Integumentary System NCLEX Questions | Nurselytic

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Integumentary System NCLEX Questions Questions

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Question 1 of 5

If a client who has recently experienced diminished hearing takes medications from each of the following drug categories, which one is most likely to have affected the client's hearing?

Correct Answer: C

Rationale: Aminoglycosides are ototoxic and can cause hearing loss.

Question 2 of 5

The school nurse is discussing impetigo with the teachers in an elementary school. One of the teachers asks the nurse, 'How can I prevent getting impetigo?' Which statement would be the most appropriate response?

Correct Answer: B

Rationale: Avoiding contact with impetigo lesions without gloves prevents transmission. Handwashing is general, topical antibiotics are for treatment, and isolation is excessive.

Question 3 of 5

The experienced nurse is observing the new nurse administer medications. Which actions by the new nurse require the experienced nurse to intervene? Select all that apply.

Correct Answer: A,C,E

Rationale: Tretinoin (Retin-
A) should not be applied to open wounds; the experienced nurse should intervene. Actinic keratosis treatment using fluorouracil (Carac) causes the affected area to become worse before getting better; the medication should not be withheld. When taking acitretin (Soriatane), the client should not become pregnant for three years following treatment. Withholding isotretinoin until pregnancy status is known is appropriate. Waiting two hours to apply tacrolimus after lotion is correct.

Question 4 of 5

Because the immobile client slides down in bed, the nurse is correct to assess for which type of skin injury?

Correct Answer: B

Rationale: Sliding causes shearing forces, damaging skin and underlying tissue.

Question 5 of 5

The client is diagnosed with a viral infection and the HCP has prescribed an antiviral medication to be administered by weight. The client weighs 220 pounds and the order reads 10 mg per kilogram per day to be administered in equally divided doses every six (6) hours. How many milligrams will be administered in one dose?

Correct Answer: 250

Rationale: 220 lbs ÷ 2.2 = 100 kg; 10 mg/kg/day = 1000 mg/day; 1000 mg ÷ 4 doses = 250 mg/dose.

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