ATI LPN · Perioperative Nursing Care Test Questions
Question 1 of 97
The patient arrives at the surgeon's office one week after surgery to have the sutures removed. Which classification would the nurse use when documenting care for this patient?
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Question 2 of 97
The approximate length of the uterine tube is
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Question 3 of 97
The nurse is preparing to change a patient's abdominal dressing. The nurse recognizes the first step is to provide the patient with information regarding the procedure. Which of the following explanations should the nurse provide to the patient?
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Question 4 of 97
An older client is hospitalized after an operation. When assessing the client for postoperative infection, the nurse places priority on which assessment?
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Question 5 of 97
The OR nurse is positioning a patient in lithotomy position. What should the nurse check?
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Question 6 of 97
A patient with septic shock has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 104 F, and blood glucose 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?
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Question 7 of 97
The nurse is caring for a patient who has an intraaortic balloon pump in place. Which action should be included in the plan of care?
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Question 8 of 97
Lateral, lateral chest, and lateral kidney positions all place pressure on structures of the dependent side: ears, shoulder, ribs, hips, greater femoral head, knees, and ankles. The potential for injury to the patient is significant, based on these pressure areas. Which resultant injury or harm could be related to these lateral positions?
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Question 9 of 97
The perioperative nurse is providing discharge teaching to a patient who underwent a tonsillectomy earlier in the day. What instruction should the nurse include?
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Question 10 of 97
A pediatric nurse practitioner is caring for a child who has just been diagnosed with asthma. The nurse has provided the parents with information that includes potential causative agents for an asthmatic reaction. What potential causative agent should the nurse describe?
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Question 11 of 97
The nurse explains the pain relief measures available after surgery during preoperative teaching for a surgical patient. Which of the following comments from the patient indicates the need for additional education on this topic?
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Question 12 of 97
A patient waiting in the presurgical holding area asks the nurse, 'Why exactly do they have to put a breathing tube into me? My surgery is on my knee.' What is the best rationale for intubation during a surgical procedure that the nurse should describe?
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Question 13 of 97
A 19-year-old patient with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?
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Question 14 of 97
Many factors have contributed to the evolution and progressive growth of ambulatory surgery. Select the three anesthetic agents that promote fast induction, rapid emergence, and minimal side effects and have been credited as a significant factor in this trend.
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Question 15 of 97
A registered nurse first assistant (RNFA) is considered an advanced practice nurse (APN) when he/she has achieved:
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Question 16 of 97
The American Nurses Association definition of health emphasized on two factors which are
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Question 17 of 97
A patient with thoracic trauma is admitted to the ICU. The nurse notes the patients chest and neck are swollen and there is a crackling sensation when palpated. The nurse consequently identifies the presence of subcutaneous emphysema. If this condition becomes severe and threatens airway patency, what intervention is indicated?
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Question 18 of 97
A 32-year-old patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool. Which action should the nurse take next?
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Question 19 of 97
Which of the following is classified as a nominal variable?
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Question 20 of 97
The nurse is completing a medication history for the surgical patient in preadmission testing. Which of the following medications should the nurse instruct the patient to hold in preparation for surgery?
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Question 21 of 97
The structural and functional unit of the alimentary canal is the
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Question 22 of 97
The nurse is caring for a patient who has been in a motor vehicle accident and the care team suspects that the patient has developed pleurisy. Which of the nurses assessment findings would best corroborate this diagnosis?
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Question 23 of 97
The result of research should be presented sequentially in relation to research
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Question 24 of 97
The type of data that combines voice, picture and motion is
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Question 25 of 97
A surgeon was teaching the new residents as he closed the muscle and fascia layer following an open cholecystectomy. He stated that he liked the tensile strength of this monofilamented synthetic suture, but it was hard to manage with its memory and slipperiness and normally needed six surgeon's knots to hold. He was using:
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Question 26 of 97
Which signs/symptoms are considered postoperative complications? (Select all that apply.)
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Question 27 of 97
A client with a perforated gastric ulcer is scheduled for emergency surgery. The client cannot sign the operative consent form because he has been sedated with opioid analgesics. The nurse should take which of the following actions in the care of this client?
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Question 28 of 97
Wet floors are a common hazard causing slips, trips, and falls (STFs). Select a prevention strategy that is a best practice for preventing STFs from spills on wet floors.
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Question 29 of 97
Reversal of muscle relaxation in general anaesthesia is done using drugs known as
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Question 30 of 97
The following are examples of essential amino acids EXCEPT
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Question 31 of 97
Proper care and handling of surgical specimens is imperative for correct diagnosis, treatment, and prognosis planning of the patient. Select the response that best reflects correct specimen care and handling.
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Question 32 of 97
The following are types of microscopes EXCEPT
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Question 33 of 97
The nurse is providing care to a postoperative patient who is experiencing pain. The patient rates the pain at a 4 on a 1 to 10 numeric pain assessment scale. Which prescribed medication should the nurse administer to this patient?
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Question 34 of 97
An infected theatre is closed down for at least
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Question 35 of 97
When giving home care instructions to a patient who has comminuted forearm fractures and a long-arm cast on the left arm, which information should the nurse include?
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Question 36 of 97
The largest bone in the body is
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Question 37 of 97
The nurse is caring for a patient who underwent a splenectomy 24 hours ago. The patient's hemoglobin is 7.8 g/dL. What should the nurse do first?
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Question 38 of 97
Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the effectiveness of medications given to a patient to reduce left ventricular afterload?
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Question 39 of 97
You are caring for an 88-year-old woman who is scheduled for a right mastectomy. You know that elderly patients are frequently more anxious prior to surgery than younger patients. What would you increase with this patient to decrease her anxiety?
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Question 40 of 97
The following are factors affecting microbial growth EXCEPT
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Question 41 of 97
Which American Society of Anesthesiologists' classification should the circulating nurse document for a patient who is brain-dead and having organs procured for donation?
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Question 42 of 97
Which characteristics are appropriate to the anesthetic agent ketamine HCl?
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Question 43 of 97
The preoperative phase of surgery begins with...
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Question 44 of 97
During the care of a preoperative patient, the nurse has given the patient a preoperative benzodiazepine. The patient is now requesting to void. What action should the nurse take?
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Question 45 of 97
The following are examples of endocrine diseases EXCEPT
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Question 46 of 97
Which of the following is the largest branch of the brachial plexus?
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Question 47 of 97
The perioperative nurse is caring for a patient who underwent surgery 24 hours ago and who has a nasogastric tube in place due to reports of nausea. During the assessment, the nurse determines that the patient's bowel sounds are absent. What does this finding suggest?
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Question 48 of 97
The nurse is caring for a patient at risk for atelectasis. The nurse implements a first-line measure to prevent atelectasis development in the patient. What is an example of a first-line measure to minimize atelectasis?
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Question 49 of 97
A patient has an MH incident during surgery. To whom does the nurse report this incident?
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Question 50 of 97
Verification that all required documentation is completed is an important function of the intraoperative nurse. The intraoperative nurse should confirm that the patient's accompanying documentation includes which of the following?
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Question 51 of 97
Superiorly, the kidney is in close proximity with
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Question 52 of 97
A nurse is teaching a patient with asthma about Azmacort, an inhaled corticosteroid. Which adverse effects should the nurse be sure to address in patient teaching?
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Question 53 of 97
Injection of an anaesthetic agent into the cerebrospinal fluid in the subarachnoid space of the meninges is termed anaesthesia
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Question 54 of 97
Which one of these conditions is NOT an indication for craniotomy?
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Question 55 of 97
Aseptic technique is the process by which
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Question 56 of 97
The cardiac output is
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Question 57 of 97
Reasons for premedication include one of the following:
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Question 58 of 97
The health care team determines a patient's readiness for discharge from the PACU by noting a postanesthesia recovery score of at least 10. After determining that all criteria have been met, the patient is discharged to the hospital unit or home. Review the patient profiles after 1 hour in the PACU listed below. Which patient should the nurse expect to be discharged from the PACU first?
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Question 59 of 97
The nurse is preparing a patient, diagnosed with asthma, for surgery. Which should the nurse include in the plan of care for this patient?
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Question 60 of 97
The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The nurse needs to include which piece of information in discussions with the client?
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Question 61 of 97
Which one of these surgical techniques may be applied in the treatment of burn injury?
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Question 62 of 97
Prior to ejaculation, sperm are stored primarily in the
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Question 63 of 97
As an intraoperative nurse, you know that the patient's emotional state can influence the outcome of his or her surgical procedure. How would you best reinforce the patient's ability to influence outcome?
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Question 64 of 97
A 325-pound male is scheduled for a 6-hour abdominal surgery. While assessing the patient in the preoperative holding area, the perioperative nurse is concerned about the risk for pressure injury because of the weight of the patient's body pressing against the surface of the operating room (OR) bed for a long surgery. Which of these other factors may also produce pressure?
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Question 65 of 97
The following are examples of preventable diseases EXCEPT
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Question 66 of 97
During preoperative screening, the nurse discovers that the patient is allergic to shellfish. What is the nurse's best first action?
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Question 67 of 97
A pilot study is
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Question 68 of 97
Amputation of the cervix to remove an intraepithelial cancer is termed
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Question 69 of 97
The nurse is caring for a client postoperatively who develops sinus tachycardia. Which of the following interventions should the nurse perform?
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Question 70 of 97
Which of the following is the composition of leadership in a community?
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Question 71 of 97
Instrument used to attach or detach a surgical blade is
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Question 72 of 97
The following are antigen presenting cells EXCEPT
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Question 73 of 97
The nurse is caring for a patient who is experiencing pain and anxiety following his prostatectomy. Which intervention will likely best assist in decreasing the patient's pain and anxiety?
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Question 74 of 97
The National Patient Safety Goals (NPSG) are intimately aligned with the perioperative nursing-sensitive interventions that define the daily role functions of the perioperative nurse. In the early days of the twentieth century (1900s), as perioperative nursing evolved as a specialty of nursing practice, history was chronicled when someone remarked that:
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Question 75 of 97
A nurse is evaluating the diagnostic study data of a patient with suspected cystic fibrosis (CF). Which of the following test results is associated with a diagnosis of cystic fibrosis?
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Question 76 of 97
A female patient is having a biopsy of a nodule found in the right breast. Which classification identifies this surgery?
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Question 77 of 97
Which of the following actions best describes an element of the perioperative nursing assessment?
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Question 78 of 97
After general anesthesia is administered, the patient is carefully placed in the prone position. What is the primary consideration of the nursing staff as the patient is positioned?
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Question 79 of 97
The nurse administers the preoperative medication to the patient one hour before elective surgery, and then discovers the preoperative consent is not signed. Which action by the nurse is the most appropriate?
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Question 80 of 97
The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. The client has a history of arthritis and has been taking acetylsalicylic acid. The nurse determines that the client needs additional teaching if the client makes which statement?
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Question 81 of 97
The purpose of indicator strip during the process of sterilization is to
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Question 82 of 97
A 42-year-old patient is admitted to the emergency department with a left femur fracture. Which information obtained by the nurse is most important to report to the health care provider?
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Question 83 of 97
A nurse is monitoring a client after moderate sedation. The nurse documents the clients Ramsay Sedation Scale (RSS) score at 3. What action by the nurse is best?
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Question 84 of 97
Which action should the perioperative nurse take to best protect the patient from burn injury during surgery?
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Question 85 of 97
Which are interventions for the medical-surgical nurse to use in preventing hypoxemia for the postoperative patient? (Select all that apply.)
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Question 86 of 97
The following are examples of communicable diseases EXCEPT
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Question 87 of 97
What is the Nursing Practice Act?
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Question 88 of 97
The part of the brain that controls posture and balance is
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Question 89 of 97
Double-lumen endotracheal tube used during intubation in thoracic surgery permits
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Question 90 of 97
Which of these terms is a common parlance used to mean by 'injection'?
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Question 91 of 97
The nurse is caring for a patient in the operating suite who is experiencing hypercarbia, tachypnea, tachycardia, premature ventricular contractions, and muscle rigidity. The nurse suspects that this patient may be experiencing
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Question 92 of 97
When evaluating a patient with a central venous catheter, the nurse observes that the insertion site is red and tender to touch and the patient's temperature is 101.8 F. What should the nurse plan to do next?
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Question 93 of 97
What is the priority action by the nurse when managing a postoperative client's pain?
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Question 94 of 97
After change-of-shift report, which patient should the progressive care nurse assess first?
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Question 95 of 97
The following are examples of neglected tropical diseases EXCEPT
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Question 96 of 97
The nurse is caring for a patient who has just been transferred to the PACU from the OR. What is the highest nursing priority?
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Question 97 of 97
The circulating nurse is documenting during surgery. What must be included in the intraoperative record?
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