ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
The nurse is walking a postoperative patient in the hallway when she notices a large red stain of fresh blood on the patient's gown over the abdominal incision. The patient states, 'I felt something just ripped open.' What is the priority action of the nurse?
Correct Answer: B
Rationale: Assist the patient to the floor and call for assistance,' as a large blood stain and ripping sensation suggest dehiscence or evisceration an emergency. Lowering the patient reduces abdominal tension, preventing further damage, while calling for help ensures rapid team response. 'Assess incision' (A) delays stabilization and risks exposure. 'Irrigate wound' (C) is inappropriate without medical orders during transit. 'Check vitals' (D) is secondary to immediate safety. In nursing, prioritizing life-threatening scenarios (e.g., organ protrusion) is critical; B aligns with NCLEX Physiological Adaptation and Safety, focusing on urgent action over assessment or premature interventions.
Question 2 of 5
A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse, 'Will the doctor put me to sleep with a mask over my face?' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A drug may be given to you through your IV line first. I will check with the anesthesia care provider,' as it's accurate IV induction is common, but inhalation via mask or tube is possible and defers to the anesthesia expert. 'Surgeon decides' (B) is wrong anesthesia staff choose. 'No mask' (C) and 'masks obsolete' (D) overgeneralize inhalation options exist. In nursing, honest, precise communication reassures; A aligns with NCLEX Physiological Integrity, ensuring patient education and collaboration.
Question 3 of 5
The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening. When documenting this finding, which term will the nurse use?
Correct Answer: C
Rationale: Wound evisceration,' as it describes a severe complication where the wound separates and internal organs (e.g., bowel) protrude unlike 'dehiscence' (B), which is separation without protrusion. 'Infection' (A) involves pus or redness, not organ exposure. 'Tunneling' (D) is a wound tract, not evisceration. In nursing, accurate documentation guides urgent intervention (e.g., sterile coverage, surgery); C aligns with NCLEX Perioperative, reflecting a critical postoperative emergency over less severe conditions.
Question 4 of 5
Which nursing action is appropriate when providing care to a patient who is exhibiting symptoms of a venous thromboembolism (VTE)?
Correct Answer: B
Rationale: Administer prescribed heparin,' as VTE (e.g., swelling, pain) requires anticoagulation to prevent clot growth standard treatment. 'Breath sounds' (A) assess lungs, not VTE directly. 'Hold opioids' (C) is irrelevant. 'Malignant hyperthermia' (D) is unrelated. In nursing, timely heparin administration is critical; B aligns with NCLEX Perioperative, targeting thrombus management.
Question 5 of 5
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?
Correct Answer: C
Rationale: 4,' as ASA 4 denotes a severe systemic disease threatening life (e.g., recent MI), per the American Society of Anesthesiologists requiring urgent intervention. '2' (A) is mild. '3' (B) is severe but not critical. '5' (D) is moribund. In nursing, ASA 4 signals intensive care needs; C aligns with NCLEX Perioperative, matching severity to intraoperative precautions.