ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
The nurse is caring for a preoperative patient who has just received sedation prior to general anesthesia in the OR. What is the priority action of the nurse?
Correct Answer: C
Rationale: Raise the side rails on the patient's stretcher,' as sedation increases fall risk, making safety the priority. Elevated rails prevent injury from drowsiness-induced movement. 'Check consent' (A) and 'mark site' (D) should occur pre-sedation per protocol too late now. 'Quiet environment' (B) aids comfort, not safety. In nursing, post-sedation vigilance focuses on physical protection; C aligns with NCLEX Safety and Infection Control, prioritizing injury prevention over administrative or comfort actions in this critical moment.
Question 2 of 5
Monitored anesthesia care (MAC) is going to be used for a closed, manual reduction of a dislocated shoulder. What action does the nurse anticipate?
Correct Answer: B
Rationale: Starting a 20-gauge IV in the patient's unaffected arm,' as MAC uses IV sedatives (e.g., benzodiazepines), requiring venous access standard for this procedure. 'Inhalation mask' (A) and 'epidural PCA' (D) aren't MAC components. 'Nonocclusive dressing' (C) suits topical agents, not IV. In nursing, anticipating MAC logistics ensures smooth care; B aligns with NCLEX Physiological Integrity, matching method to action.
Question 3 of 5
Upon receiving the patient from the postanesthesia care unit, which nursing action is the priority?
Correct Answer: C
Rationale: Assess the patient,' as initial assessment establishes stability (e.g., airway, vitals) post-PACU paramount upon transfer. 'Clean linens' (A) and 'equipment' (B) are preparatory, not immediate. 'Notify family' (D) is secondary to patient safety. In nursing, ABCs prioritize assessment; C aligns with NCLEX Perioperative, ensuring clinical judgment drives care over logistical tasks.
Question 4 of 5
Which patient finding would indicate the need for further monitoring rather than discharge home after an outpatient surgical procedure?
Correct Answer: C
Rationale: Inability to void without fluid retention,' as it suggests urinary retention a complication requiring monitoring before discharge. 'Pain management' (A) and 'resolved lethargy' (B) are normal. 'Nausea without vomiting' (D) is manageable. In nursing, voiding ensures recovery; C aligns with NCLEX Perioperative, prioritizing physiological stability.
Question 5 of 5
Which term should the nurse document for a patient who is having surgery for the removal of female reproductive organs?
Correct Answer: B
Rationale: Hysterectomy,' as it denotes surgical removal of female reproductive organs (e.g., uterus). 'Episiotomy' (A) is a perineal incision. 'Amniocentesis' (C) is diagnostic. 'Cholecystectomy' (D) is gallbladder removal. In nursing, precise terminology aids communication; B aligns with NCLEX Perioperative, matching procedure to documentation.