ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
An adult patient is in the recovery room following a nephrectomy performed for the treatment of renal cell carcinoma. The patient's vital signs and level of consciousness stabilized, but the patient then complains of severe nausea and begins to retch. What should the nurse do next?
Correct Answer: D
Rationale: Turning to the side prevents aspiration if vomiting occurs, per postoperative safety. Analgesics don't treat nausea; cool cloths are secondary; ice chips may worsen it. Positioning is immediate action.
Question 2 of 5
The nurse is performing the shift assessment of a postsurgical patient. The nurse finds his mental status, level of consciousness, speech, and orientation are intact and at baseline, but the patient tells you he is very anxious. What should the nurse do next?
Correct Answer: C
Rationale: The nurse should ask the patient about his anxiety to identify the cause possibly pain, fear, or hypoxia per postoperative assessment principles. Oxygen levels are a follow-up if respiratory signs emerge; medication or physician notification is premature without data. Understanding the patient's concerns guides care, aligning with holistic postoperative management.
Question 3 of 5
The nurse is caring for a patient on postoperative day 3 following a cholecystectomy. The patient reports nausea and abdominal distension, and the nurse notes absent bowel sounds. What should the nurse do first?
Correct Answer: B
Rationale: Notifying the physician addresses possible ileus with nausea, distension, and absent sounds, per protocol. Antiemetics treat symptoms; ambulation or NG tube needs orders. Postoperative care escalates abnormal findings.
Question 4 of 5
The nurse is caring for a patient who is preoperative for a hysterectomy. The patient asks, 'What will happen if I don't have this surgery?' What should the nurse do?
Correct Answer: C
Rationale: Referring to the surgeon ensures accurate risk discussion, per scope of practice. Explaining oversteps; reassuring or deferring fully avoids responsibility. Preoperative care escalates appropriately.
Question 5 of 5
The OR nurse is assisting with a patient receiving a brachial plexus block. What surgery might this be used for?
Correct Answer: B
Rationale: Brachial plexus block anesthetizes the arm, fitting shoulder surgery, per block types. Appendectomy , hysterectomy , or cholecystectomy use different blocks. Intraoperative care matches anesthesia to site.