NCLEX-PN
Integumentary Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse determines that the fluid status of the client with a second-degree burn is inadequate and immediately notifies the HCP. The client is 5 hours postburn and weighs 60 kg. Which findings prompted the nurse's action?
Correct Answer: C
Rationale: The client weighing 60 kg weighs 132 lb (1 kg = 2.2 lb). For the adult client weighing 132 lb, a pulse rate of 130 bpm (tachycardia) and a low urine output of 25 mL/hr are signs of inadequate circulating fluid volume. The MAP for a BP of 92/60 mm Hg is 70.7, indicating adequate perfusion. A pulse of 100 bpm is WNL. Respirations of 18 per minute and pulse of 60 bpm are both WNL. A pulse of 106 bpm could be elevated due to pain, and the temperature of 98.4°F (36.9°
C) is considered normal.
Question 2 of 5
The nurse correctly teaches the client that psoriasis is an inflammatory dermatosis that results from which skin condition?
Correct Answer: C
Rationale: Psoriasis involves rapid epidermal cell turnover.
Question 3 of 5
Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen’s disease)?
Correct Answer: A
Rationale: Leprosy’s stigma often leads to social isolation, a priority psychosocial problem. Body image, infection, and comfort are secondary.
Question 4 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 5 of 5
Which question is most appropriate for the nurse to ask at this time?
Correct Answer: D
Rationale: Excessive aspirin use can cause tinnitus, making it the most relevant question.