ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A patient has developed a pressure ulcer. Which laboratory data will be important for the nurse to check?
Correct Answer: C
Rationale: Albumin' is key for a pressure ulcer patient. Low levels e.g., <3.5 g/dL signal malnutrition e.g., 40% slower healing unlike 'vitamin E' , minor e.g., not critical. 'Potassium' and 'sodium' balance fluids e.g., not wound-specific. A nurse checks e.g., Albumin 2.8' per nutritional status, needing protein boost. The text prioritizes albumin and prealbumin over minerals, a physiological integrity must. is the correct, healing-linked data.
Question 2 of 5
The nurse is caring for a patient with a Stage II pressure ulcer and has assigned a nursing diagnosis of Risk for infection. The patient is unconscious and bedridden. The nurse is completing the plan of care and is writing goals for the patient. Which is the best goal for this patient?
Correct Answer: D
Rationale: For an unconscious patient with a Stage II ulcer at risk for infection, 'The patient will remain free of odorous or purulent drainage' is the best goal, per *Fundamentals of Nursing* (9th Ed.). Open skin e.g., 2 mm deep risks bacteria e.g., 30% infection rate making absence of pus a measurable outcome, unlike 'patient will state' , impossible e.g., unconscious. 'Family demonstrate care' and 'family wash hands' are interventions e.g., not patient-focused goals. A nurse aims e.g., No pus by day 5' per infection control, a physiological integrity focus. The text ties this to observable signs, making the correct, realistic goal.
Question 3 of 5
The nurse is caring for a patient after an open abdominal aortic aneurysm repair. The nurse requests an abdominal binder and carefully applies the binder. Which is the best explanation for the nurse to use when teaching the patient the reason for the binder?
Correct Answer: D
Rationale: It supports the abdomen' is the best explanation. A binder e.g., over 20 cm incision stabilizes e.g., 50% less strain unlike 'reduces edema' , minor e.g., not primary. 'Secures dressing' is secondary e.g., not key. 'Immobilizes' overstates e.g., not rigid. A nurse teaches e.g., Supports coughing' per surgical care, a physiological need. The text emphasizes support, making the correct, patient-focused reason.
Question 4 of 5
Which glands discharge an oily secretion into hair follicles?
Correct Answer: D
Rationale: Sebaceous' glands secrete oil into follicles, per ProProfs. Sebum e.g., 0.5 g/day lubricates skin/hair e.g., 80% moisture lock unlike 'apocrine sweat' , thick e.g., odor source. 'Merocrine sweat' cools e.g., watery, no oil. 'Mammary' is milk e.g., unrelated. A dermatologist notes e.g., Shiny hair' per hormonal shifts, a physiological trait. The quiz links sebum to follicles, making the correct, oily gland.
Question 5 of 5
Which of the following statements accurately describes a developmental consideration when assessing skin integrity of patients?
Correct Answer: B
Rationale: An infant's skin and mucous membranes are injured easily and are subject to infection' is accurate, per *Fundamentals*. Thin infant skin e.g., 0.5 mm prone to tears e.g., 50% more unlike 'thicker, stronger' , false e.g., adult 2 mm. 'Child's risk increases' lacks e.g., peaks infancy. 'Older adult circulation, collagen increased' reverses e.g., decreases. A nurse notes e.g., Baby's fragile' per developmental care, a physiological truth. The text highlights infant vulnerability, making the correct, developmental fact.