ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
Which action should the circulating nurse anticipate when the patient is intubated with the administration of general anesthesia?
Correct Answer: A
Rationale: Securing the patient's airway,' as intubation during general anesthesia involves placing an endotracheal tube to protect and maintain the airway. 'Oxygen by mask' (B) precedes. 'Balanced anesthesia' (C) is ongoing. 'Suctioning' (D) is as needed. In nursing, airway security is critical; A aligns with NCLEX Perioperative, prioritizing intubation's purpose.
Question 2 of 5
A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client?
Correct Answer: D
Rationale: Obtain a telephone consent from a family member, following agency policy,' as sedation impairs consent capacity, and witnessed telephone consent from family is legally valid unlike 'court order' (A), excessive, 'charge nurse signing' (B), invalid, or 'no consent' (C), illegal. In nursing, consent ensures ethics; D aligns with NCLEX Perioperative, balancing urgency and legality.
Question 3 of 5
Which is the top priority for nurses during the perioperative period?
Correct Answer: C
Rationale: Patient safety is the top priority for nurses during the perioperative period because it encompasses the prevention of harm and ensures the patient's well-being throughout the surgical process. While patient teaching, diagnostic testing, and documentation are important aspects of care, they are secondary to maintaining a safe environment. Safety includes preventing infections, ensuring proper identification, and avoiding errors such as wrong-site surgery. The Surgical Care Improvement Project (SCIP) and Joint Commission standards emphasize safety as the foundation of perioperative nursing, making it the nurse's primary focus. For example, marking the operative site and verifying patient identity are critical safety measures that take precedence over teaching or documentation, which can be addressed once safety is assured. This prioritization aligns with the nursing principle of 'do no harm,' ensuring the patient's physical and emotional security during a vulnerable time.
Question 4 of 5
A 75-year-old patient is having an exploratory laparotomy tomorrow. The wife tells the nurse that at night the patient gets up and walks around his room. What priority action does the nurse take after hearing this information?
Correct Answer: B
Rationale: The priority action is developing a safety plan because a 75-year-old patient wandering at night preoperatively risks falls, especially with potential sedation or unfamiliar settings. Notifying the provider is secondary unless immediate issues arise. Ordering sleep medication addresses symptoms, not safety, and requires assessment first. Telling the patient not to get up is impractical without support. The rationale prioritizes safety: elderly patients have higher fall risks due to age-related declines in balance and strength, amplified by hospital environments. A plan (e.g., bed alarms, assistance) prevents injury, aligning with nursing's proactive risk management, ensuring the patient's stability for surgery.
Question 5 of 5
Which interventions must the operating room (OR) nurses provide for patient physiological integrity during the intraoperative period? (Select all that apply.)
Correct Answer: C
Rationale: OR nurses ensure physiological integrity by monitoring airway, vital signs, ECG, and oxygen saturation , applying padding , and assessing skin . Communicating fears is preoperative. The rationale focuses on real-time safety: monitoring detects hypoxia or dysrhythmias, padding prevents pressure injuries, and skin checks document baseline status. These actions maintain homeostasis during anesthesia, aligning with nursing's vigilance, contrasting with emotional support tasks better suited pre-surgery.