ATI LPN
ATI LPN Med Surg Level 2 Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?
Correct Answer: C
Rationale: Elevated WBC count indicates infection or inflammation.
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
The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?
Correct Answer: C
Rationale: Hyperthermia (fever) is a systemic response to infection, indicating the body's immune system is fighting the infection.
Question 4 of 5
A nurse is collecting data from a client who reports finding a new skin lesion. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Determining the lesion's onset helps assess its urgency and potential severity.
Question 5 of 5
A nurse is collecting data on a client who has an infection. Which of the following findings are signs and symptoms of sepsis? (Select All that Apply.)
Correct Answer: B,D,E
Rationale: Sepsis is characterized by systemic signs like elevated WBC, hypotension, and altered mental status due to the body's response to infection.