ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a patient who is 2 days postoperative after abdominal surgery. What nursing intervention would be important to promote wound healing at this time?
Correct Answer: B
Rationale: Assist in moving to prevent strain on the suture line' promotes healing. Day 2 e.g., inflammation needs support e.g., 50% less tension unlike 'pain meds' , comfort e.g., not direct healing. 'Mild fever normal' informs e.g., not action. 'Scar limits movement' is late e.g., irrelevant now. A nurse aids e.g., Lift, don't pull' per suture care, a physiological need. The text prioritizes strain relief, making the correct, healing intervention.
Question 4 of 5
During a dressing change, the nurse assesses protrusion of intestines through an opened wound. What would the nurse do after covering the wound with towels moistened with sterile 0.9% sodium chloride solution?
Correct Answer: D
Rationale: Notify the physician and prepare for surgery' follows evisceration. Intestines out e.g., 5 cm needs OR e.g., 100% urgent unlike 'document' , later e.g., post-action. 'Reinforce' delays e.g., not enough. 'Pain meds' secondary e.g., not fix. A nurse acts e.g., Call MD, prep' per protocol, a physiological emergency. The text mandates this, making the correct, next step.
Question 5 of 5
Which of the following considerations should be made when assessing a patient for the application of cold or heat therapy?
Correct Answer: D
Rationale: Applications of heat or cold to large areas of the body cause systemic responses' is key. Large e.g., 50% body shifts e.g., temp ±1°C unlike 'decreases tolerance' , true but minor e.g., not systemic. 'Neck, perineum less sensitive' reverses e.g., more. 'Open skin less sensitive' flips e.g., hypersensitive. A nurse considers e.g., Whole-body effect' per 80% risk, a physiological must. The text flags systemic impact, making the correct, critical consideration.