ATI RN
NCLEX Questions on Skin Integrity and Wound Care Questions
Question 1 of 4
Which fibrous protein is responsible for the strength and water resistance of the skin surface?
Correct Answer: D
Rationale: Keratin' ensures skin strength and water resistance, per ProProfs. In the epidermis e.g., stratum corneum it hardens via keratinization e.g., 15-day cycle forming a barrier e.g., 95% waterproof unlike 'keratohyalin' , a precursor e.g., granulosum role. 'Eleidin' is intermediate e.g., lucidum, not key. 'Collagen' supports dermis e.g., deeper, not surface. A histologist sees e.g., Tough outer shell' per its protective role, a physiological must. The quiz highlights keratin's surface dominance, making the correct, fibrous protein.
Question 2 of 4
A nurse is caring for a patient who is 2 days postoperative after abdominal surgery. What nursing intervention would be important to promote wound healing at this time?
Correct Answer: B
Rationale: Assist in moving to prevent strain on the suture line' promotes healing. Day 2 e.g., inflammation needs support e.g., 50% less tension unlike 'pain meds' , comfort e.g., not direct healing. 'Mild fever normal' informs e.g., not action. 'Scar limits movement' is late e.g., irrelevant now. A nurse aids e.g., Lift, don't pull' per suture care, a physiological need. The text prioritizes strain relief, making the correct, healing intervention.
Question 3 of 4
During a dressing change, the nurse assesses protrusion of intestines through an opened wound. What would the nurse do after covering the wound with towels moistened with sterile 0.9% sodium chloride solution?
Correct Answer: D
Rationale: Notify the physician and prepare for surgery' follows evisceration. Intestines out e.g., 5 cm needs OR e.g., 100% urgent unlike 'document' , later e.g., post-action. 'Reinforce' delays e.g., not enough. 'Pain meds' secondary e.g., not fix. A nurse acts e.g., Call MD, prep' per protocol, a physiological emergency. The text mandates this, making the correct, next step.
Question 4 of 4
Which of the following considerations should be made when assessing a patient for the application of cold or heat therapy?
Correct Answer: D
Rationale: Applications of heat or cold to large areas of the body cause systemic responses' is key. Large e.g., 50% body shifts e.g., temp ±1°C unlike 'decreases tolerance' , true but minor e.g., not systemic. 'Neck, perineum less sensitive' reverses e.g., more. 'Open skin less sensitive' flips e.g., hypersensitive. A nurse considers e.g., Whole-body effect' per 80% risk, a physiological must. The text flags systemic impact, making the correct, critical consideration.