ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
Which drug should the nurse prepare for the anesthesiologist to reverse the effects of cisatracurium during a surgical procedure?
Correct Answer: C
Rationale: Neostigmine,' as it reverses nondepolarizing muscle relaxants like cisatracurium by inhibiting cholinesterase. 'Fentanyl' (A) is an opioid. 'Atropine' (B) and 'glycopyrrolate' (D) manage secretions, not reversal. In nursing, preparing neostigmine ensures timely recovery; C aligns with NCLEX Perioperative, targeting specific antidote use.
Question 2 of 5
A postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions in a postoperative client can lead to which condition?
Correct Answer: A
Rationale: Pneumonia,' as retained secretions foster bacterial growth, leading to lung inflammation unlike 'hypoxemia' (B), a symptom, 'fluid imbalance' (C), unrelated, or 'pulmonary embolism' (D), clot-based. In nursing, teaching coughing prevents pneumonia; A aligns with NCLEX Perioperative, emphasizing postoperative respiratory risk education.
Question 3 of 5
A nurse is assigned to assist in caring for a client who recently returned from the operating room. On data collection, the nurse notes that the client's vital signs are as follows: blood pressure (BP) 102/62 mm Hg, pulse 91 beats per minute, respirations 16 breaths per minute. Preoperative vital signs were BP 124/78 mm Hg, pulse 74 beats per minute, respirations 20 breaths per minute. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: Recheck the vital signs in 15 minutes,' as a slight BP drop and pulse rise are common postop, warranting monitoring unlike 'call surgeon' (B), premature, 'warm blanket' (C), or 'arouse' (D), secondary. In nursing, reassessment guides action; A aligns with NCLEX Perioperative, prioritizing observation.
Question 4 of 5
A 47-year-old patient is having surgery to remove kidney stones. What is the correct classification for this surgery?
Correct Answer: A
Rationale: Surgery to remove kidney stones is classified as restorative because it restores normal urinary function by eliminating obstructions, improving the patient's health and comfort. Emergent surgery implies immediate life-threatening conditions, not typical for kidney stones unless complications like sepsis arise. Palliative surgery relieves symptoms without curing, unlike this functional correction. Urgent surgery suggests prompt need, possible but not the primary classification here, which focuses on purpose. The rationale lies in the restorative intent: removing stones prevents recurrent pain and infection, aligning with surgery's goal to repair or enhance organ function. Nursing supports this through preoperative care and postoperative recovery, emphasizing restoration over urgency or palliation.
Question 5 of 5
Which postoperative interventions will the nurse typically teach a patient to prevent complications following surgery? (Select all that apply.)
Correct Answer: D
Rationale: Postoperative teaching includes incision splinting , range-of-motion exercises , and deep-breathing exercises (choice E, not listed) to prevent complications like dehiscence, thrombosis, and atelectasis. Massaging legs risks emboli; delaying pain meds hinders recovery. The rationale emphasizes prevention: splinting supports wounds during coughing, reducing dehiscence; exercises promote circulation and lung expansion. Nursing educates to empower self-care, contrasting risky (massage) or ineffective (pain delay) actions, ensuring optimal healing and complication avoidance.