ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which is the top priority for nurses during the perioperative period?
Correct Answer: C
Rationale: Patient safety is the top priority for nurses during the perioperative period because it encompasses the prevention of harm and ensures the patient's well-being throughout the surgical process. While patient teaching, diagnostic testing, and documentation are important aspects of care, they are secondary to maintaining a safe environment. Safety includes preventing infections, ensuring proper identification, and avoiding errors such as wrong-site surgery. The Surgical Care Improvement Project (SCIP) and Joint Commission standards emphasize safety as the foundation of perioperative nursing, making it the nurse's primary focus. For example, marking the operative site and verifying patient identity are critical safety measures that take precedence over teaching or documentation, which can be addressed once safety is assured. This prioritization aligns with the nursing principle of 'do no harm,' ensuring the patient's physical and emotional security during a vulnerable time.
Question 3 of 5
A 75-year-old patient is having an exploratory laparotomy tomorrow. The wife tells the nurse that at night the patient gets up and walks around his room. What priority action does the nurse take after hearing this information?
Correct Answer: B
Rationale: The priority action is developing a safety plan because a 75-year-old patient wandering at night preoperatively risks falls, especially with potential sedation or unfamiliar settings. Notifying the provider is secondary unless immediate issues arise. Ordering sleep medication addresses symptoms, not safety, and requires assessment first. Telling the patient not to get up is impractical without support. The rationale prioritizes safety: elderly patients have higher fall risks due to age-related declines in balance and strength, amplified by hospital environments. A plan (e.g., bed alarms, assistance) prevents injury, aligning with nursing's proactive risk management, ensuring the patient's stability for surgery.
Question 4 of 5
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 5 of 5
What techniques are essential to performing a proper surgical scrub of the hands by the surgeon, assistants, and scrub nurse? (Select all that apply.)
Correct Answer: A
Rationale: Essential surgical scrub techniques include using a broad-spectrum antimicrobial , holding hands higher than elbows , and scrubbing 3-5 minutes (choice E, not listed). Two-minute scrubs are insufficient; alcohol-based solutions are alternatives, not primary. The rationale ensures sterility: broad-spectrum agents kill pathogens, elevated hands prevent recontamination, and 3-5 minutes ensures thoroughness per guidelines (e.g., AORN). Nursing adheres to this, reducing infection risk, distinct from shorter or less effective methods.