ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
A 52-year-old 425-pound male patient is scheduled for surgery at the bariatric surgery center in 3 days. He has osteoarthritis and had a spinal fusion when he was 13. His long-time neighbor, a perioperative nurse at the bariatric center, has asked to be the patient's circulating nurse and is contemplating his plan of care. He shared his concern that he would not be able to move himself over to the OR bed and would be embarrassed if the nurses could not lift him. Based on this information, the nurse has identified this nursing diagnosis: ___ and these three positioning-relevant nursing interventions: ___ Select from the options to fill in the blanks.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take?
Correct Answer: B
Rationale: Choice B as low CVP suggests hypovolemia, requiring increased IV fluids to restore volume per protocol. Diuretics (choice A) worsen hypovolemia, elevation (choice D) may reduce cerebral perfusion, and merely documenting (choice C) delays intervention. Prioritizing fluid administration addresses the physiological integrity need in NCLEX, ensuring hemodynamic stability post-surgery. This action prevents complications like organ hypoperfusion, reflecting critical care's emphasis on rapid response to abnormal parameters.
Question 3 of 5
To verify the correct placement of an oral endotracheal tube (ET) after insertion, the best initial action by the nurse is to
Correct Answer: D
Rationale: Choice D as end-tidal COâ‚‚ monitoring provides rapid, accurate verification of tracheal placement. Auscultation (choice A) and chest movement (choice C) are less precise, and x-rays (choice B) confirm later. This aligns with NCLEX physiological integrity, ensuring airway security in critical care ventilation.
Question 4 of 5
The family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take next?
Correct Answer: C
Rationale: Choice C as providing injury and care details reduces family anxiety first. Visitation policies (choice A) or bedside visits (choice B) follow preparation, and conferences (choice D) are later steps. This prioritizes psychosocial integrity per NCLEX, supporting families in critical care trauma scenarios.
Question 5 of 5
The occupational health nurse will teach the patient whose job involves many hours of typing about the need to
Correct Answer: A
Rationale: Choice A as a keyboard pad maintains wrist alignment, preventing repetitive strain injuries from typing. Stretching (choice B) helps during work, not just before; compression bandages (choice C) are unnecessary unless prescribed; and NSAIDs (choice D) are appropriate for pain relief. This reflects NCLEX Health Promotion and Maintenance, focusing on ergonomic interventions to mitigate strain, a common occupational hazard, ensuring long-term wrist health.