NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is developing a plan of care for a client diagnosed with left-sided paralysis secondary to a right-sided cerebrovascular accident (stroke). Which should be included in the interventions?
Correct Answer: A
Rationale: Heel elevation prevents pressure ulcers in paralyzed clients. Low air-loss beds require HCP orders, NG tubes are premature, and OT is for rehabilitation, not immediate care.
Question 3 of 5
The nurse is planning the care for clients recovering from second- or third-degree burns. Which psychosocial nursing problem should be priority?
Correct Answer: C
Rationale: Disturbed body image occurs during the recovering stages of the burn condition and should be priority. Altered sensory perception and altered skin integrity are physiological problems. Disturbed personal identity is less likely to occur than disturbed body image.
Question 4 of 5
If a client with a middle ear infection reports the following symptoms, the blood pressure and the infection has spread to the inner ear?
Correct Answer: D
Rationale: Postural dizziness suggests inner ear involvement, such as labyrinthitis.
Question 5 of 5
The nurse is preparing to irrigate the student's eye. What steps are appropriate in completing the irrigation? Select all that apply.
Correct Answer: C,E
Rationale: Hand hygiene and gloves prevent infection, and placing the solution in the conjunctival sac ensures effective irrigation without damaging the cornea.