ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The nurse should include which piece of information in discussions with the client?
Correct Answer: D
Rationale: The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees,' as upright positioning maximizes lung expansion unlike 'rapid inhale' (A), 'loose seal' (B), or '15-second hold' (C), all incorrect. In nursing, proper technique prevents atelectasis; D aligns with NCLEX Perioperative, ensuring effective teaching.
Question 2 of 5
The 79-year-old patient with type 2 diabetes is scheduled for surgery to remove his left great toe. Which risk factors for complications of surgery does the nurse assess for in this patient? (Select all that apply.)
Correct Answer: A
Rationale: Risk factors include chronic illnesses like diabetes , healing problems , dehydration , and electrolyte imbalances (choice E, not listed). Absence of smoking reduces risk. The rationale focuses on diabetes' impact: it impairs circulation and immunity, increasing infection and delayed healing risks. Age (79) compounds this with reduced recovery capacity. Dehydration affects perfusion, critical for surgery, while chronic illness heightens systemic stress. Nursing assesses these to tailor interventions (e.g., glucose control, hydration), contrasting with smoking cessation's protective effect, ensuring comprehensive risk mitigation.
Question 3 of 5
To reduce the incidence of patients with a known history or risk of malignant hyperthermia (MH), what best practices are put in place in the operating room? (Select all that apply.)
Correct Answer: C
Rationale: Best practices for malignant hyperthermia (MH) include a dedicated MH cart , emergency medication lists , and proactive treatment for known risks . Genetic counseling is postoperative. The rationale focuses on preparedness: MH, a rare anesthetic reaction, requires immediate dantrolene access (cart) and protocol awareness (med list). Pretreatment avoids triggers (e.g., succinylcholine), critical for at-risk patients. Nursing ensures rapid response capability, aligning with safety standards, distinct from post-event counseling.
Question 4 of 5
In which situations is regional anesthesia used instead of general anesthesia? (Select all that apply.)
Correct Answer: B
Rationale: Regional anesthesia is used for adverse reactions to general , serious medical problems , postoperative pain , and patient preference (choice E, not listed). Endoscopy uses sedation. The rationale highlights benefits: regional avoids systemic risks (e.g., respiratory depression), ideal for high-risk patients or prior reactions, and enhances pain control (e.g., epidurals). Nursing supports this choice, ensuring safety and comfort, distinct from sedation-based procedures.
Question 5 of 5
A patient develops respiratory distress after having a left total hip replacement. The patient develops labored breathing and a pulse oximetry reading is 83% on 2 L oxygen via nasal cannula. Which intervention is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: The nurse delegates vital signs checks to UAP , a routine task. Assessing , ordering , and intubating require nursing judgment. The rationale respects scope: UAP can measure vitals (e.g., pulse ox), freeing the nurse to interpret and act on respiratory distress (83% SpO2 signals hypoxia). Nursing retains critical interventions, ensuring timely escalation (e.g., oxygen increase), balancing delegation with expertise.