NCLEX-PN
Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
The client receives treatment for uncomplicated lower-extremity cellulitis. The nurse notes improvement in the client's condition when which observation is noted on assessment?
Correct Answer: A
Rationale: Cellulitis is an infection with diffuse inflammation occurring in the tissue just under the skin. Observing a decrease in swelling is evidence of improvement. Circulation is not involved with cellulitis, so pedal pulses are unaffected. Increased erythema indicates worsening. A WBC of 14,000/mm3 is elevated, indicating infection.
Question 2 of 5
Assuming the following solutions are available, which one is best for the school nurse to use at this time?
Correct Answer: C
Rationale: Mammalise (likely a typo for a sterile saline solution) is the safest and most effective for eye irrigation to flush out chemicals without causing further irritation.
Question 3 of 5
The client receives treatment for uncomplicated lower-extremity cellulitis. The nurse notes improvement in the client's condition when which observation is noted on assessment?
Correct Answer: A
Rationale: Cellulitis is an infection with diffuse inflammation occurring in the tissue just under the skin. Observing a decrease in swelling is evidence of improvement. Circulation is not involved with cellulitis, so pedal pulses are unaffected. Increased erythema indicates worsening. A WBC of 14,000/mm3 is elevated, indicating infection.
Question 4 of 5
The nurse is caring for the client with a split-thickness skin graft taken from the thigh to cover a burn on the back. Which intervention should the nurse expect to implement to help reduce the risk of infection at the donor and graft site?
Correct Answer: B
Rationale: Pseudomonas has been found in plants and flowers, which may be a source of wound infection. Wound cultures are used to confirm an infection but do not prevent one. Sterile technique, not clean technique, would eliminate additional sources of infection. Continual low-dosage antibiotic infusions would not be effective due to increased metabolism in burn clients.
Question 5 of 5
The experienced nurse is supervising the new nurse. The nurse should intervene if observing the new nurse performing which intervention?
Correct Answer: A
Rationale: The skin of a person with pemphigus is so مرور fragile that touching the skin can cause it to tear; the experienced nurse should intervene. In scleroderma, emollients relieve dry, itching skin. Herpes simplex lesions are contagious until crusted. UV light therapy is a treatment option for acne vulgaris.