ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse is performing a moist-to-dry dressing. The nurse has prepared the supplies, solution, and removed the old dressing. In which order will the nurse implement the steps, starting with the first one? 1. Apply sterile gloves. 2. Cover and secure topper dressing. 3. Assess wound and surrounding skin. 4. Moisten gauze with prescribed solution. 5. Gently wring out excess solution and unfold. 6. Loosely pack until all wound surfaces are in contact with gauze.
Correct Answer: B
Rationale: The correct order is '1, 3, 4, 5, 6, 2' . Start with sterile gloves (1) e.g., infection control then assess wound (3) e.g., redness noted moisten gauze (4) e.g., saline wring out (5) e.g., damp, not wet pack wound (6) e.g., 2 cm deep and cover (2) e.g., secure. '4, 3, 1' skips gloves e.g., risky. '4, 1, 3' delays assessment e.g., misses status. '1, 4, 3' misorders e.g., moistens pre-assessment. A nurse follows e.g., Gloves, check, pack' per 100% protocol, a physiological must. The text sequences this, making the correct, systematic order.
Question 2 of 5
What happens when the arrector pili muscles contract?
Correct Answer: A
Rationale: Goose bumps' occur when arrector pili contract, per ProProfs. Tiny muscles e.g., 1 mm raise hairs e.g., cold response unlike 'sweat release' , gland-driven e.g., no link. 'Hair shed' is cycle-based e.g., not instant. 'Skin color change' is vascular e.g., unrelated. A biologist sees e.g., Bumpy chill' per heat/trap instinct, a physiological reaction. The quiz ties this to hair standing, making the correct, bumpy result.
Question 3 of 5
Which of the following best describes an unintentional wound?
Correct Answer: B
Rationale: Jagged wound edges, uncontrolled bleeding' describes an unintentional wound, . Accidents e.g., falls tear e.g., 2 cm, 50 mL unlike 'clean edges' or 'low infection risk' , surgical e.g., planned. 'Surgery, IV' is intentional e.g., not accidental. A nurse sees e.g., Rough, bloody' per trauma type, a physiological distinction. The text contrasts this with intentional, making the correct, unintentional descriptor.
Question 4 of 5
What intervention should be included on a plan of care to prevent pressure ulcer development in healthcare settings?
Correct Answer: B
Rationale: Implement a turning schedule every 2 hours' prevents ulcers. Q2h e.g., 30° lateral cuts pressure e.g., <32 mmHg unlike 'once per shift' , too long e.g., 8 hr risk. 'Ring cushions' pinch e.g., contraindicated. 'No turn, support surface' lacks e.g., needs both. A nurse plans e.g., Turn q2h' per 80% prevention, a physiological must. The text mandates this, making the correct, key intervention.
Question 5 of 5
A nurse is teaching a patient on home care how to apply hot packs to an infected leg ulcer. What statement by the patient indicates the need for further teaching?
Correct Answer: D
Rationale: I will leave the heat packs on for an hour' needs teaching. Heat e.g., 20-30 min boosts flow e.g., 50% healing beyond risks burns e.g., 60 min, 10% chance unlike 'rebound effect' , correct e.g., vasoconstriction. 'Only on sore' and '20 minutes' align e.g., safe. A nurse reteaches e.g., Short heat' per guidelines, a physiological must. The text limits duration, making the correct, error signal.