ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 26 : Wound Care Questions
Question 1 of 5
You are a nurse, and you are running behind schedule on a very busy workday. The UAP offers to change a patient's abdominal dressing for you. She is a first-semester nursing student. Which is the most appropriate response?
Correct Answer: C
Rationale: UAPs, including nursing students, are not permitted to perform complex tasks like dressing changes, which require nursing judgment. Delegating a simpler task is appropriate.
Question 2 of 5
Before you go in the room to change the dressing for your assigned patient, who has a stage 3 pressure injury infected with MRSA, your first priorities will be to
Correct Answer: B,C
Rationale: For an MRSA-infected wound, obtaining PPE and reviewing sterile technique are priorities to prevent transmission and further contamination.
Question 3 of 5
Your patient with a stage 3 pressure injury infected with MRSA is on contact precautions. Which of the following PPE will you obtain when you enter his room?
Correct Answer: A,B
Rationale: Contact precautions for MRSA require gloves and a gown to prevent direct contact with the patient or contaminated surfaces.
Question 4 of 5
Classify the following wounds as either open or closed: A. Contusion, B. Abrasion, C. Laceration, D. Pressure injury
Correct Answer: A
Rationale: Contusions are closed (bruising under intact skin), while abrasions, lacerations, and pressure injuries are open (skin is broken).
Question 5 of 5
You are caring for a patient with several risk factors for a pressure injury. Which would you avoid when caring for this patient?
Correct Answer: A
Rationale: Pulling sheets can cause shear and friction, increasing pressure injury risk. The other options are preventive measures.