ATI Wound Care Posttest Exam
Questions With All Correct Answers
Verified Answers 2025 Marking
Scheme New Update
A nurse is documenting data about a deep necrotic wound on a client's left buttock. The
nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps
and adhering firmly to the wound bed. Which of the following assessment findings
should the nurse document? - Answer- Slough
[DEF: stringy necrotic tissue that appears whitish/yellowish/tan in color & is firmly
attached to the wound bed]
A nurse is caring for a client who has heavy drainage from a moist red wound that is
bleeding. Which of the following types of dressings should the nurse select to help
promote hemostasis? - Answer- Alginate
[DEF: Alginate dressings help establish hemostasis while providing a moist environment
for healing and absorption of exudate. They do not adhere to the wound, so removal is
unlikely to cause further bleeding.]
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? -
Answer- Apply oxygen at 2L/min via nasal cannula
[RATIONALE: Following an acute injury, the body responds best by increasing oxygen
to improve perfusion, which is essential for healing. It is common to see a delay in the
resolution of the inflammatory phase of chronic wounds in clients who have a lack of
oxygen or poor perfusion.]
A nurse is caring for a client who has multiple sclerosis and a chronic nonhealing
wound. The nurse should recognize that which of the following types of medications is
know to delay wound healing? - Answer- Corticosteroids
[RATIONALE: Corticosteroids suppress the immune system and can therefore delay
wound healing.]
A nurse is caring for a client who has a stage 4 sacral pressure injury for which the
provider has prescribed mechanical debridement. Which of the following is a form of
mechanical debridement that the nurse should expect the client to receive? - Answer-
Pulsating lavage
Questions With All Correct Answers
Verified Answers 2025 Marking
Scheme New Update
A nurse is documenting data about a deep necrotic wound on a client's left buttock. The
nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps
and adhering firmly to the wound bed. Which of the following assessment findings
should the nurse document? - Answer- Slough
[DEF: stringy necrotic tissue that appears whitish/yellowish/tan in color & is firmly
attached to the wound bed]
A nurse is caring for a client who has heavy drainage from a moist red wound that is
bleeding. Which of the following types of dressings should the nurse select to help
promote hemostasis? - Answer- Alginate
[DEF: Alginate dressings help establish hemostasis while providing a moist environment
for healing and absorption of exudate. They do not adhere to the wound, so removal is
unlikely to cause further bleeding.]
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? -
Answer- Apply oxygen at 2L/min via nasal cannula
[RATIONALE: Following an acute injury, the body responds best by increasing oxygen
to improve perfusion, which is essential for healing. It is common to see a delay in the
resolution of the inflammatory phase of chronic wounds in clients who have a lack of
oxygen or poor perfusion.]
A nurse is caring for a client who has multiple sclerosis and a chronic nonhealing
wound. The nurse should recognize that which of the following types of medications is
know to delay wound healing? - Answer- Corticosteroids
[RATIONALE: Corticosteroids suppress the immune system and can therefore delay
wound healing.]
A nurse is caring for a client who has a stage 4 sacral pressure injury for which the
provider has prescribed mechanical debridement. Which of the following is a form of
mechanical debridement that the nurse should expect the client to receive? - Answer-
Pulsating lavage
