ATI LPN
NCLEX Questions Perioperative Care Questions
Question 1 of 5
The perioperative nurse noticed abrasions on a patient's elbows when she visited him in the intensive care unit (ICU) the day after his 6-hour abdominal surgery. The patient told her that the ICU nurses had difficulty pulling him back up in bed every time he slid down toward the bottom, and he was not able to be much help in moving himself. This skin injury was probably the result of which physical force?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A male patient had a vasectomy in his urologist's office. The small incision was closed with sutures that are synthetic and will 'dissolve and fall out' after 2 to 3 weeks. As the procedure ended, he heard the doctor ask the nurse for 5-0:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 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 4 of 5
To verify the correct placement of an oral endotracheal tube (ET) after insertion, the best initial action by the nurse is to
Correct Answer: D
Rationale: Choice D as end-tidal COâ‚‚ monitoring provides rapid, accurate verification of tracheal placement. Auscultation (choice A) and chest movement (choice C) are less precise, and x-rays (choice B) confirm later. This aligns with NCLEX physiological integrity, ensuring airway security in critical care ventilation.
Question 5 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.