ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
Which clinical features are found in an MH crisis? (Select all that apply.)
Correct Answer: A
Rationale: MH crisis features include sinus tachycardia , jaw rigidity , skin mottling (choice E, not listed), and elevated temperature (choice F, not listed). Hypotension and decreased CO2 aren't typical. The rationale explains pathophysiology: MH causes hypermetabolism, spiking heart rate and muscle rigidity (early signs), progressing to fever and cyanosis. Nursing identifies these for prompt dantrolene use, contrasting with misleading signs like low BP, ensuring timely life-saving action.
Question 2 of 5
A postoperative patient in the PACU has had an open reduction internal fixation of a left fractured femur. Vital signs are blood pressure 87/49 mm Hg, heart rate 100/min sinus rhythm, respirations 22/min, temperature 98.3°F. The Foley catheter has a total amount of 110 mL of clear, yellow urine in the last 4 hours. Which body systems have been assessed by the nurse? (Select all that apply.)
Correct Answer: B
Rationale: Assessed systems include cardiovascular (choice B, BP, HR), respiratory (choice A, respirations), and renal/urinary (choice E, urine output). Neurovascular and integumentary aren't noted. The rationale ties data to systems: BP/HR reflect cardiac status, respirations lung function, urine output kidney perfusion. Nursing monitors these post-ortho surgery for bleeding or shock, ensuring holistic assessment, distinct from unassessed areas.
Question 3 of 5
What criteria guide the handoff report when a patient is transferred from the OR to the PACU? (Select all that apply.)
Correct Answer: A
Rationale: Handoff criteria include two-way verbal interaction , clear language , and standardized reports . PACU questions are irrelevant. The rationale ensures continuity: verbal exchange clarifies details, clarity prevents errors, standardization (e.g., SBAR) covers essentials. Nursing facilitates seamless care, confirming understanding, distinct from procedural inquiries, optimizing patient transition.
Question 4 of 5
The preoperative order is lorazepam (Ativan) 1 mg intravenous (IV) now. Which of the following is the most appropriate action for the nurse to take prior to the administration of this medication?
Correct Answer: D
Rationale: Assist the patient to the bathroom to void,' as lorazepam, a sedative, impairs mobility and consciousness, making pre-administration voiding critical unlike 'potassium' (A), unrelated, 'allergy' (B), irrelevant, or 'nausea explanation' (C), incorrect. In nursing, safety precedes sedation; D aligns with NCLEX Perioperative, ensuring bladder emptying reduces intraoperative risks.
Question 5 of 5
Patients who smoke are urged to stop...
Correct Answer: D
Rationale: Smokers should stop at least 60 days before surgery to optimize lung function and healing. Shorter periods 7-10 days , 14 days , 30 days reduce but don't fully mitigate risks. The rationale ties to physiology: smoking impairs oxygenation and wound repair; 6-8 weeks allows ciliary regeneration and carbon monoxide clearance, per surgical guidelines. Nursing educates on this, contrasting shorter cessation's limited benefits, ensuring reduced complications like pneumonia or dehiscence, critical for perioperative success.