ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
Which characteristics are appropriate to the anesthetic agent ketamine HCl?
Correct Answer: D
Rationale: Ketamine HCl causes dissociative reactions and nausea , increases heart rate (not lowers BP, choice B), and is short-acting . It minimally depresses respiration . The rationale clarifies pharmacology: ketamine's dissociative state (hallucinations) and emetic effects are notable; it stimulates cardiovascularly, aiding unstable patients, and wears off quickly. Nursing manages these (e.g., antiemetics), leveraging its benefits, distinct from respiratory-depressing agents.
Question 2 of 5
The health care team determines a patient's readiness for discharge from the PACU by noting a postanesthesia recovery score of at least 10. After determining that all criteria have been met, the patient is discharged to the hospital unit or home. Review the patient profiles after 1 hour in the PACU listed below. Which patient should the nurse expect to be discharged from the PACU first?
Correct Answer: D
Rationale: The 42-year-old woman is discharged first, fully awake, voiding, and stable post-sedation. The girl is close but has sore throat; the man with fracture has tachycardia and nausea; the scar patient is drowsy with slow breathing. The rationale uses Aldrete scoring: consciousness, respiration, circulation, and activity favor the colonoscopy patient alert, normal vitals, mobile. Nursing prioritizes stability, ensuring safe transfer, distinct from lingering anesthesia effects.
Question 3 of 5
Which are interventions for the medical-surgical nurse to use in preventing hypoxemia for the postoperative patient? (Select all that apply.)
Correct Answer: C
Rationale: Preventing hypoxemia includes coughing and deep breathing , monitoring SpO2 , and ambulation . Supine position risks atelectasis. The rationale promotes oxygenation: breathing exercises expand lungs, monitoring detects drops, walking enhances circulation. Nursing avoids flat positioning, reducing collapse, ensuring respiratory health, distinct from counterproductive measures.
Question 4 of 5
The preoperative phase of surgery begins with...
Correct Answer: B
Rationale: The preoperative phase begins with the decision to proceed with surgical intervention . This marks the point when the patient and surgeon agree surgery is necessary, initiating preparations like testing and education. Signing paperwork is administrative, not the clinical start. Transfer to the OR begins the intraoperative phase, not preoperative. Preadmission testing is part of the phase, not its onset. The rationale hinges on timing: the decision triggers all subsequent steps consent, labs, and planning aligning with perioperative nursing's focus on readiness. This distinguishes it from later procedural stages or preliminary logistics, emphasizing the nurse's role in coordinating care from this critical juncture, ensuring patient safety and informed participation throughout the process.
Question 5 of 5
The nurse is caring for a client postoperatively who develops sinus tachycardia. Which of the following interventions should the nurse perform?
Correct Answer: D
Rationale: Manage the client's anxiety,' as sinus tachycardia postop is often due to anxiety, pain, or hypovolemia, and addressing anxiety (e.g., reassurance, assessing pain) is a primary nursing action unlike 'warmed blankets' (A), for hypothermia, 'left lateral' (B), unrelated, or 'atropine' (C), a medical order for bradycardia. In nursing, tachycardia management starts with non-invasive causes; D aligns with NCLEX Perioperative, prioritizing anxiety as a common reversible trigger.