ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
A surgeon was teaching the new residents as he closed the muscle and fascia layer following an open cholecystectomy. He stated that he liked the tensile strength of this monofilamented synthetic suture, but it was hard to manage with its memory and slipperiness and normally needed six surgeon's knots to hold. He was using:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is caring for a patient who has an intraaortic balloon pump in place. Which action should be included in the plan of care?
Correct Answer: C
Rationale: Choice C as hourly urine output monitors cardiac output and balloon placement effects. Supine positioning (choice A) isn't mandatory up to 30 degrees is allowed; anticoagulants (choice B) prevent clots; and full ROM (choice D) risks displacement. This aligns with NCLEX physiological integrity, ensuring renal perfusion assessment in critical care.
Question 3 of 5
When evaluating a patient with a central venous catheter, the nurse observes that the insertion site is red and tender to touch and the patient's temperature is 101.8 F. What should the nurse plan to do next?
Correct Answer: B
Rationale: Choice B as redness, tenderness, and fever suggest infection, requiring catheter removal and culture. Analgesics/antibiotics (choice A) treat symptoms, not the source; flushing (choice C) or monitoring (choice D) delays action. This reflects NCLEX physiological integrity, preventing sepsis in critical care.
Question 4 of 5
After change-of-shift report, which patient should the progressive care nurse assess first?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A 32-year-old patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool. Which action should the nurse take next?
Correct Answer: A
Rationale: Choice A as severe pain, weak pulses, and a cool foot suggest compartment syndrome, requiring immediate provider notification. Redness (choice B) checks infection, elevation (choice C) worsens ischemia, and blood pressure (choice D) delays action. This reflects NCLEX Physiological Integrity, prioritizing urgent intervention to prevent limb loss.