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HESI LPN · HESI LPN Medical Surgical Nursing · HESI Integumentary System CPT Questions and Answers

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client has experienced a fourth degree burn. What depth of skin and tissue involvement is present with a fourth degree burn?

A. Epidermis, dermis, subcutaneous tissue

B. Deeper layer of the dermis with damage to sweat and sebaceous glands

C. Epidermis, dermis, subcutaneous tissue, fat, fascia, muscle, and bone

D. Epidermis and dermis, hair follicles intact

Expert Explanatory Rationale

Correct Answer: Epidermis, dermis, subcutaneous tissue, fat, fascia, muscle, and bone

Question 2 of 5

Which action by a family member of a client with a wound requiring sterile dressings would indicate the need for additional teaching?

A. Placing the old dressing in a plastic bag

B. Changing the dressing without wearing a mask

C. Donning nonsterile gloves before removing the old dressing

D. Using a back-and-forth motion while cleaning the wound

Expert Explanatory Rationale

Correct Answer: Using a back-and-forth motion while cleaning the wound

Question 3 of 5

A client is admitted to the floor and has symptoms of nausea, vomiting, and diarrhea as well as immobility due to a fractured femur. Which of the following are risk factors for pressure ulcers in this client?

A. Dehydration

B. Hypokalemia

C. Hypernatremia

D. Fluid overload

Expert Explanatory Rationale

Correct Answer: Dehydration

Question 4 of 5

Merocrine sweat glands

A. secrete a watery fluid directly onto the surface of the skin.

B. are compound alveolar glands.

C. increase in number and activity with aging.

D. produce organic secretions that are metabolized by bacteria to produce body odor.

Expert Explanatory Rationale

Correct Answer: secrete a watery fluid directly onto the surface of the skin.

Question 5 of 5

Which statement is NOT true of the epidermis?

A. Mitosis takes place in the lowest layer of the stratum corneum.

B. Langerhans cells pick up pathogens.

C. If unbroken, the stratum corneum is a good barrier to bacteria and chemicals.

D. The stratum germinativum is adjacent to the dermis.

Expert Explanatory Rationale

Correct Answer: Mitosis takes place in the lowest layer of the stratum corneum.

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