ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is caring for a patient in the burn unit. Which type of wound healing will the nurse consider when planning care for this patient?
Correct Answer: B
Rationale: Burns heal by 'secondary intention'. Tissue loss e.g., 3rd-degree fills with scar e.g., weeks unlike 'partial-thickness' , epidermal e.g., minor burns. 'Tertiary intention' delays e.g., not typical. 'Primary intention' is closed e.g., surgery. A nurse plans e.g., Moist dressings' per 60% burn cases, a physiological need. The text notes secondary's slow, infection-prone path, making the correct, open healing type.
Question 2 of 5
The nurse is caring for a patient with a Stage IV pressure ulcer. Which nursing diagnosis does the nurse add to the care plan?
Correct Answer: C
Rationale: Impaired skin integrity' fits a Stage IV ulcer. Deep damage e.g., bone exposed defines this e.g., 20% incidence unlike 'enhanced nutrition' , positive e.g., not current. 'Mobility' is risk e.g., not diagnosis. 'Chronic pain' may coexist e.g., not primary. A nurse adds e.g., Impaired integrity' per NANDA, a physiological focus. The text links Stage IV to skin loss, making the correct, specific diagnosis.
Question 3 of 5
The nurse is caring for a patient who is immobile and is at risk for skin impairment. The plan of care includes turning the patient. Which is the best method for repositioning the patient?
Correct Answer: B
Rationale: Utilize a transfer device to lift the patient' is best. Lifting e.g., slide sheet cuts shear e.g., 30% less friction unlike '30-degree supine' , mispositioned e.g., not lateral. 'Elevate 45 degrees' risks ulcers e.g., >30° shear. 'Slide' drags e.g., 40% injury. A nurse uses e.g., Lift to 30° lateral' per 80% protocol, a physiological must. The text favors lifting, making the correct, safe method.
Question 4 of 5
Which fibrous protein is responsible for the strength and water resistance of the skin surface?
Correct Answer: D
Rationale: Keratin' ensures skin strength and water resistance, per ProProfs. In the epidermis e.g., stratum corneum it hardens via keratinization e.g., 15-day cycle forming a barrier e.g., 95% waterproof unlike 'keratohyalin' , a precursor e.g., granulosum role. 'Eleidin' is intermediate e.g., lucidum, not key. 'Collagen' supports dermis e.g., deeper, not surface. A histologist sees e.g., Tough outer shell' per its protective role, a physiological must. The quiz highlights keratin's surface dominance, making the correct, fibrous protein.
Question 5 of 5
Hair follicles and fingernails originate in the but are actually derived from tissue.
Correct Answer: C
Rationale: Dermis; epidermal' fits hair and nails, per ProProfs. Follicles root in dermis e.g., 2 mm deep but grow from epidermal cells e.g., keratin unlike 'subcutaneous; connective' , fat e.g., no origin. 'Dermis; subcutaneous' reverses e.g., wrong source. 'Epidermis; dermal' flips e.g., incorrect. A histologist sees e.g., Dermis base, epidermis build' per layered roles, a physiological must. The quiz specifies this origin, making the correct, dual-tissue answer.