ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
The nurse notes that an older patient is malnourished and has minimal subcutaneous tissue. Which function of the subcutaneous tissue of the skin should the nurse consider as being potentially altered in this patient?
Correct Answer: A
Rationale: Subcutaneous tissue stores energy as fat, which is compromised in malnutrition.
Question 2 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 3 of 5
The nurse suspects that a patient's disrupted skin integrity has a chemical basis. What could have caused this patient's health problem?
Correct Answer: A
Rationale: Urine can cause chemical irritation and skin breakdown.
Question 4 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 5 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.