ATI LPN Fundamental Exam

Extract:

Question 1 of 5

A nurse is removing a wound dressing that is saturated with blood and purulent drainage. Which of the following methods should the nurse use when disposing of the soiled dressing?

A. Wrap the dressing in a clear plastic bag and discard it in the bedside trash receptacle.B. Double bag the dressing, label it "biohazard," and send it for decontamination.C. Discard the dressing in the bedside trash receptacle.D. Place the dressing in a biohazardous waste container.

Correct Answer: D

Rationale: Blood and purulent drainage require disposal in a biohazard container per infection control standards.

Question 2 of 5

The nurse places Dakin's solution in a wound for which purpose?

A. Chemical debridementB. HealingC. PhagocytosisD. Primary intention

Correct Answer: A

Rationale: Dakin's solution chemically debrides by breaking down necrotic tissue.

Question 3 of 5

A patient who underwent a mastectomy must be discharged home with a Jackson-Pratt wound drain in place. As the patient demonstrates the procedure for emptying it, which action should the nurse correct?

A. Points the device away from herself while opening it.B. Refrains from touching the drainage spout with her hand.C. Compresses the device in her hand before closing it.D. Uses one alcohol wipe to clean both the spout and the plug.

Correct Answer: D

Rationale: Using one wipe for both spout and plug risks contamination; separate wipes maintain sterility.

Question 4 of 5

The nurse is performing a dry sterile dressing change for an abdominal wound. In which direction should the nurse use a swab to clean?

A. Directly over the woundB. In a circular motion around the wound, circling to the outsideC. From the outer abdomen toward the woundD. From the left to the right across the wound

Correct Answer: C

Rationale: Cleaning from the outer abdomen toward the wound prevents contamination of the sterile field by moving from the least to the most contaminated area.

Question 5 of 5

Many factors aid in healing. You can assist the patient in improving their healing ability by encouraging the following (Select all that apply):

A. Keeping skin and surrounding tissue clean and dry.B. Proper nutrition with adequate protein and vitamins.C. Resting as much as possible and keeping the incisional area still.D. Increasing fluid intake to at least 4000 mL per day.E. Exercise and deep breathing to increase oxygen.

Correct Answer: A,B,C,E

Rationale: A: Reduces infection risk. B: Supports tissue repair. C: Minimizes tension on the wound. E: Oxygen aids healing. 4000 mL (
D) is excessive unless specified.

ATI LPN Fundamental Exam | Nurselytic

Nurselytic

ATI LPN

ATI LPN