ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Extract:
Question 1 of 5
What would be considered early signs/symptoms of pressure injury (Stage 1)?
Correct Answer: A
Rationale: Stage 1 pressure injuries show nonblanchable redness on intact skin, indicating early tissue damage.
Question 2 of 5
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Oxygen saturation 80%, Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?
Correct Answer: B
Rationale: Low pH and high PaCO2 indicate respiratory acidosis, likely due to hypoventilation.
Question 3 of 5
A nurse is caring for a client with a pressure injury. Which of the following should the nurse recognize as a priority in the plan of care?
Correct Answer: A
Rationale: Preventing infection by keeping the wound clean is critical, as infections can significantly delay healing and lead to complications in pressure injuries.
Question 4 of 5
A nurse is caring for a client with an electrical burn. The client states that since the wound on the skin is small, the burn must not be too bad. Which of the following is the best response by the nurse?
Correct Answer: A
Rationale: Electrical burns often cause significant internal damage to muscles, nerves, and blood vessels despite minimal visible skin damage, making this the most accurate and educational response.
Question 5 of 5
A nurse assesses a patient's peripheral IV site and notices edema and tenderness above the site. What action will the nurse take next?
Correct Answer: A
Rationale: Edema and tenderness suggest infiltration, requiring immediate cessation of IV fluids to prevent tissue damage.