ATI Sp26 LPN Med Surg Proctored Exam

A nurse is working with a group of clients on stretching. Which of the following statements about muscles is correct?

Consider the impact of skin disorders on overall health. Which nursing actions are appropriate in monitoring and caring for a client with altered tissue integrity?

A nurse is caring for a patient post-total knee arthroplasty. Which intervention should be prioritized to prevent deep vein thrombosis (DVT)?

A nurse is analyzing cues during the evaluation of a client's altered tissue integrity. Which of the following findings should prompt differential diagnosis between cellulitis and dermatitis?

Which factor most increases the risk for complications in a patient undergoing total knee arthroplasty?

What is the best nursing intervention to prevent skin complications in a patient experiencing fecal incontinence?

A nurse is caring for an elderly client recovering after a dermatologic surgery. The client reported increased redness and itching around the surgical site and the area appears slightly warm to touch.

For a patient with partial-thickness burns covering the arms and chest, what is the priority assessment?

When planning care for a patient with severe burn injuries, what intervention should the nurse prioritize to promote healing?

In assessing a client with chronic venous insufficiency, which manifestation would provide a cue for the development of a venous ulcer?

During a postoperative assessment of a client who had a total knee arthroplasty, the nurse recognizes a sudden decrease in hemoglobin level. What should the nurse suspect?

A nurse is collecting data from a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indic

A client presents with a surgical incision that is red, swollen, and warm to touch. How should the nurse prioritize the hypothesis regarding the cause?

A nurse is collecting data from a client who is postoperative from a below-the-knee amputation and whose residual limb is wrapped with an elastic bandage to shrink the stump. Which of the following fi

What level of Braden Scale score indicates a high risk for developing pressure ulcers, requiring immediate intervention?

When prioritizing care for a patient with burn injuries, which intervention should be considered first?

Which factors place patients at higher risk of developing pressure injuries or skin integrity issues? (Select all that apply.)

A nurse is caring for a client who has sustained a gasoline burn to 25 percent of the body. Which of the following is a priority safety concern when caring for this client?

A nurse is caring for a young adult client who is being evaluated for a stress fracture in the foot. The client is a competitive gymnast who states, "I am not sure why this keeps happening.”. Which of

A client presents with both a low-grade fever and suspected tissue injury. How should a nurse prioritize the potential diagnoses?

A patient with full-thickness burns over 40 Which complication is vital for the nurse to anticipate and monitor?

While performing an assessment on a client with alterations in tissue integrity, which of the following cues should a nurse recognize as indicative of possible infection?

A nurse is attending to a patient in the intensive care unit. For each patient finding below, indicate whether the finding is consistent with fluid overload or dehydration in burn patients.

A nurse is preparing to administer cefazolin 750 mg intramuscularly every 8 hours. The medication label reads cefazolin 1 gram per 2 mL. How many milliliters should the nurse administer per dose?

A nurse is reinforcing teaching with a pediatric client who has had a traumatic leg amputation about phantom limb sensation (PLS). Which of the following statements should the nurse include while rein