NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 of 5
The ED nurse is caring for a client admitted with extensive, deep partial-thickness and full-thickness burns. Which interventions should the nurse implement? List in order of priority.
Correct Answer: D,B,E,A,C
Rationale: Priority: 1) Airway status (ABCs); 2) IV catheters/fluids (prevent shock); 3) Morphine (pain control); 4) Rule of nines (guide resuscitation); 5) Sterile dressings (infection prevention).
Question 2 of 5
The nurse is caring for clients in a long-term care facility. Which is a modifiable risk factor for the development of pressure ulcers?
Correct Answer: A
Rationale: Perineal moisture is modifiable through hygiene and barriers, reducing ulcer risk. Repositioning ability, skin elasticity, and perfusion are less modifiable.
Question 3 of 5
The female client calls the clinic and tells the nurse that she has a really big 'boil' in the perineal area that is causing a lot of pain. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Warm, moist compresses promote drainage and pain relief in a boil (furuncle). Emergency visits may be needed later, squeezing risks infection, and spontaneous resolution is unlikely.
Question 4 of 5
Of the following information provided by the client to the nurse, which factor is most likely to cause a retinal detachment?
Correct Answer: B
Rationale: Trauma, such as a head injury, is a common cause of retinal detachment.
Question 5 of 5
Which laboratory test should the nurse monitor to identify an allergic reaction for the client diagnosed with contact dermatitis?
Correct Answer: C
Rationale: IgE mediates allergic reactions, elevated in contact dermatitis. IgA, IgD, and IgG are less relevant.