ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
When evaluating a patient with a central venous catheter, the nurse observes that the insertion site is red and tender to touch and the patient's temperature is 101.8 F. What should the nurse plan to do next?
Correct Answer: B
Rationale: Choice B as redness, tenderness, and fever suggest infection, requiring catheter removal and culture. Analgesics/antibiotics (choice A) treat symptoms, not the source; flushing (choice C) or monitoring (choice D) delays action. This reflects NCLEX physiological integrity, preventing sepsis in critical care.
Question 2 of 5
A 32-year-old patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool. Which action should the nurse take next?
Correct Answer: A
Rationale: Choice A as severe pain, weak pulses, and a cool foot suggest compartment syndrome, requiring immediate provider notification. Redness (choice B) checks infection, elevation (choice C) worsens ischemia, and blood pressure (choice D) delays action. This reflects NCLEX Physiological Integrity, prioritizing urgent intervention to prevent limb loss.
Question 3 of 5
When giving home care instructions to a patient who has comminuted forearm fractures and a long-arm cast on the left arm, which information should the nurse include?
Correct Answer: C
Rationale: Choice C as swelling or numbness signals complications like compartment syndrome, needing urgent reporting. Shoulder elevation (choice A) isn't needed, hand movement (choice B) reduces swelling, and NSAIDs (choice D) are appropriate. This aligns with NCLEX Physiological Integrity, teaching vigilance in cast care.
Question 4 of 5
A 42-year-old patient is admitted to the emergency department with a left femur fracture. Which information obtained by the nurse is most important to report to the health care provider?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A 19-year-old patient with massive trauma and possible spinal cord injury is admitted to the emergency department (ED). Which assessment finding by the nurse will help confirm a diagnosis of neurogenic shock?
Correct Answer: C
Rationale: Choice C as bradycardia (45 beats/min) is a hallmark of neurogenic shock from spinal injury, due to unopposed vagal tone. Crackles (choice A) suggest fluid overload, clammy skin (choice B) hypovolemia, and fever (choice D) infection none specific to neurogenic shock. This aligns with NCLEX Physiological Integrity, focusing on distinguishing neurogenic shock's unique cardiovascular signs in trauma assessment.