ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
The scrub nurse is counting instruments post-procedure. What is the purpose of this task?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client on the postoperative nursing unit has a blood pressure of 156/98 mm Hg, pulse 140 beats/min, and respirations 24 breaths/min. What action by the nurse is most appropriate?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse answers a call light on the postoperative nursing unit. The client states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action should the nurse take first?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the primary rationale behind this nursing action?
Correct Answer: D
Rationale: Smoking cessation is a cornerstone of lung disease management because it directly damages the ciliary cleansing mechanism, a critical defense of the respiratory tract. Cilia, hair-like structures lining the airways, sweep mucus and trapped particles upward for clearance, but smoking paralyzes and destroys them, leading to mucus accumulation, chronic irritation, and increased infection risk. Contrary to decreasing mucus, smoking stimulates goblet cells to overproduce mucus, exacerbating airway obstruction. Smoke does reduce oxygen-carrying capacity by forming carboxyhemoglobin, but this is secondary to ciliary damage in most lung diseases like COPD. Alveolar distention, not atrophy, occurs in emphysema due to air trapping, and while smoking contributes, the primary harm is ciliary dysfunction. By stopping smoking, the patient can slow disease progression, reduce inflammation, and preserve remaining lung function, making this the nurse's primary rationale.