ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
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?
Correct Answer: C
Rationale: Choice C as bradycardia (45 beats/min) is a hallmark of neurogenic shock from spinal injury, due to unopposed vagal tone. Crackles (choice A) suggest fluid overload, clammy skin (choice B) hypovolemia, and fever (choice D) infection none specific to neurogenic shock. This aligns with NCLEX Physiological Integrity, focusing on distinguishing neurogenic shock's unique cardiovascular signs in trauma assessment.
Question 2 of 5
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?
Correct Answer: A
Rationale: Making sure that the patient's endotracheal tube does not become kinked,' as airway protection is the primary concern during positioning post-anesthesia. A kinked tube in the prone position could block breathing, risking hypoxia a life-threatening priority. 'Head positioning' (B) prevents nerve injury, secondary to airway. 'Taping eyes' (C) avoids abrasions but isn't immediately critical. 'Padding table' (D) reduces pressure, not respiratory risk. In nursing, ABCs prioritize airway; A aligns with NCLEX Reduction of Risk Potential and Gas Exchange, emphasizing respiratory stability over other safety measures.
Question 3 of 5
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?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which action should the perioperative nurse take to best protect the patient from burn injury during surgery?
Correct Answer: A
Rationale: Ensure correct placement of the grounding pad,' as it directly prevents burns from electrosurgical units by dispersing current safely unlike broader fire safety measures. 'Sprinklers' (B) and 'extinguisher' (C) address fire response, not prevention. 'Equipment service' (D) ensures function but not patient-specific protection. In nursing, grounding pad placement is a primary safeguard; A aligns with NCLEX Safe and Effective Care Environment, prioritizing direct patient safety.
Question 5 of 5
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?
Correct Answer: B
Rationale: Postoperative,' as suture removal one week after surgery falls in the recovery phase, post-procedure. 'Preoperative' (A) is before surgery. 'Perioperative' (C) spans pre-, intra-, and post-op, too broad here. 'Intraoperative' (D) is during surgery. In nursing, accurate phase classification guides care documentation; B aligns with NCLEX Perioperative, reflecting the ongoing recovery period over other stages.