ATI LPN
Medication Administration Test Questions and Answers Questions
Question 1 of 4
A client has an arterial ulcer on the left lower leg. The nurse observes that the ulcer has a pale pink base, minimal drainage, and no signs of infection. What is an appropriate dressing for this ulcer?
Correct Answer: D
Rationale: Hydrogel dressings are water-based or glycerin-based gels that hydrate the wound and provide a moist environment for healing. They are suitable for dry wounds, such as arterial ulcers, as they help to rehydrate the wound bed and facilitate autolytic debridement.
Question 2 of 4
A client with arterial insufficiency has an arterial ulcer on the dorsum of the foot. Which assessment finding should alert the nurse to a potential complication?
Correct Answer: D
Rationale: Gangrene or necrosis of the toes indicates severe tissue death that can lead to amputation if not treated promptly. The nurse should report this finding to the provider immediately and monitor for signs of infection or sepsis.
Question 3 of 4
A nurse is caring for a client who has a venous leg ulcer on the lower left calf. The nurse notes that the wound has copious amounts of yellow-green purulent drainage with a foul odor. The periwound skin is erythematous, warm, and edematous. The client reports increased pain and fever. What should the nurse do first?
Correct Answer: B
Rationale: The nurse should first obtain a wound culture and sensitivity to identify the causative organism and the appropriate antibiotic therapy for the client's wound infection. The nurse should use sterile technique and collect the specimen from the wound bed after cleansing the wound with normal saline.
Question 4 of 4
A nurse is assessing a client who has a wound on the abdomen. The nurse observes that the wound edges are approximated, there is minimal drainage, and granulation tissue is visible. How should the nurse document this wound?
Correct Answer: C
Rationale: A primary intention wound is one that heals by epithelialization, with minimal tissue loss and scarring. The wound edges are approximated (closed), either naturally or by surgical means, and there is minimal drainage and inflammation. Granulation tissue is the new connective tissue that forms on the wound bed, indicating healing.