ATI LPN
ATI LPN Med Surg Level 2 Exam Questions
Extract:
Question 1 of 5
A nurse working on a medical-surgical unit suspects that several clients have Clostridium Difficile (C-Diff) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?
Correct Answer: A
Rationale: Contact precautions prevent potential C. diff spread pending confirmation.
Question 2 of 5
When performing dressing changes in an older client, what should the nurse assess for?
Correct Answer: A
Rationale: Older adults are prone to infections due to weakened immune systems, making it critical to assess for signs like redness or drainage.
Extract:
Nurses' Notes
0800:
Client is admitted with a 3-day history of abdominal cramps and diarrhea. Client reports 4 to 5 liquid stools/day.
Client was taking amoxicillin/clavulanate for a respiratory tract infection, 500 mg PO q 12 hr for 10 days. Antibiotics completed 7 days ago.
Abdomen soft, nondistended with hyperactive bowel sounds audible in 4 quadrants. Stool contains mucous and is foul-smelling.
Stool sent for culture
Laboratory Results
1400:
Stool culture positive for Clostridium Difficile (C-Diff)
Question 3 of 5
A nurse is caring for the client. Which of the following actions should the nurse take? Select (2) answers that apply.
Correct Answer: A,B
Rationale: Gowns and a private room prevent C. diff spread via contact.
Extract:
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
Which term should the nurse use to document a raised, fluid-filled lesion smaller than 1 centimeter?
Correct Answer: B
Rationale: A vesicle is a small, raised, fluid-filled lesion, such as a blister.