ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse caring for a patient in the burn unit should expect what type of wound healing when planning care for this patient?
Correct Answer: B
Rationale: Burns, with tissue loss, heal by secondary intention , per the flashcards, filling with scar tissue over time, raising infection risk. Partial-thickness is for minor wounds. Tertiary intention delays closure. Primary intention is surgical. Nurses manage open burn wounds with dressings and infection control, making this the correct healing type.
Question 2 of 5
The nurse caring for a patient with a pressure ulcer on the left hip that is black. Which next step will the nurse anticipate?
Correct Answer: C
Rationale: Black tissue is necrotic, requiring debridement (implied Choice C), per nursing standards, to remove infection and aid healing. Options are missing, but monitoring or drainage aren't next. Nurses anticipate this, making it the correct step.
Question 3 of 5
The nurse documents the following assessment data: right heel with reddened area that does not blanch. Which nursing diagnosis will the nurse assign to this patient?
Correct Answer: B
Rationale: Nonblanchable redness indicates poor perfusion, fitting Ineffective peripheral tissue perfusion' , per the flashcards. Nutrition , infection , and pain don't match. This targets circulation, making it the correct diagnosis.
Question 4 of 5
The nurse is caring for a patient at risk for skin impairment. Which initial action should the nurse take to decrease this risk?
Correct Answer: A
Rationale: Skin protection is first. Thorough drying after cleansing , per the flashcards, prevents moisture-related breakdown. Beds and pads are secondary. Moisture-retaining products increase risk. This foundational step aligns with nursing prevention, making it the correct initial action.
Question 5 of 5
Which is the best explanation for the nurse to provide when teaching the patient the reason for the binder after an open abdominal aortic aneurysm repair?
Correct Answer: D
Rationale: A binder supports the incision , per the flashcards, aiding healing during movement. Edema reduction is secondary. Dressing security is minor. Immobilization fits other contexts. This explanation clarifies purpose, making it the correct choice.