NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
The client had an allergic reaction to poison oak two (2) weeks ago. He has returned to the clinic with severe itching and weeping vesicles on the arms and legs. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Fever suggests secondary infection in persistent poison oak dermatitis, requiring assessment. Cultures, medication allergies, and plant destruction are secondary.
Question 2 of 5
When developing nursing care plans, the nurse is careful to classify which type of wound as a chronic wound?
Correct Answer: B
Rationale: Diabetic foot ulcers heal slowly, classifying them as chronic.
Question 3 of 5
The client has tinea pedis. Which intervention should the nurse teach to the client?
Correct Answer: A
Rationale: Vinegar-water soaks create an acidic environment, reducing tinea pedis. Socks absorb moisture, alternating shoes daily (not monthly) helps, and toenail cutting is unrelated.
Question 4 of 5
The nurse is assessing the client for possible scabies infestation. Which findings should the nurse expect?
Correct Answer: C
Rationale: The most common symptoms of a scabies infestation are itching and papule rash. Serosanguineous drainage and fever or malaise and edema occur with wound infections. Macule rash and blisters may occur with allergic reactions.
Question 5 of 5
The wound care nurse documented a client’s pressure ulcers on admission as 3.3 cm × 4 cm stage II on the coccyx. Which information would alert the nurse that the client’s pressure ulcer is getting worse?
Correct Answer: D
Rationale: Extension to the subcutaneous layer with drainage indicates progression to stage III or IV, worsening the ulcer. Smaller size, blisters, or pain are less severe.