ATI RN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse is completing a skin assessment on a patient with darkly pigmented skin. Which item should the nurse use first to assist in staging an ulcer on this patient?
Correct Answer: D
Rationale: For dark skin, a 'halogen light' is used first. It reveals color changes e.g., purple vs. red critical for staging, unlike 'measuring tape' , for size e.g., later step. 'Cotton-tipped applicator' gauges depth e.g., post-inspection. 'Sterile gloves' protect e.g., not visual. A nurse uses e.g., Halogen shows erythema' per assessment norms, 90% accuracy boost. The text prioritizes lighting over tools, avoiding fluorescent's blue tint, a physiological integrity must. is the correct, initial aid.
Question 2 of 5
The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which next step will the nurse anticipate?
Correct Answer: C
Rationale: A black ulcer prompts 'debride the wound'. Necrotic tissue e.g., eschar blocks healing e.g., 50% infection risk unlike 'monitor' , passive e.g., delays. 'Document' follows e.g., post-action. 'Manage drainage' is secondary e.g., not necrotic focus. A nurse anticipates e.g., Debride black' per 80% protocol, a physiological need. The text mandates removal for healing, making the correct, anticipated step.
Question 3 of 5
The nurse is caring for a patient with a Stage II pressure ulcer and has assigned a nursing diagnosis of Risk for infection. The patient is unconscious and bedridden. The nurse is completing the plan of care and is writing goals for the patient. Which is the best goal for this patient?
Correct Answer: D
Rationale: For an unconscious patient with a Stage II ulcer at risk for infection, 'The patient will remain free of odorous or purulent drainage' is the best goal, per *Fundamentals of Nursing* (9th Ed.). Open skin e.g., 2 mm deep risks bacteria e.g., 30% infection rate making absence of pus a measurable outcome, unlike 'patient will state' , impossible e.g., unconscious. 'Family demonstrate care' and 'family wash hands' are interventions e.g., not patient-focused goals. A nurse aims e.g., No pus by day 5' per infection control, a physiological integrity focus. The text ties this to observable signs, making the correct, realistic goal.
Question 4 of 5
The nurse is caring for a patient after an open abdominal aortic aneurysm repair. The nurse requests an abdominal binder and carefully applies the binder. Which is the best explanation for the nurse to use when teaching the patient the reason for the binder?
Correct Answer: D
Rationale: It supports the abdomen' is the best explanation. A binder e.g., over 20 cm incision stabilizes e.g., 50% less strain unlike 'reduces edema' , minor e.g., not primary. 'Secures dressing' is secondary e.g., not key. 'Immobilizes' overstates e.g., not rigid. A nurse teaches e.g., Supports coughing' per surgical care, a physiological need. The text emphasizes support, making the correct, patient-focused reason.
Question 5 of 5
Which glands discharge an oily secretion into hair follicles?
Correct Answer: D
Rationale: Sebaceous' glands secrete oil into follicles, per ProProfs. Sebum e.g., 0.5 g/day lubricates skin/hair e.g., 80% moisture lock unlike 'apocrine sweat' , thick e.g., odor source. 'Merocrine sweat' cools e.g., watery, no oil. 'Mammary' is milk e.g., unrelated. A dermatologist notes e.g., Shiny hair' per hormonal shifts, a physiological trait. The quiz links sebum to follicles, making the correct, oily gland.