ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
The nurse admitting a patient who is insulin dependent to the same-day surgical suite for carpal tunnel surgery. How should this patient's diagnosis of type 1 diabetes affect the care that the nurse plans?
Correct Answer: D
Rationale: Type 1 diabetes requires vigilant glucose monitoring to prevent hypo- or hyperglycemia during surgery. Dextrose bolus risks hyperglycemia; prolonged NPO isn't specific to diabetes; insulin infusion isn't routine for same-day surgery. Glycemic control is critical in preoperative planning.
Question 2 of 5
A circulating nurse provides care in a surgical department that has multiple surgeries scheduled for the day. The nurse should know to monitor which patient most closely during the intraoperative period because of the increased risk for hypothermia?
Correct Answer: A
Rationale: The elderly woman with low BMI risks hypothermia due to impaired thermoregulation and less insulation, per intraoperative risks. Younger patients (choices B, D) or average BMI are less vulnerable. Age drives monitoring priority.
Question 3 of 5
You are caring for a male patient who has had spinal anesthesia. The patient is under a physician's order to lie flat postoperatively. When the patient asks to go to the bathroom, you encourage him to adhere to the physician's order. What rationale for complying with this order should the nurse explain to the patient?
Correct Answer: C
Rationale: Lying flat prevents spinal headaches by maintaining cerebrospinal pressure, per post-spinal care. Hypotension and respiratory issues aren't position-related; lumbar pain isn't typical. The nurse explains this benefit.
Question 4 of 5
The intraoperative nurse is implementing a care plan that addresses the surgical patient's risk for vomiting. Interventions that address the potential for vomiting reduce the risk of what subsequent surgical complication?
Correct Answer: B
Rationale: Vomiting risks aspiration, leading to hypoxia via bronchial spasms, per complication data. Skin integrity , hyperthermia , and hypothermia aren't linked. Intraoperative care prevents respiratory issues.
Question 5 of 5
An adult patient is in the recovery room following a nephrectomy performed for the treatment of renal cell carcinoma. The patient's vital signs and level of consciousness stabilized, but the patient then complains of severe nausea and begins to retch. What should the nurse do next?
Correct Answer: D
Rationale: Turning to the side prevents aspiration if vomiting occurs, per postoperative safety. Analgesics don't treat nausea; cool cloths are secondary; ice chips may worsen it. Positioning is immediate action.