ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient is requesting moderate sedation for repair of a torn meniscus and has no medical contraindications. How does the nurse respond to this patient's request?
Correct Answer: B
Rationale: The nurse suggests discussing with the surgeon and anesthesiologist , empowering the patient. Choice A deflects; choice C assumes preference; choice D discourages. The rationale supports autonomy: sedation choice involves medical feasibility and patient comfort, requiring expert input. Nursing facilitates communication, ensuring informed decisions, aligning with collaborative care, distinct from dismissive or suggestive responses.
Question 5 of 5
A postoperative patient in the PACU has had an open reduction internal fixation of a left fractured femur. Vital signs are blood pressure 87/49 mm Hg, heart rate 100/min sinus rhythm, respirations 22/min, temperature 98.3°F. The Foley catheter has a total amount of 110 mL of clear, yellow urine in the last 4 hours. Which body systems have been assessed by the nurse? (Select all that apply.)
Correct Answer: B
Rationale: Assessed systems include cardiovascular (choice B, BP, HR), respiratory (choice A, respirations), and renal/urinary (choice E, urine output). Neurovascular and integumentary aren't noted. The rationale ties data to systems: BP/HR reflect cardiac status, respirations lung function, urine output kidney perfusion. Nursing monitors these post-ortho surgery for bleeding or shock, ensuring holistic assessment, distinct from unassessed areas.