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
What type of wound heals by edges approximating with a suture?
Correct Answer: C
Rationale: Primary intention healing occurs when wound edges are brought together with sutures, minimizing scarring. Secondary intention heals open wounds, tertiary delays closure, and remodeling is a phase, not a type.
Question 3 of 5
A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:
Correct Answer: D
Rationale: Hydrocolloid dressings maintain a moist environment to promote autolytic debridement and healing, not to dry the wound or kill microbes directly.
Question 4 of 5
A nurse is assessing a surgical patient for internal hemorrhage. Which of the following would indicate internal hemorrhage?
Correct Answer: D
Rationale: Restlessness, rising pulse, and falling blood pressure indicate hypovolemic shock from internal hemorrhage due to blood loss affecting circulation.
Question 5 of 5
Because the patient with an abdominal dressing requires frequent dressing changes, and the abdomen is beginning to show skin irritation from repeated tape removal, the nurse would change the dressing procedure in order to use:
Correct Answer: C
Rationale: Montgomery straps allow frequent dressing changes without removing tape from the skin, reducing irritation.