ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
The nurse is assessing a patient on postoperative day 2 following a nephrectomy. The patient's temperature is 100.4°F (38°C), and the incision is red. What should the nurse do first?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client in the operating room has developed malignant hyperthermia. The clients potassium is 6.5 mEq/L. What action by the nurse takes priority?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
An adult patient has tested positive for tuberculosis (TB). While providing patient teaching, what information should the nurse prioritize?
Correct Answer: A
Rationale: Tuberculosis treatment hinges on strict adherence to a multidrug regimen (e.g., isoniazid, rifampin) for 6-12 months to eradicate Mycobacterium tuberculosis and prevent resistance, making this the nurse's top teaching priority. Noncompliance risks relapse, spread, and multidrug-resistant TB, a public health threat. TB is not a lifelong condition if treated correctly; it's curable, countering the idea of chronic ADL impairment. It's not self-limiting untreated, it progresses, often fatally, not resolving spontaneously in years. Occupational or physical therapy isn't typically required unless complications like joint damage occur, which isn't standard. Emphasizing medication adherence ensures the patient understands the regimen's duration, side effects (e.g., hepatotoxicity), and follow-up (e.g., sputum tests), empowering them to complete treatment and achieve cure, aligning with global TB control strategies.
Question 5 of 5
A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he just cant breathe enough. The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the early stages of what respiratory problem?
Correct Answer: C
Rationale: Early acute respiratory failure (ARF) manifests with nonspecific signs of impaired oxygenation restlessness, fatigue, headache, dyspnea (feeling of insufficient breathing), tachycardia, and hypertension reflecting the body's compensatory response to hypoxia or hypercapnia post-trauma like a boating accident. These symptoms align with ARF's progression from subtle distress to overt failure, potentially from chest trauma or submersion injury affecting lung function. Pneumoconiosis, a chronic condition from dust exposure, doesn't fit an acute post-accident onset. Pleural effusion causes dyspnea but typically with pleuritic pain or reduced breath sounds, not this full symptom cluster. Pneumonia, infectious in nature, develops over days, not hours, and lacks trauma linkage here. The nurse's recognition of ARF prompts urgent oxygenation assessment (e.g., pulse oximetry) and intervention, vital given its rapid deterioration potential in trauma settings.