The nurse is performing a dry sterile dressing change for an... | ATI PN Custom Fundamentals CH 38

Practice Question

The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean:

Answer Choices:

A. From the left to the right across the wound.

B. From the outer abdomen toward the wound.

C. In a circular motion around the wound, circling to the outside. ✓ Correct Answer

D. Directly over the wound.

Correct Answer:

In a circular motion around the wound, circling to the outside.

Rationale:

🔄 When performing a dry sterile dressing change, the correct technique is to clean in a circular motion starting from the center of the wound and moving outward.

🔄 This method helps prevent introducing microorganisms from less clean to more clean areas, thereby reducing the risk of infection.

🔄 Cleaning from left to right or outer to inner can bring contaminants into the wound.

🔄 Cleaning directly over the wound without spiraling outward doesn’t follow aseptic principles and risks spreading bacteria.

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A nurse performing a right eye irrigation will position the patient:

Answer Choices:

A. Supine with the head tilted toward the right eye.

B. Upright with the head tilted toward the left eye.

C. Upright with the head hyperextended.

D. Supine with the head hyperextended.

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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?

Answer Choices:

A. Leave it until the end of the shift.

B. Remove the drain.

C. Empty the reservoir.

D. Notify the surgeon about the blood loss.

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The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:

Answer Choices:

A. Moisten it with povidone iodine.

B. Pull it off using slow, steady pressure.

C. Add normal saline to loosen it.

D. Leave it in place and cover it with new, wet dressings.

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A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

Answer Choices:

A. Full thickness skin loss with visible adipose tissue.

B. Full thickness skin loss with visible bone.

C. Intact skin with localized erythema.

D. Partial-thickness skin loss with red tissue in the wound bed.

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When preparing to change a sterile dressing over an incision, it is most important to remember to:

Answer Choices:

A. Remind him to remain very still during the procedure.

B. Place a discard bag close to the wound.

C. Change gloves after removing the old dressing.

D. Refrain from talking while the wound is uncovered.

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ATI PN Custom Fundamentals CH 38

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Question Details

Category: LPN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: FUNDAMENTALS OF NURSING PN
Answer Choices: 4

NursingSprint

Practice Question

The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean:

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A nurse performing a right eye irrigation will position the patient:

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?

The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:

A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

When preparing to change a sterile dressing over an incision, it is most important to remember to:

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ATI PN Custom Fundamentals CH 38

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Practice Question

The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean:

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A nurse performing a right eye irrigation will position the patient:

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?

The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:

A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

When preparing to change a sterile dressing over an incision, it is most important to remember to:

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ATI PN Custom Fundamentals CH 38

Question Details

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