ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity. Which health care team member will the nurse consult?
Correct Answer: B
Rationale: The nurse consults a 'registered dietitian' for impaired skin integrity. Nutrition e.g., protein 1.5 g/kg speeds healing e.g., 40% faster unlike 'respiratory therapist' , lungs e.g., not skin. 'Case manager' plans discharge e.g., not nutrition. 'Chaplain' aids spirit e.g., not physical. A nurse calls e.g., Diet consult' per team care, a physiological need. The text ties diet to repair, making the correct, expert choice.
Question 2 of 5
What are the macrophages found in the epidermis called?
Correct Answer: D
Rationale: Langerhans cells' are epidermal macrophages, per ProProfs. In the spinosum e.g., 2-8% of cells they detect invaders e.g., bacteria triggering immunity e.g., 70% response unlike 'squamous cells' , structural e.g., flat layers. 'Merkel cells' sense touch e.g., fingertips. 'Basal cells' divide e.g., basale, no immunity. An immunologist sees e.g., Skin sentinels' per their antigen role, a physiological must. The quiz names them immune defenders, making the correct, macrophage type.
Question 3 of 5
A student nurse studying anatomy and physiology learns that the largest organ of the body is the:
Correct Answer: C
Rationale: The 'skin' is the largest organ, per. Covering 20 sq ft e.g., 15% body weight it dwarfs the heart e.g., 0.5 lb lungs e.g., 2 lb and intestines e.g., 15 ft long, not mass-based. A student learns e.g., Skin's vast' per its protective, sensory roles, a physiological fact. 'Heart' pumps e.g., vital, not largest. 'Lungs' breathe e.g., smaller surface. 'Intestines' digest e.g., long, not broad. The text emphasizes skin's expanse, making the correct, largest organ.
Question 4 of 5
What nursing diagnosis would be a priority for a patient who has a large wound from colon surgery, is obese, and is taking corticosteroid medications?
Correct Answer: D
Rationale: Risk for Infection' is priority. Large wound e.g., 10 cm obesity e.g., folds corticosteroids e.g., immunity drop raise odds e.g., 60% unlike 'Self-care Deficit' , secondary e.g., not acute. 'Nutrition' and 'Anxiety' follow e.g., less urgent. A nurse flags e.g., Infection watch' per NANDA, a physiological must. The text ties these risks to priority, making the correct, top diagnosis.
Question 5 of 5
A home care nurse makes the following assessments of a wound: increased drainage and pain, increased body temperature, red and swollen wound, and purulent wound drainage. What wound complication do these assessments indicate?
Correct Answer: B
Rationale: Infection' fits these signs. Pus, fever e.g., 38.5°C redness e.g., 2 cm signal bacteria e.g., 70% odds unlike 'evisceration' , organs out e.g., not here. 'Dehiscence' is split e.g., no protrusion. 'Fistula' tunnels e.g., no tract. A nurse diagnoses e.g., Infected, hot' per clinical cues, a physiological red flag. The text lists these, making the correct, complication match.