ATI LPN
NCLEX Questions Integumentary System Questions
Question 1 of 5
When collecting data at the immunization clinic, which of the following disclosures by the client would cause the nurse to hold administration of the varicella vaccine?
Correct Answer: D
Rationale: Contraindications for the varicella vaccine include pregnancy, suppressed immunity, and a recent history of a blood transfusion. Recent hyperthermia and allergies to yeast or eggs do not indicate a potential difficulty with the administration of the varicella vaccine.
Question 2 of 5
A young female who has a 2-year-old and a new baby has just lost all vision in one eye following a vehicle trauma. The client asks what she will do, since she has no help when she goes home. The nurse would choose which nursing diagnosis when planning care?
Correct Answer: A
Rationale: The client's vision loss leads to actual and anticipatory grieving, interrupted family processes due to altered parenting roles, and low self-esteem from functional impairment. Post-trauma syndrome and risk for injury are potential but not currently prioritized.
Question 3 of 5
During the teaching session for a client who recently had a hysterectomy, the client states that she is nervous about taking the estrogen replacement therapy prescribed by her physician. She states that she is worried about developing breast cancer later in life. Which of the statements by the nurses will be most appropriate?
Correct Answer: B
Rationale: Estrogen-only therapy post-hysterectomy does not increase breast cancer risk, unlike combined therapy, correcting the client's misconception.
Question 4 of 5
A nurse assesses a client who has two skin lesions on his chest. Each lesion is the size of a nickel, flat, and darker in color than the client's skin. How should the nurse document these lesions?
Correct Answer: A
Rationale: Patches are larger flat areas of the skin. The information provided does not indicate a mole or the presence of erythema.
Question 5 of 5
A nurse assesses a client who has a chronic wound. The client states, 'I do not clean the wound and change the dressing every day because it costs too much for supplies.' How should the nurse respond?
Correct Answer: A
Rationale: For chronic wounds in the home, clean tap water and nonsterile supplies are acceptable and cheaper alternatives.