ATI LPN
Perioperative Care Practice Questions Questions
Question 1 of 5
The primary use for suture is essentially to:
Correct Answer: B
Rationale: Choice B as sutures ligate, approximate, and close wounds. Choices A, C, and D miss key functions. This supports healing, a perioperative nursing role.
Question 2 of 5
When assisting with the placement of a pulmonary artery (PA) catheter, the nurse notes that the catheter is correctly placed when the monitor shows a
Correct Answer: D
Rationale: Choice D as PAWP confirms correct catheter placement when the balloon wedges in a pulmonary artery branch. PA waveform (choice A) appears post-deflation, while systemic pressure (choice B) and SVR (choice C) relate to arterial lines or calculations. This aligns with NCLEX physiological integrity, ensuring accurate measurement of left heart pressures critical for ICU management.
Question 3 of 5
A patient with respiratory failure has arterial pressure-based cardiac output (APCO) monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP) of 12 cm Hâ‚‚O. Which information indicates that a change in the ventilator settings may be required?
Correct Answer: A
Rationale: Choice A as hypotension (90/46 mm Hg) suggests high PEEP may reduce venous return, necessitating adjustment. Normal heart rate (choice B), increased stroke volume (choice C), and variation (choice D) don't indicate distress. This reflects NCLEX physiological integrity, evaluating PEEP's impact on circulation.
Question 4 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 5 of 5
Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?
Correct Answer: B
Rationale: Choice B as monitoring abdominal discomfort detects cast syndrome, a serious complication. Prone positioning (choice A) is allowed post-drying, ambulation begins soon (choice C is false), and the support bar (choice D) risks cast damage. This reflects NCLEX Physiological Integrity, prioritizing early detection of complications in spica cast patients.