ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
The nurse is caring for a postoperative patient on his first day after surgery. The nurse informs the patient that the plan is to sit in the chair and ambulate in the hallway. The patient states that he is in pain and has no intention of getting out of bed. What is the nurse's best response?
Correct Answer: A
Rationale: It's important to move around so you don't get a blood clot in your leg,' as it educates the patient on why ambulation prevents deep vein thrombosis (DVT) a key postoperative risk encouraging compliance. 'Doctor ordered' (B) is authoritative but lacks teaching value. 'Rest until tomorrow' (C) delays care, increasing DVT risk. 'Call the doctor' (D) avoids addressing the issue directly. In nursing, patient education fosters participation in recovery; A aligns with NCLEX Reduction of Risk Potential and Patient Education, balancing empathy with clinical necessity over passive or directive responses.
Question 2 of 5
Which data identified during the perioperative assessment alert the nurse that special protection techniques should be implemented during surgery?
Correct Answer: B
Rationale: History of spinal and hip arthritis,' as it signals a need for special positioning (e.g., padding, alignment) to prevent injury during surgery unlike other options. 'Pet allergy' (A) is irrelevant intraoperatively. 'Anxiety' (C) doesn't require physical protection. 'Sip of water' (D) isn't a contraindication. In nursing, tailored positioning reduces complications; B aligns with NCLEX Safe and Effective Care Environment, prioritizing musculoskeletal protection over unrelated factors.
Question 3 of 5
Which laboratory test should the postanesthesia care nurse monitor closely for a patient who is prescribed warfarin in the treatment of atrial fibrillation?
Correct Answer: C
Rationale: Prothrombin (PT) time,' as warfarin, an anticoagulant for atrial fibrillation, affects blood clotting, and PT time (or INR) monitors its therapeutic effect and bleeding risk crucial post-surgery. 'Serum glucose' (A) relates to metabolism, not anticoagulation. 'Serum potassium' (B) affects cardiac rhythm but isn't warfarin-specific. 'BUN' (D) assesses kidney function, unrelated to warfarin's action. In nursing, close PT monitoring prevents hemorrhage, especially post-op when bleeding risk rises; C aligns with NCLEX Perioperative care, prioritizing anticoagulation management over unrelated labs.
Question 4 of 5
Which nursing action is appropriate when providing care to a patient who is exhibiting low oxygen saturation levels in the postanesthesia care unit (PACU)?
Correct Answer: A
Rationale: Monitor breath sounds,' as low oxygen saturation requires assessing lung function (e.g., obstruction, atelectasis) guiding oxygen therapy. 'Heparin' (B) treats clots, not hypoxia. 'Hold opioids' (C) assumes cause without evidence. 'Malignant hyperthermia' (D) lacks fever context. In nursing, airway assessment is first; A aligns with NCLEX Perioperative, prioritizing respiratory evaluation.
Question 5 of 5
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease?
Correct Answer: B
Rationale: 3,' as ASA 3 indicates a severe systemic disease (e.g., poorly controlled diabetes) that limits function but isn't immediately life-threatening. '2' (A) is mild. '4' (C) threatens life. '5' (D) is near death. In nursing, ASA 3 guides heightened monitoring; B aligns with NCLEX Perioperative, ensuring proper risk stratification for intraoperative care.