ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
Which are the focus areas for the Surgical Care Improvement Project (SCIP)? (Select all that apply.)
Correct Answer: C
Rationale: The Surgical Care Improvement Project (SCIP) aims to reduce surgical complications, focusing on prevention of infection , serious cardiac events , and venous thromboembolism . These are evidence-based priorities to improve patient outcomes post-surgery. Prevention of respiratory complications and acute kidney injury (not listed as choice E but mentioned) are not primary SCIP focuses, though they are relevant to overall care. SCIP guidelines include specific measures like antibiotic prophylaxis (infection), beta-blocker use (cardiac events), and anticoagulant therapy (thromboembolism), reflecting its goal to standardize care and minimize risks. Choice C is a correct answer as it aligns with SCIP's cardiac focus, but A and D are also accurate. The rationale emphasizes SCIP's targeted approach to common, preventable complications, ensuring safer surgical experiences through measurable interventions.
Question 2 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 3 of 5
In which situations is regional anesthesia used instead of general anesthesia? (Select all that apply.)
Correct Answer: B
Rationale: Regional anesthesia is used for adverse reactions to general , serious medical problems , postoperative pain , and patient preference (choice E, not listed). Endoscopy uses sedation. The rationale highlights benefits: regional avoids systemic risks (e.g., respiratory depression), ideal for high-risk patients or prior reactions, and enhances pain control (e.g., epidurals). Nursing supports this choice, ensuring safety and comfort, distinct from sedation-based procedures.
Question 4 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 5 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.