ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
Which information should the nurse collect during the health history that is conducted during the preoperative period?
Correct Answer: D
Rationale: Previous response to anesthesia,' as it identifies risks (e.g., malignant hyperthermia) critical for surgery unlike 'caretaker' (A), 'intake' (B), or 'sexual encounter' (C), which are less urgent. In nursing, anesthesia history informs safety; D aligns with NCLEX Perioperative, targeting procedural risk.
Question 2 of 5
Which are the focus areas for the Surgical Care Improvement Project (SCIP)? (Select all that apply.)
Correct Answer: C
Rationale: The Surgical Care Improvement Project (SCIP) aims to reduce surgical complications, focusing on prevention of infection , serious cardiac events , and venous thromboembolism . These are evidence-based priorities to improve patient outcomes post-surgery. Prevention of respiratory complications and acute kidney injury (not listed as choice E but mentioned) are not primary SCIP focuses, though they are relevant to overall care. SCIP guidelines include specific measures like antibiotic prophylaxis (infection), beta-blocker use (cardiac events), and anticoagulant therapy (thromboembolism), reflecting its goal to standardize care and minimize risks. Choice C is a correct answer as it aligns with SCIP's cardiac focus, but A and D are also accurate. The rationale emphasizes SCIP's targeted approach to common, preventable complications, ensuring safer surgical experiences through measurable interventions.
Question 3 of 5
The 79-year-old patient with type 2 diabetes is scheduled for surgery to remove his left great toe. Which risk factors for complications of surgery does the nurse assess for in this patient? (Select all that apply.)
Correct Answer: A
Rationale: Risk factors include chronic illnesses like diabetes , healing problems , dehydration , and electrolyte imbalances (choice E, not listed). Absence of smoking reduces risk. The rationale focuses on diabetes' impact: it impairs circulation and immunity, increasing infection and delayed healing risks. Age (79) compounds this with reduced recovery capacity. Dehydration affects perfusion, critical for surgery, while chronic illness heightens systemic stress. Nursing assesses these to tailor interventions (e.g., glucose control, hydration), contrasting with smoking cessation's protective effect, ensuring comprehensive risk mitigation.
Question 4 of 5
To reduce the incidence of patients with a known history or risk of malignant hyperthermia (MH), what best practices are put in place in the operating room? (Select all that apply.)
Correct Answer: C
Rationale: Best practices for malignant hyperthermia (MH) include a dedicated MH cart , emergency medication lists , and proactive treatment for known risks . Genetic counseling is postoperative. The rationale focuses on preparedness: MH, a rare anesthetic reaction, requires immediate dantrolene access (cart) and protocol awareness (med list). Pretreatment avoids triggers (e.g., succinylcholine), critical for at-risk patients. Nursing ensures rapid response capability, aligning with safety standards, distinct from post-event counseling.
Question 5 of 5
In which situations is regional anesthesia used instead of general anesthesia? (Select all that apply.)
Correct Answer: B
Rationale: Regional anesthesia is used for adverse reactions to general , serious medical problems , postoperative pain , and patient preference (choice E, not listed). Endoscopy uses sedation. The rationale highlights benefits: regional avoids systemic risks (e.g., respiratory depression), ideal for high-risk patients or prior reactions, and enhances pain control (e.g., epidurals). Nursing supports this choice, ensuring safety and comfort, distinct from sedation-based procedures.