ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
If a patient experiences a wound dehiscence, which description illustrates what is happening with the wound?
Correct Answer: C
Rationale: Wound dehiscence is a partial or complete separation of outer layers . Infection and total separation are distinct; pain is a symptom. The rationale defines dehiscence: superficial layers split (e.g., skin), often from strain, unlike evisceration (inner layers). Nursing recognizes this, applying sterile dressings and notifying surgeons, critical for preventing progression, distinct from infection or deeper issues.
Question 2 of 5
The health care provider removed a patient's original surgical dressing 2 days after surgery and is discharging the patient home on daily dressing changes. Which actions does the nurse take for this patient's discharge teaching? (Select all that apply.)
Correct Answer: A
Rationale: Discharge teaching includes family observation and explaining serosanguineous drainage . UAP tasks and ED visits are less educational. The rationale empowers self-care: family support reinforces technique; drainage knowledge reduces alarm. Nursing ensures comprehension, omitting logistical or extreme advice, promoting safe home management.
Question 3 of 5
Which of the following surgeries would be classified as emergent?
Correct Answer: C
Rationale: A fractured skull surgery is classified as emergent due to its life-threatening nature requiring immediate intervention to prevent brain damage or death. Urethral stones and kidney stones are typically urgent or elective unless complications like sepsis arise. Cataract surgery is elective, addressing vision, not survival. The rationale centers on classification: emergent surgeries address acute, critical conditions (e.g., trauma-induced skull fracture) with no delay, per surgical standards. Nursing prioritizes rapid preparation airway, circulation, consents contrasting with less immediate stone removals or planned cataracts, ensuring swift response to preserve neurological function and life.
Question 4 of 5
The circulating nurse and the scrub technician find a discrepancy in the sponge count. Which action should the circulating nurse take first?
Correct Answer: D
Rationale: Re-count all sponges,' as verifying the count first ensures accuracy before escalating unlike 'occurrence report' (A), post-action, 'notify surgeon' (B), or 'contact manager' (C), both premature. In nursing, resolving discrepancies prevents retained objects; D aligns with NCLEX Perioperative, emphasizing immediate intraoperative safety checks.
Question 5 of 5
An OR Manager notices a circulating nurse removing her jacket to perform the surgical skin prep for the patient. The manager requests that the circulator put the jacket back on and snap it closed to prepare the patient's skin. This request is made because:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.