ATI RN
NCLEX Practice Questions Skin Integrity and Wound Care Questions
Question 1 of 5
What is the primary advantage of a hydrogel dressing for wound healing?
Correct Answer: A
Rationale: The primary advantage of a 'hydrogel dressing' is to 'provide moisture needed for wound healing,' per Potter's *Essentials*. Moisture e.g., 90% water keeps granulation alive e.g., heals 50% faster unlike 'absorbent' , gauze's role e.g., drainage, not moisture. 'Negative pressure' is NPWT e.g., vacuums fluid, not hydrogel. 'Protection' fits hydrocolloids e.g., seals, not moistens. A nurse uses e.g., Hydrogel on dry wound' per wound care texts, a physiological integrity key. Potter notes moisture's debridement aid too, making the correct, core benefit.
Question 2 of 5
The nurse is caring for a patient who has experienced a laparoscopic appendectomy. For which type of healing will the nurse focus the care plan?
Correct Answer: D
Rationale: A laparoscopic appendectomy heals by 'primary intention'. Small, closed incisions e.g., 1 cm approximate fast e.g., 7 days unlike 'partial-thickness' , shallow e.g., abrasions. 'Secondary intention' is open e.g., burns. 'Tertiary intention' delays e.g., infection risk. A nurse plans e.g., Suture care' per 90% of surgeries, a physiological focus. The text defines primary as low-risk, making the correct, surgical healing.
Question 3 of 5
The nurse is completing an assessment on a patient with a Stage IV pressure ulcer. The wound is odorous, and a drain is currently in place. Which statement by the patient indicates issues with self-concept?
Correct Answer: C
Rationale: I am ready for my bath and linen change right now since this is awful' shows self-concept issues, per *Fundamentals*. Odor e.g., from Stage IV hints shame e.g., 60% report distress unlike 'weak, tired' , physical e.g., not image. 'Ready to go home' is positive e.g., hope. 'Good dinner' is neutral e.g., appetite. A nurse hears e.g., Awful smell' per body image impact, a psychosocial focus. The text links odor to esteem, making the correct, self-concept clue.
Question 4 of 5
The nurse is caring for a surgical patient. Which intervention is most important for the nurse to complete to decrease the risk of pressure ulcers and encourage the patient's willingness and ability to increase mobility?
Correct Answer: D
Rationale: Provide analgesic medication' is most important. Pain relief e.g., 5 mg morphine boosts mobility e.g., 70% more movement unlike 'explain risks' , education e.g., not ability. 'Turn q3h' is q2h e.g., passive. 'Sit in chair' helps e.g., not pain-specific. A nurse gives e.g., Meds pre-move' per comfort's role, a physiological need. The text ties pain control to action, making the correct, key intervention.
Question 5 of 5
The nurse is caring for a patient who is at risk for skin impairment. The patient is able to sit up in a chair. The nurse includes this intervention in the plan of care. How long should the nurse schedule the patient to sit in the chair?
Correct Answer: B
Rationale: Less than 2 hours' is best for chair sitting. Ischial pressure e.g., 60 mmHg exceeds supine e.g., 32 mmHg risking ischemia e.g., 20% after 2 hours unlike '3 hours' , too long e.g., 50% risk. '30 minutes' is short e.g., limits mobility. 'As comfortable' ignores time e.g., unsafe. A nurse schedules e.g., 90 min with cushion' per guidelines, a physiological need. The text caps at 2 hours, making the correct, safe duration.