ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
The case manager for a group of patients with COPD is providing health education. What is most important for the nurse to assess when providing instructions on self-management to these patients?
Correct Answer: D
Rationale: In COPD self-management education, the nurse must assess patients' knowledge of self-care and their therapeutic regimen e.g., medication use (inhalers), breathing techniques, and exacerbation action plans as it's most important for daily control and preventing hospitalization. Understanding how to use bronchodilators, adhere to schedules, and recognize worsening symptoms (e.g., increased dyspnea) empowers patients to manage this chronic, irreversible condition effectively, per COPD guidelines (e.g., GOLD). Alternative treatments (e.g., acupuncture) lack evidence for core management. Family awareness of ADLs helps support but isn't the patient's primary learning need. Pathophysiology knowledge aids context but isn't essential for practical self-care. The nurse's focus on this area ensures adherence and skill mastery, critical for long-term COPD outcomes.
Question 2 of 5
The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. What explanation can the nurse provide that may encourage the patient to cough more effectively?
Correct Answer: C
Rationale: Explaining that coughing won't harm the incision if done correctly with splinting reassures the patient, encouraging effective coughing to clear mucus trapped by anesthesia's suppression of reflexes. This reduces atelectasis risk without fear of wound damage. Warning of pneumonia, while true, sounds threatening and less therapeutic. Coughing clears mucus, not anesthesia (metabolized by the body), so that's inaccurate. Limiting coughs to ‘a few times' underestimates the need every 2 hours is standard. This positive, accurate encouragement boosts compliance, ensuring respiratory health while protecting surgical integrity, per evidence-based recovery practices.
Question 3 of 5
The nurse is caring for a patient intraoperatively. Primary roles of the circulating nurse include
Correct Answer: A
Rationale: The circulating nurse, a registered nurse, primarily establishes and implements the care plan intraoperatively, coordinating preoperative assessments, intraoperative needs, and postoperative continuity. This role oversees patient safety, advocacy, and resource management, distinct from the scrub nurse's tasks maintaining sterile fields, applying drapes, and handing instruments which focus on technical support. The circulator's broader responsibility ensures holistic care, like verifying consents or allergies, adapting to complications, and documenting, aligning with perioperative nursing's comprehensive scope to protect patient well-being throughout surgery.
Question 4 of 5
The primary agent of socialization is the
Correct Answer: A
Rationale: Socialization is the lifelong process through which individuals learn the norms, values, and behaviors necessary to function within their society. The family is universally recognized as the primary agent of socialization because it is the first social environment a person encounters, starting at birth. It lays the foundation for language, cultural practices, and interpersonal relationships, shaping an individual's identity before external influences take hold. Sociological theories, such as Talcott Parsons' functionalism, emphasize the family's critical role in early socialization, making 'Family,' the correct answer. 'Society,' is too vague, as it includes all agents rather than pinpointing the primary one. 'Religious centre,' and 'Social centre,' represent secondary agents that influence socialization later in life and are not universally experienced by all individuals from the outset. For instance, not everyone attends religious or social centers, but everyone begins within a family unit (biological or otherwise). The family's primacy stems from its immediacy and intimacy, providing the initial framework that other agents build upon, thus justifying A as the definitive answer.
Question 5 of 5
Nosocomial infection implies infection acquired
Correct Answer: A
Rationale: Nosocomial infections, also called hospital-acquired infections, are those contracted by patients during their stay in a healthcare facility, typically after admission. 'During the course of hospitalization,' is correct because it matches this definition, as outlined by the World Health Organization (WHO), where infections emerge 48 hours or more after admission, often from hospital pathogens like MRSA. 'While conveying patient to the hospital,' refers to pre-admission exposure, not nosocomial. 'From very close relations,' suggests community-acquired infection, not hospital-specific. 'From a patient's residence,' also points to pre-hospital sources. The term nosocomial' derives from Greek words meaning hospital-related disease, emphasizing infections tied to healthcare settings, making A the precise answer, rooted in clinical epidemiology's focus on hospital environments.