ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
A nurse is assessing a patient who is receiving a nitroprusside (Nipride) infusion to treat cardiogenic shock. Which finding indicates that the medication is effective?
Correct Answer: C
Rationale: Choice C as warm, pink, dry skin shows improved perfusion from nitroprusside's vasodilation in cardiogenic shock. Murmurs (choice A) and troponin (choice B) don't assess perfusion, and low BP (choice D) may persist. This reflects NCLEX Physiological Integrity, evaluating therapy success via tissue oxygenation.
Question 2 of 5
The nurse is caring for a postoperative patient on his first day after surgery. The nurse informs the patient that the plan is to sit in the chair and ambulate in the hallway. The patient states that he is in pain and has no intention of getting out of bed. What is the nurse's best response?
Correct Answer: A
Rationale: It's important to move around so you don't get a blood clot in your leg,' as it educates the patient on why ambulation prevents deep vein thrombosis (DVT) a key postoperative risk encouraging compliance. 'Doctor ordered' (B) is authoritative but lacks teaching value. 'Rest until tomorrow' (C) delays care, increasing DVT risk. 'Call the doctor' (D) avoids addressing the issue directly. In nursing, patient education fosters participation in recovery; A aligns with NCLEX Reduction of Risk Potential and Patient Education, balancing empathy with clinical necessity over passive or directive responses.
Question 3 of 5
The nurse has just reassessed the condition of a post-operative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which data identified during the perioperative assessment alert the nurse that special protection techniques should be implemented during surgery?
Correct Answer: B
Rationale: History of spinal and hip arthritis,' as it signals a need for special positioning (e.g., padding, alignment) to prevent injury during surgery unlike other options. 'Pet allergy' (A) is irrelevant intraoperatively. 'Anxiety' (C) doesn't require physical protection. 'Sip of water' (D) isn't a contraindication. In nursing, tailored positioning reduces complications; B aligns with NCLEX Safe and Effective Care Environment, prioritizing musculoskeletal protection over unrelated factors.
Question 5 of 5
Which laboratory test should the postanesthesia care nurse monitor closely for a patient who is prescribed warfarin in the treatment of atrial fibrillation?
Correct Answer: C
Rationale: Prothrombin (PT) time,' as warfarin, an anticoagulant for atrial fibrillation, affects blood clotting, and PT time (or INR) monitors its therapeutic effect and bleeding risk crucial post-surgery. 'Serum glucose' (A) relates to metabolism, not anticoagulation. 'Serum potassium' (B) affects cardiac rhythm but isn't warfarin-specific. 'BUN' (D) assesses kidney function, unrelated to warfarin's action. In nursing, close PT monitoring prevents hemorrhage, especially post-op when bleeding risk rises; C aligns with NCLEX Perioperative care, prioritizing anticoagulation management over unrelated labs.