ATI LPN
ATI LPN Fundamental Exam Questions
Extract:
Question 1 of 5
The nurse clarifies that the second stage of wound healing is:
Correct Answer: A
Rationale: Proliferation is the second stage, involving granulation and epithelialization, following inflammation.
Question 2 of 5
What is the physiological effect of moist heat on the treated area?
Correct Answer: C
Rationale: Moist heat dilates blood vessels, increasing blood flow and promoting healing.
Question 3 of 5
While changing a wet-to-dry normal saline dressing for a patient with an ulcer on the heel, the nurse finds that the old dressing is stuck to the wound bed. What would be the most beneficial intervention by the nurse?
Correct Answer: C
Rationale: Adding saline loosens the dressing without damaging new tissue, unlike pulling it off dry.
Question 4 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 5 of 5
When the patient complains of worsening due to increased swelling at the wound site on his leg, the nurse explains that the swelling indicates:
Correct Answer: D
Rationale: Swelling from dilated vessels leaking plasma is part of the inflammatory response, not necessarily infection.