ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
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ATI Quiz Bank
1. A nurse on a surgical unit is caring for four clients who have healing wounds. Which of the following wounds should
the nurse expect to heal by primary intention?
a. Partial-thickness burns
i. A partial-thickness burn heals by spontaneous re-epithelialization. Since it involves the
uppermost layers of the dermis, scarring can be minimal or extensive depending on the depth of
the burn
b. Stage III pressure ulcer
i. Stage II pressure ulcer will heal by secondary
intention c. Surgical incision
i. With primary intention, a clean wound is closed mechanically, leaving well-approximated edges and
minimal scarring. A surgical incision is an example of wound that heals by primary intention
d. Dehisced sternal wound
i. A dehisced sternal wound can either close by secondary or tertiary intention
2. A nurse is caring for a client who has a large wound healing by secondary intention. The nurse should inform the client
that, in addition to protein, which of the following nutrients promotes wound healing?
a. Vitamin B1
i. Vitamin B1 promotes functioning of the nervous system; however, it does not specifically
promote wound healing
b. Calcium
i. Calcium aids in blood clotting and muscle contraction; however, it does not specifically promote
wound healing
c. Vitamin C
i. A diet high in protein and vitamin C is recommended because these nutrients promote wound healing
d. Potassium
i. Potassium is necessary for muscle activity and fluid balance; however, it does not specifically
promote wound healing
3. A nurse is providing teaching to a client who is wheelchair-bound and his caregiver about ways to reduce the risk
of pressure ulcer formation. Which of the following instructions should the nurse include?
a. “Move between the bed and the wheelchair once every 2 hours.”
i. The nurse should instruct wheelchair-bound clients at risk for pressure ulcer formation to
change position at least once every hour
b. “Make sure that your caregiver massages your skin daily.”
i. The nurse should instruct the client and his caregiver to avoid massaging the skin, especially over
bony prominences, because it can further traumatize fragile tissues
c. “Use a rubber ring when sitting at the bedside.”
i. The nurse should instruct the client and his caregiver to avoid using a rubber ring for sitting because
it reduces circulation to the client’s skin
d. “Shift your weight in the wheelchair every 15 minutes.”
i. This response addresses the safety issue of pressure ulcer risk. Pressure ulcers are most likely
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
,ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
to develop if the client does not shift position frequently to relieve pressure
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
,ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
4. A nurse in a provider’s office is assessing a client’s skin lesions. The nurse notes that the lesions are 0.5 cm (0.20 in) in
size, elevated, and solid with very distinct borders. The nurse should document the findings as which of the following skin
lesions?
a. Papules
i. A papule. Is a small, solid, elevated lesion with distinct borders. It is usually smaller than 10 mm
in diameter. Papules are common lesions of warts and elevated moles
b. Macules
i. A macule is flat, variably shaped, discolored, and small, typically smaller than 10 mm in diameter. A
macule is a change in the color of the skin. Freckles and the rash associated with rubella are types
of macules
c. Wheals
i. Wheals, also known as hives, are transient, elevated, irregularly shaped lesions caused by
localized edema. Wheals are common manifestations of an allergic reaction
d. Vesicles
i. A vesicle is a circumscribed, elevated lesion or blister containing serous fluid. Vesicles typically
arise with herpes simplex, poison ivy, and chickenpox
5. A nurse is assessing a client who is bedridden and was admitted from home. The nurse notes a shallow crater in
the epidermis of the client’s sacral area. The nurse should document that the client has a pressure ulcer at which
of the following stages?
a. IV
i. With a stage IV pressure ulcer, the client has full-thickness tissue loss, with destruction, tissue necrosis,
and visible damage to muscle, bone, or supporting structures. Sinus tracts, deep pockets of infection,
tunneling, and undermining can occur.
b. I
i. With a stage I pressure ulcer, the skin is intact with an area of persistent, nonblanchable redness,
usually over a bony prominence, that might feel warm or cool when touched. The tissue is swollen
and congested, and the client might report discomfort at the site. With darker skin tones, the ulcer
can appear blue or purple and different from other skin areas.
c. III
i. With a stage III pressure ulcer, there is full-thickness tissue loss with damage to or necrosis of
subcutaneous tissue. The ulcer might extend down to, but not through, underlying fascia. The ulcer
appears as a deep crater with or without undermining of adjacent tissue and without exposed muscle
or bone. Drainage and infection are common.
d. II
i. With a stage II pressure ulcer, there is partial-thickness skin loss involving the epidermis and the
dermis. The ulcer is visible and superficial and can appear as an abrasion, blister, or shallow crater.
Edema persists, and the ulcer might become infected. The client might report pain, and there might
be a small amount of drainage.
6. A nurse is caring for a client who has a stage II pressure ulcer. Which of the following wound dressings should the
nurse apply to the ulcer?
a. Hydrocolloid
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
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, ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
i. The nurse should apply a hydrocolloid dressing to a stage II pressure ulcer. This type of dressing
is applied to absorb exudate and to produce a moist environment that will facilitate healing
while preventing maceration of surrounding skin.
b. Collagen
i. The nurse should apply collagen to a clean, moist wound to stop bleeding, bring cells into the
wound, and stimulate their proliferation to facilitate healing.
c. Calcium alginate
i. The nurse should apply collagen to a clean, moist wound to stop bleeding, bring cells into the
wound, and stimulate their proliferation to facilitate healing.
d. Proteolytic enzyme
i. The nurse should apply collagen to a clean, moist wound to stop bleeding, bring cells into the
wound, and stimulate their proliferation to facilitate healing.
7. A nurse is caring for a client who has a stage III pressure ulcer on the heel. When preparing to irrigate the wound, which
of the following actions should the nurse take first?
a. Obtain the prescribed irrigation solution
i. The nurse should obtain the prescribed irrigation solution prior to performing the procedure;
however, there is another action the nurse should take first.
b. Don PPE
i. The nurse should don personal protective equipment prior to performing the procedure to prevent
exposure to blood or bodily fluids from the client’s wound; however, there is another action the
nurse should take first.
c. Check the client’s pain level
i. The nurse should apply the nursing process priority-setting framework to plan client care and prioritize
nursing actions. Each step of the nursing process builds on the previous step, beginning with an
assessment or data collection. Before the nurse can formulate a plan of action, implement a nursing
intervention, or notify the provider of a change in the client's status, the nurse must first collect
adequate data from the client. Assessing or collecting additional data will provide the nurse with the
knowledge to make an appropriate decision. Therefore, the nurse should determine the client’s level
of pain prior to the procedure to evaluate the need for administration of an analgesic. Medicating the
client approximately 30 minutes prior to wound care will decrease pain and increase comfort.
d. Place a waterproof pad under the client’s extremity
i. The nurse should place a waterproof pad under the client’s extremity to protect the linens from
moisture and contamination during the irrigation; however, there is another action the nurse
should take first.
8. A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on the toes. Which of the
following findings of PVD is a risk factor for ulceration of the extremities?
a. Insufficient skin care
i. Insufficient skin care is not the cause of ulcers on the toes of a client who has PVD. However, poor
skin care can lead to skin infections and breakdown.
b. Dehydration
i. Dehydration is not the cause of ulcerations of the client's toes. However, dehydration can delay
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
GRADED A+ SUCCESS ASSUARED
ATI Quiz Bank
1. A nurse on a surgical unit is caring for four clients who have healing wounds. Which of the following wounds should
the nurse expect to heal by primary intention?
a. Partial-thickness burns
i. A partial-thickness burn heals by spontaneous re-epithelialization. Since it involves the
uppermost layers of the dermis, scarring can be minimal or extensive depending on the depth of
the burn
b. Stage III pressure ulcer
i. Stage II pressure ulcer will heal by secondary
intention c. Surgical incision
i. With primary intention, a clean wound is closed mechanically, leaving well-approximated edges and
minimal scarring. A surgical incision is an example of wound that heals by primary intention
d. Dehisced sternal wound
i. A dehisced sternal wound can either close by secondary or tertiary intention
2. A nurse is caring for a client who has a large wound healing by secondary intention. The nurse should inform the client
that, in addition to protein, which of the following nutrients promotes wound healing?
a. Vitamin B1
i. Vitamin B1 promotes functioning of the nervous system; however, it does not specifically
promote wound healing
b. Calcium
i. Calcium aids in blood clotting and muscle contraction; however, it does not specifically promote
wound healing
c. Vitamin C
i. A diet high in protein and vitamin C is recommended because these nutrients promote wound healing
d. Potassium
i. Potassium is necessary for muscle activity and fluid balance; however, it does not specifically
promote wound healing
3. A nurse is providing teaching to a client who is wheelchair-bound and his caregiver about ways to reduce the risk
of pressure ulcer formation. Which of the following instructions should the nurse include?
a. “Move between the bed and the wheelchair once every 2 hours.”
i. The nurse should instruct wheelchair-bound clients at risk for pressure ulcer formation to
change position at least once every hour
b. “Make sure that your caregiver massages your skin daily.”
i. The nurse should instruct the client and his caregiver to avoid massaging the skin, especially over
bony prominences, because it can further traumatize fragile tissues
c. “Use a rubber ring when sitting at the bedside.”
i. The nurse should instruct the client and his caregiver to avoid using a rubber ring for sitting because
it reduces circulation to the client’s skin
d. “Shift your weight in the wheelchair every 15 minutes.”
i. This response addresses the safety issue of pressure ulcer risk. Pressure ulcers are most likely
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
,ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
to develop if the client does not shift position frequently to relieve pressure
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
,ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
4. A nurse in a provider’s office is assessing a client’s skin lesions. The nurse notes that the lesions are 0.5 cm (0.20 in) in
size, elevated, and solid with very distinct borders. The nurse should document the findings as which of the following skin
lesions?
a. Papules
i. A papule. Is a small, solid, elevated lesion with distinct borders. It is usually smaller than 10 mm
in diameter. Papules are common lesions of warts and elevated moles
b. Macules
i. A macule is flat, variably shaped, discolored, and small, typically smaller than 10 mm in diameter. A
macule is a change in the color of the skin. Freckles and the rash associated with rubella are types
of macules
c. Wheals
i. Wheals, also known as hives, are transient, elevated, irregularly shaped lesions caused by
localized edema. Wheals are common manifestations of an allergic reaction
d. Vesicles
i. A vesicle is a circumscribed, elevated lesion or blister containing serous fluid. Vesicles typically
arise with herpes simplex, poison ivy, and chickenpox
5. A nurse is assessing a client who is bedridden and was admitted from home. The nurse notes a shallow crater in
the epidermis of the client’s sacral area. The nurse should document that the client has a pressure ulcer at which
of the following stages?
a. IV
i. With a stage IV pressure ulcer, the client has full-thickness tissue loss, with destruction, tissue necrosis,
and visible damage to muscle, bone, or supporting structures. Sinus tracts, deep pockets of infection,
tunneling, and undermining can occur.
b. I
i. With a stage I pressure ulcer, the skin is intact with an area of persistent, nonblanchable redness,
usually over a bony prominence, that might feel warm or cool when touched. The tissue is swollen
and congested, and the client might report discomfort at the site. With darker skin tones, the ulcer
can appear blue or purple and different from other skin areas.
c. III
i. With a stage III pressure ulcer, there is full-thickness tissue loss with damage to or necrosis of
subcutaneous tissue. The ulcer might extend down to, but not through, underlying fascia. The ulcer
appears as a deep crater with or without undermining of adjacent tissue and without exposed muscle
or bone. Drainage and infection are common.
d. II
i. With a stage II pressure ulcer, there is partial-thickness skin loss involving the epidermis and the
dermis. The ulcer is visible and superficial and can appear as an abrasion, blister, or shallow crater.
Edema persists, and the ulcer might become infected. The client might report pain, and there might
be a small amount of drainage.
6. A nurse is caring for a client who has a stage II pressure ulcer. Which of the following wound dressings should the
nurse apply to the ulcer?
a. Hydrocolloid
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
, ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
i. The nurse should apply a hydrocolloid dressing to a stage II pressure ulcer. This type of dressing
is applied to absorb exudate and to produce a moist environment that will facilitate healing
while preventing maceration of surrounding skin.
b. Collagen
i. The nurse should apply collagen to a clean, moist wound to stop bleeding, bring cells into the
wound, and stimulate their proliferation to facilitate healing.
c. Calcium alginate
i. The nurse should apply collagen to a clean, moist wound to stop bleeding, bring cells into the
wound, and stimulate their proliferation to facilitate healing.
d. Proteolytic enzyme
i. The nurse should apply collagen to a clean, moist wound to stop bleeding, bring cells into the
wound, and stimulate their proliferation to facilitate healing.
7. A nurse is caring for a client who has a stage III pressure ulcer on the heel. When preparing to irrigate the wound, which
of the following actions should the nurse take first?
a. Obtain the prescribed irrigation solution
i. The nurse should obtain the prescribed irrigation solution prior to performing the procedure;
however, there is another action the nurse should take first.
b. Don PPE
i. The nurse should don personal protective equipment prior to performing the procedure to prevent
exposure to blood or bodily fluids from the client’s wound; however, there is another action the
nurse should take first.
c. Check the client’s pain level
i. The nurse should apply the nursing process priority-setting framework to plan client care and prioritize
nursing actions. Each step of the nursing process builds on the previous step, beginning with an
assessment or data collection. Before the nurse can formulate a plan of action, implement a nursing
intervention, or notify the provider of a change in the client's status, the nurse must first collect
adequate data from the client. Assessing or collecting additional data will provide the nurse with the
knowledge to make an appropriate decision. Therefore, the nurse should determine the client’s level
of pain prior to the procedure to evaluate the need for administration of an analgesic. Medicating the
client approximately 30 minutes prior to wound care will decrease pain and increase comfort.
d. Place a waterproof pad under the client’s extremity
i. The nurse should place a waterproof pad under the client’s extremity to protect the linens from
moisture and contamination during the irrigation; however, there is another action the nurse
should take first.
8. A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on the toes. Which of the
following findings of PVD is a risk factor for ulceration of the extremities?
a. Insufficient skin care
i. Insufficient skin care is not the cause of ulcers on the toes of a client who has PVD. However, poor
skin care can lead to skin infections and breakdown.
b. Dehydration
i. Dehydration is not the cause of ulcerations of the client's toes. However, dehydration can delay
ATI EXAM TEST BANK QUESTIONS WITH CORRECT ANSWERS
GRADED A+ SUCCESS ASSUARED
