ATI LPN
ATI LPN Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a stage 4 sacral pressure injury. The provider has prescribed mechanical debridement. Which of the following is a form of mechanical debridement that the nurse should expect the client to receive?
Correct Answer: B
Rationale: Pulsating lavage is a mechanical debridement method using a pressurized stream of fluid to remove necrotic tissue. Hydrocolloids promote autolytic debridement, enzymes are chemical, and transparent dressings do not debride.
Question 2 of 5
The nurse assesses the large raised scar on the African American patient. How should the nurse document the lesion?
Correct Answer: B
Rationale: A keloid is a raised scar that grows beyond the original wound, common in African Americans due to increased collagen production. A contusion is a bruise, a laceration is a tear, and a hematoma is a blood collection under the skin.
Question 3 of 5
The nurse is alert to the indication of possible dehiscence of an abdominal surgical wound, which would be evidenced by:
Correct Answer: C
Rationale: Increased drainage suggests wound separation (dehiscence) as fluid escapes the incision.
Question 4 of 5
What type of wound heals by delaying the suturing until the infection is resolved?
Correct Answer: C
Rationale: Tertiary intention delays suturing until infection clears, allowing controlled closure.
Question 5 of 5
The nurse is taking care of a post-surgical patient and notes the incision is clean and dry, with sutures intact. The nurse further assesses that the wound is healing by:
Correct Answer: D
Rationale: First intention healing occurs with clean, sutured incisions, minimizing scarring.