ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
The postanesthesia care unit (PACU) nurse is providing care for a patient who is exhibiting hypothermia. Which nursing action is appropriate?
Correct Answer: D
Rationale: Provide warm blankets or warming devices,' as hypothermia requires active rewarming to restore temperature standard PACU care. 'Breath sounds' (A) don't address cold. 'Glucose' (B) and 'opioids' (C) are unrelated. In nursing, rewarming prevents complications (e.g., coagulopathy); D aligns with NCLEX Perioperative, prioritizing thermal regulation.
Question 2 of 5
Which action should the circulating nurse anticipate during the emergence phase of general anesthesia?
Correct Answer: D
Rationale: Suctioning the patient to decrease incidence of aspiration,' as emergence involves awakening, and suctioning clears secretions to prevent aspiration. 'Securing airway' (A) is earlier. 'Oxygen by mask' (B) may occur but isn't primary. 'Balanced anesthesia' (C) ends. In nursing, suctioning aids recovery; D aligns with NCLEX Perioperative, targeting emergence risks.
Question 3 of 5
Which information should the nurse collect during the health history that is conducted during the preoperative period?
Correct Answer: D
Rationale: Previous response to anesthesia,' as it identifies risks (e.g., malignant hyperthermia) critical for surgery unlike 'caretaker' (A), 'intake' (B), or 'sexual encounter' (C), which are less urgent. In nursing, anesthesia history informs safety; D aligns with NCLEX Perioperative, targeting procedural risk.
Question 4 of 5
The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The nurse should include which piece of information in discussions with the client?
Correct Answer: D
Rationale: The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees,' as upright positioning maximizes lung expansion unlike 'rapid inhale' (A), 'loose seal' (B), or '15-second hold' (C), all incorrect. In nursing, proper technique prevents atelectasis; D aligns with NCLEX Perioperative, ensuring effective teaching.
Question 5 of 5
Which are the focus areas for the Surgical Care Improvement Project (SCIP)? (Select all that apply.)
Correct Answer: C
Rationale: The Surgical Care Improvement Project (SCIP) aims to reduce surgical complications, focusing on prevention of infection , serious cardiac events , and venous thromboembolism . These are evidence-based priorities to improve patient outcomes post-surgery. Prevention of respiratory complications and acute kidney injury (not listed as choice E but mentioned) are not primary SCIP focuses, though they are relevant to overall care. SCIP guidelines include specific measures like antibiotic prophylaxis (infection), beta-blocker use (cardiac events), and anticoagulant therapy (thromboembolism), reflecting its goal to standardize care and minimize risks. Choice C is a correct answer as it aligns with SCIP's cardiac focus, but A and D are also accurate. The rationale emphasizes SCIP's targeted approach to common, preventable complications, ensuring safer surgical experiences through measurable interventions.