NCLEX-PN
NCLEX Questions Integumentary System Questions
Question 1 of 5
The client has tinea pedis. Which intervention should the nurse teach to the client?
Correct Answer: A
Rationale: Vinegar-water soaks create an acidic environment, reducing tinea pedis. Socks absorb moisture, alternating shoes daily (not monthly) helps, and toenail cutting is unrelated.
Question 2 of 5
The nurse is planning care for a newly burned client. What is the priority nursing observation to be made during the first 48 hours after the burn?
Correct Answer: C
Rationale: Hourly urine measurement is critical in the first 48 hours to monitor fluid resuscitation effectiveness and prevent hypovolemic shock.
Question 3 of 5
The nurse is planning the care of a client diagnosed with psoriasis. Which psychosocial problem should be included in the plan?
Correct Answer: B
Rationale: Psoriasis’s visible plaques often cause body image disturbance. Comfort, anxiety, and family processes are secondary.
Question 4 of 5
The nurse is caring for clients with second- and third-degree burns. Which medication should the nurse plan to apply topically to treat bacterial and yeast infections?
Correct Answer: C
Rationale: Silver sulfadiazine (Silvadene) is a topical anti-infective agent for prevention and treatment of wound infection in second- and third-degree burn clients. Bismuth subsalicylate (Kaopectate) is an antidiarrheal medication. Gold sodium thiomalate (Aurolate) is used to treat rheumatoid arthritis resistant to conventional therapy. Arsenic trioxide (Trisenox) is an antineoplastic.
Question 5 of 5
After touching a hot oven grate, the client telephones the ED asking for advice for the singed fingers. Which initial statement by the nurse is most appropriate?
Correct Answer: C
Rationale: Ice causes vasoconstriction and can worsen the tissue damage. The nurse should collect additional information before advising that the client be seen in the ED. A first-degree burn ordinarily does not require medical care. Cool water will minimize skin redness, pain, and swelling and limit tissue damage. Applying a skin ointment as an initial intervention can trap heat in the tissues; if it has an oily base, it can prevent healing.