NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
The long-term care nurse has received the a.m. shift report. Which client should the nurse assess first?
Correct Answer: C
Rationale: Periorbital skin lesions (e.g., herpes zoster ophthalmicus) risk eye complications, requiring urgent assessment. Constipation, catheter changes, and stage I ulcers are less acute.
Question 2 of 5
The intensive care unit (ICU) burn nurse is developing a nursing care plan for a client with severe full-thickness and deep partial-thickness burns over half the body. Which client problem has priority?
Correct Answer: A
Rationale: Extensive burns increase infection risk due to loss of skin barrier; this is the priority. Coping, mobility, and knowledge are secondary in acute burn care.
Question 3 of 5
Which other assessment finding is most indicative of an infection in the external ear?
Correct Answer: A
Rationale: Foul-smelling drainage is a hallmark of external ear infections.
Question 4 of 5
The nurse observes the unlicensed assistive personnel (UAP) squeezing the 'blackheads' on an elderly client. Which action should the nurse implement first?
Correct Answer: B
Rationale: Stopping the UAP prevents harm from inappropriate skin manipulation. Notification, demonstration, and reporting follow.
Question 5 of 5
During the initial assessment, the nurse can assist the physician in determining the etiology of the client's problem by assessing if there is a history of which condition?
Correct Answer: B
Rationale: Respiratory allergies are a common cause of nasal polyps.