ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a patient who has a wound drain with a collection device. The nurse notices that the collection device has a sudden decrease in drainage. Which action will the nurse take next?
Correct Answer: A
Rationale: A sudden drainage drop prompts 'call the health care provider' . Blockage e.g., clot in tube needs fix e.g., 20% risk unlike 'charting' , passive e.g., delays care. 'Do nothing' risks e.g., compression hides issue. 'Remove drain' is MD's call e.g., not nurse. A nurse acts e.g., No flow, call' per patency rules, a physiological need. The text flags sudden stops, making the correct, proactive step.
Question 2 of 5
The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
Correct Answer: B
Rationale: Explain the procedure' reduces anxiety. Educating e.g., I'll clean, cover' empowers e.g., 70% less fear unlike 'television' , distraction e.g., not control. 'Close your eyes' avoids e.g., no engagement. 'Ask family to leave' may worsen e.g., support lost. A nurse says e.g., Here's what's next' per psychosocial care, a comfort must. The text ties explanation to calm, making the correct, supportive action.
Question 3 of 5
What happens when the body temperature rises above normal?
Correct Answer: D
Rationale: Blood flow to the skin increases' when temperature rises, per ProProfs. Vasodilation e.g., 2x flow cools via heat loss e.g., 37.5°C to 36°C unlike 'decreases' , for cold e.g., conserve heat. 'Melanocyte activity' isn't thermal e.g., UV-driven. 'Vasoconstriction' retains heat e.g., opposite. A clinician notes e.g., Flushed face' per thermoregulation, a physiological response. The quiz ties this to cooling, making the correct, heat-dissipating action.
Question 4 of 5
What usually happens to the skin when there is a decrease in the amount of oxygen in the blood?
Correct Answer: A
Rationale: Cyanosis' occurs with low blood oxygen, per ProProfs. Blue tint e.g., lips, 90% SpOâ‚‚ reflects deoxygenated blood e.g., 20% darker unlike 'jaundice' , yellow e.g., liver issue. 'Paleness' is blood loss e.g., not oxygen. 'Flushing' is heat e.g., opposite. A nurse spots e.g., Blue fingertips' per respiratory link, a physiological sign. The quiz names cyanosis, making the correct, hypoxic response.
Question 5 of 5
A nurse is teaching a postoperative patient about essential nutrition for healing. What statement by the patient would indicate a need for more information?
Correct Answer: C
Rationale: I will restrict my diet to fats and carbohydrates' needs more teaching. Healing requires protein e.g., 1.5 g/kg not just fats/carbs e.g., energy, 40% deficit unlike 'orange juice, milk' , vitamin C e.g., collagen. 'Zinc' aids e.g., 15 mg/day. 'Water' hydrates e.g., 2 L. A nurse corrects e.g., Add protein' per nutritional needs, a physiological gap. The text stresses balanced intake, making the correct, misinformation signal.