is vital, but glucose and insulin adjustments follow initial assessment, delegated appropriately. Nursing ensures all systems are go, aligning with perioperative protocols for a high-risk patient.
Question 2 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 3 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 4 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 5 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.