NCLEX-PN
Integumentary Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Postoperatively, which of the following client concerns should be the nurse's highest priority?
Correct Answer: A
Rationale: Pain is a priority as it may indicate complications like infection or graft failure.
Question 2 of 5
When examining the electrical burn on the victim, which assessment is most important for the nurse to determine?
Correct Answer: A
Rationale: Identifying entry and exit sites assesses the extent of internal tissue damage.
Question 3 of 5
Which question is most appropriate for the nurse to ask at this time?
Correct Answer: D
Rationale: Excessive aspirin use can cause tinnitus, making it the most relevant question.
Question 4 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a client with a stage IV pressure ulcer. Which action by the UAP warrants intervention by the nurse?
Correct Answer: D
Rationale: Multiple diapers increase moisture and pressure, worsening stage IV ulcers. Turning, wrinkle-free sheets, and protein drinks are appropriate.
Question 5 of 5
The nurse is caring for the client with psoriasis taking methotrexate. Which laboratory tests are most important for the nurse to monitor? Select all that apply.
Correct Answer: B,E
Rationale: The nurse should monitor liver function tests because methotrexate (Trexall) is metabolized by the liver, and a side effect is hepatotoxicity. The nurse should monitor WBCs because a side effect of methotrexate use is leukopenia. Methotrexate has no effect on serum potassium unless complications arise. Glucose monitoring is needed only if the client is diabetic. ABGs are not prescribed for routine monitoring.