ATI LPN
Questions on Perioperative Care Questions
Question 1 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.
Question 2 of 5
The nurse is caring for a preoperative patient who has just received sedation prior to general anesthesia in the OR. What is the priority action of the nurse?
Correct Answer: C
Rationale: Raise the side rails on the patient's stretcher,' as sedation increases fall risk, making safety the priority. Elevated rails prevent injury from drowsiness-induced movement. 'Check consent' (A) and 'mark site' (D) should occur pre-sedation per protocol too late now. 'Quiet environment' (B) aids comfort, not safety. In nursing, post-sedation vigilance focuses on physical protection; C aligns with NCLEX Safety and Infection Control, prioritizing injury prevention over administrative or comfort actions in this critical moment.
Question 3 of 5
The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Monitored anesthesia care (MAC) is going to be used for a closed, manual reduction of a dislocated shoulder. What action does the nurse anticipate?
Correct Answer: B
Rationale: Starting a 20-gauge IV in the patient's unaffected arm,' as MAC uses IV sedatives (e.g., benzodiazepines), requiring venous access standard for this procedure. 'Inhalation mask' (A) and 'epidural PCA' (D) aren't MAC components. 'Nonocclusive dressing' (C) suits topical agents, not IV. In nursing, anticipating MAC logistics ensures smooth care; B aligns with NCLEX Physiological Integrity, matching method to action.
Question 5 of 5
Upon receiving the patient from the postanesthesia care unit, which nursing action is the priority?
Correct Answer: C
Rationale: Assess the patient,' as initial assessment establishes stability (e.g., airway, vitals) post-PACU paramount upon transfer. 'Clean linens' (A) and 'equipment' (B) are preparatory, not immediate. 'Notify family' (D) is secondary to patient safety. In nursing, ABCs prioritize assessment; C aligns with NCLEX Perioperative, ensuring clinical judgment drives care over logistical tasks.