ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
Which patient finding would indicate the need for further monitoring rather than discharge home after an outpatient surgical procedure?
Correct Answer: C
Rationale: Inability to void without fluid retention,' as it suggests urinary retention a complication requiring monitoring before discharge. 'Pain management' (A) and 'resolved lethargy' (B) are normal. 'Nausea without vomiting' (D) is manageable. In nursing, voiding ensures recovery; C aligns with NCLEX Perioperative, prioritizing physiological stability.
Question 2 of 5
The nurse is completing the preoperative checklist on the night shift in preparation for the patient's surgery, scheduled for 0800. Which tasks could the nurse complete at this time?
Correct Answer: B
Rationale: Checking the medical record for the history, physical, and signed informed consent,' as this task can be done on the night shift to ensure documentation is complete for an 0800 surgery. 'Last voiding' (A) requires patient input closer to surgery. 'Preop medication' (C) is timed near surgery, not night shift. 'Removing prosthesis' (D) is peri-procedure. In nursing, record verification ensures readiness; B aligns with NCLEX Perioperative, focusing on preparatory accuracy.
Question 3 of 5
Which is the priority action by the nurse when a patient discloses a medication allergy during the health history prior to a surgical procedure?
Correct Answer: B
Rationale: Documenting the information on the patient's medical record,' as it ensures the allergy is communicated to the team priority over 'describing' (A), 'bracelet' (C), or 'family verification' (D). In nursing, documentation prevents errors; B aligns with NCLEX Perioperative, prioritizing record accuracy.
Question 4 of 5
The nurse assess a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient who can barely ambulate with a walker at home is having a left total knee replacement. What is the most appropriate category for this surgery?
Correct Answer: B
Rationale: A total knee replacement for a patient with limited mobility is classified as restorative surgery because it aims to restore function and improve quality of life by replacing a damaged joint. Urgent surgery addresses immediate threats, like a ruptured aneurysm, not applicable here. Simple surgery is not a standard classification and suggests minimal complexity, which doesn't fit a major procedure like this. Palliative surgery relieves symptoms without curing, unlike this surgery's goal of functional restoration. The rationale hinges on the restorative intent: the procedure corrects a degenerative condition (e.g., osteoarthritis), enabling ambulation and reducing disability. This aligns with nursing's focus on enhancing patient independence, distinguishing it from curative (disease eradication) or palliative (symptom relief) categories.