ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
To reduce the incidence of patients with a known history or risk of malignant hyperthermia (MH), what best practices are put in place in the operating room? (Select all that apply.)
Correct Answer: C
Rationale: Best practices for malignant hyperthermia (MH) include a dedicated MH cart , emergency medication lists , and proactive treatment for known risks . Genetic counseling is postoperative. The rationale focuses on preparedness: MH, a rare anesthetic reaction, requires immediate dantrolene access (cart) and protocol awareness (med list). Pretreatment avoids triggers (e.g., succinylcholine), critical for at-risk patients. Nursing ensures rapid response capability, aligning with safety standards, distinct from post-event counseling.
Question 2 of 5
A patient develops respiratory distress after having a left total hip replacement. The patient develops labored breathing and a pulse oximetry reading is 83% on 2 L oxygen via nasal cannula. Which intervention is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: The nurse delegates vital signs checks to UAP , a routine task. Assessing , ordering , and intubating require nursing judgment. The rationale respects scope: UAP can measure vitals (e.g., pulse ox), freeing the nurse to interpret and act on respiratory distress (83% SpO2 signals hypoxia). Nursing retains critical interventions, ensuring timely escalation (e.g., oxygen increase), balancing delegation with expertise.
Question 3 of 5
The nurse is teaching incisional care to a patient who has been discharged after abdominal surgery. Which priority instruction must the nurse include?
Correct Answer: B
Rationale: The priority instruction is proper handwashing to prevent infection, a primary post-op risk. Avoiding touch , cleaning , and splinting follow. The rationale emphasizes infection control: hands introduce pathogens; washing reduces this, protecting the healing wound. Nursing prioritizes this universal precaution, ensuring patient safety, distinct from supportive or cleaning tasks, foundational for recovery.
Question 4 of 5
The medical-surgical nurse is caring for a postoperative patient whose lab values reveal an increase in band cells (immature neutrophils). What is the nurse's best interpretation of this value?
Correct Answer: C
Rationale: Increased band cells suggest infection, a left shift indicating immune response. Transfusion , clotting , and expected rise don't fit. The rationale explains hematology: immature neutrophils surge with bacterial infection, common post-op (e.g., wound). Nursing escalates care (e.g., cultures), distinguishing from normal leukocytosis or unrelated issues, targeting treatment.
Question 5 of 5
During the administration of any regional anesthetic, it is most important that the nurse:
Correct Answer: B
Rationale: Ensure that airway equipment, emergency drugs, and monitors are immediately available,' as regional anesthesia risks (e.g., respiratory depression) demand preparedness over 'neurologic monitoring' (A), 'sensation check' (C), or 'reversal drugs' (D), all secondary. In nursing, safety equipment is critical; B aligns with NCLEX Perioperative, ensuring readiness for emergencies.