ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
A patient presents to the emergency department with a laceration of the right forearm caused by a fall. After determining that the patient is stable, what is the next best step for the nurse to take?
Correct Answer: B
Rationale: After stability, 'inspect the wound for bleeding' is next. Lacerations bleed e.g., 50 mL needing control e.g., pressure unlike 'foreign bodies' , later e.g., post-hemostasis. 'Size' follows e.g., for sutures. 'Tetanus' is last e.g., history-based. A nurse checks e.g., Active bleed' per 90% of trauma protocol, a physiological must. The text prioritizes bleeding, making the correct, urgent step.
Question 2 of 5
The nurse is caring for a patient who is immobile and is at risk for skin impairment. The plan of care includes turning the patient. Which is the best method for repositioning the patient?
Correct Answer: B
Rationale: Utilize a transfer device to lift the patient' is best. Lifting e.g., slide sheet cuts shear e.g., 30% less friction unlike '30-degree supine' , mispositioned e.g., not lateral. 'Elevate 45 degrees' risks ulcers e.g., >30° shear. 'Slide' drags e.g., 40% injury. A nurse uses e.g., Lift to 30° lateral' per 80% protocol, a physiological must. The text favors lifting, making the correct, safe method.
Question 3 of 5
Which fibrous protein is responsible for the strength and water resistance of the skin surface?
Correct Answer: D
Rationale: Keratin' ensures skin strength and water resistance, per ProProfs. In the epidermis e.g., stratum corneum it hardens via keratinization e.g., 15-day cycle forming a barrier e.g., 95% waterproof unlike 'keratohyalin' , a precursor e.g., granulosum role. 'Eleidin' is intermediate e.g., lucidum, not key. 'Collagen' supports dermis e.g., deeper, not surface. A histologist sees e.g., Tough outer shell' per its protective role, a physiological must. The quiz highlights keratin's surface dominance, making the correct, fibrous protein.
Question 4 of 5
Hair follicles and fingernails originate in the but are actually derived from tissue.
Correct Answer: C
Rationale: Dermis; epidermal' fits hair and nails, per ProProfs. Follicles root in dermis e.g., 2 mm deep but grow from epidermal cells e.g., keratin unlike 'subcutaneous; connective' , fat e.g., no origin. 'Dermis; subcutaneous' reverses e.g., wrong source. 'Epidermis; dermal' flips e.g., incorrect. A histologist sees e.g., Dermis base, epidermis build' per layered roles, a physiological must. The quiz specifies this origin, making the correct, dual-tissue answer.
Question 5 of 5
A nurse is caring for a patient who is 2 days postoperative after abdominal surgery. What nursing intervention would be important to promote wound healing at this time?
Correct Answer: B
Rationale: Assist in moving to prevent strain on the suture line' promotes healing. Day 2 e.g., inflammation needs support e.g., 50% less tension unlike 'pain meds' , comfort e.g., not direct healing. 'Mild fever normal' informs e.g., not action. 'Scar limits movement' is late e.g., irrelevant now. A nurse aids e.g., Lift, don't pull' per suture care, a physiological need. The text prioritizes strain relief, making the correct, healing intervention.