ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Extract:
Question 1 of 5
A nurse assesses a patient who is admitted for treatment of fluid overload. Which manifestations does the nurse expect to find? (Select all that apply.)
Correct Answer: A,E
Rationale: Fluid overload increases cardiac output, raising pulse rate, and causes jugular vein distention from increased venous pressure.
Question 2 of 5
A nurse is caring for a client that is immobile. The nurse recognizes that the appearance of non-blanchable erythema on the heels most likely indicates which of the following stages of pressure injuries?
Correct Answer: D
Rationale: Stage I pressure injuries present as non-blanchable erythema on intact skin, indicating early tissue damage without skin loss, typically over bony prominences like the heels.
Question 3 of 5
What is the common factor for etiology and pathophysiology of folliculitis, furuncles, and carbuncles?
Correct Answer: C
Rationale: These conditions all involve bacterial infection or inflammation of hair follicles, primarily by Staphylococcus aureus.
Question 4 of 5
The nurse debriding a burn wound explains that the purpose of debridement is to:
Correct Answer: C
Rationale: Debridement removes necrotic tissue, reducing infection risk and fostering a healing environment.
Question 5 of 5
A nurse is caring for a client with an electrical burn. The client states that since the wound on the skin is small, the burn must not be too bad. Which of the following is the best response by the nurse?
Correct Answer: A
Rationale: Electrical burns often cause significant internal damage to muscles, nerves, and blood vessels despite minimal visible skin damage, making this the most accurate and educational response.