ATI LPN
Perioperative Care Practice Questions Questions
Question 1 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 2 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.
Question 3 of 5
After change-of-shift report, which patient should the nurse assess first?
Correct Answer: D
Rationale: Choice D as femoral swelling and bruising suggest hemorrhage or compartment syndrome, needing urgent assessment. Other findings (choices A-C) are typical and less acute.
Question 4 of 5
Norepinephrine (Levophed) has been prescribed for a patient who was admitted with dehydration and hypotension. Which patient data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
Correct Answer: A
Rationale: Choice A as a low CVP (3 mm Hg) signals inadequate fluid volume, requiring resuscitation before norepinephrine in hypovolemic shock. Tachycardia (choice B), dopamine (choice C), and anuria (choice D) don't preclude vasopressors post-fluids. This aligns with NCLEX Physiological Integrity, ensuring safe administration by addressing preload first.
Question 5 of 5
Which finding about a patient who is receiving vasopressin (Pitressin) to treat septic shock is most important for the nurse to communicate to the health care provider?
Correct Answer: C
Rationale: Choice C as chest pain with vasopressin suggests coronary vasoconstriction, needing urgent reporting. Oliguria (choice A), tachycardia (choice B), and weak pulses (choice D) are expected in septic shock. This aligns with NCLEX Physiological Integrity, detecting critical adverse effects.