ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing?
Correct Answer: D
Rationale: A 'bluish mass' signals a hematoma, a healing complication. Blood under tissue e.g., 50 mL shows swelling e.g., 2 cm unlike 'hurting' , normal e.g., nerve trauma. 'Approximated' is healing e.g., edges shut. 'Itching' is progress e.g., regeneration. A nurse notes e.g., Blue lump' per 10% post-op risk, needing monitoring. The text flags hematoma's vascular threat, making the correct, alarming observation.
Question 2 of 5
The nurse is caring for a patient who is immobile. The nurse wants to decrease the formation of pressure ulcers. Which action will the nurse take first?
Correct Answer: C
Rationale: Determine the patient's risk factors' is first. Assessing e.g., Braden score guides prevention e.g., 16 flags 50% risk unlike 'fluids' , secondary e.g., hydration. 'Turn q2h' follows e.g., intervention. 'Carbs/fats' is vague e.g., not priority. A nurse starts e.g., Check mobility' per protocol, a physiological must. The text mandates risk first, making the correct, initial action.
Question 3 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 4 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 5 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.