ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening. When documenting this finding, which term will the nurse use?
Correct Answer: C
Rationale: Wound evisceration,' as it describes a severe complication where the wound separates and internal organs (e.g., bowel) protrude unlike 'dehiscence' (B), which is separation without protrusion. 'Infection' (A) involves pus or redness, not organ exposure. 'Tunneling' (D) is a wound tract, not evisceration. In nursing, accurate documentation guides urgent intervention (e.g., sterile coverage, surgery); C aligns with NCLEX Perioperative, reflecting a critical postoperative emergency over less severe conditions.
Question 2 of 5
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?
Correct Answer: C
Rationale: 4,' as ASA 4 denotes a severe systemic disease threatening life (e.g., recent MI), per the American Society of Anesthesiologists requiring urgent intervention. '2' (A) is mild. '3' (B) is severe but not critical. '5' (D) is moribund. In nursing, ASA 4 signals intensive care needs; C aligns with NCLEX Perioperative, matching severity to intraoperative precautions.
Question 3 of 5
Which action by the circulating nurse is appropriate when providing care to a patient during the maintenance phase of general anesthesia?
Correct Answer: D
Rationale: Documenting drugs for administered for balanced anesthesia,' as the maintenance phase involves sustaining anesthesia, and the circulating nurse records agents used. 'Securing airway' (A) is induction. 'Oxygen by mask' (B) is pre-intubation. 'Suctioning' (C) is situational. In nursing, accurate records ensure continuity; D aligns with NCLEX Perioperative, reflecting maintenance duties.
Question 4 of 5
Which identifier should the nurse use during the initial time-out to determine the right patient?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?
Correct Answer: C
Rationale: Can you share with me what you've been told about your surgery?,' as it invites the client to express knowledge and fears, fostering discussion unlike 'everyone's nervous' (A), dismissive, 'explain procedure' (B), or 'postop care' (D), both presumptive. In nursing, open-ended questions reduce anxiety; C aligns with NCLEX Perioperative, enhancing communication.