ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
The nurse educator is evaluating the performance of a new registered nurse (RN) who is providing care to a patient who is receiving mechanical ventilation with 15 cm Hâ‚‚O of peak end-expiratory pressure (PEEP). Which action indicates that the new RN is safe?
Correct Answer: B
Rationale: Choice B is correct, per page 859, as closed-suction preserves PEEP (>10 cm Hâ‚‚O), ensuring safety. Routine suctioning (choice A), taping (choice C), or tubing changes (choice D) risk harm or instability. This aligns with NCLEX safe care, confirming competence in high-PEEP ventilation management.
Question 2 of 5
Which statement by a 62-year-old patient who has had an above-the-knee amputation indicates that the nurse's discharge teaching has been effective?
Correct Answer: B
Rationale: Choice B as prone positioning prevents hip contractures, showing effective teaching. Elevation (choice A) risks contractures, sock changes (choice C) are daily, and lotion (choice D) is discouraged. This reflects NCLEX Physiological Integrity, confirming understanding of post-amputation care.
Question 3 of 5
Following a motorcycle accident, a 58-year-old patient arrives in the emergency department with massive left lower leg swelling. Which action will the nurse take first?
Correct Answer: C
Rationale: Choice C as assessing pulses and sensation evaluates circulation and injury severity first. Elevation (choice A), compression (choice B), or ice (choice D) follow assessment. This aligns with NCLEX Physiological Integrity, prioritizing neurovascular status in trauma.
Question 4 of 5
After change-of-shift report, which patient should the nurse assess first?
Correct Answer: D
Rationale: Choice D as femoral swelling and bruising suggest hemorrhage or compartment syndrome, needing urgent assessment. Other findings (choices A-C) are typical and less acute.
Question 5 of 5
Norepinephrine (Levophed) has been prescribed for a patient who was admitted with dehydration and hypotension. Which patient data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
Correct Answer: A
Rationale: Choice A as a low CVP (3 mm Hg) signals inadequate fluid volume, requiring resuscitation before norepinephrine in hypovolemic shock. Tachycardia (choice B), dopamine (choice C), and anuria (choice D) don't preclude vasopressors post-fluids. This aligns with NCLEX Physiological Integrity, ensuring safe administration by addressing preload first.