ATI LPN
Perioperative Care Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.