LPN Nursing 1 Fundamental Exam

Extract:

A 57-year old female client with left upper arm open wound infection (methicillin-resistant Staphylococcus aureus [MRSA]) and cellulitis

Question 1 of 5

Indicate whether the nursing actions are Indicated, Contraindicated, or Non-essential for the client's care.

A. Place the client on Contact Precautions.B. Apply cold compress on her left upper arm.C. Elevate the client's arm on a pillow.D. Take a wound culture every shift to determine if the infection is improving.E. Have RN initiate IV access for the client to receive fluids and antibiotic therapy.F. Administer subcutaneous sodium heparin every 12 hours.

Correct Answer: A, C, E

Rationale: A (Indicated): Contact precautions prevent MRSA spread. C (Indicated): Elevation reduces swelling. E (Indicated): IV access is needed for antibiotics. B (Contraindicated): Cold compress may worsen tissue damage. D (Non-essential): Frequent cultures are unnecessary. F (Non-essential): Heparin is not indicated unless clotting risk exists.

Extract:

Question 2 of 5

Which of the following statements made by the unlicensed assistive personnel (UAP) indicates an understanding of standard precaution techniques?

A. I will wear gloves and gown when bathing a client with open skin lesions.'B. I will wear gloves when taking blood pressures on all clients.'C. I will wear gloves, gown, and an N95 mask while caring for a client with diarrhea.'D. I will wear gloves at all times when in contact with any clients.'

Correct Answer: A

Rationale: Wearing gloves and a gown when bathing a client with open skin lesions aligns with standard precautions to prevent infection transmission.

Extract:

The culture from the wound infection shows Bacterial Staphylococcal Aureus

Question 3 of 5

Which of the following healthcare provider orders would the nurse anticipate?

A. supportive interventions as no antibiotic will work with this class of organismsB. an antibiotic to which the organism is sensitiveC. wound irrigations with hypotonic solution to wash out the elevated electrolytesD. apply cold to constrict the blood vessels in the wound site

Correct Answer: B

Rationale: Administering an antibiotic to which Staphylococcus aureus is sensitive is the most appropriate treatment.

Extract:

A client who requires droplet precautions due to influenza

Question 4 of 5

Which nursing action should be completed for a client on droplet precautions due to influenza?

A. make sure the client's room has HEPA filtrationB. wear a mask when providing the client careC. wear a gown when providing the client careD. make sure the client's room has negative airflow

Correct Answer: B

Rationale: Wearing a mask when providing care prevents transmission of influenza via respiratory droplets.

Extract:

Question 5 of 5

Which of the following statements best describes the goal of chemotherapy when prescribed as part of palliative treatment?

A. To treat side effects of cancer, including stomatitis and alopeciaB. To eliminate all tumor cells in the client's bodyC. To prevent symptoms associated with bone marrow suppressionD. To provide relief from symptoms caused by cancer at an advanced stage

Correct Answer: D

Rationale: Palliative chemotherapy aims to provide relief from symptoms caused by cancer, such as pain and fatigue, rather than focusing on curing the disease.

LPN Nursing 1 Fundamental Exam | Nurselytic

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ATI LPN

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