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Nursing 354 Integumentary Nursing
Exam Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
___________________________________________________________________
1. A nurse is assessing a patient’s skin. Which finding is considered a normal
age-related change?
A. Increased skin elasticity
B. Increased sebaceous gland activity
C. Thinning of the epidermis
D. Increased collagen production
Answer: C. Thinning of the epidermis
Rationale: Aging causes thinning of the epidermis, decreased elasticity, reduced
collagen, and decreased sebaceous and sweat gland activity.
2. Which layer of the skin contains blood vessels, nerves, hair follicles, and
sweat glands?
A. Epidermis
B. Dermis
C. Stratum corneum
D. Subcutaneous tissue
Answer: B. Dermis
,Rationale: The dermis contains connective tissue, blood vessels, nerves, hair
follicles, and many skin glands.
3. A nurse is assessing a patient with a pressure injury. Which factor places the
patient at greatest risk?
A. Adequate protein intake
B. Frequent repositioning
C. Immobility
D. Moisturizing the skin
Answer: C. Immobility
Rationale: Prolonged immobility increases sustained pressure over bony
prominences and is a major risk factor for pressure injury development.
4. Which intervention is most appropriate for preventing pressure injuries in
an immobile patient?
A. Massage reddened bony prominences
B. Reposition the patient regularly
C. Keep the head of the bed at 60 degrees
D. Use a donut-shaped ring under the sacrum
Answer: B. Reposition the patient regularly
Rationale: Regular repositioning relieves prolonged pressure and helps maintain
tissue perfusion.
5. A patient has a pressure injury with full-thickness skin loss and visible
adipose tissue. Which stage should the nurse document?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: C. Stage 3
,Rationale: Stage 3 pressure injuries involve full-thickness skin loss with visible
adipose tissue but no exposed fascia, muscle, tendon, cartilage, or bone.
6. Which finding is characteristic of a Stage 1 pressure injury?
A. Exposed bone
B. Full-thickness tissue loss
C. Nonblanchable erythema of intact skin
D. Partial-thickness skin loss with exposed dermis
Answer: C. Nonblanchable erythema of intact skin
Rationale: Stage 1 pressure injury presents as intact skin with localized
nonblanchable erythema.
7. Which patient is at greatest risk for developing a pressure injury?
A. A mobile adult with adequate nutrition
B. A patient who ambulates independently
C. A patient with decreased mobility and urinary incontinence
D. A patient who changes position frequently
Answer: C. A patient with decreased mobility and urinary incontinence
Rationale: Immobility increases pressure, while moisture from incontinence
contributes to skin breakdown.
8. Which nutrient is particularly important for wound healing?
A. Protein
B. Sodium
C. Cholesterol
D. Caffeine
Answer: A. Protein
Rationale: Protein is essential for tissue repair, collagen synthesis, immune
function, and wound healing.
, 9. A nurse is teaching a patient about preventing dry skin. Which instruction is
best?
A. Take frequent hot baths
B. Use harsh antibacterial soap
C. Apply moisturizer after bathing
D. Scrub the skin vigorously
Answer: C. Apply moisturizer after bathing
Rationale: Applying moisturizer shortly after bathing helps trap moisture and
reduce transepidermal water loss.
10.Which lesion is described as a small, solid, elevated lesion less than 1 cm?
A. Macule
B. Papule
C. Vesicle
D. Nodule
Answer: B. Papule
Rationale: A papule is a small, solid, elevated skin lesion generally less than 1
cm in diameter.
11.Which skin lesion is characterized by a flat area of altered pigmentation?
A. Macule
B. Pustule
C. Wheal
D. Nodule
Answer: A. Macule
Rationale: A macule is a flat, circumscribed change in skin color without
elevation or depression.
12.Which lesion contains purulent material?
Nursing 354 Integumentary Nursing
Exam Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
___________________________________________________________________
1. A nurse is assessing a patient’s skin. Which finding is considered a normal
age-related change?
A. Increased skin elasticity
B. Increased sebaceous gland activity
C. Thinning of the epidermis
D. Increased collagen production
Answer: C. Thinning of the epidermis
Rationale: Aging causes thinning of the epidermis, decreased elasticity, reduced
collagen, and decreased sebaceous and sweat gland activity.
2. Which layer of the skin contains blood vessels, nerves, hair follicles, and
sweat glands?
A. Epidermis
B. Dermis
C. Stratum corneum
D. Subcutaneous tissue
Answer: B. Dermis
,Rationale: The dermis contains connective tissue, blood vessels, nerves, hair
follicles, and many skin glands.
3. A nurse is assessing a patient with a pressure injury. Which factor places the
patient at greatest risk?
A. Adequate protein intake
B. Frequent repositioning
C. Immobility
D. Moisturizing the skin
Answer: C. Immobility
Rationale: Prolonged immobility increases sustained pressure over bony
prominences and is a major risk factor for pressure injury development.
4. Which intervention is most appropriate for preventing pressure injuries in
an immobile patient?
A. Massage reddened bony prominences
B. Reposition the patient regularly
C. Keep the head of the bed at 60 degrees
D. Use a donut-shaped ring under the sacrum
Answer: B. Reposition the patient regularly
Rationale: Regular repositioning relieves prolonged pressure and helps maintain
tissue perfusion.
5. A patient has a pressure injury with full-thickness skin loss and visible
adipose tissue. Which stage should the nurse document?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: C. Stage 3
,Rationale: Stage 3 pressure injuries involve full-thickness skin loss with visible
adipose tissue but no exposed fascia, muscle, tendon, cartilage, or bone.
6. Which finding is characteristic of a Stage 1 pressure injury?
A. Exposed bone
B. Full-thickness tissue loss
C. Nonblanchable erythema of intact skin
D. Partial-thickness skin loss with exposed dermis
Answer: C. Nonblanchable erythema of intact skin
Rationale: Stage 1 pressure injury presents as intact skin with localized
nonblanchable erythema.
7. Which patient is at greatest risk for developing a pressure injury?
A. A mobile adult with adequate nutrition
B. A patient who ambulates independently
C. A patient with decreased mobility and urinary incontinence
D. A patient who changes position frequently
Answer: C. A patient with decreased mobility and urinary incontinence
Rationale: Immobility increases pressure, while moisture from incontinence
contributes to skin breakdown.
8. Which nutrient is particularly important for wound healing?
A. Protein
B. Sodium
C. Cholesterol
D. Caffeine
Answer: A. Protein
Rationale: Protein is essential for tissue repair, collagen synthesis, immune
function, and wound healing.
, 9. A nurse is teaching a patient about preventing dry skin. Which instruction is
best?
A. Take frequent hot baths
B. Use harsh antibacterial soap
C. Apply moisturizer after bathing
D. Scrub the skin vigorously
Answer: C. Apply moisturizer after bathing
Rationale: Applying moisturizer shortly after bathing helps trap moisture and
reduce transepidermal water loss.
10.Which lesion is described as a small, solid, elevated lesion less than 1 cm?
A. Macule
B. Papule
C. Vesicle
D. Nodule
Answer: B. Papule
Rationale: A papule is a small, solid, elevated skin lesion generally less than 1
cm in diameter.
11.Which skin lesion is characterized by a flat area of altered pigmentation?
A. Macule
B. Pustule
C. Wheal
D. Nodule
Answer: A. Macule
Rationale: A macule is a flat, circumscribed change in skin color without
elevation or depression.
12.Which lesion contains purulent material?
