LPN Medical Surgical III NSG 2440 Exam 2
1 A client presents with a large, fluctuating carbuncle on their right arm. The nurse includes
hygiene and infection prevention in the plan of care.
Complete the nurse's teaching plan for carbuncles by selecting the most appropriate option
from each drop-down menu.
The nurse explains that the client is at risk for _ if the infection is not properly managed. The
client should be instructed to _.if the affected area daily and apply any prescribed topical
treatments. The nurse should emphasize the importance of Select... before and after touching
the lesion or changing dressings. Select...
spread of infection and sepsis
dehydration and fever
allergic reaction and anemia Select...
Soak
Gently clean
scrub
Select...
hand washing
wearing gloves only
using alcohol pads.
The nurse explains that the client is at risk for spread of infection and sepsis if the infection is
not properly managed. The client should be instructed to gently clean the affected area daily
and apply any prescribed topical treatments. The nurse should emphasize the importance of
hand washing before and after touching the lesion or changing dressings.
2. Which interventions should a nurse include when planning care for a burn client as the
wounds heal and in preparation for discharge?
,a. Instruct the client to limit food intake to prevent weight gain during recovery.
b. Educate the client on scar management techniques.
c. Recommend the client use a heating pad to alleviate itching.
d. Advise the client to avoid range-of-motion exercises until all wounds are completely healed.
3. A nurse is preparing to administer prednisone 40 mg PO to a client. Available is prednisone
oral solution 5 mg/5 mL. How many mL should the nurse administer?
40 mL
4. A nurse is assisting in the care of a burn victim in the ER. The client has burns on his face,
front of torso, entire right arm, groin, and entire right leg. What is the estimated percentage
of the client's body that is burned according to the Rule of Nines?
23.5%
41.5%
32.5%
18%
5. A home health hospice nurse recognizes that the primary caregiver of a client with
end-stage cancer is showing signs of caregiver burnout. The caregiver says, "I'm so tired, I
don't know how much longer I can do this." The family asks, "What does respite care mean?"
Which statement by the nurse best explains respite care for end-of-life support?
a. "Respite care means we will admit your loved one to a facility permanently so you no longer
need to provide care at home."
b. "Respite care involves transferring your loved one to a hospital for specialized treatments
that cannot be given at home."
c. "Respite care is when hospice staff increase their home visits to provide more medications
and medical equipment."
d. "Respite care provides temporary relief for caregivers by arranging short-term care for your
loved one, either at home or in a hospice facility, so you can rest and take care of yourself."
, 6. A 35-year-old client arrives at the emergency department after sustaining burns from a
house fire.
Nurse notes
Burns cover approximately 25% of the total body surface area, including partial-thickness burns
on the chest, arms, and face. The client is anxious, has singed nasal hairs, is coughing, and has
soot around the mouth.
Vital signs
BP 90/58 mm Hg
HR 130 bpm
RR 28 breaths/min
oxygen saturation 91% on room air
During the emergent phase of burn injury, what is the first step a nurse should take?
Start two large-bore IV lines and begin fluid resuscitation.
Obtain a detailed history of the client's medical conditions and allergies.
Apply topical antibiotic ointment to the burns.
Administer pain medication to manage discomfort.
7. Which aspects of a mole should a nurse include when discussing how to recognize a
melanoma with a group of individuals at a health fair?
Changes in color
Even borders
Flat surface
Symmetrical shape
1 A client presents with a large, fluctuating carbuncle on their right arm. The nurse includes
hygiene and infection prevention in the plan of care.
Complete the nurse's teaching plan for carbuncles by selecting the most appropriate option
from each drop-down menu.
The nurse explains that the client is at risk for _ if the infection is not properly managed. The
client should be instructed to _.if the affected area daily and apply any prescribed topical
treatments. The nurse should emphasize the importance of Select... before and after touching
the lesion or changing dressings. Select...
spread of infection and sepsis
dehydration and fever
allergic reaction and anemia Select...
Soak
Gently clean
scrub
Select...
hand washing
wearing gloves only
using alcohol pads.
The nurse explains that the client is at risk for spread of infection and sepsis if the infection is
not properly managed. The client should be instructed to gently clean the affected area daily
and apply any prescribed topical treatments. The nurse should emphasize the importance of
hand washing before and after touching the lesion or changing dressings.
2. Which interventions should a nurse include when planning care for a burn client as the
wounds heal and in preparation for discharge?
,a. Instruct the client to limit food intake to prevent weight gain during recovery.
b. Educate the client on scar management techniques.
c. Recommend the client use a heating pad to alleviate itching.
d. Advise the client to avoid range-of-motion exercises until all wounds are completely healed.
3. A nurse is preparing to administer prednisone 40 mg PO to a client. Available is prednisone
oral solution 5 mg/5 mL. How many mL should the nurse administer?
40 mL
4. A nurse is assisting in the care of a burn victim in the ER. The client has burns on his face,
front of torso, entire right arm, groin, and entire right leg. What is the estimated percentage
of the client's body that is burned according to the Rule of Nines?
23.5%
41.5%
32.5%
18%
5. A home health hospice nurse recognizes that the primary caregiver of a client with
end-stage cancer is showing signs of caregiver burnout. The caregiver says, "I'm so tired, I
don't know how much longer I can do this." The family asks, "What does respite care mean?"
Which statement by the nurse best explains respite care for end-of-life support?
a. "Respite care means we will admit your loved one to a facility permanently so you no longer
need to provide care at home."
b. "Respite care involves transferring your loved one to a hospital for specialized treatments
that cannot be given at home."
c. "Respite care is when hospice staff increase their home visits to provide more medications
and medical equipment."
d. "Respite care provides temporary relief for caregivers by arranging short-term care for your
loved one, either at home or in a hospice facility, so you can rest and take care of yourself."
, 6. A 35-year-old client arrives at the emergency department after sustaining burns from a
house fire.
Nurse notes
Burns cover approximately 25% of the total body surface area, including partial-thickness burns
on the chest, arms, and face. The client is anxious, has singed nasal hairs, is coughing, and has
soot around the mouth.
Vital signs
BP 90/58 mm Hg
HR 130 bpm
RR 28 breaths/min
oxygen saturation 91% on room air
During the emergent phase of burn injury, what is the first step a nurse should take?
Start two large-bore IV lines and begin fluid resuscitation.
Obtain a detailed history of the client's medical conditions and allergies.
Apply topical antibiotic ointment to the burns.
Administer pain medication to manage discomfort.
7. Which aspects of a mole should a nurse include when discussing how to recognize a
melanoma with a group of individuals at a health fair?
Changes in color
Even borders
Flat surface
Symmetrical shape
