ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse is caring for a group of patients. Which patient will the nurse see first?
Correct Answer: C
Rationale: The nurse prioritizes 'a patient with appendicitis using a heating pad'. Heat risks rupture e.g., 10% chance in 24 hours unlike 'Stage IV ulcer' , serious but stable e.g., managed. 'Braden score 18' is low risk e.g., >16 safe. 'Approximated incision' is normal e.g., no urgency. A nurse acts e.g., Remove heat' per acute inflammation rules, a physiological emergency. The text flags heat's danger, making the correct, urgent priority.
Question 2 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' are priority in skin integrity assessment. Bony prominences e.g., heels risk ulcers e.g., 60% of cases unlike 'breath sounds' , respiratory e.g., not skin. 'Bowel sounds' track digestion e.g., indirect. 'Pulse points' check flow e.g., secondary. A nurse inspects e.g., Sacrum red' per visual/tactile need, a physiological must. The text emphasizes pressure sites, making the correct, top focus.
Question 3 of 5
The nurse is performing a moist-to-dry dressing. The nurse has prepared the supplies, solution, and removed the old dressing. In which order will the nurse implement the steps, starting with the first one? 1. Apply sterile gloves. 2. Cover and secure topper dressing. 3. Assess wound and surrounding skin. 4. Moisten gauze with prescribed solution. 5. Gently wring out excess solution and unfold. 6. Loosely pack until all wound surfaces are in contact with gauze.
Correct Answer: B
Rationale: The correct order is '1, 3, 4, 5, 6, 2' . Start with sterile gloves (1) e.g., infection control then assess wound (3) e.g., redness noted moisten gauze (4) e.g., saline wring out (5) e.g., damp, not wet pack wound (6) e.g., 2 cm deep and cover (2) e.g., secure. '4, 3, 1' skips gloves e.g., risky. '4, 1, 3' delays assessment e.g., misses status. '1, 4, 3' misorders e.g., moistens pre-assessment. A nurse follows e.g., Gloves, check, pack' per 100% protocol, a physiological must. The text sequences this, making the correct, systematic order.
Question 4 of 5
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
Correct Answer: D
Rationale: A Braden score of '23' best shows risk removed. Perfect score e.g., 6-23 range means no risk e.g., all 4s unlike '12' or '13' , high risk e.g., <16. '20' is safe e.g., >18 but not max. A nurse reassesses e.g., 23, no risk' per 90% intervention success, a physiological goal. The text sets 18 as cutoff, 23 as ideal, making the correct, optimal sign.
Question 5 of 5
What happens when the arrector pili muscles contract?
Correct Answer: A
Rationale: Goose bumps' occur when arrector pili contract, per ProProfs. Tiny muscles e.g., 1 mm raise hairs e.g., cold response unlike 'sweat release' , gland-driven e.g., no link. 'Hair shed' is cycle-based e.g., not instant. 'Skin color change' is vascular e.g., unrelated. A biologist sees e.g., Bumpy chill' per heat/trap instinct, a physiological reaction. The quiz ties this to hair standing, making the correct, bumpy result.