NCLEX-PN
Med Surg Integumentary NCLEX Questions Questions
Question 1 of 5
The nurse is determining the IV fluid needs for the 50-kg client with partial-thickness burns to 40% total body surface area (TBSA). Using the Parkland formula (4 mL X weight in kg X % TBSA burn = 24-hour IV fluid volume replacement; half given in first 8 hours), how many mL of IV fluid are needed during the first 8 hours after injury? mL of IV fluid (Record your answer as a whole number.)
Correct Answer: A
Rationale: Use the Parkland formula provided: 4.0 mL at 50 kg = 200 mL; 200 mL × 40% TBSA burn = 8000 mL. Half of 8000 mL, or 4000 mL, is given in the first 8 hours after the burn.
Question 2 of 5
Which information provided by the nurse will best prepare the client for the caloric test?
Correct Answer: A
Rationale: The caloric test involves instilling water to assess vestibular function.
Question 3 of 5
The client is diagnosed with disseminated herpes zoster secondary to AIDS. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,E
Rationale: Contact isolation, pain assessment, and assigning immune nurses prevent transmission and manage disseminated zoster. Corticosteroids are contraindicated, and visitor bans are excessive.
Question 4 of 5
The nurse is caring for several clients who have burns over different parts of the body. The client who has burns over which part of the body is most at risk of life-threatening complications?
Correct Answer: B
Rationale: Burns to the upper body, including the chest and face, increase the risk of respiratory complications, such as airway obstruction or inhalation injury, which are life-threatening.
Question 5 of 5
The nurse must withhold medication administration and notify the physician if which drug is ordered for a client with glaucoma?
Correct Answer: A
Rationale: Atropine can increase intraocular pressure, worsening glaucoma.