ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
The nurse is caring for an 82-year-old female patient in the PACU. The woman begins to awaken and responds to her name, but is confused, restless, and agitated. What principle should guide the nurse's subsequent assessment?
Correct Answer: C
Rationale: Confusion is common in elderly post-op , but may signal blood loss, per PACU principles. Oxygenation/stroke is possible but less likely; expected findings downplay urgency; dementia assumes pre-existing issues. Assessment explores causes.
Question 2 of 5
The nurse is caring for a patient on postoperative day 3 following a cholecystectomy. The patient reports nausea and abdominal distension, and the nurse notes absent bowel sounds. What should the nurse do first?
Correct Answer: B
Rationale: Notifying the physician addresses possible ileus with nausea, distension, and absent sounds, per protocol. Antiemetics treat symptoms; ambulation or NG tube needs orders. Postoperative care escalates abnormal findings.
Question 3 of 5
The nurse is caring for a patient who is preoperative for a hysterectomy. The patient asks, 'What will happen if I don't have this surgery?' What should the nurse do?
Correct Answer: C
Rationale: Referring to the surgeon ensures accurate risk discussion, per scope of practice. Explaining oversteps; reassuring or deferring fully avoids responsibility. Preoperative care escalates appropriately.
Question 4 of 5
The OR nurse is assisting with a patient receiving a brachial plexus block. What surgery might this be used for?
Correct Answer: B
Rationale: Brachial plexus block anesthetizes the arm, fitting shoulder surgery, per block types. Appendectomy , hysterectomy , or cholecystectomy use different blocks. Intraoperative care matches anesthesia to site.
Question 5 of 5
The nurse is caring for a patient who underwent a hip replacement 36 hours ago. The patient reports shortness of breath and chest pain. What should the nurse do first?
Correct Answer: C
Rationale: Checking oxygen saturation assesses for pulmonary embolism, per priority data collection. Oxygen or notification follows; coughing is secondary. Postoperative care evaluates respiratory distress.