ATI LPN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse identifies which skin layer that delivers the blood supply to the dermis, provides insulation, and has a cushioning effect?
Correct Answer: C
Rationale: The subcutaneous layer supplies blood to the dermis and provides insulation and cushioning.
Question 2 of 5
The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation related to the incision will indicate the patient is experiencing a complication of wound healing?
Correct Answer: D
Rationale: A swollen, bluish incision suggests a hematoma a healing complication, per the flashcards, from blood pooling under tissues, risking vascular pressure. Pain and itching are normal post-op. Approximation is expected. Nurses intervene for hematomas, making this the correct observation.
Question 3 of 5
A patient presents to the emergency department with a laceration of the right forearm caused by a fall. After determining that the patient is stable, what is the next best step for the nurse to take?
Correct Answer: A
Rationale: Post-stabilization, bleeding , per the flashcards, is the next focus, as lacerations may hemorrhage, requiring control. Options B-D are missing, but bleeding precedes foreign body checks or tetanus. Nurses ensure hemodynamic stability, making this the correct step.
Question 4 of 5
The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?
Correct Answer: A
Rationale: Pressure points , per the flashcards, are priority, as bony prominences are ulcer-prone. Breath , bowel , and pulse sounds inform overall status, not skin. Nurses inspect these first, making this the correct priority.
Question 5 of 5
Which health care team member will the nurse consult when a patient has received a nursing diagnosis of Impaired skin integrity?
Correct Answer: B
Rationale: Nutrition aids healing. A dietitian , per the flashcards, optimizes protein and calories for skin repair. Respiratory therapists address breathing. Case managers plan discharge. Chaplains offer spiritual care. This collaboration enhances recovery, making it the correct consult.