ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
The patient received moderate sedation (conscious sedation) by IV prior to a bronchoscopy procedure. Before allowing the patient to have oral liquids, what must the nurse assess in this patient?
Correct Answer: C
Rationale: The nurse assesses the gag reflex before oral intake to prevent aspiration post-sedation. Arousal , speech , and head movement don't ensure swallowing safety. The rationale focuses on airway protection: sedation (e.g., midazolam) depresses reflexes; an absent gag reflex risks choking. Nursing tests this (e.g., swallowing test) post-bronchoscopy, ensuring recovery, critical for safe oral intake, distinct from general responsiveness.
Question 2 of 5
Which patient is most at risk for postoperative nausea and vomiting (PONV)?
Correct Answer: A
Rationale: The patient with motion sickness is most at risk for PONV due to vestibular sensitivity. NG tubes , weight loss , and MIS have less direct impact. The rationale ties to physiology: motion sickness history predicts opioid or anesthetic-induced nausea, a PONV trigger. Nursing anticipates antiemetics, targeting this risk, distinct from procedural or nutritional factors.
Question 3 of 5
A patient becomes restless and agitated in the post anesthesia care unit (PACU) as he begins to regain consciousness. The first action the nurse should take is:
Correct Answer: D
Rationale: Check the patient's oxygen saturation with pulse oximetry,' as restlessness may indicate hypoxia, a priority to assess unlike 'lateral position' (A), 'orientation' (B), or 'pain meds' (C), which follow ABCs. In nursing, oxygenation drives initial action; D aligns with NCLEX Perioperative, ensuring airway and breathing assessment first.
Question 4 of 5
Which of the following statements is the correct way for patients to splint incisions when they cough?
Correct Answer: D
Rationale: The correct splinting method is holding one hand gently over the incision and breathing deeply before coughing . Medium pressure lacks specificity; strong pressure risks damage; interlacing is impractical. The rationale explains technique: gentle support stabilizes the incision, reducing dehiscence risk during coughing's strain, while deep breathing aids lung expansion. Nursing teaches this, ensuring comfort and safety, distinct from excessive force or awkward positioning, promoting healing.
Question 5 of 5
Which of the following medications is a trigger for Malignant Hyperthermia (MH):
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.