Question

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

Answer 1

Correct Answers:

7

Rationale :

✍️To determine dosage,

🔺Use the formula:

🔹(Desired Dose ÷ Available Dose) × Volume.

▷ Desired Dose = 300

▷ Available Dose = 250

▷ Volume = 5

✓ (350 mg ÷ 250 mg) × 5 mL

👉= 7 mL.

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Answer 2

Correct Answers:

Hyperthermia

Rationale :

🟧 Hyperthermia (fever) is a systemic manifestation of infection, indicating immune system activation.

🟧 Unlike localized signs (e.g., exudate, pain), systemic symptoms reflect body-wide involvement.

🟧 The presence of fever suggests pathogen spread beyond the wound site, requiring monitoring and possible escalation.

🟧 Prompt recognition is vital to prevent sepsis or other complications.

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Answer 3

Correct Answers:

Fever and chills

Rationale :

🟨 Fever and chills are hallmark systemic signs of wound sepsis, not just localized infection.

🟨 These symptoms indicate that the infection is affecting the whole body, not just the wound area.

🟨 Local signs like redness or swelling can occur with or without sepsis, but fever signals a potential emergency.

🟨 Immediate intervention is needed to prevent septic shock or organ failure.

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Answer 4

Correct Answers:

Place a N95 mask on the patient.

Rationale :

🔵 Tuberculosis is an airborne disease, and N95 respirators are required to prevent the spread of Mycobacterium tuberculosis.

🔵 The N95 mask protects others by filtering infectious airborne particles expelled by the client.

🔵 Surgical masks are not sufficient for airborne precautions, especially during transport.

🔵 Infection control guidelines prioritize respiratory protection over contact-based PPE like gowns or gloves in TB cases.

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Answer 5

Correct Answers:

Signs of infection

Rationale :

🟢 During dressing changes, assessing for infection signs is critical, especially in older clients who are at higher risk.

🟢 Signs include redness, swelling, warmth, purulent drainage, and odor.

🟢 Early detection allows for timely intervention to prevent systemic infection or delayed wound healing.

🟢 Older adults may not mount a typical febrile response, so visual and local wound signs are essential cues.

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Answer 6

Correct Answers:

Soap and water

Rationale :

🟣 Clostridium difficile forms spores that are resistant to alcohol-based sanitizers.

🟣 Mechanical friction with soap and water is necessary to physically remove these spores from the skin.

🟣 Other agents like chlorhexidine or povidone-iodine are ineffective for routine hand hygiene in C. diff cases.

🟣 Proper handwashing reduces transmission in healthcare settings and protects both clients and staff.

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Answer 7

Correct Answers:

After the patient bathes

Rationale :

⚫ Applying ointment after a bath ensures the skin is clean, which improves medication absorption.

⚫ Warm, moist skin enhances topical drug penetration, maximizing therapeutic effect.

⚫ This timing also removes irritants and dead skin that might hinder the ointment’s action.

⚫ It promotes effective management of skin inflammation and rash relief.

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Answer 8

Correct Answers:

Room temperature normal saline is prescribed.

Rationale :

⚪ The temperature of the solution used in wet-to-dry dressings can impact tissue healing and comfort.

⚪ Clarification is necessary because room-temperature saline may not match wound protocol requirements (some wounds require warm solutions).

⚪ Ensuring accuracy in prescriptions avoids ineffective wound care or delayed healing.

⚪ The nurse should verify unclear or incomplete orders to ensure proper treatment.

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Answer 9

Correct Answers:

A contaminated surface

Rationale :

🟠 Reservoirs in the chain of infection are places where pathogens survive, grow, and multiply.

🟠 A contaminated surface can harbor microorganisms and be a source of transmission.

🟠 Other options listed (hand hygiene, PPE, sharps disposal) are infection control measures, not reservoirs.

🟠 Identifying and managing reservoirs is critical to breaking the chain of infection.

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Answer 10

Correct Answers:

Elevated White Blood Count
Hypotension
Altered Mental Status

Rationale :

🟥 Elevated White Blood Count

⩥ An elevated WBC indicates that the body is mounting an immune response against an infection.

⩥ In the context of sepsis, this elevation reflects systemic inflammation as the body fights off invading pathogens.

⩥ It is a key laboratory marker used to assess infection severity and progression.

🟥 Hypotension

⩥ Hypotension is a critical sign of sepsis, often indicating that the infection has caused vascular dilation and fluid leakage, leading to decreased perfusion.

⩥ It may signal impending septic shock, a life-threatening emergency requiring fluid resuscitation and vasopressors.

⩥ Blood pressure monitoring is essential for early recognition and intervention.

🟥 Altered Mental Status

⩥ Changes in mental status occur due to reduced cerebral perfusion or inflammation, which is common in advanced sepsis.

⩥ Clients may present with confusion, disorientation, or decreased responsiveness.

⩥ It is a red-flag symptom suggesting that sepsis may be affecting organ function, requiring urgent evaluation.

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LPN Medsurg Level 2 Exam~2024

No.

1 :
A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

2 :
The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?

3 :
Which of the following is a common sign of wound sepsis?

4 :
The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

5 :
When performing dressing changes in an older client, what should the nurse assess for?

6 :
A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

7 :
When is the best time for the nurse to apply prescribed ointment to a patient with an inflamed skin rash?

8 :
A patient is admitted for treatment for a severe ulcerated pressure injury exhibiting signs of infection. The HCP prescribes open wet dressings to be applied every 6 hours for a period of 30 minutes for one week. For which part of the prescription does the nurse clarify with the physician?

9 :
Which of the following is an example of a reservoir in the chain of infection?

10 :
A nurse is collecting data on a client who has an infection. Which of the following findings are signs and symptoms of sepsis? (Select All that Apply.)

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LPN Medsurg Level 2 Exam~2024

No.

1 : A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

2 : The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?

3 : Which of the following is a common sign of wound sepsis?

4 : The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

5 : When performing dressing changes in an older client, what should the nurse assess for?

6 : A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

7 : When is the best time for the nurse to apply prescribed ointment to a patient with an inflamed skin rash?

8 : A patient is admitted for treatment for a severe ulcerated pressure injury exhibiting signs of infection. The HCP prescribes open wet dressings to be applied every 6 hours for a period of 30 minutes for one week. For which part of the prescription does the nurse clarify with the physician?

9 : Which of the following is an example of a reservoir in the chain of infection?

10 : A nurse is collecting data on a client who has an infection. Which of the following findings are signs and symptoms of sepsis? (Select All that Apply.)

1 :
A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

2 :
The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?

3 :
Which of the following is a common sign of wound sepsis?

4 :
The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

5 :
When performing dressing changes in an older client, what should the nurse assess for?

6 :
A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

7 :
When is the best time for the nurse to apply prescribed ointment to a patient with an inflamed skin rash?

8 :
A patient is admitted for treatment for a severe ulcerated pressure injury exhibiting signs of infection. The HCP prescribes open wet dressings to be applied every 6 hours for a period of 30 minutes for one week. For which part of the prescription does the nurse clarify with the physician?

9 :
Which of the following is an example of a reservoir in the chain of infection?

10 :
A nurse is collecting data on a client who has an infection. Which of the following findings are signs and symptoms of sepsis? (Select All that Apply.)