ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 9
The nurse is reviewing the medical records for patients who are scheduled for surgery the next day. Which patient may not provide consent to receive blood products?
Correct Answer: C
Rationale: A Caucasian Jehovah's Witness patient,' as Jehovah's Witnesses often refuse blood products due to religious beliefs unlike other groups (A, B, D) without such restrictions. In nursing, respecting beliefs guides consent; C aligns with NCLEX Perioperative, emphasizing cultural competence.
Question 2 of 9
A hospital nursing excellence center for education developed standards for nursing advancement that would reflect high-level achievement of professional performance. They developed a clinical advancement ladder based on the leading skill and knowledge acquisition model and established worthy criteria for each level. Select the response that might best describe the highest level of achievement for a perioperative staff nurse.
Correct Answer: A
Rationale: Choice A as CNOR, BSN, and research leadership reflect top-tier professional achievement. Choices B, C, and D lack the same depth of specialization and impact. Certification and advanced education signify expertise, aligning with perioperative nursing's emphasis on lifelong learning and leadership in patient care.
Question 3 of 9
Which assessment finding obtained by the nurse when caring for a patient with a right radial arterial line indicates a need for the nurse to take immediate action?
Correct Answer: A
Rationale: Choice A as a cooler hand suggests impaired blood flow, possibly from arterial occlusion, requiring immediate action. Normal MAP (choice B) and flush rates (choice C) don't warrant urgency, and tubing changes (choice D) follow a 96-hour protocol. This reflects NCLEX physiological integrity, prioritizing circulation assessment to prevent tissue damage in critical care.
Question 4 of 9
The nurse is caring for a patient who is to be discharged from the hospital 5 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?
Correct Answer: D
Rationale: Choice D as unrestricted sleeping risks hip flexion or rotation, needing correction. Other statements (choices A-C) align with posterior approach precautions. This reflects NCLEX Physiological Integrity, identifying gaps in post-hip replacement education.
Question 5 of 9
The nurse is caring for a 78-year-old man who has had an outpatient cholecystectomy. The nurse is getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension and consequent falls, what should the nurse have the patient do?
Correct Answer: C
Rationale: Standing 2-3 minutes before walking adjusts for orthostatic hypotension in the elderly, per mobility protocols. Sitting or fluids don't suffice; ROM isn't relevant. Postoperative care prevents falls.
Question 6 of 9
The nurse is caring for a patient in the operating suite. Which of the following outcomes would be most appropriate for this patient?
Correct Answer: A
Rationale: Being free of burns at the grounding pad is the most appropriate intraoperative outcome, as cautery use risks electrical burns if pads are misplaced a preventable injury under the nurse's watch. Infection signs emerge post-surgery, not intraoperatively. Nausea and pain are irrelevant during anesthesia patients are unconscious, with symptoms surfacing later. The circulating nurse's focus on equipment safety, like pad placement, ensures skin integrity, aligning with intraoperative advocacy to prevent immediate harm, per surgical care standards.
Question 7 of 9
A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
Correct Answer: C
Rationale: Choice C as checking pulses assesses circulation, critical in leg trauma. Elevation (choice A), splinting (choice B), or tetanus (choice D) follow. This reflects NCLEX Physiological Integrity, ensuring vascular integrity before interventions.
Question 8 of 9
Which interventions must the operating room (OR) nurses provide for patient physiological integrity during the intraoperative period? (Select all that apply.)
Correct Answer: C
Rationale: OR nurses ensure physiological integrity by monitoring airway, vital signs, ECG, and oxygen saturation , applying padding , and assessing skin . Communicating fears is preoperative. The rationale focuses on real-time safety: monitoring detects hypoxia or dysrhythmias, padding prevents pressure injuries, and skin checks document baseline status. These actions maintain homeostasis during anesthesia, aligning with nursing's vigilance, contrasting with emotional support tasks better suited pre-surgery.
Question 9 of 9
All but one is not a component of a good literature review
Correct Answer: B
Rationale: A good literature review synthesizes existing knowledge to frame a study. 'Abstract,' is correct as not a component; it's a separate summary, not part of the review itself, per research writing guides (e.g., APA Manual). 'Relevance of the study,' justifies the topic's importance within the review. 'Theoretical framework(s),' provides conceptual grounding. 'Review of previous studies,' is the core, analyzing prior work. The abstract stands apart as an overview, not an integrated review element, making B the accurate exception.