ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
Papulosquamous dermatoses, such as psoriasis, are a group of skin disorders characterized by:
Correct Answer: A
Rationale: The correct answer is A: Scaling papules. Papulosquamous dermatoses like psoriasis are characterized by scaly papules on the skin. The term "papulosquamous" refers to papules (small, raised bumps) with scales. Psoriasis specifically presents as red, scaly patches on the skin. The other choices are incorrect because B: Granular scabbing is not a typical feature of papulosquamous dermatoses, C: Raised red borders are more indicative of other skin conditions like eczema, and D: Nodular ulcerations are not commonly associated with papulosquamous dermatoses.
Question 2 of 5
Which of the following changes in aging skin best explains why an elderly person is at increased risk for a skin tear injury?
Correct Answer: C
Rationale: Aging skin's fragility stems from structural shifts, with 'decreased size of rete ridges' best explaining skin tear risk. Rete ridges epidermal-dermal junctions flatten with age e.g., from 0.2 mm to 0.1 mm reducing adhesion, per Baranoski and Ayello (2004), so minor shear (e.g., tape removal) tears skin. , 'increased epidermal migration,' is false; it slows e.g., healing drops 50% not aiding tears. , 'increased sebum,' reverses; secretion falls e.g., 20% less oil drying skin but not tearing it. , 'decreased dermal thickness,' thins skin e.g., 0.5 mm over tibia vs. 1 mm young but pressure ulcers, not tears, rise here. An 80-year-old's paper-thin arm e.g., 70% tear incidence shows rete ridge loss trumps thickness for tears, a nurse's assessment key in geriatrics. Unlike pressure risk over bones, tears exploit epidermal detachment, per *Wound Care Essentials*, making the precise, primary cause.
Question 3 of 5
The patient has a large red, blistered area on the left hip. Which pressure injury stage will be recorded in the patient's chart?
Correct Answer: B
Rationale: A red, blistered hip area is 'Stage 2' , per Potter's *Essentials*. Partial-thickness loss e.g., ruptured blister 3 cm wide shows dermis, unlike 'Stage 1' , intact redness e.g., no break. 'Stage 3' is full-thickness e.g., fat, not blister. 'Stage 4' exposes bone e.g., deeper than skin. A nurse charts e.g., Blister open, pink' Stage 2's 40% incidence, per NPUAP, needing nonadherent dressing. Potter defines Stage 2 as shallow with no slough, distinct from Stage 3's depth, a physiological integrity marker. is the correct, dermal stage.
Question 4 of 5
Which is the priority nursing assessment for a patient wearing an abdominal binder after abdominal surgery?
Correct Answer: C
Rationale: For an abdominal binder post-surgery, 'lung sounds and pulse oximetry' are priority, per Potter's *Essentials*. Binders support incisions e.g., 10 cm long but tight fit risks breathing e.g., SpO2 drops 5% unlike 'mental status' , unaffected e.g., no brain link. 'Fluids' track hydration e.g., not binder-related. 'Pedal pulses' check circulation e.g., legs, not abdomen. A nurse listens e.g., Clear, 95%' ensuring ventilation (e.g., 80% of binder risks), a physiological integrity must. Potter stresses respiratory monitoring, making the correct, top assessment.
Question 5 of 5
Which priority element will the nurse consider when planning care to decrease the development of a decubitus ulcer for a patient who sustained a head injury and is unconscious?
Correct Answer: B
Rationale: Pressure' is the priority to reduce decubitus ulcers in an unconscious patient. Pressure intensity e.g., >32 mmHg duration e.g., 2 hours and tissue tolerance cause ischemia e.g., sacral redness unlike 'resistance' , vague e.g., not a factor. 'Weight' contributes e.g., bony pressure but isn't primary. 'Stress' is emotional e.g., not mechanical. A nurse plans e.g., Turn q2h' cutting 60% of risk, per studies, a physiological focus. The text emphasizes pressure's role over secondary elements, making the correct, critical element.