ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?
Correct Answer: A
Rationale: Palliative,' as surgery to relieve symptoms (vomiting, pain) from a bowel obstruction in advanced cancer aims to improve comfort, not cure defining palliative care. 'Reconstructive' (B) restores function or appearance, not applicable here. 'Diagnostic' (C) confirms a condition, already known (cancer). 'Ablative' (D) removes tissue, not the goal here. In nursing, palliative surgery enhances quality of life in terminal illness; A aligns with NCLEX Management of Care and Palliation, distinguishing symptom relief from curative or exploratory intent.
Question 2 of 5
A patient received inhalation anesthesia during surgery. Postoperatively the nurse should monitor the patient for which complication?
Correct Answer: D
Rationale: Laryngospasm,' as it's a known complication of inhalation anesthetics, causing airway obstruction from vocal cord spasms requiring vigilant monitoring. 'Tachypnea' (A) and 'hypertension' (C) aren't typical. 'Myoclonus' (B) links to IV agents, not inhalation. In nursing, airway assessment post-inhalation anesthesia is critical; D aligns with NCLEX Physiological Integrity, targeting a specific, serious risk over unrelated effects.
Question 3 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 4 of 5
The postanesthesia care unit (PACU) nurse is providing care for a patient who is exhibiting hypothermia. Which nursing action is appropriate?
Correct Answer: D
Rationale: Provide warm blankets or warming devices,' as hypothermia requires active rewarming to restore temperature standard PACU care. 'Breath sounds' (A) don't address cold. 'Glucose' (B) and 'opioids' (C) are unrelated. In nursing, rewarming prevents complications (e.g., coagulopathy); D aligns with NCLEX Perioperative, prioritizing thermal regulation.
Question 5 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.