ATI LPN
Questions on Perioperative Care Questions
Question 1 of 4
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which nursing assessment finding is important to report to the health care provider?
Correct Answer: B
Rationale: Choice B as abdominal distention and absent bowel sounds may indicate complications like ileus or hemorrhage, needing prompt reporting. Instability (choice A), bruising (choice C), and pain (choice D) are expected. This aligns with NCLEX Physiological Integrity, focusing on detecting serious post-trauma issues.
Question 2 of 4
A patient undergoes a left above-the-knee amputation with an immediate prosthetic fitting. When the patient arrives on the orthopedic unit after surgery, the nurse should
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 4
An older patient with cardiogenic shock is cool and clammy and hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which intervention should the nurse anticipate doing next?
Correct Answer: C
Rationale: Choice C as nitroprusside reduces high SVR and afterload in cardiogenic shock, improving cardiac output. Increasing dopamine (choice A) raises SVR, decreasing nitroglycerin (choice B) misses vasodilation, and reducing D5/NS (choice D) doesn't address resistance. This reflects NCLEX Physiological Integrity, anticipating therapy to optimize perfusion in a patient with vasoconstriction and poor output.
Question 4 of 4
When the nurse educator is evaluating the skills of a new registered nurse (RN) caring for patients experiencing shock, which action by the new RN indicates a need for more education?
Correct Answer: D
Rationale: Choice D as a cold room (66-68 F) risks hypothermia in neurogenic shock patients with poikilothermia, needing education. Ear oximetry (choice A), flat positioning (choice B), and nitroprusside increase (choice C) are correct. This reflects NCLEX Safe and Effective Care Environment, ensuring thermal stability in shock care.