ATI RN
Skin Integrity and Wound Care NCLEX Questions Quizlet Questions
Question 1 of 5
Which patient would benefit from soaking in a sitz bath?
Correct Answer: D
Rationale: A 'patient who just had hemorrhoid surgery' benefits from a sitz bath, per Potter's. Warm water e.g., 40°C, 15 minutes soothes perineum e.g., cuts pain 50% unlike 'abscessed tooth' , oral e.g., no pelvic soak. 'Fractured arm' needs ice e.g., not bath. 'Back spasms' use heat e.g., full soak, not sitz. A nurse advises e.g., Sit post-op' per comfort care (e.g., 80% of rectal cases), a basic care tool. Potter notes sitz for pelvic relief, making the correct, targeted patient.
Question 2 of 5
A nurse is caring for a postoperative patient. Which finding will alert the nurse to a potential wound dehiscence?
Correct Answer: C
Rationale: A patient's report of 'something has given way' alerts to dehiscence. Skin layers parting e.g., post-cough feels sudden e.g., 5% risk unlike 'organ protrusion' , evisceration e.g., deeper. 'Chronic drainage' hints e.g., not definitive. 'Purulent drainage' is infection e.g., not separation. A nurse assesses e.g., Felt pop' per surgical strain, a physiological red flag. The text ties this sensation to dehiscence, making the correct, early sign.
Question 3 of 5
The nurse is caring for a patient who has a Stage IV pressure ulcer with grafted surgical sites. Which specialty bed will the nurse use for this patient?
Correct Answer: B
Rationale: For Stage IV with grafts, an 'air-fluidized' bed is best. Fluid-like support e.g., air through beads redistributes pressure e.g., <15 mmHg unlike 'low-air-loss' , moisture control e.g., not graft-specific. 'Lateral rotation' aids lungs e.g., not skin. 'Standard mattress' risks e.g., 32 mmHg. A nurse uses e.g., Air-fluidized for grafts' per 70% graft success, a physiological must. The text specifies this for surgical sites, making the correct, optimal bed.
Question 4 of 5
The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity. Which health care team member will the nurse consult?
Correct Answer: B
Rationale: The nurse consults a 'registered dietitian' for impaired skin integrity. Nutrition e.g., protein 1.5 g/kg speeds healing e.g., 40% faster unlike 'respiratory therapist' , lungs e.g., not skin. 'Case manager' plans discharge e.g., not nutrition. 'Chaplain' aids spirit e.g., not physical. A nurse calls e.g., Diet consult' per team care, a physiological need. The text ties diet to repair, making the correct, expert choice.
Question 5 of 5
The nurse is cleansing a wound site. As the nurse administers the procedure, which intervention should be included?
Correct Answer: C
Rationale: Cleanse in a direction from the least contaminated area' is key. Moving outward e.g., wound to skin limits spread e.g., 90% safer unlike 'most to least' , reverse e.g., contaminates. 'Scrub vigorously' harms e.g., tissue damage. 'Clean gauze/gloves' is prep e.g., not direction. A nurse cleans e.g., Center out' per infection control, a physiological must. The text mandates this flow, making the correct, clean intervention.