ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 9
Following a motorcycle accident, a 58-year-old patient arrives in the emergency department with massive left lower leg swelling. Which action will the nurse take first?
Correct Answer: C
Rationale: Choice C as assessing pulses and sensation evaluates circulation and injury severity first. Elevation (choice A), compression (choice B), or ice (choice D) follow assessment. This aligns with NCLEX Physiological Integrity, prioritizing neurovascular status in trauma.
Question 2 of 9
The perioperative nurse is preparing to discharge a female patient home from day surgery performed under general anesthetic. What instruction should the nurse give the patient prior to the patient leaving the hospital?
Correct Answer: A
Rationale: No driving is critical post-anesthetic due to residual effects, per discharge guidelines. Sleeping pills aren't routine; large meals risk nausea; bedrest contradicts mobility needs. Safety is prioritized.
Question 3 of 9
An adult patient has just been admitted to the PACU following abdominal surgery. As the patient begins to awaken, he is uncharacteristically restless. The nurse checks his skin and it is cold, moist, and pale. The nurse is concerned the patient may be at risk for what?
Correct Answer: A
Rationale: Restlessness with cold, pale, moist skin suggests hemorrhage and shock , per PACU signs. Aspiration affects airway; infection is later; hypertension doesn't fit. Immediate action is needed.
Question 4 of 9
Which statement by a 62-year-old patient who has had an above-the-knee amputation indicates that the nurse's discharge teaching has been effective?
Correct Answer: B
Rationale: Choice B as prone positioning prevents hip contractures, showing effective teaching. Elevation (choice A) risks contractures, sock changes (choice C) are daily, and lotion (choice D) is discouraged. This reflects NCLEX Physiological Integrity, confirming understanding of post-amputation care.
Question 5 of 9
The following statements are true about diazepam EXCEPT
Correct Answer: C
Rationale: Diazepam, a benzodiazepine, is used for premedication and can be given intravenously, but it is not typically used during emergence (recovery) as it sedates rather than reverses anesthesia. Option C is the false statement.
Question 6 of 9
The perioperative nurse is planning the care of an 81-year-old patient who underwent a left hip replacement under general anesthetic 48 hours ago. This patient's advanced age creates a need for careful monitoring of what system in the postoperative period?
Correct Answer: C
Rationale: Advanced age heightens respiratory risks post-anesthesia due to reduced reserve, per aging physiology. Renal , cardiovascular , and neurologic systems are monitored, but respiratory complications like atelectasis are most immediate. Postoperative care prioritizes breathing in the elderly.
Question 7 of 9
A client in the operating room has developed malignant hyperthermia. The clients potassium is 6.5 mEq/L. What action by the nurse takes priority?
Correct Answer: A
Rationale: Insulin rapidly shifts potassium into cells treating the hyperkalemia associated with malignant hyperthermia.
Question 8 of 9
Which finding about a patient who is receiving vasopressin (Pitressin) to treat septic shock is most important for the nurse to communicate to the health care provider?
Correct Answer: C
Rationale: Choice C as chest pain with vasopressin suggests coronary vasoconstriction, needing urgent reporting. Oliguria (choice A), tachycardia (choice B), and weak pulses (choice D) are expected in septic shock. This aligns with NCLEX Physiological Integrity, detecting critical adverse effects.
Question 9 of 9
An example of non-secondary agent of socialization is
Correct Answer: B
Rationale: Agents of socialization are divided into primary and secondary categories based on their sequence and depth of influence. Primary agents, like the family, are the earliest and most foundational, instilling basic values and behaviors in an individual from infancy. Secondary agents, such as schools, religious institutions, and peer groups, exert influence later, typically after the family has established a social base. The question seeks a non-secondary agent, implying a primary one. 'The family,' is correct because it is the primary agent, shaping individuals before they engage with external systems, as supported by George Herbert Mead's theory of the self, which highlights the family's role in early identity formation. 'The school,' is a secondary agent, educating children after initial home socialization. 'The religious institutions,' and 'Peer group,' are also secondary, impacting individuals through structured settings or social interactions later in development. The family's unique position as the first and most intimate agent distinguishes it, making B the accurate choice over the secondary options.