Practice Question
A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Cover the wound with sterile, saline-soaked gauze.
Rationale:
🟢 Covering the wound with sterile, saline-soaked gauze helps prevent organ desiccation and contamination.
🟢 Applying direct pressure could damage protruding organs and worsen the injury.
🟢 Keeping the client’s knees in a flexed position reduces tension on the abdominal muscles.
🟢 Raising the head of the bed could increase intra-abdominal pressure and exacerbate the evisceration.
Want to practice more questions like this?
This question is from LPN ATI Comprehensive Predictor-2023~Retake Exam which contains 180 questions.
More Questions from This Exam
A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the following actions should the nurse take?
Answer Choices:
A. Instruct the parents to avoid bringing fresh flowers into the room.
B. Use an N95 respirator.
C. Initiate contact precautions.
D. Place the child in a room that has a HEPA filtration system.
A nurse is caring for a client who delivered a newborn by cesarean birth 1 day ago. The client requests nonpharmacological interventions to manage pain when changing positions. Which of the following responses should the nurse make?
Answer Choices:
A. "You should use patterned-paced breathing when changing positions."
B. "You should change positions as little as possible."
C. “You can splint the incision with a pillow when changing positions.”
D. "You can apply counterpressure to your back with each position change."
A nurse is reinforcing teaching about a low-sodium diet with a client who has hypertension. Which of the following statements by the client indicates an understanding of the instructions?
Answer Choices:
A. "I will eat turkey sausage for breakfast."
B. "I will put ketchup on my hot dogs."
C. "I will use frozen vegetables rather than canned."
D. "I like to use store-bought spaghetti sauce."
A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?
Answer Choices:
A. Anaphylactic
B. Acute hemolytic
C. Febrile
D. Circulatory overload
A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
Answer Choices:
A. Inject 15 units of air into the regular insulin vial.
B. Place the cap over the needle.
C. Verify the dosage with another nurse.
D. Withdraw 10 units of NPH insulin.
From Exam
LPN ATI Comprehensive Predictor-2023~Retake Exam
180 Questions
View Full Exam Start PracticingQuestion Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exit Exam(s)
- Domain: Exit Exam(s)~2024
- Answer Choices: 4
Was this question helpful?
0/5 average rating
(0 votes)