ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
An older surgeon explains his justification for his suture choice to the new perioperative nurse in the scrub role. He prefers to suture his intestinal anastomosis with a suture that has multiple filaments braided together because it ties well and holds the knot, which tightens when the thread absorbs the tissue fluids. He also needs a strand that is easy to see and only needs to retain its tensile strength for about 1 year, at which time the intestinal junction will be healed, even though this suture is considered nonabsorbable. He will ask the nurse for a 24-inch 4-0:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
While waiting for cardiac transplantation, a patient with severe cardiomyopathy has a ventricular assist device (VAD) implanted. When planning care for this patient, the nurse should anticipate
Correct Answer: D
Rationale: Choice D as VAD insertion sites risk infection, requiring vigilant monitoring. Immunosuppression (choice A) isn't needed for mechanical devices, VADs are temporary (choice B), and mobility is allowed (choice C). This reflects NCLEX physiological integrity, prioritizing infection prevention in critical care.
Question 3 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 4 of 5
When teaching seniors at a community recreation center, which information will the nurse include about ways to prevent fractures?
Correct Answer: C
Rationale: Choice C as supportive, comfortable shoes reduce fall risk, a key fracture prevention strategy for seniors. Tacking rugs (choice A) is insufficient rugs should be removed; most falls occur indoors (choice B is false); and daily activities provide adequate range-of-motion (choice D), not requiring a therapist. This aligns with NCLEX Safe and Effective Care Environment, emphasizing practical, evidence-based measures to enhance stability and prevent injuries in older adults, where falls are a leading cause of fractures.
Question 5 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.