ATI LPN
Perioperative Care Fundamentals Practice Questions Quizlet Questions
Question 1 of 5
A 14-year-old patient with marked scoliosis is in prone position with gel bolster rolls, gel pads, and pillows for a spinal fusion. Before the skin prep is begun, the perioperative nurse should check the positioning for pressure areas on the:
Correct Answer: C
Rationale: Choice C as it covers all prone pressure points. Choices A, B, and D miss key areas. This thorough check prevents injury, a perioperative nursing duty.
Question 2 of 5
The instrument devices depicted below are designed to ligate, divide, resect, suture, and anastomose tissue. They are commonly called:
Correct Answer: D
Rationale: Choice D as mechanical staplers perform these functions. Choices A, B, and C are inaccurate. This speeds surgery, a perioperative nursing support.
Question 3 of 5
Which action will the nurse need to do when preparing to assist with the insertion of a pulmonary artery catheter?
Correct Answer: D
Rationale: Choice D as cardiac monitoring detects dysrhythmias during catheter insertion through the heart. Troponin (choice A) isn't required, auscultation (choice B) occurs post-insertion, and NPO (choice C) isn't needed without anesthesia. This preparation ensures safety per NCLEX physiological integrity, allowing real-time response to complications during this invasive procedure.
Question 4 of 5
Four hours after mechanical ventilation is initiated for a patient with chronic obstructive pulmonary disease (COPD), the patient's arterial blood gas (ABG) results include a pH of 7.51, PaO₂ of 82 mm Hg, PaCO₂ of 26 mm Hg, and HCO₃ of 23 mEq/L (23 mmol/L). The nurse will anticipate the need to
Correct Answer: D
Rationale: Choice D as respiratory alkalosis (pH 7.51, PaCOâ‚‚ 26 mm Hg) from over-ventilation requires a lower rate. Increasing FIOâ‚‚ (choice A), volume (choice B), or rate (choice C) worsens alkalosis. This aligns with NCLEX physiological integrity, adjusting ventilation to normalize ABGs in COPD care.
Question 5 of 5
A patient who is orally intubated and receiving mechanical ventilation is anxious and is fighting the ventilator. Which action should the nurse take next?
Correct Answer: A
Rationale: Choice A as coaching reduces anxiety and synchronizes breathing, avoiding sedation risks. Lorazepam (choice B) or propofol (choice D) may be secondary, and manual ventilation (choice C) is unnecessary. This prioritizes physiological integrity per NCLEX, promoting non-invasive solutions in critical care.