ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease?
Correct Answer: B
Rationale: 3,' as ASA 3 indicates a severe systemic disease (e.g., poorly controlled diabetes) that limits function but isn't immediately life-threatening. '2' (A) is mild. '4' (C) threatens life. '5' (D) is near death. In nursing, ASA 3 guides heightened monitoring; B aligns with NCLEX Perioperative, ensuring proper risk stratification for intraoperative care.
Question 2 of 5
The nurse is reviewing the medical records for patients who are scheduled for surgery the next day. Which patient may not provide consent to receive blood products?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 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 4 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 5 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.