NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
The health department nurse is caring for the client who has leprosy (Hansen’s disease). Which assessment data indicate the client is experiencing a complication of the disease?
Correct Answer: C
Rationale: Reduced sensation in lesions indicates nerve damage, a leprosy complication. Night fevers, discoloration, and bacterial load are less specific.
Question 2 of 5
The nurse is caring for clients with second- and third-degree burns. Which medication should the nurse plan to apply topically to treat bacterial and yeast infections?
Correct Answer: C
Rationale: Silver sulfadiazine (Silvadene) is a topical anti-infective agent for prevention and treatment of wound infection in second- and third-degree burn clients. Bismuth subsalicylate (Kaopectate) is an antidiarrheal medication. Gold sodium thiomalate (Aurolate) is used to treat rheumatoid arthritis resistant to conventional therapy. Arsenic trioxide (Trisenox) is an antineoplastic.
Question 3 of 5
Before the client leaves the emergency department, which nursing instruction is most appropriate?
Correct Answer: D
Rationale: Avoiding nose blowing prevents dislodging clots and restarting bleeding.
Question 4 of 5
The nurse is caring for a client diagnosed with squamous cell skin cancer and writes a psychosocial problem of 'fear.' Which nursing interventions should be included in the plan of care?
Correct Answer: B
Rationale: Verbalizing fear helps address anxiety and promotes coping. Dismissing fears, deferring to HCP, or procedure instruction are less therapeutic.
Question 5 of 5
Which finding of the client's biographical data most likely contributed to developing skin cancer?
Correct Answer: B
Rationale: Baldness increases scalp sun exposure, a risk factor for skin cancer.