ATI RN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
The nurse is completing a skin risk assessment using the Braden Scale. The patient has slight sensory impairment, has skin that is rarely moist, walks occasionally, and has slightly limited mobility, along with excellent intake of meals and no apparent problem with friction and shear. Which score will the nurse document for this patient?
Correct Answer: C
Rationale: The Braden score is '20'. Subscales: sensory (3, slight impairment), moisture (4, rarely moist), activity (3, walks occasionally), mobility (3, slightly limited), nutrition (4, excellent), friction/shear (4, no problem) total 20. '15' is high risk e.g., <16. '17' undercounts e.g., misses points. '23' is perfect e.g., not here. A nurse tallies e.g., 20, low risk' per 6-23 range, a physiological tool. The text matches this, making the correct, calculated score.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse assesses an area of pale white skin over a patient's coccyx. After turning the patient on her side, the skin becomes red and feels warm. What should the nurse do about these assessments?
Correct Answer: B
Rationale: Recognize that this is ischemia, followed by reactive hyperemia' fits. Pale e.g., <15 mmHg then red/warm e.g., blood rush is normal e.g., 5 min unlike 'report ulcer' , premature e.g., no break. 'Document ulcer' and 'interventions' overreact e.g., not yet. A nurse observes e.g., Temp flush' per circulation shift, a physiological sign. The text defines this, making the correct, accurate response.