ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
The second day after admission with a fractured pelvis, a 64-year-old patient suddenly develops confusion. Which action should the nurse take first?
Correct Answer: C
Rationale: Choice C is correct, per page 809, as confusion post-pelvic fracture suggests fat embolism, prioritizing oxygenation assessment. Blood pressure (choice A), orientation (choice B), or asymmetry (choice D) follow. This reflects NCLEX Physiological Integrity, addressing respiratory emergencies in trauma.
Question 2 of 5
Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome (MODS)?
Correct Answer: A
Rationale: Choice A as elevated creatinine signals renal failure, a sign of MODS beyond cardiogenic shock's cardiac focus. Chest pressure (choice B), cool extremities (choice C), and crackles (choice D) are expected in cardiogenic shock alone. This reflects NCLEX Physiological Integrity, identifying multi-organ failure progression.
Question 3 of 5
The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?
Correct Answer: A
Rationale: Palliative,' as surgery to relieve symptoms (vomiting, pain) from a bowel obstruction in advanced cancer aims to improve comfort, not cure defining palliative care. 'Reconstructive' (B) restores function or appearance, not applicable here. 'Diagnostic' (C) confirms a condition, already known (cancer). 'Ablative' (D) removes tissue, not the goal here. In nursing, palliative surgery enhances quality of life in terminal illness; A aligns with NCLEX Management of Care and Palliation, distinguishing symptom relief from curative or exploratory intent.
Question 4 of 5
The nurse is creating a plan of care for a client scheduled for surgery. The nurse would include which activity in the nursing care plan for the client on the day of surgery?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient received inhalation anesthesia during surgery. Postoperatively the nurse should monitor the patient for which complication?
Correct Answer: D
Rationale: Laryngospasm,' as it's a known complication of inhalation anesthetics, causing airway obstruction from vocal cord spasms requiring vigilant monitoring. 'Tachypnea' (A) and 'hypertension' (C) aren't typical. 'Myoclonus' (B) links to IV agents, not inhalation. In nursing, airway assessment post-inhalation anesthesia is critical; D aligns with NCLEX Physiological Integrity, targeting a specific, serious risk over unrelated effects.