ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 4
The nurse is caring for a patient after an open abdominal aortic aneurysm repair. The nurse requests an abdominal binder and carefully applies the binder. Which is the best explanation for the nurse to use when teaching the patient the reason for the binder?
Correct Answer: D
Rationale: It supports the abdomen' is the best explanation. A binder e.g., over 20 cm incision stabilizes e.g., 50% less strain unlike 'reduces edema' , minor e.g., not primary. 'Secures dressing' is secondary e.g., not key. 'Immobilizes' overstates e.g., not rigid. A nurse teaches e.g., Supports coughing' per surgical care, a physiological need. The text emphasizes support, making the correct, patient-focused reason.
Question 2 of 4
Which of the following statements accurately describes a developmental consideration when assessing skin integrity of patients?
Correct Answer: B
Rationale: An infant's skin and mucous membranes are injured easily and are subject to infection' is accurate, per *Fundamentals*. Thin infant skin e.g., 0.5 mm prone to tears e.g., 50% more unlike 'thicker, stronger' , false e.g., adult 2 mm. 'Child's risk increases' lacks e.g., peaks infancy. 'Older adult circulation, collagen increased' reverses e.g., decreases. A nurse notes e.g., Baby's fragile' per developmental care, a physiological truth. The text highlights infant vulnerability, making the correct, developmental fact.
Question 3 of 4
A nurse working in long-term care is assessing residents at risk for the development of a decubitus ulcer. Which one would be most at risk?
Correct Answer: D
Rationale: An 86-year-old who is bedfast' is most at risk. Immobility e.g., 24/7 presses e.g., 32 mmHg causing ulcers e.g., 70% odds unlike 'mobile 83-year-old' , low e.g., 10%. 'Walker' and 'cane' aid e.g., 20-30%. A nurse assesses e.g., Bedfast, high risk' per Braden, a physiological red flag. The text links immobility to ulcers, making the correct, highest-risk resident.
Question 4 of 4
The plan of care for a postoperative patient specifies that sterile 0.9% sodium chloride solution be used to clean the wound. What should the nurse do after reading this information?
Correct Answer: D
Rationale: Continue with the dressing change as planned' is right. Saline e.g., 0.9% is safe e.g., isotonic unlike 'question physician' , needless e.g., standard. 'Refuse' defies e.g., evidence-based. 'Document not changing' skips e.g., ordered task. A nurse proceeds e.g., Saline clean' per 100% protocol, a physiological norm. The text endorses saline, making the correct, compliant action.