NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
The client diagnosed with stage IV infected pressure ulcers on the coccyx is scheduled for a fecal diversion operation. The nurse knows that client teaching has been effective when the client makes which statement?
Correct Answer: D
Rationale: Fecal diversion (colostomy) prevents stool contamination of coccyx ulcers, aiding healing. Skin flaps, debridement, and oxygen delivery are unrelated to this surgery.
Question 2 of 5
Which finding in the health history would the nurse expect of a client with otosclerosis?
Correct Answer: C
Rationale: Otosclerosis often has a familial component, with relatives affected.
Question 3 of 5
The nurse participating in a health fair is discussing malignant melanoma with a group of clients. Which information regarding the use of sunscreen is important to include?
Correct Answer: D
Rationale: Higher SPF numbers block more UV rays, reducing melanoma risk. Sunscreen is needed all day, safe for toddlers, and prevents skin cancer.
Question 4 of 5
Which statement is the best indication that the client understands the purpose of wearing the pressure garment?
Correct Answer: C
Rationale: Pressure garments minimize hypertrophic scarring.
Question 5 of 5
After touching a hot oven grate, the client telephones the ED asking for advice for the singed fingers. Which initial statement by the nurse is most appropriate?
Correct Answer: C
Rationale: Ice causes vasoconstriction and can worsen the tissue damage. The nurse should collect additional information before advising that the client be seen in the ED. A first-degree burn ordinarily does not require medical care. Cool water will minimize skin redness, pain, and swelling and limit tissue damage. Applying a skin ointment as an initial intervention can trap heat in the tissues; if it has an oily base, it can prevent healing.