ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is completing her physical assessment on her newly admitted patient. She is assessing the patient's skin and documenting her findings. How should she document the following wound?
Correct Answer: B
Rationale: The nurse should document the wound as a Stage II Pressure Ulcer. This stage involves partial thickness skin loss involving the epidermis and/or dermis. It presents as an abrasion, blister, or shallow crater. It is important for the nurse to accurately document the wound stage to guide appropriate treatment and monitoring.
Choice A (Stage I) is incorrect as it involves intact skin with non-blanchable redness.
Choice C (Stage IV) is incorrect as it involves full-thickness tissue loss with exposed bone, tendon, or muscle.
Choice D (Stage III) is incorrect as it involves full-thickness tissue loss with visible fat.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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