ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
Which gauge catheter should the nurse use when initiating intravenous (IV) access for a preoperative patient?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient with an abdominal aortic aneurysm is having surgical repair. What is the correct classification for this surgery?
Correct Answer: C
Rationale: Surgical repair of an abdominal aortic aneurysm (AAA) is classified as urgent because it addresses a potentially life-threatening condition requiring prompt intervention to prevent rupture, though not always immediate like emergent surgery . Restorative surgery improves function, not the primary goal here, which is survival. Minor surgery doesn't fit the procedure's complexity or risk. The rationale hinges on timing and necessity: an AAA poses a significant rupture risk, necessitating surgery within hours to days, fitting the urgent category. This contrasts with emergent (immediate, e.g., active bleeding) or elective (planned) surgeries. Nursing prioritizes preoperative preparation and monitoring to stabilize the patient, reflecting the balance between urgency and controlled intervention.
Question 3 of 5
A patient with type 1 diabetes mellitus is scheduled for surgery at 0700. Which actions must the nurse perform for this patient before he goes to the operating room? (Select based on priority order.)
Correct Answer: B
Rationale: The priority action is completing the preoperative checklist to ensure safety and readiness (e.g., consents, labs) before transfer. Modifying insulin follows glucose checks , which can be delegated, but checklist completion is urgent. Foot care teaching is postoperative. The rationale prioritizes safety: the checklist confirms critical steps (e.g., NPO status, allergies), preventing errors like wrong-site surgery. Diabetes management is vital, but glucose and insulin adjustments follow initial assessment, delegated appropriately. Nursing ensures all systems are go, aligning with perioperative protocols for a high-risk patient.
Question 4 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 5 of 5
A patient is requesting moderate sedation for repair of a torn meniscus and has no medical contraindications. How does the nurse respond to this patient's request?
Correct Answer: B
Rationale: The nurse suggests discussing with the surgeon and anesthesiologist , empowering the patient. Choice A deflects; choice C assumes preference; choice D discourages. The rationale supports autonomy: sedation choice involves medical feasibility and patient comfort, requiring expert input. Nursing facilitates communication, ensuring informed decisions, aligning with collaborative care, distinct from dismissive or suggestive responses.