ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure (CVP) monitor indicates low pressures. Which action is a priority for the nurse to take?
Correct Answer: B
Rationale: Choice B as low CVP suggests hypovolemia, requiring increased IV fluids to restore volume per protocol. Diuretics (choice A) worsen hypovolemia, elevation (choice D) may reduce cerebral perfusion, and merely documenting (choice C) delays intervention. Prioritizing fluid administration addresses the physiological integrity need in NCLEX, ensuring hemodynamic stability post-surgery. This action prevents complications like organ hypoperfusion, reflecting critical care's emphasis on rapid response to abnormal parameters.
Question 2 of 5
The family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take next?
Correct Answer: C
Rationale: Choice C as providing injury and care details reduces family anxiety first. Visitation policies (choice A) or bedside visits (choice B) follow preparation, and conferences (choice D) are later steps. This prioritizes psychosocial integrity per NCLEX, supporting families in critical care trauma scenarios.
Question 3 of 5
The occupational health nurse will teach the patient whose job involves many hours of typing about the need to
Correct Answer: A
Rationale: Choice A as a keyboard pad maintains wrist alignment, preventing repetitive strain injuries from typing. Stretching (choice B) helps during work, not just before; compression bandages (choice C) are unnecessary unless prescribed; and NSAIDs (choice D) are appropriate for pain relief. This reflects NCLEX Health Promotion and Maintenance, focusing on ergonomic interventions to mitigate strain, a common occupational hazard, ensuring long-term wrist health.
Question 4 of 5
Which action will the nurse take in order to evaluate the effectiveness of Buck's traction for a 62-year-old patient who has an intracapsular fracture of the right femur?
Correct Answer: B
Rationale: Choice B as reduced hip pain indicates Buck's traction effectiveness in relieving spasm. Pulses (choice A) assess circulation, not traction; contractures (choice C) and dislocation (choice D) are unrelated risks. This reflects NCLEX Physiological Integrity, using pain as a primary outcome measure in traction evaluation.
Question 5 of 5
A patient is being discharged 4 days after hip replacement surgery using the posterior approach. Which patient action requires immediate intervention by the nurse?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.