ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. The client has a history of arthritis and has been taking acetylsalicylic acid. The nurse determines that the client needs additional teaching if the client makes which statement?
Correct Answer: C
Rationale: I need to continue to take the aspirin until the day of surgery,' as aspirin's anticoagulant effect increases bleeding risk and should stop 48 hours prior unlike 'bleeding risk' (A), 'clotting abnormality' (B), or 'check HCP' (D), all correct. In nursing, correcting misconceptions ensures safety; C aligns with NCLEX Perioperative, targeting medication management.
Question 2 of 5
During preoperative screening, the nurse discovers that the patient is allergic to shellfish. What is the nurse's best first action?
Correct Answer: A
Rationale: The nurse's best first action is notifying the surgeon because shellfish allergy may indicate iodine sensitivity, critical for surgical antiseptics or contrast dyes. Developing a safety plan follows notification. A shellfish-free diet is irrelevant preoperatively, and family history is secondary. The rationale prioritizes communication: the surgeon must adjust protocols (e.g., alternative antiseptics) to prevent anaphylaxis, a life-threatening risk. Nursing's role is to escalate allergies immediately, ensuring the surgical team adapts, aligning with safety standards and preventing adverse reactions during the procedure.
Question 3 of 5
A patient has an MH incident during surgery. To whom does the nurse report this incident?
Correct Answer: A
Rationale: The nurse reports an MH incident to the North American Malignant Hyperthermia Registry to track and study this rare condition. The Joint Commission oversees safety, CDC tracks diseases, and OSHA addresses workplace safety, none specific to MH. The rationale emphasizes data collection: the Registry improves MH understanding and prevention, aiding future care. Reporting supports nursing's role in quality improvement, distinct from regulatory or infectious disease oversight, enhancing patient safety long-term.
Question 4 of 5
Which characteristics are appropriate to the anesthetic agent ketamine HCl?
Correct Answer: D
Rationale: Ketamine HCl causes dissociative reactions and nausea , increases heart rate (not lowers BP, choice B), and is short-acting . It minimally depresses respiration . The rationale clarifies pharmacology: ketamine's dissociative state (hallucinations) and emetic effects are notable; it stimulates cardiovascularly, aiding unstable patients, and wears off quickly. Nursing manages these (e.g., antiemetics), leveraging its benefits, distinct from respiratory-depressing agents.
Question 5 of 5
Which signs/symptoms are considered postoperative complications? (Select all that apply.)
Correct Answer: C
Rationale: Postoperative complications include pulmonary embolism , hypothermia , and wound evisceration (choice E, not listed). Sedation and site pain are expected. The rationale distinguishes normal vs. abnormal: embolism (clot) and hypothermia (low temperature) threaten life; evisceration signals wound failure. Nursing monitors for these, intervening (e.g., anticoagulants, warming), contrasting with manageable sedation or pain, ensuring prompt complication management.