ATI LPN Fundamental Exam | Nurselytic

Questions 47

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ATI LPN Fundamental Exam Questions

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Question 1 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.

Question 2 of 5

A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a/an:

Correct Answer: D

Rationale: A hematoma is a collection of blood under intact skin, caused by trauma like a fall.

Question 3 of 5

While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?

Correct Answer: A

Rationale: Emptying the reservoir maintains drainage function and allows monitoring of output; significant changes would then prompt notifying the surgeon.

Question 4 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 5 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?

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.

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