NCLEX-PN
Med Surg Integumentary NCLEX Questions Questions
Question 1 of 5
Which action is most appropriate to include in the postoperative care plan when a client has skin grafts?
Correct Answer: A
Rationale: Minimizing movement ensures graft adherence and healing.
Question 2 of 5
The nurse writes the client problem of 'acute pain and itching secondary to bacterial skin lesions.' Which interventions should be included in the care plan? Select all that apply.
Correct Answer: B,C,E
Rationale: Cool environment, mild soap, and lotion reduce itching and pain in bacterial lesions. Low humidity worsens dryness, and constant coverage may trap moisture, promoting infection.
Question 3 of 5
Which immediate nursing interventions are appropriate for this client? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Ice packs can worsen tissue damage; other interventions address fluid loss, infection, pain, and oxygenation.
Question 4 of 5
The paraplegic client is being admitted to a medical unit from home with a stage IV pressure ulcer over the right ischium. Which assessment tool should be completed on admission to the hospital?
Correct Answer: A
Rationale: The Braden Scale assesses pressure ulcer risk, guiding interventions. Glasgow, Babinski, and Brudzinski are neurological, not relevant to ulcers.
Question 5 of 5
The middle-aged client has had two (2) lesions diagnosed as basal cell carcinoma removed. Which discharge instruction should the nurse include?
Correct Answer: D
Rationale: Surgical site care prevents infection and promotes healing. Ongoing cancer risk remains, prostheses are irrelevant, and sunscreen is secondary post-surgery.