ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
The PACU nurse is assessing an older adult postoperative patient for pain. Which nonverbal manifestations by the patient suggest pain to the nurse? (Select all that apply.)
Correct Answer: A
Rationale: Pain manifestations in older adults include restlessness , sweating , and increased BP (choice E, not listed). Arousal difficulty and confusion may reflect sedation. The rationale addresses nonverbal cues: pain causes agitation, diaphoresis, and hypertension, common in less communicative patients. Nursing interprets these, adjusting analgesia, distinct from anesthesia effects, ensuring comfort.
Question 2 of 5
Healthy patients are allowed clear liquids up to...
Correct Answer: D
Rationale: Healthy patients can have clear liquids up to 2 hours before an elective procedure , per ASA guidelines. Longer 8 hours , 4 hours , 3 hours reflects outdated rules. The rationale addresses safety: 2 hours allows hydration without aspiration risk, as clear liquids (e.g., water) empty quickly. Nursing ensures NPO compliance, contrasting with older, stricter fasts, optimizing patient comfort and perioperative stability.
Question 3 of 5
Trauma patient is unconscious and needs emergent surgery. The family is 2 hours away but on the way. The circulating nurse should:
Correct Answer: B
Rationale: Have the surgeon document the case is emergent and proceed with the set up,' as emergencies allow surgery without consent if documented unlike 'wait for family' (A), delaying, 'dual signature' (C), invalid, or 'not applicable' (D), incorrect. In nursing, urgency trumps consent delays; B aligns with NCLEX Perioperative, ensuring legal action.
Question 4 of 5
Your 87 year old patient… is being prepared for a lumpectomy and node dissection under general anesthesia… It is most appropriate to:
Correct Answer: A
Rationale: Allow her to keep her glasses and hearing aides on until immediately before she is anesthetized,' as it aids communication pre-anesthesia unlike 'explain then store' (B), 'leave in place' (C), unsafe, or 'give to daughter' (D), premature. In nursing, sensory aids enhance prep; A aligns with NCLEX Perioperative, balancing safety and communication.
Question 5 of 5
The nurse is caring for a hospice patient who is scheduled for a surgical procedure to reduce the size of his spinal tumor in an effort to relieve his pain. The nurse should plan this patient's care with the knowledge that his surgical procedure is classified as which of the following?
Correct Answer: D
Rationale: The procedure is palliative , aimed at pain relief, not cure, fitting the hospice context. Diagnostic investigates conditions, laparoscopic is a technique, and curative seeks to eliminate disease, none of which apply here. Reducing tumor size for comfort aligns with palliative goals, per surgical classification in preoperative planning.