Practice Question
A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?
Answer Choices:
Correct Answer:
Syringe
Rationale:
🟠 A stage 4 pressure injury involves deep tissue damage, often with tunneling and undermining, requiring irrigation with a syringe to thoroughly clean the wound.
🟠 Syringes deliver controlled pressure to flush debris, exudate, and bacteria from the wound bed safely.
🟠 Cotton-tipped applicators and tongue depressors are used for assessment, not cleansing.
🟠 Adhesive tape is for dressing application, not wound cleansing or assessment.
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This question is from ATI PN Fundamentals ~2023 Exam II which contains 54 questions.
More Questions from This Exam
A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?
Answer Choices:
A. Determine if the client has a support system.
B. Schedule a mental health consult for the client.
C. Provide the client with information about coping strategies.
D. Encourage the client to attend a support group.
A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?
Answer Choices:
A. Determine if the client has a support system.
B. Schedule a mental health consult for the client.
C. Provide the client with information about coping strategies.
D. Encourage the client to attend a support group.
A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?
Answer Choices:
A. Add 0.5 mL of diluent to the medication.
B. Inject air into the ampule prior to drawing the medication into a syringe.
C. Use a filter needle to aspirate the medication.
D. Cleanse the tip of the ampule with an alcohol swab after opening.
A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take
Answer Choices:
A. Play music in the client's room.
B. Keep the client's room well lit.
C. Ensure that the client's room is kept at a cool temperature.
D. Encourage the client to abstain from distracting activities.
A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Answer Choices:
A. Observe the client's skin integrity every 2 hr.
B. Use a square knot to secure the client's restraint to the bed.
C. Ensure that 2 fingers can be placed between the restraint and the client.
D. Tie the ends of the restraint to the client's bed rail.
E. Pad bony prominences before applying a restraint.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4