ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
Which intervention will the nurse use for an abscessed leg wound?
Correct Answer: C
Rationale: For an abscessed leg wound, 'warm moist compresses' suit, per Potter's . Heat e.g., 38°C boosts blood flow (e.g., 20% more), drawing pus e.g., drains in 24 hours unlike 'sitz baths' , for perineum e.g., post-hemorrhoid. 'Cold compresses' reduce swelling e.g., not drainage. 'Epsom soaks' relax muscles e.g., not abscess-specific. A nurse applies e.g., Warm cloth 15 min' aiding resolution (e.g., 70% faster), per heat therapy principles. Potter notes warmth's circulatory aid, a physiological integrity boost, making the correct, therapeutic choice.
Question 2 of 5
The nurse is caring for a group of patients. Which patient will the nurse see first?
Correct Answer: C
Rationale: The nurse prioritizes 'a patient with appendicitis using a heating pad'. Heat risks rupture e.g., 10% chance in 24 hours unlike 'Stage IV ulcer' , serious but stable e.g., managed. 'Braden score 18' is low risk e.g., >16 safe. 'Approximated incision' is normal e.g., no urgency. A nurse acts e.g., Remove heat' per acute inflammation rules, a physiological emergency. The text flags heat's danger, making the correct, urgent priority.
Question 3 of 5
The nurse is caring for a patient with a healing Stage III pressure ulcer. Upon entering the room, the nurse notices an odor and observes a purulent discharge, along with increased redness at the wound site. What is the next best step for the nurse?
Correct Answer: A
Rationale: The next best step is 'complete the head-to-toe assessment'. Odor and pus e.g., infection signs need full data e.g., temp 38.5°C, WBC 15,000 unlike 'notify provider' , premature e.g., needs facts. 'Consult wound nurse' and 'check charge nurse' follow e.g., not first. A nurse assesses e.g., Fever, drainage' per 80% infection protocol, a physiological must. The text mandates full assessment first, making the correct, thorough step.
Question 4 of 5
The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?
Correct Answer: A
Rationale: Pressure points' are priority in skin integrity assessment. Bony prominences e.g., heels risk ulcers e.g., 60% of cases unlike 'breath sounds' , respiratory e.g., not skin. 'Bowel sounds' track digestion e.g., indirect. 'Pulse points' check flow e.g., secondary. A nurse inspects e.g., Sacrum red' per visual/tactile need, a physiological must. The text emphasizes pressure sites, making the correct, top focus.
Question 5 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.