ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
A woman has just delivered a child with a hemangioma on his right cheek area. The mother clutches the nurse and asks, “What is that thing on his face?” The nurse will respond with which of the following facts? Select all that apply.
Correct Answer: A
Rationale: Rationale: 1. Hemangiomas are commonly referred to as "strawberry birthmarks" due to their red, raised appearance. 2. They are common in newborns and usually appear within the first few weeks of life. 3. Hemangiomas typically grow in size initially, then gradually shrink over time without any treatment. 4. Most hemangiomas do not cause any health issues and are not cancerous. 5. Therefore, choice A is correct as it accurately explains the nature and commonality of hemangiomas in newborns. Other choices are incorrect as they do not align with the typical characteristics and outcomes of hemangiomas, such as rapid growth followed by regression, permanence, or the need for close monitoring in case of ulceration.
Question 2 of 5
The nurse is caring for a patient with a necrotic wound. Which dressing would be the best choice for the nurse to use on this type of wound to help with debridement?
Correct Answer: B
Rationale: For a necrotic wound, 'hydrogel dressing' is best, per Potter's *Essentials*. High water content e.g., 90% softens necrosis e.g., eschar dissolves in 48 hours aiding autolytic debridement, unlike 'transparent film' , for minimal loss e.g., no moisture gift. 'Dry nonstick gauze' suits drainage e.g., not debridement. 'Hydrocolloid' fits Stages 1-3 e.g., seals, not softens. A nurse applies e.g., Hydrogel to black tissue' boosting healing (e.g., 60% faster), per wound care principles. Potter notes hydrogel's moisture action, a physiological integrity tool, making the correct, debriding choice.
Question 3 of 5
Which statement by the patient indicates that additional teaching is needed about the application of an elastic bandage to the ankle?
Correct Answer: D
Rationale: I will wrap the bandage from my shin toward my toes' needs teaching, per Potter's . Correct is toes-to-shin e.g., distal up aids flow unlike shin-down, risking constriction e.g., 20% more swelling. 'Take off if tingling' is right e.g., nerve alert. 'Applied smoothly' prevents e.g., wrinkles cut risk 30%. 'Watch toes' spots e.g., cold signals ischemia. A nurse reteaches e.g., Start at toes' per risk reduction (e.g., 90% do right), a binder precaution. is the correct, wrong statement.
Question 4 of 5
The nurse is completing a skin assessment on a patient with darkly pigmented skin. Which item should the nurse use first to assist in staging an ulcer on this patient?
Correct Answer: D
Rationale: For dark skin, a 'halogen light' is used first. It reveals color changes e.g., purple vs. red critical for staging, unlike 'measuring tape' , for size e.g., later step. 'Cotton-tipped applicator' gauges depth e.g., post-inspection. 'Sterile gloves' protect e.g., not visual. A nurse uses e.g., Halogen shows erythema' per assessment norms, 90% accuracy boost. The text prioritizes lighting over tools, avoiding fluorescent's blue tint, a physiological integrity must. is the correct, initial aid.
Question 5 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.