ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
In which situations is regional anesthesia used instead of general anesthesia? (Select all that apply.)
Correct Answer: B
Rationale: Regional anesthesia is used for adverse reactions to general , serious medical problems , postoperative pain , and patient preference (choice E, not listed). Endoscopy uses sedation. The rationale highlights benefits: regional avoids systemic risks (e.g., respiratory depression), ideal for high-risk patients or prior reactions, and enhances pain control (e.g., epidurals). Nursing supports this choice, ensuring safety and comfort, distinct from sedation-based procedures.
Question 2 of 5
The nurse is teaching incisional care to a patient who has been discharged after abdominal surgery. Which priority instruction must the nurse include?
Correct Answer: B
Rationale: The priority instruction is proper handwashing to prevent infection, a primary post-op risk. Avoiding touch , cleaning , and splinting follow. The rationale emphasizes infection control: hands introduce pathogens; washing reduces this, protecting the healing wound. Nursing prioritizes this universal precaution, ensuring patient safety, distinct from supportive or cleaning tasks, foundational for recovery.
Question 3 of 5
The medical-surgical nurse is caring for a postoperative patient whose lab values reveal an increase in band cells (immature neutrophils). What is the nurse's best interpretation of this value?
Correct Answer: C
Rationale: Increased band cells suggest infection, a left shift indicating immune response. Transfusion , clotting , and expected rise don't fit. The rationale explains hematology: immature neutrophils surge with bacterial infection, common post-op (e.g., wound). Nursing escalates care (e.g., cultures), distinguishing from normal leukocytosis or unrelated issues, targeting treatment.
Question 4 of 5
During the administration of any regional anesthetic, it is most important that the nurse:
Correct Answer: B
Rationale: Ensure that airway equipment, emergency drugs, and monitors are immediately available,' as regional anesthesia risks (e.g., respiratory depression) demand preparedness over 'neurologic monitoring' (A), 'sensation check' (C), or 'reversal drugs' (D), all secondary. In nursing, safety equipment is critical; B aligns with NCLEX Perioperative, ensuring readiness for emergencies.
Question 5 of 5
The patient who is considered at risk for surgical complications is...
Correct Answer: A
Rationale: A smoker is at high risk for surgical complications due to lung and healing impairments. Arthritis , dehydration , and hypertension pose risks, but smoking's impact is broader. The rationale ties to pathophysiology: smoking reduces oxygenation, increases infection, and delays recovery, per evidence. Nursing targets cessation, contrasting with arthritis (mobility), dehydration (fluids), or HTN (control), prioritizing respiratory and wound outcomes.