ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
Which postoperative interventions will the nurse typically teach a patient to prevent complications following surgery? (Select all that apply.)
Correct Answer: D
Rationale: Postoperative teaching includes incision splinting , range-of-motion exercises , and deep-breathing exercises (choice E, not listed) to prevent complications like dehiscence, thrombosis, and atelectasis. Massaging legs risks emboli; delaying pain meds hinders recovery. The rationale emphasizes prevention: splinting supports wounds during coughing, reducing dehiscence; exercises promote circulation and lung expansion. Nursing educates to empower self-care, contrasting risky (massage) or ineffective (pain delay) actions, ensuring optimal healing and complication avoidance.
Question 2 of 5
The patient in the OR holding area tells the nurse that his surgery is for the right foot. The patient's chart states that the surgery is for his left foot. What is the nurse's best action?
Correct Answer: D
Rationale: The nurse notifies the surgeon immediately to resolve the discrepancy, preventing wrong-site surgery. Ignoring , noting , or delegating delays action. The rationale prioritizes safety: premedication may confuse patients, but chart-patient mismatches require verification with the surgeon, per Joint Commission standards. Nursing halts progression, ensuring accuracy, critical for avoiding irreversible errors, distinct from passive or misdirected responses.
Question 3 of 5
A 49-year-old patient is in the PACU following a frontal craniotomy for repair of a ruptured cerebral aneurysm. The nurse assesses that the patient's eyes open on verbal stimulation. Pupils are equal, reactive to light, and diameter is 3 mm. The patient's hand grasps are equal and strong. When the nurse asks the patient to state name, the patient states name correctly. The patient has had one episode of nausea and vomiting. Incision edges are dry and approximated with sutures. Lung sounds are slightly diminished per auscultation and the nurse observes the patient is using abdominal accessory muscles to breathe. Which body systems has the nurse assessed? (Select all that apply.)
Correct Answer: C
Rationale: Assessed systems include neurologic (choice C, pupils, grasps, orientation), respiratory (choice E, lung sounds), gastrointestinal (choice B, nausea), and integumentary (choice D, incision). Cardiovascular isn't noted. The rationale connects findings: neuro checks assess brain function post-craniotomy; lung sounds and breathing pattern evaluate oxygenation; nausea signals GI status; incision monitors healing. Nursing ensures brain and systemic stability, distinct from unassessed areas.
Question 4 of 5
When assessing the older postoperative patient for hydration status, where must the nurse assess for tenting of the skin? (Select all that apply.)
Correct Answer: D
Rationale: In older adults, tenting is assessed on the sternum or forehead . Hand and forearm are less reliable due to age-related skin changes. The rationale explains physiology: elasticity decreases with age, making sternum/forehead truer dehydration indicators. Nursing uses these sites, avoiding false positives from thin extremities, ensuring accurate fluid status post-op.
Question 5 of 5
All of the following instructions about postoperative activity are correct for an obese patient except.
Correct Answer: A
Rationale: To be as active as possible, walking up to one mile per day by the postoperative office visit,' as it's excessive for an obese patient early postop unlike 'binder' (B), supportive, 'gradual activity' (C), appropriate, or 'work in 1 week' (D), feasible for laparoscopy. In nursing, tailored activity prevents strain; A aligns with NCLEX Perioperative, identifying unrealistic expectations.