ATI LPN
Perioperative Nursing Care Questions Questions
Question 1 of 5
When caring for the patient with a pulmonary artery (PA) pressure catheter, the nurse observes that the PA waveform indicates that the catheter is in the wedged position. Which action should the nurse take next?
Correct Answer: D
Rationale: Choice D as a wedged catheter risks pulmonary infarction, requiring balloon deflation and repositioning by a provider. Zeroing (choice A) or flushing (choice B) doesn't unwedge, and notifying (choice C) follows correction. This aligns with NCLEX physiological integrity, prioritizing circulation safety in ICU.
Question 2 of 5
A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates that the patient can safely ambulate independently?
Correct Answer: B
Rationale: Choice B as advancing crutches with the injured leg, then the unaffected leg, is the correct three-point gait for non-weight bearing. Same-side movement (choice A), furniture use (choice C), or axillary pressure (choice D) indicate errors. This aligns with NCLEX Safe and Effective Care Environment, ensuring safe mobility post-injury.
Question 3 of 5
A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for a left hand arthroplasty. Which patient statement to the nurse indicates a realistic expectation for the surgery?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 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 5 of 5
A nurse is caring for a patient with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure. Which collaborative intervention ordered by the health care provider should the nurse question?
Correct Answer: A
Rationale: Choice A as saline infusion would worsen volume excess indicated by elevated PAWP, suggesting cardiogenic shock. Bed elevation (choice B) aids breathing, holding nitroprusside (choice C) prevents hypotension, and dobutamine (choice D) supports cardiac output all suitable. This reflects NCLEX Physiological Integrity, requiring the nurse to challenge orders that could precipitate pulmonary edema in a patient with already high preload.