ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
A patient with respiratory failure has arterial pressure-based cardiac output (APCO) monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP) of 12 cm Hâ‚‚O. Which information indicates that a change in the ventilator settings may be required?
Correct Answer: A
Rationale: Choice A as hypotension (90/46 mm Hg) suggests high PEEP may reduce venous return, necessitating adjustment. Normal heart rate (choice B), increased stroke volume (choice C), and variation (choice D) don't indicate distress. This reflects NCLEX physiological integrity, evaluating PEEP's impact on circulation.
Question 2 of 5
Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?
Correct Answer: B
Rationale: Choice B as monitoring abdominal discomfort detects cast syndrome, a serious complication. Prone positioning (choice A) is allowed post-drying, ambulation begins soon (choice C is false), and the support bar (choice D) risks cast damage. This reflects NCLEX Physiological Integrity, prioritizing early detection of complications in spica cast patients.
Question 3 of 5
Which statement by a 62-year-old patient who has had an above-the-knee amputation indicates that the nurse's discharge teaching has been effective?
Correct Answer: B
Rationale: Choice B as prone positioning prevents hip contractures, showing effective teaching. Elevation (choice A) risks contractures, sock changes (choice C) are daily, and lotion (choice D) is discouraged. This reflects NCLEX Physiological Integrity, confirming understanding of post-amputation care.
Question 4 of 5
Following a motorcycle accident, a 58-year-old patient arrives in the emergency department with massive left lower leg swelling. Which action will the nurse take first?
Correct Answer: C
Rationale: Choice C as assessing pulses and sensation evaluates circulation and injury severity first. Elevation (choice A), compression (choice B), or ice (choice D) follow assessment. This aligns with NCLEX Physiological Integrity, prioritizing neurovascular status in trauma.
Question 5 of 5
After change-of-shift report, which patient should the nurse assess first?
Correct Answer: D
Rationale: Choice D as femoral swelling and bruising suggest hemorrhage or compartment syndrome, needing urgent assessment. Other findings (choices A-C) are typical and less acute.