A nurse is caring for a patient with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure. Which collaborative intervention ordered by the health care provider should the nurse question?

Questions 97

ATI LPN

ATI LPN Test Bank

Perioperative Nursing Care Questions Questions

Question 1 of 5

A nurse is caring for a patient with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure. Which collaborative intervention ordered by the health care provider should the nurse question?

Correct Answer: A

Rationale: Choice A as saline infusion would worsen volume excess indicated by elevated PAWP, suggesting cardiogenic shock. Bed elevation (choice B) aids breathing, holding nitroprusside (choice C) prevents hypotension, and dobutamine (choice D) supports cardiac output all suitable. This reflects NCLEX Physiological Integrity, requiring the nurse to challenge orders that could precipitate pulmonary edema in a patient with already high preload.

Question 2 of 5

The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?

Correct Answer: A

Rationale: Palliative,' as surgery to relieve symptoms (vomiting, pain) from a bowel obstruction in advanced cancer aims to improve comfort, not cure defining palliative care. 'Reconstructive' (B) restores function or appearance, not applicable here. 'Diagnostic' (C) confirms a condition, already known (cancer). 'Ablative' (D) removes tissue, not the goal here. In nursing, palliative surgery enhances quality of life in terminal illness; A aligns with NCLEX Management of Care and Palliation, distinguishing symptom relief from curative or exploratory intent.

Question 3 of 5

The nurse is creating a plan of care for a client scheduled for surgery. The nurse would include which activity in the nursing care plan for the client on the day of surgery?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient received inhalation anesthesia during surgery. Postoperatively the nurse should monitor the patient for which complication?

Correct Answer: D

Rationale: Laryngospasm,' as it's a known complication of inhalation anesthetics, causing airway obstruction from vocal cord spasms requiring vigilant monitoring. 'Tachypnea' (A) and 'hypertension' (C) aren't typical. 'Myoclonus' (B) links to IV agents, not inhalation. In nursing, airway assessment post-inhalation anesthesia is critical; D aligns with NCLEX Physiological Integrity, targeting a specific, serious risk over unrelated effects.

Question 5 of 5

The nurse is caring for a patient with a drain connected to a portable drainage suction device shaped like a grenade made of plastic. Which term will the nurse use when describing this system during end-of-shift report?

Correct Answer: C

Rationale: Jackson-Pratt,' as it identifies the grenade-shaped, plastic, closed suction drain commonly used post-surgery to remove fluid. 'Closed wound drainage system' (A) is generic, not specific. 'Hemovac' (B) is a larger, spring-loaded drain, not grenade-shaped. 'Reinfusion drain' (D) returns blood to the patient, not applicable here. In nursing, precise terminology ensures clear communication; C aligns with NCLEX Perioperative, distinguishing device-specific reporting for continuity of care.

Access More Questions!

ATI LPN Basic


$89/ 30 days

ATI LPN Premium


$150/ 90 days

Similar Questions