ATI LPN
Skin Integrity NCLEX Questions Questions
Question 1 of 5
Which of the following is the most appropriate nursing intervention to facilitate healing in a patient who has suffered a hip fracture?
Correct Answer: B
Rationale: Placing a pillow between the patient's legs when turning prevents adduction and supports the patient's legs. Administering analgesics addresses pain but does not directly protect bone remodeling and promote healing. Rotation of the affected leg can cause dislocation and must be avoided. Prone positioning does not need to be maintained at all times.
Question 2 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 3 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 4 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.
Question 5 of 5
What is the organ that holds the hair in place?
Correct Answer: C
Rationale: The hair follicle anchors the hair in the skin.