NCLEX-PN
Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
Before the examination can be completed, which type of eye medication would the nurse instill in the client's eye to dilate the pupil and temporarily paralyze the ciliary muscle?
Correct Answer: D
Rationale: Cyclopentolate is a cycloplegic agent that dilates the pupil and paralyzes the ciliary muscle for retinoscopy.
Question 2 of 5
The client sustained partial- and full-thickness burns to the anterior left and right arms, anterior chest and abdominal area, and anterior left leg. Using the Rule of Nines, what is the estimated extent of this injury that the nurse should document? % (Record your answer as a whole number.)
Correct Answer: A
Rationale: According to the Rule of Nines, this client sustained injuries on about 36% of the body surface: right arm is 4.5%; left arm is 4.5%; left leg is 9%; anterior chest and abdomen are 18%.
Question 3 of 5
Which response by the nurse is best at this time?
Correct Answer: C
Rationale: An honest response about expected swelling prepares the client for recovery.
Question 4 of 5
The nurse is caring for a client who has developed stage IV pressure ulcers on the left trochanter and coccyx. Which collaborative problem has the highest priority?
Correct Answer: B
Rationale: Altered nutrition is critical in stage IV ulcers to support wound healing. Cognition, self-care, and coping are secondary in advanced wounds.
Question 5 of 5
When the nurse assesses the client's operative eye after surgery, which finding is most expected?
Correct Answer: B
Rationale: An iridectomy creates a fixed pupil opening to relieve pressure.