ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
The preoperative patient tells the nurse that she is afraid that she may experience a reaction if she must receive blood during or after her surgery. What is the nurse's best response to the patient's concern?
Correct Answer: B
Rationale: The best response is suggesting autologous donation because it addresses the patient's fear by offering a proactive solution using her own blood reduces reaction risks. Minimizing the need dismisses her concern, while claiming low reaction likelihood or strict procedures lacks specificity and reassurance. The rationale centers on empowerment: autologous donation aligns with patient autonomy, mitigates transfusion reactions (e.g., allergic or hemolytic), and is feasible if time allows. Nursing supports informed decision-making, reducing anxiety through practical options, enhancing trust and safety perception.
Question 2 of 5
To avoid electrical safety problems during surgery, what does the nurse do?
Correct Answer: C
Rationale: The nurse ensures grounding pad placement to prevent electrical burns from cautery. Sterility , anesthesia assistance , and cameras are unrelated. The rationale focuses on electrosurgery: improper grounding disperses current, risking injury. Nursing verifies pad contact and placement, aligning with safety protocols, critical for preventing intraoperative hazards, distinct from other duties.
Question 3 of 5
If a patient experiences a wound dehiscence, which description illustrates what is happening with the wound?
Correct Answer: C
Rationale: Wound dehiscence is a partial or complete separation of outer layers . Infection and total separation are distinct; pain is a symptom. The rationale defines dehiscence: superficial layers split (e.g., skin), often from strain, unlike evisceration (inner layers). Nursing recognizes this, applying sterile dressings and notifying surgeons, critical for preventing progression, distinct from infection or deeper issues.
Question 4 of 5
The nurse is caring for a patient who has had abdominal surgery. After a hard sneeze, the patient reports pain in the surgical area, and the nurse immediately sees that the patient has a wound evisceration. What priority action must the nurse do first?
Correct Answer: A
Rationale: The priority is calling for help and staying , ensuring immediate support for evisceration, an emergency. Leaving abandons; dressing and vitals follow. The rationale prioritizes response: evisceration (organs protruding) risks shock; help mobilizes the team while staying stabilizes. Nursing acts fast, then covers with saline, aligning with emergency care, distinct from delayed or solo actions.
Question 5 of 5
The health care provider removed a patient's original surgical dressing 2 days after surgery and is discharging the patient home on daily dressing changes. Which actions does the nurse take for this patient's discharge teaching? (Select all that apply.)
Correct Answer: A
Rationale: Discharge teaching includes family observation and explaining serosanguineous drainage . UAP tasks and ED visits are less educational. The rationale empowers self-care: family support reinforces technique; drainage knowledge reduces alarm. Nursing ensures comprehension, omitting logistical or extreme advice, promoting safe home management.