ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 4
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?
Correct Answer: A
Rationale: Choice A as severe pain, weak pulses, and a cool foot suggest compartment syndrome, requiring immediate provider notification. Redness (choice B) checks infection, elevation (choice C) worsens ischemia, and blood pressure (choice D) delays action. This reflects NCLEX Physiological Integrity, prioritizing urgent intervention to prevent limb loss.
Question 2 of 4
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?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 4
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 4 of 4
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?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.