ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
The patient in the OR holding area tells the nurse that his surgery is for the right foot. The patient's chart states that the surgery is for his left foot. What is the nurse's best action?
Correct Answer: D
Rationale: The nurse notifies the surgeon immediately to resolve the discrepancy, preventing wrong-site surgery. Ignoring , noting , or delegating delays action. The rationale prioritizes safety: premedication may confuse patients, but chart-patient mismatches require verification with the surgeon, per Joint Commission standards. Nursing halts progression, ensuring accuracy, critical for avoiding irreversible errors, distinct from passive or misdirected responses.
Question 2 of 5
When assessing the older postoperative patient for hydration status, where must the nurse assess for tenting of the skin? (Select all that apply.)
Correct Answer: D
Rationale: In older adults, tenting is assessed on the sternum or forehead . Hand and forearm are less reliable due to age-related skin changes. The rationale explains physiology: elasticity decreases with age, making sternum/forehead truer dehydration indicators. Nursing uses these sites, avoiding false positives from thin extremities, ensuring accurate fluid status post-op.
Question 3 of 5
All of the following instructions about postoperative activity are correct for an obese patient except.
Correct Answer: A
Rationale: To be as active as possible, walking up to one mile per day by the postoperative office visit,' as it's excessive for an obese patient early postop unlike 'binder' (B), supportive, 'gradual activity' (C), appropriate, or 'work in 1 week' (D), feasible for laparoscopy. In nursing, tailored activity prevents strain; A aligns with NCLEX Perioperative, identifying unrealistic expectations.
Question 4 of 5
The use of herbal medicines should be discontinued...
Correct Answer: B
Rationale: Herbal medicines should stop at least 2 weeks before surgery due to potential interactions (e.g., bleeding, sedation). Shorter 7-10 days , 2 days risks effects; 30 days is excessive. The rationale highlights pharmacology: herbs like ginkgo (bleeding) or St. John's wort (drug metabolism) need 14 days to clear, per anesthesia guidelines. Nursing assesses usage, educating on risks, ensuring safe anesthesia and hemostasis, contrasting with inadequate or overly long cessation.
Question 5 of 5
The patient is scheduled for a Radical perineal prostatectomy for prostate cancer. In what position would the patient be placed for surgery?
Correct Answer: B
Rationale: Low lithotomy,' as it provides perineal access for prostatectomy unlike 'lateral' (A), 'high lithotomy' (C), excessive, or 'Kraske's' (D), rectal. In nursing, correct positioning ensures access; B aligns with NCLEX Perioperative, matching procedure to position.