ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
Which duties are within the scope of practice of the circulating nurse in the operative setting?
Correct Answer: D
Rationale: The circulating nurse coordinates, oversees, and participates in care , managing the OR environment and documentation. Setting up sterile fields is the scrub nurse's role; surgical responsibility is the surgeon's. Choice A is partial. The rationale defines scope: the circulator ensures safety, sterility, and team coordination, distinct from hands-on sterile tasks or surgical decisions. Nursing's non-sterile oversight optimizes intraoperative flow, supporting patient outcomes.
Question 2 of 5
If a patient experiences a wound dehiscence, which description illustrates what is happening with the wound?
Correct Answer: C
Rationale: Wound dehiscence is a partial or complete separation of outer layers . Infection and total separation are distinct; pain is a symptom. The rationale defines dehiscence: superficial layers split (e.g., skin), often from strain, unlike evisceration (inner layers). Nursing recognizes this, applying sterile dressings and notifying surgeons, critical for preventing progression, distinct from infection or deeper issues.
Question 3 of 5
The nurse is caring for a patient who has had abdominal surgery. After a hard sneeze, the patient reports pain in the surgical area, and the nurse immediately sees that the patient has a wound evisceration. What priority action must the nurse do first?
Correct Answer: A
Rationale: The priority is calling for help and staying , ensuring immediate support for evisceration, an emergency. Leaving abandons; dressing and vitals follow. The rationale prioritizes response: evisceration (organs protruding) risks shock; help mobilizes the team while staying stabilizes. Nursing acts fast, then covers with saline, aligning with emergency care, distinct from delayed or solo actions.
Question 4 of 5
The health care provider removed a patient's original surgical dressing 2 days after surgery and is discharging the patient home on daily dressing changes. Which actions does the nurse take for this patient's discharge teaching? (Select all that apply.)
Correct Answer: A
Rationale: Discharge teaching includes family observation and explaining serosanguineous drainage . UAP tasks and ED visits are less educational. The rationale empowers self-care: family support reinforces technique; drainage knowledge reduces alarm. Nursing ensures comprehension, omitting logistical or extreme advice, promoting safe home management.
Question 5 of 5
Which of the following surgeries would be classified as emergent?
Correct Answer: C
Rationale: A fractured skull surgery is classified as emergent due to its life-threatening nature requiring immediate intervention to prevent brain damage or death. Urethral stones and kidney stones are typically urgent or elective unless complications like sepsis arise. Cataract surgery is elective, addressing vision, not survival. The rationale centers on classification: emergent surgeries address acute, critical conditions (e.g., trauma-induced skull fracture) with no delay, per surgical standards. Nursing prioritizes rapid preparation airway, circulation, consents contrasting with less immediate stone removals or planned cataracts, ensuring swift response to preserve neurological function and life.