ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
Lateral, lateral chest, and lateral kidney positions all place pressure on structures of the dependent side: ears, shoulder, ribs, hips, greater femoral head, knees, and ankles. The potential for injury to the patient is significant, based on these pressure areas. Which resultant injury or harm could be related to these lateral positions?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the effectiveness of medications given to a patient to reduce left ventricular afterload?
Correct Answer: B
Rationale: Choice B as SVR directly measures resistance to left ventricular ejection (afterload). Medications reducing afterload aim to lower SVR, improving cardiac output. MAP (choice A) reflects overall pressure but not specifically afterload. PVR (choice C) pertains to pulmonary circulation, not systemic afterload, and PAWP (choice D) indicates preload, not resistance to ejection. Monitoring SVR provides precise feedback on medication efficacy, aligning with physiological integrity in NCLEX standards. This focus ensures nurses assess the intended therapeutic effect, optimizing care for conditions like heart failure where afterload reduction is critical.
Question 3 of 5
The nurse is caring for a patient who has an intraaortic balloon pump in place. Which action should be included in the plan of care?
Correct Answer: C
Rationale: Choice C as hourly urine output monitors cardiac output and balloon placement effects. Supine positioning (choice A) isn't mandatory up to 30 degrees is allowed; anticoagulants (choice B) prevent clots; and full ROM (choice D) risks displacement. This aligns with NCLEX physiological integrity, ensuring renal perfusion assessment in critical care.
Question 4 of 5
When evaluating a patient with a central venous catheter, the nurse observes that the insertion site is red and tender to touch and the patient's temperature is 101.8 F. What should the nurse plan to do next?
Correct Answer: B
Rationale: Choice B as redness, tenderness, and fever suggest infection, requiring catheter removal and culture. Analgesics/antibiotics (choice A) treat symptoms, not the source; flushing (choice C) or monitoring (choice D) delays action. This reflects NCLEX physiological integrity, preventing sepsis in critical care.
Question 5 of 5
After change-of-shift report, which patient should the progressive care nurse assess first?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.