ATI LPN
ATI LPN Med Surg Level 2 Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing student indicates a correct understanding of the teaching?
Correct Answer: A
Rationale: Standard precautions assume all patients could be infectious, promoting consistent safety measures.
Question 3 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 4 of 5
When is the best time for the nurse to apply prescribed ointment to a patient with an inflamed skin rash?
Correct Answer: D
Rationale: Applying ointment after bathing ensures the skin is clean, enhancing absorption and effectiveness.
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 5 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.