ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
The nurse is completing the preoperative checklist on the night shift in preparation for the patient's surgery, scheduled for 0800. Which tasks could the nurse complete at this time?
Correct Answer: B
Rationale: Checking the medical record for the history, physical, and signed informed consent,' as this task can be done on the night shift to ensure documentation is complete for an 0800 surgery. 'Last voiding' (A) requires patient input closer to surgery. 'Preop medication' (C) is timed near surgery, not night shift. 'Removing prosthesis' (D) is peri-procedure. In nursing, record verification ensures readiness; B aligns with NCLEX Perioperative, focusing on preparatory accuracy.
Question 2 of 5
The nurse assess a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A patient who can barely ambulate with a walker at home is having a left total knee replacement. What is the most appropriate category for this surgery?
Correct Answer: B
Rationale: A total knee replacement for a patient with limited mobility is classified as restorative surgery because it aims to restore function and improve quality of life by replacing a damaged joint. Urgent surgery addresses immediate threats, like a ruptured aneurysm, not applicable here. Simple surgery is not a standard classification and suggests minimal complexity, which doesn't fit a major procedure like this. Palliative surgery relieves symptoms without curing, unlike this surgery's goal of functional restoration. The rationale hinges on the restorative intent: the procedure corrects a degenerative condition (e.g., osteoarthritis), enabling ambulation and reducing disability. This aligns with nursing's focus on enhancing patient independence, distinguishing it from curative (disease eradication) or palliative (symptom relief) categories.
Question 4 of 5
The preoperative patient tells the nurse that she is afraid that she may experience a reaction if she must receive blood during or after her surgery. What is the nurse's best response to the patient's concern?
Correct Answer: B
Rationale: The best response is suggesting autologous donation because it addresses the patient's fear by offering a proactive solution using her own blood reduces reaction risks. Minimizing the need dismisses her concern, while claiming low reaction likelihood or strict procedures lacks specificity and reassurance. The rationale centers on empowerment: autologous donation aligns with patient autonomy, mitigates transfusion reactions (e.g., allergic or hemolytic), and is feasible if time allows. Nursing supports informed decision-making, reducing anxiety through practical options, enhancing trust and safety perception.
Question 5 of 5
Which duties are within the scope of practice of the circulating nurse in the operative setting?
Correct Answer: D
Rationale: The circulating nurse coordinates, oversees, and participates in care , managing the OR environment and documentation. Setting up sterile fields is the scrub nurse's role; surgical responsibility is the surgeon's. Choice A is partial. The rationale defines scope: the circulator ensures safety, sterility, and team coordination, distinct from hands-on sterile tasks or surgical decisions. Nursing's non-sterile oversight optimizes intraoperative flow, supporting patient outcomes.