ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
Which of the following changes are normal in the elderly population? Select all that apply.
Correct Answer: A
Rationale: Rationale for choice A being correct: The dermis and epidermis thin as one ages due to decreased collagen and elastin production. This leads to fragile skin, increased risk of injury, and slower wound healing. Summary of why other choices are incorrect: B: Subcutaneous tissue typically decreases with age, leading to less padding. C: Blood vessels tend to become less elastic and more rigid, not thicker. D: Older adults often experience muscle and fat loss, rather than increased padding on the buttocks.
Question 2 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 3 of 5
The patient has a deep decubitus ulcer on the heel that is covered in thick necrotic tissue. Which term will the nurse use to describe the ulcer in the patient's medical record?
Correct Answer: D
Rationale: A heel ulcer with thick necrosis is 'unstageable' , per Potter's. Depth's hidden e.g., eschar blocks view unlike 'fluctuant' , shifting e.g., abscess fluid. 'Indurated' is hard e.g., not necrotic. 'Macerated' is wet e.g., moisture breakdown. A nurse writes e.g., Black cover' unstageable's 15% rate, per NPUAP, needing debridement. Potter notes obscured depth blocks staging e.g., not Stage 4 till cleared a physiological integrity issue. is the correct, assessment term.
Question 4 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 5 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.