ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
What techniques are essential to performing a proper surgical scrub of the hands by the surgeon, assistants, and scrub nurse? (Select all that apply.)
Correct Answer: A
Rationale: Essential surgical scrub techniques include using a broad-spectrum antimicrobial , holding hands higher than elbows , and scrubbing 3-5 minutes (choice E, not listed). Two-minute scrubs are insufficient; alcohol-based solutions are alternatives, not primary. The rationale ensures sterility: broad-spectrum agents kill pathogens, elevated hands prevent recontamination, and 3-5 minutes ensures thoroughness per guidelines (e.g., AORN). Nursing adheres to this, reducing infection risk, distinct from shorter or less effective methods.
Question 2 of 5
A patient arrives in the PACU. Which action does the nurse perform first?
Correct Answer: A
Rationale: The nurse first assesses airway and gas exchange , per ABCs. Pain rating , positioning , and PCA follow. The rationale prioritizes survival: post-anesthesia, airway obstruction or hypoxia (e.g., from sedation) is immediate risk. Nursing ensures breathing before addressing comfort or meds, aligning with critical care principles, distinct from secondary tasks.
Question 3 of 5
The nurse is assessing a postoperative patient's gastrointestinal system. What is the best indicator that peristaltic activity has resumed?
Correct Answer: C
Rationale: Passing flatus or stool best indicates peristalsis resumption. Bowel sounds , hunger , and cramping are less definitive. The rationale focuses on function: flatus/stool confirm GI motility post-anesthesia, unlike sounds (early, inconsistent) or subjective signs. Nursing monitors this, ensuring recovery, critical for diet advancement, distinct from preliminary indicators.
Question 4 of 5
While in the PACU, the patient's blood pressure drops from an admission pressure of 126/82 to 106/78 with a pulse change of 70 to 94. The nurse administers oxygen and then:
Correct Answer: A
Rationale: Increases the rate of the IV fluids,' as the BP drop and pulse rise suggest hypovolemia, treatable with fluids unlike 'notify provider' (B), premature, 'neurovascular checks' (C), unrelated, or 'cardiac monitor' (D), secondary. In nursing, fluid bolus stabilizes circulation; A aligns with NCLEX Perioperative, prioritizing volume restoration.
Question 5 of 5
Deep breathing is an important pre-operative teaching area. Which one of the following would be included in your teaching for the pre-operative patient?
Correct Answer: B
Rationale: Preoperative teaching includes deep breathing for 3 seconds, repeated 15 times twice daily . Five seconds, 15 times or 5 times is less standard; 10 seconds is excessive. The rationale supports prevention: 3-second holds with frequent repetition expand lungs, reducing atelectasis risk post-anesthesia, per nursing protocols. This balances efficacy and feasibility, contrasting with longer or fewer reps, preparing patients for respiratory health.