ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client during the fluid resuscitation phase of burn management. Which of the following is the best method for assessing the results of the fluid resuscitation?
Correct Answer: A
Rationale: Urine output of at least 0.5 mL/kg/hr indicates adequate renal perfusion, reflecting successful fluid resuscitation in burn patients.
Question 3 of 5
A nurse cares for a patient who has a deep wound that is being treated with a wet to-damp (used to be dry) dressing. Which intervention would the nurse include in this patient's plan of care?
Correct Answer: A
Rationale: Changing saturated dressings prevents maceration and maintains a moist healing environment.
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 reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Oxygen saturation 80%, Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?
Correct Answer: B
Rationale: Low pH and high PaCO2 indicate respiratory acidosis, likely due to hypoventilation.