ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 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 2 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 3 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.
Question 4 of 5
What are the two major processes involved in the inflammatory phase of wound healing?
Correct Answer: D
Rationale: Blood clotting is initiated, WBCs move into the wound' are inflammatory phase processes. Clotting e.g., 5 min WBCs e.g., 24 hr clean e.g., 70% debris unlike 'bleeding, epithelial' , later e.g., proliferation. 'Granulation, collagen' is proliferative e.g., day 3. 'Collagen remodeled, scar' is maturation e.g., weeks. A nurse tracks e.g., Clot, fight' per phase 1, a physiological must. The text specifies these, making the correct, early processes.
Question 5 of 5
A nurse is assessing a patient with a stage IV pressure ulcer. What assessment of the ulcer would be expected?
Correct Answer: A
Rationale: Full-thickness skin loss' fits a Stage IV ulcer. Deep e.g., bone visible defines it e.g., 20% cases unlike 'pallor' , Stage I e.g., intact. 'Blisters' are Stage II e.g., partial. 'Eschar' may occur e.g., not required. A nurse expects e.g., Deep hole' per NPUAP, a physiological marker. The text specifies full loss, making the correct, expected finding.