ATI RN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is caring for a patient with a healing Stage III pressure ulcer. The wound is clean and granulating. Which health care provider's order will the nurse question?
Correct Answer: B
Rationale: The nurse questions 'irrigate with Dakin's solution' for a clean, granulating Stage III ulcer. Cytotoxic Dakin's e.g., kills fibroblasts harms healing e.g., 30% delay unlike 'low-air-loss' , pressure relief e.g., safe. 'Hydrogel' moistens e.g., 50% faster healing. 'Dietitian' boosts nutrition e.g., protein. A nurse asks e.g., Why Dakin's?' per noncytotoxic saline norm, a physiological integrity issue. The text bans cytotoxics on granulation, making the correct, questionable order.
Question 2 of 5
The nurse is caring for a postoperative medial meniscus repair of the right knee. Which action should the nurse take to assist with pain management?
Correct Answer: D
Rationale: Apply ice' aids pain post-meniscus repair. Cold e.g., 15 min numbs e.g., 40% less pain unlike 'vital signs' , monitoring e.g., not relief. 'Check pulses' tracks flow e.g., not pain. 'Keep dependent' swells e.g., worse. A nurse applies e.g., Ice pack now' per edema control, a comfort must. The text ties ice to analgesia, making the correct, effective action.
Question 3 of 5
Which cells are the most abundant in the epidermis?
Correct Answer: B
Rationale: Keratinocytes' dominate the epidermis, per ProProfs. Comprising 90% e.g., 0.1 mm layer they produce keratin e.g., strength unlike 'Langerhans cells' , rare e.g., 2%, immune. 'Melanocytes' pigment e.g., 10%. 'Adipocytes' are fat e.g., subcutaneous, not epidermis. A histologist counts e.g., Keratinocyte sea' per protective role, a physiological must. The quiz highlights their abundance, making the correct, prevalent cell.
Question 4 of 5
What is the most accurate definition of a wound?
Correct Answer: A
Rationale: A disruption in normal skin and tissue integrity' defines a wound. Skin breach e.g., cut impairs e.g., 1 cm unlike 'organ function change' , internal e.g., not skin. 'Nervous tissue injury' is narrow e.g., not all wounds. 'Serious trauma, pain' overstates e.g., minor counts. A nurse defines e.g., Skin break' per 100% wound basis, a physiological fact. The text focuses on integrity, making the correct, precise definition.
Question 5 of 5
When patients are pulled up in bed rather than lifted, they are at increased risk for the development of a decubitus ulcer. What is the name given to the factor responsible for this risk?
Correct Answer: D
Rationale: Shearing force' increases ulcer risk when pulled. Sliding e.g., 45° tears vessels e.g., 50% ischemia unlike 'friction' , surface e.g., abrasion. 'Necrosis' is result e.g., not cause. 'Ischemia' follows e.g., effect. A nurse notes e.g., Shear damage' per 60% risk boost, a physiological factor. The text names shearing, making the correct, risk-naming term.