ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a 70-year-old client who has a pressure injury in the coccyx area. The nurse identifies that which of the following factors associated with aging may impact the ability for the ulcer to heal?
Correct Answer: B
Rationale: Low protein levels impair tissue repair and immune function, hindering pressure injury healing in older adults.
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
A nurse is caring for a client with a pressure injury. Which of the following should the nurse recognize as a priority in the plan of care?
Correct Answer: A
Rationale: Preventing infection by keeping the wound clean is critical, as infections can significantly delay healing and lead to complications in pressure injuries.
Question 4 of 5
A postoperative patient has an abdominal drain. What assessment by the nurse indicates that goals for the priority patient problems related to the drain are being met?
Correct Answer: A
Rationale: Absence of infection signs at the drain site indicates proper function and no complications.
Question 5 of 5
A nurse is caring for a client with a chronic wound and is discussing smoking cessation. The client does not understand how smoking may impact wound healing. Which of the following would be the best nurse response?
Correct Answer: B
Rationale: Nicotine-induced vasoconstriction reduces blood flow, impairing oxygen and nutrient delivery essential for wound healing.