ATI Fundamentals Final Exam

Extract:

Question 1 of 5

While performing a bed bath,the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

A. Stage II pressure ulcer B. Stage IV pressure ulcer C. Stage I pressure ulcer D. Stage III pressure ulcer

Correct Answer: A

Rationale: The correct answer is A: Stage II pressure ulcer. This stage involves partial-thickness loss of skin involving epidermis and dermis. Characteristics include a shallow open ulcer with a red-pink wound bed. Stage IV ulcers involve full-thickness tissue loss with extensive destruction, while Stage I ulcers present as non-blanchable erythema. Stage III ulcers involve full-thickness tissue loss with visible fat, and are deeper than Stage II ulcers.
Therefore, based on the description provided, the most appropriate classification for the wound on the sacral area is Stage II pressure ulcer.

Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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ATI Fundamentals Final Exam | Nurselytic

Nurselytic

ATI RN

ATI RN