ATI LPN
Fundamental of Nursing Exam Questions
Extract:
A patient arrives in the PACU with a surgical dressing, an intravenous infusion, and a urinary catheter.
Question 1 of 5
When a patient arrives in the PACU with a surgical dressing, an intravenous infusion, and a urinary catheter, the priority action of the nurse is assessment of:
Correct Answer: C
Rationale: The priority in the immediate postoperative period is maintaining a patent airway, as patients are at risk for respiratory complications such as obstruction, hypoxia, and aspiration due to anesthesia effects.
Extract:
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery.
Question 2 of 5
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
Correct Answer: A
Rationale: Antiembolism stockings apply graduated compression, promoting venous return and preventing deep vein thrombosis (DVT) by reducing blood stasis.
Extract:
The signed operative permit has misspelled the patient's name.
Question 3 of 5
The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:
Correct Answer: C
Rationale: A surgical consent form must be accurate. A new, correctly spelled form should be obtained before surgery to ensure legal and ethical compliance.
Extract:
A patient who returned to the unit a few hours ago from the post anesthesia care unit (PACU) following a surgical procedure.
Question 4 of 5
A nurse is monitoring the urinary drainage from a patient who returned to the unit a few hours ago from the post anesthesia care unit (PACU) following a surgical procedure. The urine total is 54 mL for the last 2 hours. The most appropriate nursing action is to:
Correct Answer: B
Rationale: Urine output of less than 30 mL per hour is concerning for decreased renal perfusion, possibly due to hypovolemia or other postoperative complications. The provider should be notified for further evaluation and intervention.
Extract:
Question 5 of 5
The four phases of surgical care are preoperative care, intraoperative care, post anesthesia care, and:
Correct Answer: B
Rationale: Postoperative care begins after the patient leaves the post-anesthesia care unit (PACU) and continues until full recovery, including wound healing, pain management, and preventing complications.