ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
The nurse is caring for a patient who has had abdominal surgery. After a hard sneeze, the patient reports pain in the surgical area, and the nurse immediately sees that the patient has a wound evisceration. What priority action must the nurse do first?
Correct Answer: A
Rationale: The priority is calling for help and staying , ensuring immediate support for evisceration, an emergency. Leaving abandons; dressing and vitals follow. The rationale prioritizes response: evisceration (organs protruding) risks shock; help mobilizes the team while staying stabilizes. Nursing acts fast, then covers with saline, aligning with emergency care, distinct from delayed or solo actions.
Question 2 of 5
Which of the following surgeries would be classified as emergent?
Correct Answer: C
Rationale: A fractured skull surgery is classified as emergent due to its life-threatening nature requiring immediate intervention to prevent brain damage or death. Urethral stones and kidney stones are typically urgent or elective unless complications like sepsis arise. Cataract surgery is elective, addressing vision, not survival. The rationale centers on classification: emergent surgeries address acute, critical conditions (e.g., trauma-induced skull fracture) with no delay, per surgical standards. Nursing prioritizes rapid preparation airway, circulation, consents contrasting with less immediate stone removals or planned cataracts, ensuring swift response to preserve neurological function and life.
Question 3 of 5
The circulating nurse and the scrub technician find a discrepancy in the sponge count. Which action should the circulating nurse take first?
Correct Answer: D
Rationale: Re-count all sponges,' as verifying the count first ensures accuracy before escalating unlike 'occurrence report' (A), post-action, 'notify surgeon' (B), or 'contact manager' (C), both premature. In nursing, resolving discrepancies prevents retained objects; D aligns with NCLEX Perioperative, emphasizing immediate intraoperative safety checks.
Question 4 of 5
An OR Manager notices a circulating nurse removing her jacket to perform the surgical skin prep for the patient. The manager requests that the circulator put the jacket back on and snap it closed to prepare the patient's skin. This request is made because:
Correct Answer: B
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 the upcoming surgery. Which of the following responses by the nurse is most likely to stimulate further discussion between the client and the nurse?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.