ATI RN
ATI Comprehensive Predictor 2023 Exit Exam B Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Full-thickness tissue loss with visible muscle. This finding indicates a stage III pressure ulcer, where the damage extends through the skin into deeper tissues. The nurse would expect to see visible muscle or bone, indicating severe tissue damage.
Choice A is incorrect because erythema and intact skin are signs of a stage I pressure ulcer.
Choice C describes a stage I pressure ulcer, which is characterized by blanchable redness that disappears with pressure relief.
Choice D is indicative of a stage IV pressure ulcer, where eschar covers the wound indicating severe tissue necrosis.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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