Integumentary Disorders NCLEX Questions

Extract:

Question 1 of 5

The elderly client diagnosed with poison ivy is prescribed a Solu-Medrol (a steroid) dose pack. Which intervention should the nurse teach the client?

Correct Answer: B

Rationale: Taking steroids as prescribed ensures efficacy and minimizes risks. Blood levels are unnecessary, food reduces GI upset, and abrupt stopping is harmful.

Question 2 of 5

The client experiences local burning and stinging when mafenide cream is applied to treat a burn injury. Which action should be taken by the nurse?

A. Remove any mafenide that has been applied. B. Immediately notify the health care provider. C. Double-check the concentration of mafenide. D. Inform the client that this is a normal response.

Correct Answer: D

Rationale: Burning or stinging with application of mafenide (Sulfamylon) is a normal response. Mafenide is bacteriostatic and used to reduce gram-negative and gram-positive organisms present in burned tissues. Removal of mafenide or notifying the HCP is unnecessary. Mafenide cream is supplied in 11.2% cream; there are no other concentrations available.

Question 3 of 5

Which response demonstrates that the parents understand the nurse's explanation of why organisms travel more easily from the nasopharynx to the middle ear in a child?

A. A child's eustachian tube is shorter and straighter. B. A child's eustachian tube is longer and straighter. C. A child's eustachian tube is longer and more curved.

Correct Answer: A

Rationale: A shorter, straighter eustachian tube in children facilitates organism travel.

Question 4 of 5

The nurse and an unlicensed assistive personnel (UAP) on a medical floor are caring for clients who are elderly and immobile. Which action by the UAP warrants immediate intervention by the nurse?

A. The UAP elevates the head of the bed of a client who can feed himself with minimal assistance. B. The UAP asks to take a meal break before turning the clients at the two (2)-hour time limit. C. The UAP restocks the rooms that need unsterile gloves before clocking out for the shift. D. The UAP mixes Thick-It into the glass of water for a client who has difficulty swallowing.

Correct Answer: B

Rationale: Delaying turning immobile clients risks pressure ulcers, requiring immediate intervention. Bed elevation, restocking, and Thick-It are appropriate.

Question 5 of 5

The school nurse is assessing a teacher who has pediculosis. Which statement by the teacher makes the nurse suspect that the teacher did not comply with the instructions that were discussed in the classroom with the children?

A. I used the comb to remove all the nits.' B. I washed my hair with Kwell shampoo.' C. I removed all the sheets from my bed.' D. I had to fix my daughter’s hair with my brush.'

Correct Answer: D

Rationale: Sharing a brush risks reinfestation with lice, indicating noncompliance. Combing nits, using Kwell, and washing sheets are correct.

Integumentary Disorders NCLEX Questions | Nurselytic

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