ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
The nurse is developing a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery?
Correct Answer: C
Rationale: Have the client void immediately before going into surgery,' to empty the bladder, reducing intraoperative risks unlike 'no oral hygiene' (A), incorrect, '24-hour fasting' (B), excessive, or 'report slight BP/pulse rise' (D), normal anxiety response. In nursing, voiding ensures safety; C aligns with NCLEX Perioperative, prioritizing procedural preparation.
Question 2 of 5
The nurse screens a preoperative patient for conditions that may increase the risk for complications during the perioperative period. Which conditions are possible risk factors? (Select all that apply.)
Correct Answer: C
Rationale: Risk factors for perioperative complications include obesity , age over 65 , and chronic conditions like pulmonary disease (choice E, not listed here). Emotionally stable reduces psychological risk, not physical complications. Marathon runner suggests fitness, lowering risk. The rationale focuses on physiological vulnerabilities: obesity increases anesthesia and wound healing risks due to excess adipose tissue; advanced age (67) reduces organ reserve, heightening complications like cardiac events; pulmonary disease impairs oxygenation. These align with nursing assessments to identify and mitigate risks, ensuring tailored interventions like weight management or respiratory support, contrasting with protective factors like fitness or emotional stability.
Question 3 of 5
Which nursing intervention is most appropriate for the patient in the operative setting?
Correct Answer: A
Rationale: The most appropriate intervention is ensuring privacy, comfort, and confidentiality , addressing the patient's emotional and physical needs intraoperatively. Preoperative teaching occurs earlier; avoiding discussion isolates the patient; assisting setup isn't patient-focused. The rationale prioritizes dignity: surgery is stressful, and privacy (e.g., draping) with comfort (e.g., positioning) reduces anxiety, while confidentiality upholds trust. Nursing's intraoperative role centers on advocacy, ensuring a supportive environment amidst technical focus, distinct from preoperative or logistical tasks.
Question 4 of 5
A patient experiences MH immediately after induction of anesthesia. What is the nurse anesthetist's first priority action?
Correct Answer: D
Rationale: The first priority in an MH crisis is stopping inhalation agents and succinylcholine , halting the trigger. Dantrolene follows; cooling and labs are secondary. The rationale prioritizes cessation: MH is driven by these agents causing hypermetabolism; stopping them prevents progression. Nursing supports by preparing dantrolene next, but trigger removal is immediate, aligning with ABCs (airway, breathing) and rapid reversal, critical for survival.
Question 5 of 5
The patient received moderate sedation (conscious sedation) by IV prior to a bronchoscopy procedure. Before allowing the patient to have oral liquids, what must the nurse assess in this patient?
Correct Answer: C
Rationale: The nurse assesses the gag reflex before oral intake to prevent aspiration post-sedation. Arousal , speech , and head movement don't ensure swallowing safety. The rationale focuses on airway protection: sedation (e.g., midazolam) depresses reflexes; an absent gag reflex risks choking. Nursing tests this (e.g., swallowing test) post-bronchoscopy, ensuring recovery, critical for safe oral intake, distinct from general responsiveness.