ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
An 81-year-old patient who has been in the intensive care unit (ICU) for a week is now stable and transfer to the progressive care unit is planned. On rounds, the nurse notices that the patient has new onset confusion. The nurse will plan to
Correct Answer: B
Rationale: Choice B as new confusion likely reflects ICU delirium, best managed by transfer to a less intense environment after informing staff. Lorazepam (choice A) or restraints (choice D) worsen delirium; postponing (choice C) prolongs exposure. This aligns with NCLEX psychosocial integrity, addressing cognitive changes in critical care.
Question 2 of 5
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 3 of 5
A patient who slipped and fell in the shower at home has a proximal humerus fracture immobilized with a left-sided long-arm cast and a sling. Which nursing intervention will be included in the plan of care?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
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 5 of 5
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.