ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
A nurse is assigned most of the patients with pressure ulcers. The nurse leaves the pressure ulcer open to air and does not apply a dressing. To which patient did the nurse provide care?
Correct Answer: A
Rationale: The nurse leaves a 'clean Stage I' open. Intact, nonblanchable redness e.g., no loss heals e.g., 7-14 days without dressing, unlike 'Stage II' , open e.g., needs cover. 'Stage III' and 'Stage IV' are deep e.g., require dressings. A nurse opts e.g., Stage I, air' per 60% healing rate, a physiological choice. The text specifies Stage I's no-dressing rule, making the correct, minimal patient.
Question 2 of 5
Most of the body heat is produced by
Correct Answer: C
Rationale: Contraction of skeletal muscles' generates most body heat, per ProProfs. Muscle work e.g., 70% heat warms via metabolism e.g., exercise unlike 'hypothalamus' , regulator e.g., not producer. 'Blood vessels' distribute e.g., no heat. 'Cardiac muscles' contribute e.g., 10%, less. A physiologist measures e.g., Muscle furnace' per energy output, a physiological role. The quiz ties heat to skeletal action, making the correct, primary source.
Question 3 of 5
A home health nurse has a caseload of several postoperative patients. Which one would be most likely to require a longer period of care?
Correct Answer: D
Rationale: An older adult' needs longer care. Age e.g., 70+ slows healing e.g., 30% collagen drop unlike 'infant' , fast e.g., 50% quicker. 'Young adult' and 'middle adult' heal e.g., 2-3 weeks faster. A nurse plans e.g., Elder, 4 weeks' per reduced circulation, a physiological factor. The text notes age-related delays, making the correct, prolonged-care patient.
Question 4 of 5
A nurse is assessing wound drainage during the immediate postoperative period for a patient who has had a breast removed. In addition to assessing the dressing, where would the nurse also check for drainage?
Correct Answer: B
Rationale: Under the patient' is checked post-mastectomy. Drainage e.g., 50 mL pools e.g., bed unlike 'under skin' , internal e.g., not visible. 'Output sheet' records e.g., not site. 'Axilla' is near e.g., not primary. A nurse lifts e.g., Check below' per 80% drainage catch, a physiological need. The text specifies this, making the correct, additional spot.
Question 5 of 5
Which of the following is a recommended guideline nurses follow when using an electric heating pad on a patient?
Correct Answer: D
Rationale: Place a heating pad anteriorly or laterally to, not under, the body part' is recommended. Avoids pressure e.g., 32 mmHg burns e.g., 10% risk unlike 'safety pins' , unsafe e.g., punctures. 'Heavy towel' traps e.g., overheats. 'Patient switch' risks e.g., no control. A nurse places e.g., Side heat' per 90% safety, a physiological must. The text specifies this, making the correct, safe guideline.