ATI LPN
ATI LPN Med Surg Level 2 Exam Questions
Question 1 of 5
A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to interrupt the transmission of the client's infection?
Correct Answer: A
Rationale: Hand hygiene is the most effective way to break the chain of infection transmission.
Question 2 of 5
A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?
Correct Answer: A
Rationale: Purulent drainage with swelling and tenderness strongly indicates infection.
Question 3 of 5
A nurse is preparing to administer vancomycin 250 mg PO. The amount available is vancomycin 125 mg/ capsule. How many capsules should the nurse administer to the client with each dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: 250 mg ÷ 125 mg/capsule = 2 capsules.
Question 4 of 5
The nurse is taking a health history for a patient who is ill in the emergency room. The patient states that he has not been around anyone that has been sick lately. The nurse suspects the patient likely contracted the illness by indirect transmission. Which is an example of this type of transmission?
Correct Answer: A
Rationale: Indirect transmission occurs via contaminated objects like keyboards.
Extract:
Nurses' Notes Day 1:
Client has a 10.2 cm (4 in) by 10.2 cm (4 in) raised reddened abscess on left thigh. Client reports area is warm and painful.
Vital Signs
Temperature 39.6° C (103.3° F)
Blood pressure 118/56 mm Hg
Heart rate 106/min
Respiratory rate 22/min
Oxygen saturation 96% on room air room.
Diagnostic Results
Day 2
WBC: 45.000/mm3 (5000 to 10.000/mm3)
Culture and sensitivity of left thigh abscess positive for methicillin- resistant Staphylococcus aureus (MRSA)
Question 5 of 5
For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client with a MRSA abscess.
| Options | Essential | Nonessential | Contraindicated |
|---|---|---|---|
| Place the client in a private room. | |||
| Administer intravenous vancomycin. | |||
| Wear a cover gown when caring for the client. | |||
| Restrict fluid intake. | |||
| Initiate supplemental oxygen. |
Correct Answer: A,B,C
Rationale: Private room, vancomycin, and gowns are essential for MRSA; fluid restriction is contraindicated, and oxygen is nonessential based on normal saturation.