ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
Which statements best describe the preoperative period? (Select all that apply.)
Correct Answer: D
Rationale: The preoperative period begins when the patient is scheduled for surgery and ends when they are transferred to the surgical suite . It is a phase focused on preparation, including establishing the need for surgery and providing testing and education (not listed but implied). Choice A is incorrect because the preoperative period does not start with a surgeon's appointment, which is part of the decision-making process, not the formal preoperative phase. Choice B is true but incomplete alone, while choice C is accurate but not the sole descriptor. Choice D is the most precise starting point, as scheduling initiates the preoperative timeline, during which assessments, consents, and preparations occur. This period ensures the patient is physically and mentally ready for surgery, with safety protocols like lab tests and patient education occurring systematically after scheduling.
Question 2 of 5
A patient with breast cancer is scheduled for a left mastectomy. The patient has informed the surgeon and nurse that she is a Jehovah's Witness and does not want any blood transfusions. In preparation for intraoperative care of this patient, what measures does the nurse take? (Select all that apply.)
Correct Answer: B
Rationale: The nurse informs the provider of the no-transfusion request and ensures an autotransfusion device , respecting the Jehovah's Witness belief. Obtaining blood or emergency orders contradicts the patient's wishes. The rationale centers on autonomy: honoring religious preferences is legally and ethically mandated. Autotransfusion recycles the patient's blood, avoiding donor transfusions, while provider notification ensures team alignment. Nursing advocates for patient rights, balancing safety with beliefs, distinct from overriding consent.
Question 3 of 5
Which nursing interventions will prevent the potential intraoperative complication of radial joint stiffness, pain, and inflammation?
Correct Answer: A
Rationale: Preventing radial joint issues requires supporting the wrist with padding and avoiding tight straps . General padding and elbow care are broader; knee padding is unrelated. The rationale targets positioning: tight straps or unsupported wrists cause pressure and stiffness; padding distributes weight, reducing inflammation. Nursing ensures ergonomic support intraoperatively, preventing nerve/joint damage, specific to radial concerns, distinct from overall alignment.
Question 4 of 5
What is the primary purpose of a PACU?
Correct Answer: B
Rationale: The PACU's primary purpose is ongoing evaluation and stabilization , ensuring post-anesthesia recovery. Orders , length of stay , and sedation arousal are secondary. The rationale emphasizes critical care: PACU monitors vital signs, airway, and complications (e.g., bleeding), stabilizing patients post-surgery. Nursing's vigilance prevents deterioration, aligning with its recovery focus, distinct from administrative or sedation-specific goals.
Question 5 of 5
A patient arrives at the PACU and the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient had received fentanyl during surgery. What is the nurse's best priority first action?
Correct Answer: D
Rationale: The priority is maintaining an open airway due to fentanyl's respiratory depression (rate 10, retractions). Monitoring (choice B, C) and waiting delay intervention. The rationale follows ABCs: opioids suppress breathing, risking hypoxia; positioning or suction clears obstruction. Nursing acts immediately, then oxygenates , reversing compromise, critical for survival, distinct from passive observation.