NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 of 5
Of the following information provided by the client to the nurse, which factor is most likely to cause a retinal detachment?
Correct Answer: B
Rationale: Trauma, such as a head injury, is a common cause of retinal detachment.
Question 2 of 5
If a client with a middle ear infection reports the following symptoms, the blood pressure and the infection has spread to the inner ear?
Correct Answer: D
Rationale: Postural dizziness suggests inner ear involvement, such as labyrinthitis.
Question 3 of 5
The nurse is caring for clients in an outpatient surgery clinic. Which client should be assessed first?
Correct Answer: A
Rationale: Crying suggests emotional distress or pain, requiring immediate assessment. Sleeping, voiding, and discharge-ready clients are stable.
Question 4 of 5
The client has full-thickness burns to 65% of the body, including the chest area. After establishing a patent airway, which collaborative intervention is priority for the client?
Correct Answer: A
Rationale: Massive fluid loss in 65% burns requires immediate fluid and electrolyte replacement to prevent shock. Contracture prevention, urine monitoring, and escharotomy are secondary after fluid resuscitation.
Question 5 of 5
Which signs and symptoms indicate that the nursing assistant has had an allergic reaction to the latex gloves? Select all that apply.
Correct Answer: A,B,D,E
Rationale: These symptoms indicate a latex allergy, ranging from local to systemic reactions.