ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
The nurse has received a patient in the holding area who is scheduled for a left femoral-popliteal bypass. What are the priority safety measures for this patient before surgery? (Select all that apply.)
Correct Answer: B
Rationale: Priority safety measures include positive identification with name and date of birth and surgeon-marked operative limb , confirmed by the patient . Room number isn't a reliable identifier. The rationale emphasizes error prevention: wrong-site surgery is a critical risk, mitigated by Joint Commission protocols like marking and dual identification. Name and birth date ensure accuracy over room-based checks, while patient confirmation reinforces consent and awareness. These steps, part of the preoperative checklist, align with nursing's role in advocating for safety, reducing perioperative harm through systematic verification.
Question 2 of 5
Which nursing interventions will prevent the potential intraoperative complication of radial joint stiffness, pain, and inflammation?
Correct Answer: A
Rationale: Preventing radial joint issues requires supporting the wrist with padding and avoiding tight straps . General padding and elbow care are broader; knee padding is unrelated. The rationale targets positioning: tight straps or unsupported wrists cause pressure and stiffness; padding distributes weight, reducing inflammation. Nursing ensures ergonomic support intraoperatively, preventing nerve/joint damage, specific to radial concerns, distinct from overall alignment.
Question 3 of 5
What is the primary purpose of a PACU?
Correct Answer: B
Rationale: The PACU's primary purpose is ongoing evaluation and stabilization , ensuring post-anesthesia recovery. Orders , length of stay , and sedation arousal are secondary. The rationale emphasizes critical care: PACU monitors vital signs, airway, and complications (e.g., bleeding), stabilizing patients post-surgery. Nursing's vigilance prevents deterioration, aligning with its recovery focus, distinct from administrative or sedation-specific goals.
Question 4 of 5
A patient arrives at the PACU and the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient had received fentanyl during surgery. What is the nurse's best priority first action?
Correct Answer: D
Rationale: The priority is maintaining an open airway due to fentanyl's respiratory depression (rate 10, retractions). Monitoring (choice B, C) and waiting delay intervention. The rationale follows ABCs: opioids suppress breathing, risking hypoxia; positioning or suction clears obstruction. Nursing acts immediately, then oxygenates , reversing compromise, critical for survival, distinct from passive observation.
Question 5 of 5
The PACU nurse is assessing an older adult postoperative patient for pain. Which nonverbal manifestations by the patient suggest pain to the nurse? (Select all that apply.)
Correct Answer: A
Rationale: Pain manifestations in older adults include restlessness , sweating , and increased BP (choice E, not listed). Arousal difficulty and confusion may reflect sedation. The rationale addresses nonverbal cues: pain causes agitation, diaphoresis, and hypertension, common in less communicative patients. Nursing interprets these, adjusting analgesia, distinct from anesthesia effects, ensuring comfort.