ATI LPN
NCLEX Questions Integumentary System Questions
Question 1 of 5
The client comes into the emergency room in severe pain and reports that a pot of boiling hot water accidentally spilled on his lower legs. The assessment reveals blistered, mottled red skin, and both feet are edematous. Which depth of burn should the nurse document?
Correct Answer: B
Rationale: Deep partial-thickness burns involve blisters, mottled red skin, and edema, affecting both the epidermis and deeper dermis, which matches the description.
Question 2 of 5
The female client calls the clinic and tells the nurse that she has a really big 'boil' in the perineal area that is causing a lot of pain. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Warm, moist compresses promote drainage and pain relief for a boil, a common initial intervention.
Question 3 of 5
The nurse is caring for a client with complaints of a rash and itching on the face for one (1) week. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Describing the rash's initial appearance helps establish its progression and aids diagnosis.
Question 4 of 5
The nurse is caring for a client one (1) day postoperative for facial reconstruction. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Infection is a critical postoperative risk requiring vigilant assessment.
Question 5 of 5
What should the nurse anticipate to be prescribed for a client following an autograft and grafting to a burn wound on the right knee?
Correct Answer: C
Rationale: Immobilization of the affected leg helps promote healing and integration of the graft by preventing shearing forces.