ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
The medical-surgical nurse is providing care to a postoperative patient who is experiencing an elevated temperature. Which laboratory value should the nurse monitor to gather more information?
Correct Answer: D
Rationale: White blood cell (WBC) count,' as an elevated temperature post-surgery suggests infection, and WBCs (elevated or shifted) provide insight. 'Platelets' (A) relate to clotting, not fever. 'Glucose' (B) and 'RBCs' (C) don't indicate infection. In nursing, WBC monitoring guides antibiotic decisions; D aligns with NCLEX Perioperative, prioritizing infection detection.
Question 2 of 5
Which drug should the nurse prepare for the anesthesiologist to reverse the effects of cisatracurium during a surgical procedure?
Correct Answer: C
Rationale: Neostigmine,' as it reverses nondepolarizing muscle relaxants like cisatracurium by inhibiting cholinesterase. 'Fentanyl' (A) is an opioid. 'Atropine' (B) and 'glycopyrrolate' (D) manage secretions, not reversal. In nursing, preparing neostigmine ensures timely recovery; C aligns with NCLEX Perioperative, targeting specific antidote use.
Question 3 of 5
Which should the nurse teach the patient regarding NPO status prior to a surgical procedure?
Correct Answer: D
Rationale: No clear liquids by mouth for two hours prior to the surgery,' per ASA guidelines solids 6-8 hours, clear liquids 2 hours to reduce aspiration risk. '12 hours' (A) is excessive. 'Six hours solids' (B) is partial. 'Four hours liquids' (C) is too long. In nursing, NPO education ensures safety; D aligns with NCLEX Perioperative, reflecting current standards.
Question 4 of 5
A postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions in a postoperative client can lead to which condition?
Correct Answer: A
Rationale: Pneumonia,' as retained secretions foster bacterial growth, leading to lung inflammation unlike 'hypoxemia' (B), a symptom, 'fluid imbalance' (C), unrelated, or 'pulmonary embolism' (D), clot-based. In nursing, teaching coughing prevents pneumonia; A aligns with NCLEX Perioperative, emphasizing postoperative respiratory risk education.
Question 5 of 5
A nurse is assigned to assist in caring for a client who recently returned from the operating room. On data collection, the nurse notes that the client's vital signs are as follows: blood pressure (BP) 102/62 mm Hg, pulse 91 beats per minute, respirations 16 breaths per minute. Preoperative vital signs were BP 124/78 mm Hg, pulse 74 beats per minute, respirations 20 breaths per minute. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: Recheck the vital signs in 15 minutes,' as a slight BP drop and pulse rise are common postop, warranting monitoring unlike 'call surgeon' (B), premature, 'warm blanket' (C), or 'arouse' (D), secondary. In nursing, reassessment guides action; A aligns with NCLEX Perioperative, prioritizing observation.