ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
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?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
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:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
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?
Correct Answer: B
Rationale: Choice B as SVR directly measures resistance to left ventricular ejection (afterload). Medications reducing afterload aim to lower SVR, improving cardiac output. MAP (choice A) reflects overall pressure but not specifically afterload. PVR (choice C) pertains to pulmonary circulation, not systemic afterload, and PAWP (choice D) indicates preload, not resistance to ejection. Monitoring SVR provides precise feedback on medication efficacy, aligning with physiological integrity in NCLEX standards. This focus ensures nurses assess the intended therapeutic effect, optimizing care for conditions like heart failure where afterload reduction is critical.
Question 4 of 5
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?
Correct Answer: C
Rationale: Choice C as hourly urine output monitors cardiac output and balloon placement effects. Supine positioning (choice A) isn't mandatory up to 30 degrees is allowed; anticoagulants (choice B) prevent clots; and full ROM (choice D) risks displacement. This aligns with NCLEX physiological integrity, ensuring renal perfusion assessment in critical care.
Question 5 of 5
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?
Correct Answer: B
Rationale: Choice B as redness, tenderness, and fever suggest infection, requiring catheter removal and culture. Analgesics/antibiotics (choice A) treat symptoms, not the source; flushing (choice C) or monitoring (choice D) delays action. This reflects NCLEX physiological integrity, preventing sepsis in critical care.