ATI LPN
Questions on Perioperative Care Questions
Question 1 of 5
While tucking the arms at the sides of the patient in supine position offers comfort, safety, and easy access to the patient by the scrubbed team, improper positioning and securing of the arms can result in significant injury. Injury can be avoided by tucking the draw sheet ___ the arm and under the ___.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
While family members are visiting, a patient has a respiratory arrest and is being resuscitated. Which action by the nurse is best?
Correct Answer: B
Rationale: Choice B as research supports offering family the choice to stay during resuscitation, reducing anxiety and aiding grieving. Assuming stress (choice A) dismisses individual preferences, while forcibly removing family (choice C) or isolating them (choice D) may heighten distress. This patient-centered approach, rooted in psychosocial integrity per NCLEX, respects autonomy and facilitates emotional support. It reflects evidence-based practice showing family presence can improve coping, making it the best action in critical care settings where family involvement is increasingly valued.
Question 3 of 5
While waiting for cardiac transplantation, a patient with severe cardiomyopathy has a ventricular assist device (VAD) implanted. When planning care for this patient, the nurse should anticipate
Correct Answer: D
Rationale: Choice D as VAD insertion sites risk infection, requiring vigilant monitoring. Immunosuppression (choice A) isn't needed for mechanical devices, VADs are temporary (choice B), and mobility is allowed (choice C). This reflects NCLEX physiological integrity, prioritizing infection prevention in critical care.
Question 4 of 5
An 81-year-old patient who has been in the intensive care unit (ICU) for a week is now stable and transfer to the progressive care unit is planned. On rounds, the nurse notices that the patient has new onset confusion. The nurse will plan to
Correct Answer: B
Rationale: Choice B as new confusion likely reflects ICU delirium, best managed by transfer to a less intense environment after informing staff. Lorazepam (choice A) or restraints (choice D) worsen delirium; postponing (choice C) prolongs exposure. This aligns with NCLEX psychosocial integrity, addressing cognitive changes in critical care.
Question 5 of 5
When teaching seniors at a community recreation center, which information will the nurse include about ways to prevent fractures?
Correct Answer: C
Rationale: Choice C as supportive, comfortable shoes reduce fall risk, a key fracture prevention strategy for seniors. Tacking rugs (choice A) is insufficient rugs should be removed; most falls occur indoors (choice B is false); and daily activities provide adequate range-of-motion (choice D), not requiring a therapist. This aligns with NCLEX Safe and Effective Care Environment, emphasizing practical, evidence-based measures to enhance stability and prevent injuries in older adults, where falls are a leading cause of fractures.