ATI LPN
Perioperative Nursing Care Test Questions Questions
Question 1 of 5
Which hemodynamic parameter is most appropriate for the nurse to monitor to determine the effectiveness of medications given to a patient to reduce left ventricular afterload?
Correct Answer: B
Rationale: Choice B as SVR directly measures resistance to left ventricular ejection (afterload). Medications reducing afterload aim to lower SVR, improving cardiac output. MAP (choice A) reflects overall pressure but not specifically afterload. PVR (choice C) pertains to pulmonary circulation, not systemic afterload, and PAWP (choice D) indicates preload, not resistance to ejection. Monitoring SVR provides precise feedback on medication efficacy, aligning with physiological integrity in NCLEX standards. This focus ensures nurses assess the intended therapeutic effect, optimizing care for conditions like heart failure where afterload reduction is critical.
Question 2 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 3 of 5
After change-of-shift report, which patient should the progressive care nurse assess first?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 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 5 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.