ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
Which intervention will the nurse include in the plan of care for a patient who has cardiogenic shock?
Correct Answer: B
Rationale: Choice B as frequent breath sound monitoring detects pulmonary congestion, a key cardiogenic shock feature. Temperature (choice A) isn't specific, supine positioning (choice C) worsens dyspnea, and flushing (choice D) isn't typical. This reflects NCLEX Physiological Integrity, prioritizing respiratory assessment in heart failure management.
Question 2 of 5
The nurse is caring for a patient who will be having surgery. The patient has just signed the consent form for the operation. What does the patient's signature indicate?
Correct Answer: B
Rationale: The patient gives permission for the surgery to be performed,' as the signature on a consent form legally authorizes the procedure. It confirms voluntary agreement after risks and benefits are explained, per informed consent principles. 'Agrees with diagnosis' (A) isn't implied consent is about permission, not diagnostic alignment. 'Pay for costs' (C) relates to financial agreements, not consent. 'Told of all options' (D) is part of the process but not what the signature denotes. In nursing, ensuring valid consent protects patient autonomy and legal standards; B reflects this core intent per NCLEX Management of Care and Health Care Law concepts.
Question 3 of 5
The nurse is caring for a postoperative patient who has a history of COPD. What is the priority Nursing diagnosis for this patient?
Correct Answer: A
Rationale: Ineffective airway clearance,' as COPD heightens postoperative risk for mucus buildup and poor cough worsened by anesthesia making airway maintenance the priority. 'Enhanced knowledge' (B) is educational, not urgent. 'Delayed recovery' (C) and 'activity intolerance' (D) are secondary to respiratory status. In nursing, COPD patients need aggressive airway support (e.g., spirometry); A aligns with NCLEX Management of Care and Gas Exchange, addressing the most pressing physiological threat.
Question 4 of 5
Which action best describes how the scrub nurse maintains aseptic technique during surgery?
Correct Answer: D
Rationale: Changes gloves after touching the upper arm of the surgeon's gown,' as it maintains asepsis surgical gown sleeves are sterile only to 2 inches above the elbow, so upper arm contact contaminates gloves, requiring replacement. 'Shoe covers' (A) aren't sterile. 'PPE' (B) protects staff, not the sterile field. 'All staff scrub' (C) is impractical circulating nurses don't scrub. In nursing, sterile field integrity is critical; D aligns with NCLEX Safe and Effective Care Environment, targeting a specific breach over general precautions.
Question 5 of 5
Which action included in the perioperative patient plan of care can the charge nurse delegate to a surgical technologist?
Correct Answer: A
Rationale: Pass sterile instruments and supplies to the surgeon,' as it's within the surgical technologist's scrub role supporting the sterile field. 'Teaching' (B), 'ECG monitoring' (C), and 'postop report' (D) require RN-level judgment. In nursing, delegation optimizes team roles; A aligns with NCLEX Safe and Effective Care Environment and Delegation, matching task to training.