ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
After change-of-shift report on a ventilator weaning unit, which patient should the nurse assess first?
Correct Answer: D
Rationale: Choice D as no urine output post-extubation suggests renal or cardiac issues, requiring urgent assessment. Rest mode (choice A), PETCOâ‚‚ (choice B), and normal ScvOâ‚‚ (choice C) indicate stability. This prioritizes safe care per NCLEX, addressing potential decompensation in critical care.
Question 2 of 5
A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for a left hand arthroplasty. Which patient statement to the nurse indicates a realistic expectation for the surgery?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The second day after admission with a fractured pelvis, a 64-year-old patient suddenly develops confusion. Which action should the nurse take first?
Correct Answer: C
Rationale: Choice C is correct, per page 809, as confusion post-pelvic fracture suggests fat embolism, prioritizing oxygenation assessment. Blood pressure (choice A), orientation (choice B), or asymmetry (choice D) follow. This reflects NCLEX Physiological Integrity, addressing respiratory emergencies in trauma.
Question 4 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 5 of 5
Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?
Correct Answer: A
Rationale: Choice A as elevated creatinine signals renal failure, a sign of MODS beyond cardiogenic shock's cardiac focus. Chest pressure (choice B), cool extremities (choice C), and crackles (choice D) are expected in cardiogenic shock alone. This reflects NCLEX Physiological Integrity, identifying multi-organ failure progression.