NCLEX-PN
Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
The client sustained partial- and full-thickness burns to the anterior left and right arms, anterior chest and abdominal area, and anterior left leg. Using the Rule of Nines, what is the estimated extent of this injury that the nurse should document? % (Record your answer as a whole number.)
Correct Answer: A
Rationale: According to the Rule of Nines, this client sustained injuries on about 36% of the body surface: right arm is 4.5%; left arm is 4.5%; left leg is 9%; anterior chest and abdomen are 18%.
Question 2 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 3 of 5
Which nursing action is most helpful for reducing or eliminating feedback from the client's hearing aid?
Correct Answer: A
Rationale: Repositioning corrects improper fit, reducing feedback noise.
Question 4 of 5
It is most appropriate for the nurse to monitor a client for which potential problem?
Correct Answer: A
Rationale: Open exposure increases infection risk due to exposed tissue.
Question 5 of 5
Which area of health teaching is essential when a female client is prescribed isotretinoin (Accutane)?
Correct Answer: B
Rationale: Isotretinoin is teratogenic, requiring strict pregnancy prevention.