ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
The emergency department (ED) nurse receives report that a patient involved in a motor vehicle crash is being transported to the facility with an estimated arrival in 1 minute. In preparation for the patient's arrival, the nurse will obtain
Correct Answer: C
Rationale: Choice C as large-bore IVs enable rapid fluid resuscitation for potential hypovolemic shock in trauma. Cooling (choice A) is inappropriate, lactated Ringer's (choice B) needs assessment first, and dopamine (choice D) follows fluids. This reflects NCLEX Physiological Integrity, preparing for immediate volume replacement in emergency care.
Question 2 of 5
The nurse is caring for a patient who has a family history of reactions to general anesthesia. Which medication will the nurse anesthetist have ready as a precautionary measure before the patient's surgery is started?
Correct Answer: B
Rationale: Dantrolene sodium (Dantrium),' as it's the primary treatment for malignant hyperthermia a rare, genetic reaction to anesthesia linked to family history. Dantrolene relaxes skeletal muscles, countering the hypermetabolic crisis (fever, rigidity) that can occur. 'Protamine sulfate' (A) reverses heparin, unrelated to anesthesia reactions. 'Activated charcoal' (C) treats oral overdoses, not hyperthermia. 'Folinic acid' (D) supports chemotherapy, not relevant here. In nursing, anticipating malignant hyperthermia (especially with family history) ensures rapid response dantrolene is stocked in ORs for this reason. B's specificity to anesthesia complications distinguishes it per NCLEX Reduction of Risk Potential, reflecting preparedness for hereditary risks.
Question 3 of 5
The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the Nursing diagnosis risk for perioperative positioning injury?
Correct Answer: A
Rationale: Patient will deny numbness or tingling in extremities after surgical procedure,' as it directly relates to preventing perioperative positioning injury numbness/tingling signals nerve or pressure damage from improper positioning. 'Urine output' (B) reflects fluid status, not positioning. 'Skin turgor' (C) indicates hydration, unrelated. 'No nausea' (D) addresses anesthesia effects, not positioning. In nursing, goals match diagnoses; A aligns with NCLEX Safety and Infection Control, targeting positioning-specific outcomes over unrelated physiological markers.
Question 4 of 5
Which statement, if made by a new circulating nurse, is appropriate?
Correct Answer: A
Rationale: I will assist in preparing the operating room for the patient,' as it aligns with the circulating nurse's role managing the unsterile field, including OR setup. 'Gloved in the sterile field' (B) and 'suturing incisions' (C) are scrub nurse duties, requiring sterile attire. 'Full attire and gloves for unsterile items' (D) is incorrect circulating nurses aren't sterile and don't glove for unsterile tasks. In nursing, role clarity ensures safety; the circulating nurse facilitates, not performs, sterile tasks. A reflects NCLEX Safe and Effective Care Environment, distinguishing unsterile coordination from sterile intervention, preventing procedural overlap or contamination.
Question 5 of 5
A patient is being prepared for a spinal fusion. While in the holding area, which action by a member of the surgical team requires rapid intervention by the charge nurse?
Correct Answer: C
Rationale: Walking into the hallway outside an operating room without the hair covered,' as the semirestricted hallway requires surgical attire and hair covering omission risks contamination, needing rapid intervention. 'Street clothes at station' (A) is fine (unrestricted). 'Mask in holding' (B) is optional. 'Full attire for OR' (D) is correct. In nursing, asepsis enforcement is vital; C aligns with NCLEX Safe and Effective Care Environment, targeting a clear violation.