ATI RN COMMUNITY HEALTH PROCTORED EXAM

ATI RN COMMUNITY HEALTH
v v v v




PROCTORED EXAM v




1. Whichvnursingvobservationvwillvindicatevthevpatientvisvatvriskvforvpressureulcervformation?
a. v Thevpatientvhasvfecalvincontinence.



b. Thevpatientvatevtwovthirdsvofvbreakfast.
c. Thevpatientvhasvavraisedvredvrashvonvthevrightvshin.



d. Thevpatient’svcapillaryvrefillvisvlessvthanv2vseconds.



ANS:vA

Thevpresencevandvdurationvofvmoisturevonvthevskinvincreasevthevriskvofvulcervformationvbyvmakingvitvs
usceptiblevtovinjury.vMoisturevcanvoriginatevfromvwoundvdrainage,vexcessivevperspiration,vandvfecalvo
rvurinaryvincontinence.vBacteriavandvenzymesvinvthevstoolvcanvenhancevthevopportunityvforvskinvbreak
downvbecausevthevskinvisvmoistenedvandvsoftened,vcausingvmaceration.vEatingvavbalancedvdietvisvimp
ortantvforvnutrition,vbutveatingvjustvtwovthirdsvofvthemealvdoesvnotvindicatevthatvthevindividualvisvatvris
k.vAvraisedvredvrashvonvthevlegvagainvisvavconcernvandvcanvaffectvthevintegrityvofvthevskin,vbutvitvisvlocate
dvonvtheshin,vwhichvisvnotvavhigh-
riskvareavforvskinvbreakdown.vPressurevcanvinfluencevcapillaryvrefill,vleadingvtovskinvbreakdown,vbutvth
isvcapillaryvresponsevisvwithinvnormalvlimits.

2. Thevwoundvcarevnursevvisitsvavpatientvinvthevlong-
termvcarevunit.vThevnursevisvmonitoringvavpatientvwithvavStagevIIIvpressurevulcer.vThevwoundvseems

tovbevhealing,vandvhealthyvtissuevisvobserved.vHowvshouldvthevnursevdocumentthisvulcervinvthev
patient’svmedicalvrecord?
a. StagevIvpressurevulcer



b. HealingvStagevIIvpressurevulcer
1
c. HealingvStagevIIIvpressurevulcer

, d. StagevIIIvpressurevulcer


ANS:vC

Whenvavpressurevulcervhasvbeenvstagedvandvisvbeginningvtovheal,vthevulcervkeepsvthevsamevstagevandvi
svlabeledvwithvthevwordsv“healingvstage”vorvhealingvStagevIIIpressurevulcer.vOncevanvulcervhasvbeenvst
aged,vthevstagevenduresvevenvasvthevulcervheals.vThisvulcervwasvlabeledvavStagevIII,vandvitvcannotvretur
nvtovavpreviousstagevsuchvasvStagevIvorvII.vThisvulcervisvhealing,vsovitvisvnovlongervlabeledvavStagevIII.

3. Thevnursevisvadmittingvanvoldervpatientvfromvavnursingvhome.vDuringvtheassessment,vthev
nursevnotesvavshallowvopenvreddish,vpinkvulcervwithoutvslough

onvthevrightvheelvofvthevpatient.vHowvwillvthevnursevstagevthisvpressurevulcer?
a. StagevI



b. StagevII
c. StagevIII



d. StagevIV


ANS:vB

ThisvwouldvbevavStagevIIvpressurevulcervbecausevitvpresentsvasvpartial-
thicknessskinvlossvinvolvingvepidermisvandvdermis.vThevulcervpresentsvclinicallyvasvanvabrasion,vblist
er,vorvshallowvcrater.vStagevIvisvintactvskinvwithvnonblanchablevrednessvovervavbonyvprominence.vWit
hvavStagevIIIvpressurevulcer,vsubcutaneousfatvmayvbevvisible,vbutvbone,vtendon,vandvmusclesvarevnotv
exposed.vStagevIVvinvolvesvfull-thicknessvtissuevlossvwithvexposedvbone,vtendon,vorvmuscle.

4. Thevnursevisvcompletingvavskinvassessmentvonvavpatientvwithvdarkly


pigmentedvskin.vWhichvitemvshouldvthevnursevusevfirstvtovassistvinvstagingvanulcervonvthisvpatient?
2
a. Disposablevmeasuringvtape

, b. Cotton-tippedvapplicator
c. Sterilevgloves



d. Halogenvlight


ANS:vD

Whenvassessingvavpatientvwithvdarklyvpigmentedvskin,vpropervlightingvisvessentialvtovaccuratelyvcom
pletevthevfirstvstepvinvassessment—inspection—
andvtheventirevassessmentvprocess.vNaturalvlightvorvavhalogenvlightvisvrecommended.Fluorescentvligh
tvsourcesvcanvproducevbluevtonesvonvdarklyvpigmentedvskinvandcanvinterferevwithvanvaccuratevassess
ment.vOthervitemsvthatvcouldvpossiblyvbevusedvduringvthevassessmentvincludevglovesvfor

infectionvcontrol,vavdisposablevmeasuringvdevicevtovmeasurevthevsizevofvthevwound,vandvavcotton-
vtippedvapplicatorvtovmeasurevthevdepthvofvthevwound,vbutthesevitemsvarevnotvthevfirstvitemsvused

.



LINKSvFORvALLATIvRESOURCES:


ATIvCOMPREHENSIVEvPREDICTORvEXAMv(v14vLATESTvVERSIONv,2021)v/vCOMPREHENSIVEvATIvPREDIC
TORvEXAMv/vPREDICTORvCOMPREHENSIVEATIvEXAM(ABESTvDOCUMENTFORvEXAM)

https://www.stuvia.com/doc/1113753/ati-comprehensive-predictor-exam-14-versionslatest-
v2021-a-high-score-document




https://www.coursemerit.com/solution-details/58749/ATI-COMPREHENSIVE-
PREDICTOR-EXAM--14-LATEST-VERSION-2021

https://docmerit.com/doc/show/ati-comprehensive-predictor-exam-14-versions- 3
comprehensive-predictor-ati-exam-latest