ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
The nurse is preparing a patient, diagnosed with asthma, for surgery. Which should the nurse include in the plan of care for this patient?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A female patient is having a biopsy of a nodule found in the right breast. Which classification identifies this surgery?
Correct Answer: D
Rationale: A biopsy of a breast nodule is classified as diagnostic surgery because its purpose is to determine the nature of the nodule (e.g., benign or malignant). Urgent surgery implies immediate need due to life-threatening conditions, like appendicitis, which does not apply here. Minor surgery refers to low-risk procedures, but classification focuses on purpose, not complexity. Cosmetic surgery enhances appearance, irrelevant to a biopsy's diagnostic intent. The rationale lies in surgical classifications: diagnostic procedures gather information to guide treatment, distinct from curative, restorative, or palliative goals. A breast biopsy involves removing tissue for analysis, aligning with the diagnostic category, and is a critical step in cancer detection, emphasizing its investigative rather than therapeutic role.
Question 3 of 5
During preoperative screening, the nurse discovers that the patient is allergic to shellfish. What is the nurse's best first action?
Correct Answer: A
Rationale: The nurse's best first action is notifying the surgeon because shellfish allergy may indicate iodine sensitivity, critical for surgical antiseptics or contrast dyes. Developing a safety plan follows notification. A shellfish-free diet is irrelevant preoperatively, and family history is secondary. The rationale prioritizes communication: the surgeon must adjust protocols (e.g., alternative antiseptics) to prevent anaphylaxis, a life-threatening risk. Nursing's role is to escalate allergies immediately, ensuring the surgical team adapts, aligning with safety standards and preventing adverse reactions during the procedure.
Question 4 of 5
A patient has an MH incident during surgery. To whom does the nurse report this incident?
Correct Answer: A
Rationale: The nurse reports an MH incident to the North American Malignant Hyperthermia Registry to track and study this rare condition. The Joint Commission oversees safety, CDC tracks diseases, and OSHA addresses workplace safety, none specific to MH. The rationale emphasizes data collection: the Registry improves MH understanding and prevention, aiding future care. Reporting supports nursing's role in quality improvement, distinct from regulatory or infectious disease oversight, enhancing patient safety long-term.
Question 5 of 5
Which characteristics are appropriate to the anesthetic agent ketamine HCl?
Correct Answer: D
Rationale: Ketamine HCl causes dissociative reactions and nausea , increases heart rate (not lowers BP, choice B), and is short-acting . It minimally depresses respiration . The rationale clarifies pharmacology: ketamine's dissociative state (hallucinations) and emetic effects are notable; it stimulates cardiovascularly, aiding unstable patients, and wears off quickly. Nursing manages these (e.g., antiemetics), leveraging its benefits, distinct from respiratory-depressing agents.