ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is appropriate for the patient who is prescribed phenobarbital?
Correct Answer: C
Rationale: Maintaining the drug during the perioperative period,' as phenobarbital, an anticonvulsant, must continue to prevent seizures discontinuation risks withdrawal. 'ECG' (A) and 'BP' (B) aren't specific. 'Glucose' (D) is unrelated. In nursing, seizure control is critical; C aligns with NCLEX Perioperative, ensuring medication continuity.
Question 2 of 5
The nurse is reviewing a prescription sheet for preoperative client that states that he client must be NPO after midnight. The nurse would telephone the physician to clarify that which medication should be given to the client and not withheld?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A patient with an abdominal aortic aneurysm is having surgical repair. What is the correct classification for this surgery?
Correct Answer: C
Rationale: Surgical repair of an abdominal aortic aneurysm (AAA) is classified as urgent because it addresses a potentially life-threatening condition requiring prompt intervention to prevent rupture, though not always immediate like emergent surgery . Restorative surgery improves function, not the primary goal here, which is survival. Minor surgery doesn't fit the procedure's complexity or risk. The rationale hinges on timing and necessity: an AAA poses a significant rupture risk, necessitating surgery within hours to days, fitting the urgent category. This contrasts with emergent (immediate, e.g., active bleeding) or elective (planned) surgeries. Nursing prioritizes preoperative preparation and monitoring to stabilize the patient, reflecting the balance between urgency and controlled intervention.
Question 4 of 5
A patient with type 1 diabetes mellitus is scheduled for surgery at 0700. Which actions must the nurse perform for this patient before he goes to the operating room? (Select based on priority order.)
Correct Answer: B
Rationale: The priority action is completing the preoperative checklist to ensure safety and readiness (e.g., consents, labs) before transfer. Modifying insulin follows glucose checks , which can be delegated, but checklist completion is urgent. Foot care teaching is postoperative. The rationale prioritizes safety: the checklist confirms critical steps (e.g., NPO status, allergies), preventing errors like wrong-site surgery. Diabetes management is vital, but glucose and insulin adjustments follow initial assessment, delegated appropriately. Nursing ensures all systems are go, aligning with perioperative protocols for a high-risk patient.
Question 5 of 5
Which clinical features are found in an MH crisis? (Select all that apply.)
Correct Answer: A
Rationale: MH crisis features include sinus tachycardia , jaw rigidity , skin mottling (choice E, not listed), and elevated temperature (choice F, not listed). Hypotension and decreased CO2 aren't typical. The rationale explains pathophysiology: MH causes hypermetabolism, spiking heart rate and muscle rigidity (early signs), progressing to fever and cyanosis. Nursing identifies these for prompt dantrolene use, contrasting with misleading signs like low BP, ensuring timely life-saving action.