ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
Which laboratory test should the postanesthesia care nurse monitor closely for a patient who is prescribed warfarin in the treatment of atrial fibrillation?
Correct Answer: C
Rationale: Prothrombin (PT) time,' as warfarin, an anticoagulant for atrial fibrillation, affects blood clotting, and PT time (or INR) monitors its therapeutic effect and bleeding risk crucial post-surgery. 'Serum glucose' (A) relates to metabolism, not anticoagulation. 'Serum potassium' (B) affects cardiac rhythm but isn't warfarin-specific. 'BUN' (D) assesses kidney function, unrelated to warfarin's action. In nursing, close PT monitoring prevents hemorrhage, especially post-op when bleeding risk rises; C aligns with NCLEX Perioperative care, prioritizing anticoagulation management over unrelated labs.
Question 2 of 5
Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease?
Correct Answer: B
Rationale: 3,' as ASA 3 indicates a severe systemic disease (e.g., poorly controlled diabetes) that limits function but isn't immediately life-threatening. '2' (A) is mild. '4' (C) threatens life. '5' (D) is near death. In nursing, ASA 3 guides heightened monitoring; B aligns with NCLEX Perioperative, ensuring proper risk stratification for intraoperative care.
Question 3 of 5
Which action should the circulating nurse anticipate when the patient is intubated with the administration of general anesthesia?
Correct Answer: A
Rationale: Securing the patient's airway,' as intubation during general anesthesia involves placing an endotracheal tube to protect and maintain the airway. 'Oxygen by mask' (B) precedes. 'Balanced anesthesia' (C) is ongoing. 'Suctioning' (D) is as needed. In nursing, airway security is critical; A aligns with NCLEX Perioperative, prioritizing intubation's purpose.
Question 4 of 5
The nurse is reviewing the medical records for patients who are scheduled for surgery the next day. Which patient may not provide consent to receive blood products?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client?
Correct Answer: D
Rationale: Obtain a telephone consent from a family member, following agency policy,' as sedation impairs consent capacity, and witnessed telephone consent from family is legally valid unlike 'court order' (A), excessive, 'charge nurse signing' (B), invalid, or 'no consent' (C), illegal. In nursing, consent ensures ethics; D aligns with NCLEX Perioperative, balancing urgency and legality.