ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
The circulating nurse is assisting with a patient under moderate sedation. What must the nurse monitor closely?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is assessing a patient who underwent a hysterectomy 48 hours ago. The patient reports calf pain and swelling. What should the nurse suspect?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse answers a call light on the postoperative nursing unit. The client states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action should the nurse take first?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A postoperative client has a blood pressure of 156/98 mm Hg, pulse 140 beats/min, and respirations 24 breaths/min. What action by the nurse is most appropriate?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The public health nurse is administering Mantoux tests to children who are being registered for kindergarten in the community. How should the nurse administer this test?
Correct Answer: A
Rationale: The Mantoux test, used to screen for tuberculosis exposure, requires precise administration to ensure accurate results. It involves injecting purified protein derivative (PPD) intradermally into the inner forearm, creating a small wheal just under the skin surface. This method targets the dermal layer where immune cells can react to the antigen, producing a measurable induration if the child has been exposed to TB. Intramuscular injections into the vastus lateralis or subcutaneous injections into the umbilical area or deltoid are inappropriate because they deliver the substance too deeply or into fatty tissue, preventing the localized skin reaction needed for interpretation. The intradermal technique, typically at a 5-15 degree angle with a fine needle, ensures the PPD remains in the dermis, maximizing sensitivity and specificity of the test, which is critical for early detection in a pediatric population.