ATI LPN
ATI LPN Fundamental Exam Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
What stage is a wound if the epidermis is closed and has unblanchable redness?
Correct Answer: A
Rationale: Stage 1 pressure injuries show unblanchable redness with intact skin.
Question 4 of 5
A nurse is planning care for a client who has multiple wounds. During the initial stage of wound healing, which of the following should the nurse include in the plan of care?
Correct Answer: A
Rationale: Oxygen supports the initial inflammatory stage by aiding cellular function, unlike corticosteroids, which delay healing.
Question 5 of 5
Which type of wound debridement is Dakin's solution used for?
Correct Answer: D
Rationale: Dakin's solution is a chemical debridement agent that breaks down necrotic tissue.