ATI RN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
The nurse is collaborating with the dietitian about a patient with a Stage III pressure ulcer. Which nutrient will the nurse most likely increase after collaboration with the dietitian?
Correct Answer: B
Rationale: Protein' is most likely increased for a Stage III ulcer. Healing needs e.g., 1.5 g/kg/day rebuild tissue e.g., 50% faster unlike 'fat' , energy e.g., not repair. 'Vitamin E' is minor e.g., not key. 'Carbohydrate' fuels e.g., not structure. A nurse plans e.g., Add 20 g protein' per nutritional guidelines, a physiological need. The text prioritizes protein with vitamins A/C, making the correct, essential nutrient.
Question 2 of 5
The nurse is caring for a patient who has suffered a stroke and has residual mobility problems. The patient is at risk for skin impairment. Which initial actions should the nurse take to decrease this risk?
Correct Answer: A
Rationale: Use gentle cleansers, and thoroughly dry the skin' is the initial action. Nonionic surfactants e.g., pH 5.5 prevent breakdown e.g., 50% less risk unlike 'therapeutic bed' , secondary e.g., later cost. 'Absorbent pads' are last-resort e.g., controversial. 'Moisture-holding products' harm e.g., maceration. A nurse cleans e.g., Dry post-wash' per basic care, a physiological priority. The text starts with skin hygiene, making the correct, first step.
Question 3 of 5
Which layer of the epidermis contains melanocytes?
Correct Answer: A
Rationale: The stratum basale contains melanocytes, per the ProProfs quiz. As the deepest epidermal layer e.g., 0.05 mm thick it's where melanin production begins e.g., 10% of cells are melanocytes protecting against UV e.g., 90% absorption. 'Stratum lucidum' is a clear layer e.g., palms lacking melanocytes. 'Stratum spinosum' has maturing cells e.g., no pigment role. 'Stratum corneum' is dead cells e.g., outer 0.02 mm no activity. A dermatologist notes e.g., Basale's dark base' per its mitotic and pigment role, a physiological must. The quiz explains its UV shield, making the correct, melanocyte-rich layer.
Question 4 of 5
Which layer of the skin contains cells that are undergoing mitosis?
Correct Answer: D
Rationale: Stratum basale' has mitotic cells, per ProProfs. The deepest layer e.g., 0.05 mm it renews skin e.g., 10 cells/day unlike 'granulosum' , dying e.g., granules. 'Corneum' is dead e.g., outer 0.02 mm. 'Spinosum' matures e.g., less division. A scientist tracks e.g., Basale birth' per 28-day cycle, a physiological must. The quiz links mitosis to basale, making the correct, dividing layer.
Question 5 of 5
A nurse documents a closed wound on a patient chart. Which of the following is an example of a closed wound?
Correct Answer: B
Rationale: Ecchymosis' is a closed wound. Bruising e.g., 3 cm purple keeps skin intact e.g., blood beneath unlike 'abrasion' , scraped e.g., open. 'Incision' cuts e.g., surgical, open. 'Puncture' pierces e.g., 1 mm deep, open. A nurse charts e.g., Bruise, no break' per 80% closed type, a physiological call. The text defines closed as unbroken, making the correct, intact example.