ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
When assessing the older postoperative patient for hydration status, where must the nurse assess for tenting of the skin? (Select all that apply.)
Correct Answer: D
Rationale: In older adults, tenting is assessed on the sternum or forehead . Hand and forearm are less reliable due to age-related skin changes. The rationale explains physiology: elasticity decreases with age, making sternum/forehead truer dehydration indicators. Nursing uses these sites, avoiding false positives from thin extremities, ensuring accurate fluid status post-op.
Question 2 of 5
The use of herbal medicines should be discontinued...
Correct Answer: B
Rationale: Herbal medicines should stop at least 2 weeks before surgery due to potential interactions (e.g., bleeding, sedation). Shorter 7-10 days , 2 days risks effects; 30 days is excessive. The rationale highlights pharmacology: herbs like ginkgo (bleeding) or St. John's wort (drug metabolism) need 14 days to clear, per anesthesia guidelines. Nursing assesses usage, educating on risks, ensuring safe anesthesia and hemostasis, contrasting with inadequate or overly long cessation.
Question 3 of 5
The patient is scheduled for a Radical perineal prostatectomy for prostate cancer. In what position would the patient be placed for surgery?
Correct Answer: B
Rationale: Low lithotomy,' as it provides perineal access for prostatectomy unlike 'lateral' (A), 'high lithotomy' (C), excessive, or 'Kraske's' (D), rectal. In nursing, correct positioning ensures access; B aligns with NCLEX Perioperative, matching procedure to position.
Question 4 of 5
Under what circumstance is it permissible to remove the rubber stopper from medication?
Correct Answer: D
Rationale: It's never okay,' as removing the stopper risks contamination unlike 'gloves/clamp' (A), 'not pushing' (B), or 'alcohol' (C), all insufficient. In nursing, sterility is absolute; D aligns with NCLEX Perioperative, upholding aseptic technique.
Question 5 of 5
In anticipation of a patient's scheduled surgery, the nurse is teaching her to perform deep breathing and coughing to use postoperatively. What action should the nurse teach the patient?
Correct Answer: C
Rationale: The correct technique involves the patient in a sitting position taking a deep, slow breath in through the mouth, exhaling through the mouth, then taking a short breath and coughing from deep in the lungs. This promotes lung expansion and clears secretions post-surgery. Choice A's frequency is excessive, B's forceful exhale is incorrect, and D lacks coughing, missing the goal of secretion clearance. Per preoperative teaching, this method reduces risks like atelectasis, aligning with respiratory care standards.