ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
The nurse is assigned to care for several patients on the surgical unit. Which patient need will the nurse address first?
Correct Answer: C
Rationale: A patient who has not voided since the catheter was removed 8 hours ago,' as urinary retention can cause bladder distension or infection a priority over non-urgent needs. 'Discharge teaching' (A) and 'first ambulation' (B) can wait. 'Dressing change' (D) isn't time-critical unless infected. In nursing, physiological stability trumps routine care; 8 hours without voiding signals intervention (e.g., bladder scan). C aligns with NCLEX Management of Care and Clinical Judgment, prioritizing acute needs.
Question 2 of 5
When caring for a patient who has received a general anesthetic, the circulating nurse notes red, raised wheals on the patient's arms. Which action should the nurse take immediately?
Correct Answer: D
Rationale: Notify the anesthesia care practitioner (ACP) immediately,' as wheals suggest an allergic or anaphylactic reaction to anesthesia potentially life-threatening, requiring urgent ACP intervention. 'Lotion' (A) and 'drapes' (B) don't address the cause. 'Recheck later' (C) delays care. In nursing, rapid response to allergic signs is critical; D aligns with NCLEX Physiological Integrity, prioritizing emergency action over observation or palliation.
Question 3 of 5
Which nursing action is appropriate when providing care to a patient who is difficult to arouse in the postanesthesia care unit (PACU)?
Correct Answer: C
Rationale: Hold prescribed opioid analgesics,' as opioids can depress respiration and consciousness holding them may reverse unarousability. 'Breath sounds' (A) assess, not treat. 'Heparin' (B) is for clotting, irrelevant. 'Malignant hyperthermia' (D) involves fever, not primary here. In nursing, adjusting opioids prevents oversedation; C aligns with NCLEX Perioperative, targeting reversible causes.
Question 4 of 5
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a mild systemic disease?
Correct Answer: A
Rationale: 2,' as ASA 2 denotes a patient with mild systemic disease (e.g., controlled hypertension) per the American Society of Anesthesiologists posing minimal surgical risk. '3' (B) is severe disease. '4' (C) is life-threatening. '5' (D) is moribund. In nursing, accurate ASA classification informs anesthesia planning; A aligns with NCLEX Perioperative, reflecting risk assessment precision.
Question 5 of 5
Which action should the circulating nurse anticipate during the induction of general anesthesia?
Correct Answer: B
Rationale: Administering oxygen to the patient by face mask,' as induction typically begins with preoxygenation via mask to build reserves. 'Securing airway' (A) follows (e.g., intubation). 'Balanced anesthesia' (C) is maintenance. 'Suctioning' (D) is reactive. In nursing, anticipating oxygenation aids safety; B aligns with NCLEX Perioperative, reflecting induction's initial step.