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 who has sustained a gasoline burn to 25% of the body. Which of the following is a priority safety concern when caring for this client?
Correct Answer: D
Rationale: Decontamination is the priority to remove gasoline, which can cause chemical burns and systemic toxicity if absorbed through the skin, preventing further injury.
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
The nurse takes a client's temperature before giving a blood transfusion. The temperature is 100 F orally. The nurse reports the finding to the registered nurse (RN) and anticipates that which action will take place?
Correct Answer: B
Rationale: An elevated temperature may indicate an underlying condition requiring evaluation before transfusion to ensure patient safety, making notification of the provider the appropriate action.
Question 5 of 5
A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) several days ago. What should the nurse do?
Correct Answer: C
Rationale: Prior chickenpox infection typically confers immunity, reducing the risk of reinfection, so the nurse should recognize this immunity when planning care.