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Ati lpn med surg level 2 proctored exam
Ati lpn med surg level 2 proctored exam
Total Questions : 46
Showing 10 questions Sign up for moreA nurse is preparing to administer liquid mycostatin 600,000 units PO every 8 hr. Available is mycostatin 100,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)
Explanation
Order: Mycostatin 600,000 units PO every 8 hr
Available: Mycostatin 100,000 units/Ml
ml to administer =600,000 units /100,000 units/ml
= 6ml
A nurse is reinforcing teaching with a client about maintaining skin integrity to decrease the risk of infection. Which of the following instructions should the nurse include?
Explanation
A. "Use a moisturizer on your skin after cleaning."
Moisturizers help maintain skin hydration and barrier function, reducing the risk of breakdown and infection.
B. "Rub your skin firmly when cleaning."
This can cause microabrasions and increase the risk of skin breakdown and infection.
C. "Wash your skin daily with hot water.”
Hot water can dry out the skin and compromise the skin barrier, increasing infection risk.
D. "Allow your skin to air dry after bathing.”
Patting the skin dry is better than air drying, which can lead to excessive dryness and irritation.
The nurse in a high school clinic is aware of an unusually high incidences of cold sores among the student population. Which information from the nurse will be the most helpful in controlling the spread of the causative virus, HSV-1?
Explanation
A. "Any student who has not been infected needs to get immunized immediately."
There is no vaccine for HSV-1, so immunization is not an option.
B. "All students need to stop sharing lip products, drinks, and foods."
HSV-1 spreads through direct contact with saliva or contaminated objects, so avoiding sharing is key to prevention.
C. "Infected students need to stay out of school until the lesion is crusted over."
This is not a standard requirement for school attendance, and HSV-1 can be transmitted before lesions are visible.
D. "Students with an active lesion need to eat at a specific isolation table."
HSV-1 is not typically transmitted through casual airborne exposure; isolation tables are unnecessary and stigmatizing.
A nurse is collecting data on a client who has a major burn injury. The nurse should recognize which of the following findings as a priority?
Explanation
A. The client produces black colored sputum.
Black sputum indicates inhalation injury, which can compromise the airway-this is a life-threatening emergency and takes priority.
B. The client has decreased sensation over the burn areas.
This is expected in deep partial- or full-thickness burns but is not immediately life-threatening.
C. The client has edema at the burn site.
Edema is common after burns due to capillary leakage and inflammation.
D. The client has large blistered areas over his chest.
While concerning, this is not a higher priority than potential airway compromise.
A nurse at a community center is assisting with a presentation about sun protection to a group of residents. Which of the following responses by the residents indicates an understanding of the teaching?
Explanation
A. "I should apply a sunscreen with an SPF of 30.”
SPF 30 is the recommended minimum for effective sun protection. It blocks about 97% of UVB rays.
B. "Sunscreen does not need to be applied on a cloudy day."
Up to 80% of UV rays can penetrate clouds, so sunscreen is still necessary on cloudy days.
C. "A sunscreen is a better choice for my toddler than a sunblock."
Sunblock (physical blockers like zinc oxide) are often safer and more effective for young children than chemical sunscreens.
D. "I can expose my 3-month-old infant to the sun if I apply sunscreen."
Sunscreen is not recommended for infants under 6 months. They should be kept out of direct sunlight entirely.
A nurse is caring for a client in a provider’s office.
Explanation
Most Likely Condition:
Herpes zoster (Shingles): The client presents with a painful, burning, unilateral rash in a dermatomal distribution with grouped vesicles on an erythematous base — classic for herpes zoster (shingles). The shoulder x-ray is normal, ruling out musculoskeletal causes.
Actions to Take:
Anticipate administering an antiviral medication: Antiviral medications like acyclovir, valacyclovir, or famciclovir reduce the severity and duration of shingles if started early.
Request a prescription analgesic medication: Shingles is often extremely painful. Ibuprofen was ineffective, so stronger analgesics are likely needed.
Parameters to Monitor:
Pain: Pain monitoring assesses the effectiveness of analgesic and antiviral treatment.
Post-herpetic neuralgia (nerves): Monitoring for lingering nerve pain is crucial, as shingles can lead to long-term nerve damage.
Priority nursing diagnoses for burns include: (Select All That Apply)
Explanation
A. Adequate Tissue Perfusion
While this important in burn management, it is not typically classified as a priority nursing diagnosis in the early stages of treatment.
B. Risk for infection
Burned skin is a lost barrier to pathogens, increasing infection risk.
C. Impaired Gas Exchange
Especially in cases of inhalation injury, airway swelling or carbon monoxide exposure can impair gas exchange.
D. Acute Pain
Burns cause significant pain that requires management for comfort and healing.
E. Fluid Volume Deficit
Burns result in fluid shifts and capillary leakage, leading to hypovolemia.
While collecting data on a patient, the nurse observes that the patient's facial skin is reddened and is covered with greasy scales, yellowish crusts. What skin disorder does the nurse expect the patient to be treated for?
Explanation
A. Allergic contact
This presents as a localized rash with itching after exposure to an allergen — not typically greasy or crusted.
B. Atopic dermatitis
Typically dry, itchy, and more common on flexor surfaces — not greasy or crusted.
C. Seborrheic dermatitis
Characterized by reddened skin with greasy scales and yellowish crusts, especially on the face, scalp, or nasolabial folds.
D. Contact dermatitis
Presents as red, itchy rash due to irritant exposure - lacks greasy scales or crusts.
The nurse at an HCP's office is interviewing a patient presenting with a skin infection. Which question by the nurse will provide the least important information?
Explanation
A. "What do you think caused your infection?"
Provides insight into possible sources or exposures.
B. "How long have you had the infection?"
Helps establish a timeline for severity and progression.
C. "What aggravates or alleviates symptoms?"
Aids in understanding symptom patterns and effective treatments.
D. “Do you think you got it from a friend?"
This is subjective, speculative, and unlikely to provide useful clinical data.
A physician orders IV normal saline solution to be infused at a rate of 150 mL/hr for a patient. How many milliliters of solution will the patient receive during an 8 hour shift. Express your answer to the nearest whole number
Explanation
Order: 150 mL/hr for 8 hours
150×8=1,200mL
Answer: 1,200 mL
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