NCLEX-RN
Integumentary Disorders NCLEX RN Questions Questions
Question 1 of 5
A nurse is caring for a client at risk of developing pressure ulcers. Which of the following is an intrinsic risk factor that contributes to this increased risk?
Correct Answer: C
Rationale: Impaired tissue perfusion is an intrinsic risk factor because it originates within the body, affecting blood flow and tissue oxygenation, which can lead to pressure ulcer development. Shearing, friction, and pressure are extrinsic factors as they are external forces acting on the skin.
Question 2 of 5
The nurse recognizes that rewarming a client with hypothermia must be done slowly to prevent
Correct Answer: B
Rationale: Rapid rewarming can cause ventricular fibrillation due to sudden changes in core temperature affecting cardiac rhythm. Slow rewarming helps stabilize the cardiovascular system.
Question 3 of 5
Which of the following interventions by the newly hired nurse requires follow-up? Select all that apply.
Correct Answer: B, C
Rationale: Donut pillows can increase pressure on surrounding tissues, worsening ulcer risk. Maintaining the head of the bed at 90 degrees increases shearing forces, promoting ulcer development. Zinc oxide, high-protein diets (not just carbohydrates), and floating heels are appropriate interventions.
Question 4 of 5
The nurse is conducting a staff in-service on managing an acute burn. The nurse should reinforce the utilization of which formula to guide fluid resuscitation?
Correct Answer: A
Rationale: The Parkland formula (4 mL x kg x TBSA burned) is used to calculate fluid resuscitation needs in burn patients to restore circulating volume.
Question 5 of 5
Which of the following accurately summarizes the primary purpose of skin care and hygiene?
Correct Answer: C
Rationale: The skin is the body's first line of defense against pathogens and injury, and proper skin care maintains its integrity.