ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
The nurse is caring for a patient who has a family history of reactions to general anesthesia. Which medication will the nurse anesthetist have ready as a precautionary measure before the patient's surgery is started?
Correct Answer: B
Rationale: Dantrolene sodium (Dantrium),' as it's the primary treatment for malignant hyperthermia a rare, genetic reaction to anesthesia linked to family history. Dantrolene relaxes skeletal muscles, countering the hypermetabolic crisis (fever, rigidity) that can occur. 'Protamine sulfate' (A) reverses heparin, unrelated to anesthesia reactions. 'Activated charcoal' (C) treats oral overdoses, not hyperthermia. 'Folinic acid' (D) supports chemotherapy, not relevant here. In nursing, anticipating malignant hyperthermia (especially with family history) ensures rapid response dantrolene is stocked in ORs for this reason. B's specificity to anesthesia complications distinguishes it per NCLEX Reduction of Risk Potential, reflecting preparedness for hereditary risks.
Question 2 of 5
Which statement, if made by a new circulating nurse, is appropriate?
Correct Answer: A
Rationale: I will assist in preparing the operating room for the patient,' as it aligns with the circulating nurse's role managing the unsterile field, including OR setup. 'Gloved in the sterile field' (B) and 'suturing incisions' (C) are scrub nurse duties, requiring sterile attire. 'Full attire and gloves for unsterile items' (D) is incorrect circulating nurses aren't sterile and don't glove for unsterile tasks. In nursing, role clarity ensures safety; the circulating nurse facilitates, not performs, sterile tasks. A reflects NCLEX Safe and Effective Care Environment, distinguishing unsterile coordination from sterile intervention, preventing procedural overlap or contamination.
Question 3 of 5
A patient is being prepared for a spinal fusion. While in the holding area, which action by a member of the surgical team requires rapid intervention by the charge nurse?
Correct Answer: C
Rationale: Walking into the hallway outside an operating room without the hair covered,' as the semirestricted hallway requires surgical attire and hair covering omission risks contamination, needing rapid intervention. 'Street clothes at station' (A) is fine (unrestricted). 'Mask in holding' (B) is optional. 'Full attire for OR' (D) is correct. In nursing, asepsis enforcement is vital; C aligns with NCLEX Safe and Effective Care Environment, targeting a clear violation.
Question 4 of 5
Which is the priority laboratory test that the postanesthesia care nurse should monitor closely for an older adult patient with renal disease who retained fluid during a surgical procedure?
Correct Answer: B
Rationale: Serum potassium,' as fluid retention in renal disease risks hyperkalemia dangerous for cardiac function in older adults post-surgery. 'Glucose' (A) isn't renal-specific. 'PT time' (C) tracks clotting, not fluid. 'BUN' (D) rises but isn't the priority over potassium's acute risk. In nursing, potassium monitoring prevents arrhythmias; B aligns with NCLEX Perioperative, prioritizing electrolyte balance in renal compromise.
Question 5 of 5
The patient is transferred to the operating table. Which dimension of the operative period is the patient currently experiencing?
Correct Answer: D
Rationale: Intraoperative period,' as transfer to the operating table marks the start of the surgical procedure phase, distinct from preparation or recovery. 'Postoperative' (A) is after surgery. 'Preoperative' (B) is before entering the OR. 'Perioperative' (C) spans all phases, too broad here. In nursing, precise phase identification guides care focus D aligns with NCLEX Perioperative, reflecting the active surgical stage where interventions like anesthesia and incision occur.