ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A patient with cancer is experiencing hair loss from chemotherapy treatments. Which term should the nurse use to document this finding?
Correct Answer: A
Rationale: Hair loss is called alopecia. Allopathy is a system of medicine. Ecchymosis is bruising. Keratopenia is not a medical term.
Question 2 of 5
Which of the following is the most appropriate nursing intervention to facilitate healing in a patient who has suffered a hip fracture?
Correct Answer: B
Rationale: Placing a pillow between the patient's legs when turning prevents adduction and supports the patient's legs. Administering analgesics addresses pain but does not directly protect bone remodeling and promote healing. Rotation of the affected leg can cause dislocation and must be avoided. Prone positioning does not need to be maintained at all times.
Question 3 of 5
The nurse is preparing information on the integumentary system for a group of high school students. Which layer of the skin should the nurse explain that plays an initial role in immunity?
Correct Answer: D
Rationale: The outermost layer of the epidermis serves as the first line of defense against pathogens, playing an initial role in immunity.
Question 4 of 5
The nurse suspects that a patient's disrupted skin integrity has a chemical basis. What could have caused this patient's health problem?
Correct Answer: A
Rationale: Urine can cause chemical irritation and skin breakdown.
Question 5 of 5
A patient weighing 187 lbs, has 38% total body surface area burns. Using the Parkland formula, how much fluid should this patient receive over the first eight hours after the burn occurred? Record your answer as a whole number.
Correct Answer: B
Rationale: Parkland formula: 4 mL × kg × %TBSA. 187 lbs = 85 kg. 4 × 85 × 38 = 12,920 mL total; half (6,460 mL) in first 8 hours, rounded to 6,426.