ATI LPN
Medication Administration Practice Questions Questions
Question 1 of 5
A client has a venous ulcer on the lower leg that is treated with compression therapy. The nurse instructs the client to elevate the leg above the level of the heart whenever possible. What is the rationale for this instruction?
Correct Answer: A
Rationale: To reduce edema and venous pressure is the rationale for elevating the leg above the level of the heart whenever possible. Venous ulcers are caused by chronic venous insufficiency, which impairs venous return and causes blood pooling, increased venous pressure, and edema in the lower extremities. Elevation helps to facilitate venous return and reduce edema and venous pressure, which improves wound healing.
Question 2 of 5
A nurse is caring for a client who has a pressure ulcer on the sacrum. Which intervention should the nurse perform first?
Correct Answer: D
Rationale: The nurse should follow the ABCDE priority-setting framework when caring for a client with a pressure ulcer. The first priority is to address airway, breathing, and circulation (ABC) issues, which include relieving pressure on the wound to prevent further tissue damage and promote blood flow to the area.
Question 3 of 5
A client is receiving negative pressure wound therapy (NPWT) for a diabetic foot ulcer. Which action should the nurse take when changing the dressing?
Correct Answer: A
Rationale: The nurse should apply sterile saline to moisten the foam dressing before removal, as this helps to prevent trauma and bleeding from adherent dressing. The nurse should also wear sterile gloves and use aseptic technique when changing the dressing.
Question 4 of 5
A nurse is assessing a client who has a pressure ulcer on the sacrum. Which finding indicates a possible infection of the wound?
Correct Answer: C
Rationale: Increased pain and tenderness of the wound site may indicate an infection, as the inflammatory response is triggered by the presence of microorganisms. The nurse should obtain a wound culture and notify the provider of the suspected infection.
Question 5 of 5
A nurse is caring for a client who has a stage 3 pressure ulcer on the sacrum. Which type of dressing should the nurse use to promote moist wound healing?
Correct Answer: A
Rationale: Hydrocolloid dressings are occlusive and adhesive, forming a gel-like substance over the wound bed that maintains a moist environment and facilitates autolytic debridement. They are suitable for stage 3 pressure ulcers, as they protect the wound from contamination and reduce pain and trauma during dressing changes.