ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
Which nursing intervention is most appropriate for the patient in the operative setting?
Correct Answer: A
Rationale: The most appropriate intervention is ensuring privacy, comfort, and confidentiality , addressing the patient's emotional and physical needs intraoperatively. Preoperative teaching occurs earlier; avoiding discussion isolates the patient; assisting setup isn't patient-focused. The rationale prioritizes dignity: surgery is stressful, and privacy (e.g., draping) with comfort (e.g., positioning) reduces anxiety, while confidentiality upholds trust. Nursing's intraoperative role centers on advocacy, ensuring a supportive environment amidst technical focus, distinct from preoperative or logistical tasks.
Question 2 of 5
The patient received moderate sedation (conscious sedation) by IV prior to a bronchoscopy procedure. Before allowing the patient to have oral liquids, what must the nurse assess in this patient?
Correct Answer: C
Rationale: The nurse assesses the gag reflex before oral intake to prevent aspiration post-sedation. Arousal , speech , and head movement don't ensure swallowing safety. The rationale focuses on airway protection: sedation (e.g., midazolam) depresses reflexes; an absent gag reflex risks choking. Nursing tests this (e.g., swallowing test) post-bronchoscopy, ensuring recovery, critical for safe oral intake, distinct from general responsiveness.
Question 3 of 5
The PACU nurse is assessing a patient transferred in from the OR. Which assessment findings apply to assessment of the cardiovascular system? (Select all that apply.)
Correct Answer: B
Rationale: Cardiovascular findings include absent dorsalis pedis pulse and normal sinus rhythm . Eye opening is neurologic; Foley is renal. The rationale ties to circulation: pulse assesses peripheral flow, rhythm cardiac function. Nursing monitors post-op for vascular compromise (e.g., clot), distinct from neuro or urinary data, ensuring circulatory integrity.
Question 4 of 5
Which patient is most at risk for postoperative nausea and vomiting (PONV)?
Correct Answer: A
Rationale: The patient with motion sickness is most at risk for PONV due to vestibular sensitivity. NG tubes , weight loss , and MIS have less direct impact. The rationale ties to physiology: motion sickness history predicts opioid or anesthetic-induced nausea, a PONV trigger. Nursing anticipates antiemetics, targeting this risk, distinct from procedural or nutritional factors.
Question 5 of 5
A patient becomes restless and agitated in the post anesthesia care unit (PACU) as he begins to regain consciousness. The first action the nurse should take is:
Correct Answer: D
Rationale: Check the patient's oxygen saturation with pulse oximetry,' as restlessness may indicate hypoxia, a priority to assess unlike 'lateral position' (A), 'orientation' (B), or 'pain meds' (C), which follow ABCs. In nursing, oxygenation drives initial action; D aligns with NCLEX Perioperative, ensuring airway and breathing assessment first.