ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
The nurse is caring for a patient who has experienced a laparoscopic appendectomy. For which type of healing will the nurse focus the care plan?
Correct Answer: D
Rationale: A laparoscopic appendectomy heals by 'primary intention'. Small, closed incisions e.g., 1 cm approximate fast e.g., 7 days unlike 'partial-thickness' , shallow e.g., abrasions. 'Secondary intention' is open e.g., burns. 'Tertiary intention' delays e.g., infection risk. A nurse plans e.g., Suture care' per 90% of surgeries, a physiological focus. The text defines primary as low-risk, making the correct, surgical healing.
Question 2 of 5
The nurse is caring for a surgical patient. Which intervention is most important for the nurse to complete to decrease the risk of pressure ulcers and encourage the patient's willingness and ability to increase mobility?
Correct Answer: D
Rationale: Provide analgesic medication' is most important. Pain relief e.g., 5 mg morphine boosts mobility e.g., 70% more movement unlike 'explain risks' , education e.g., not ability. 'Turn q3h' is q2h e.g., passive. 'Sit in chair' helps e.g., not pain-specific. A nurse gives e.g., Meds pre-move' per comfort's role, a physiological need. The text ties pain control to action, making the correct, key intervention.
Question 3 of 5
The nurse is caring for a patient who is at risk for skin impairment. The patient is able to sit up in a chair. The nurse includes this intervention in the plan of care. How long should the nurse schedule the patient to sit in the chair?
Correct Answer: B
Rationale: Less than 2 hours' is best for chair sitting. Ischial pressure e.g., 60 mmHg exceeds supine e.g., 32 mmHg risking ischemia e.g., 20% after 2 hours unlike '3 hours' , too long e.g., 50% risk. '30 minutes' is short e.g., limits mobility. 'As comfortable' ignores time e.g., unsafe. A nurse schedules e.g., 90 min with cushion' per guidelines, a physiological need. The text caps at 2 hours, making the correct, safe duration.
Question 4 of 5
Which glands' secretions are metabolized by bacteria to produce most body odor?
Correct Answer: A
Rationale: Apocrine sweat' glands cause most body odor, per ProProfs. Found in hairy areas e.g., axillae they secrete protein-rich fluid e.g., 1 mL/day that bacteria like *Corynebacterium* metabolize e.g., 80% odor source unlike 'ceruminous' , earwax e.g., no odor link. 'Merocrine sweat' is watery e.g., cooling, 99% Hâ‚‚O. 'Sebaceous' oils skin e.g., sebum, not bacterial food. A biologist observes e.g., Armpit whiff' per puberty onset, a physiological trait. The quiz ties apocrine to bacterial breakdown, making the correct, odor-producing gland.
Question 5 of 5
Protective functions of the skin include all of the following except protection
Correct Answer: A
Rationale: Of the joints' isn't a skin protective function, per ProProfs. Skin guards infections e.g., 98% bacteria block chemicals e.g., pH 5.5 and water loss e.g., 95% retention via epidermis, unlike 'joints' , cartilage/ligament role e.g., not skin's job. A clinician notes e.g., Skin's shield' per barrier focus, a physiological trait. The quiz excludes joints, making the correct, non-protective exception.