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