ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
The nurse is caring for a patient with a drain connected to a portable drainage suction device shaped like a grenade made of plastic. Which term will the nurse use when describing this system during end-of-shift report?
Correct Answer: C
Rationale: Jackson-Pratt,' as it identifies the grenade-shaped, plastic, closed suction drain commonly used post-surgery to remove fluid. 'Closed wound drainage system' (A) is generic, not specific. 'Hemovac' (B) is a larger, spring-loaded drain, not grenade-shaped. 'Reinfusion drain' (D) returns blood to the patient, not applicable here. In nursing, precise terminology ensures clear communication; C aligns with NCLEX Perioperative, distinguishing device-specific reporting for continuity of care.
Question 2 of 5
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is not expected to survive without the planned surgical procedure?
Correct Answer: D
Rationale: 5,' as ASA 5 describes a moribund patient unlikely to survive 24 hours without surgery (e.g., ruptured aneurysm). '2' (A) is mild. '3' (B) is severe. '4' (C) is critical but not necessarily terminal. In nursing, ASA 5 prioritizes emergency measures; D aligns with NCLEX Perioperative, reflecting dire prognosis driving surgical urgency.
Question 3 of 5
Which action should the circulating nurse anticipate during the emergence phase of general anesthesia?
Correct Answer: D
Rationale: Suctioning the patient to decrease incidence of aspiration,' as emergence involves awakening, and suctioning clears secretions to prevent aspiration. 'Securing airway' (A) is earlier. 'Oxygen by mask' (B) may occur but isn't primary. 'Balanced anesthesia' (C) ends. In nursing, suctioning aids recovery; D aligns with NCLEX Perioperative, targeting emergence risks.
Question 4 of 5
Which information should the nurse collect during the health history that is conducted during the preoperative period?
Correct Answer: D
Rationale: Previous response to anesthesia,' as it identifies risks (e.g., malignant hyperthermia) critical for surgery unlike 'caretaker' (A), 'intake' (B), or 'sexual encounter' (C), which are less urgent. In nursing, anesthesia history informs safety; D aligns with NCLEX Perioperative, targeting procedural risk.
Question 5 of 5
The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The nurse should include which piece of information in discussions with the client?
Correct Answer: D
Rationale: The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees,' as upright positioning maximizes lung expansion unlike 'rapid inhale' (A), 'loose seal' (B), or '15-second hold' (C), all incorrect. In nursing, proper technique prevents atelectasis; D aligns with NCLEX Perioperative, ensuring effective teaching.