ATI LPN
ATI LPN Fundamental Exam Questions
Extract:
Question 1 of 5
The patient entered the hospital with a reddened area that does not blanch with pressure over the left hip. He states that it is painful. This is indicative of which stage of pressure injury?
Correct Answer: A
Rationale: Stage 1 pressure injuries present as non-blanchable redness with intact skin and may be painful.
Question 2 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 3 of 5
A nurse is selecting dressings for a client who has a full-thickness pressure injury and is experiencing considerable pain during dressing changes, despite the administration of the prescribed analgesic prior to wound care. Which of the following types of dressings should the nurse select to help minimize the pain of dressing changes?
Correct Answer: B
Rationale: Hydrogel dressings are soothing and reduce pain by maintaining moisture, unlike wet-to-dry, which can stick and hurt.
Question 4 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):
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.
Question 5 of 5
A 28-year-old male patient at your clinic reports a minor motorcycle accident that occurred 5 days ago, resulting in several scrapes and wounds. The wound on his calf has a pinkish-red center area that appears bumpy. What does this indicate about the wound?
Correct Answer: A
Rationale: Pinkish-red, bumpy tissue indicates granulation, a sign of healing in the proliferative phase.