ATI RN
ATI Nurs 100 Fundamental Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Partial-thickness skin loss with red tissue in wound bed. In a stage 2 pressure injury, there is partial-thickness skin loss involving the epidermis and possibly part of the dermis, resulting in a shallow open wound with a red-pink wound bed. This stage is characterized by intact or ruptured blister formation.
Choice A is incorrect because intact skin with localized erythema is more indicative of a stage 1 pressure injury.
Choice B is incorrect as it describes a stage 3 pressure injury with full-thickness skin loss exposing adipose tissue.
Choice D is incorrect as it describes a stage 4 pressure injury with full-thickness skin loss exposing bone. Thus, choice C is the most appropriate finding for a stage 2 pressure injury.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: