ATI Fundamentals Exam Special Unit ADN | Nurselytic

Questions 45

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ATI Fundamentals Exam Special Unit ADN Questions

Extract:


Question 1 of 5

The wound care nurse is monitoring a patient with a stage III pressure ulcer whose wound presents with healthy tissue. How should the nurse document this in the patient's medical record?

Correct Answer: C

Rationale: The correct answer is C: Healing Stage III Pressure Ulcer. This choice accurately reflects the current status of the wound - it is a stage III pressure ulcer that is in the healing process, with healthy tissue present. Documenting it as a Stage I (choice
A) would be incorrect as it does not reflect the severity of the original injury. Selecting B (Stage III Pressure Ulcer) would also be incorrect since the wound is in the healing stage.
Choice D (Healing Stage II Pressure Ulcer) is incorrect because the wound is actually a stage III ulcer.

Choices E, F, and G are not relevant as they do not describe the specific status of the wound. In summary, choice C is the most accurate representation of the current condition of the wound, acknowledging both the original severity and the ongoing healing process.

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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