ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse is preparing information on the integumentary system for a group of high school students. Which layer of the skin should the nurse explain that plays an initial role in immunity?
Correct Answer: D
Rationale: The outermost layer of the epidermis serves as the first line of defense against pathogens, playing an initial role in immunity.
Question 2 of 5
A patient weighing 187 lbs, has 38% total body surface area burns. Using the Parkland formula, how much fluid should this patient receive over the first eight hours after the burn occurred? Record your answer as a whole number.
Correct Answer: B
Rationale: Parkland formula: 4 mL × kg × %TBSA. 187 lbs = 85 kg. 4 × 85 × 38 = 12,920 mL total; half (6,460 mL) in first 8 hours, rounded to 6,426.
Question 3 of 5
A patient recovering from reconstructive surgery is experiencing unrelenting postoperative pain. What should the nurse consider is occurring with this patient?
Correct Answer: A
Rationale: Unrelenting pain post-surgery is a red flag for infection, a common complication requiring prompt assessment.
Question 4 of 5
What is the organ that holds the hair in place?
Correct Answer: C
Rationale: The hair follicle anchors the hair in the skin.
Question 5 of 5
Nurse Catherine is changing a dressing and providing wound care. Which activity should she perform first?
Correct Answer: A
Rationale: Hand washing is the first step in maintaining a sterile field and preventing infection during wound care.