Integumentary System NCLEX Questions | Nurselytic

Questions 44

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Integumentary System NCLEX Questions Questions

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Question 1 of 5

The nurse is assessing the client diagnosed with psoriasis. Which data would support that diagnosis?

Correct Answer: A

Rationale: Red plaques with silvery scales are characteristic of psoriasis. Vesicles suggest herpes zoster, papules suggest warts, and collagen overgrowth suggests keloids.

Question 2 of 5

The nurse is caring for the client with a large, open sternal wound resulting from a burn injury. The client is receiving enteral feeding, Oxepa (an anti-inflammatory, pulmonary 1.5 Cal/mL formula), at 25 mL/hour. Which laboratory value finding best indicates that the client is receiving inadequate nutrition?

Correct Answer: C

Rationale: Prealbumin is used to evaluate nutritional status. A low level of prealbumin indicates inadequate nutrition. Prealbumin has a half-life of 2 days and reflects changes in serum protein stores more rapidly than other indices. The phosphorus level decreases in malnutrition as well as other conditions, but this is not the best indicator of inadequate nutrition. Platelets are essential to blood clotting and may or may not be altered with inadequate nutrition. Potassium is the major cation within the cell and may be low due to renal failure or GI disorders.

Question 3 of 5

What is the best nursing advice for individuals who have frequent outbreaks of tinea pedis (athlete's foot)?

Correct Answer: C

Rationale: Alternating shoes allows drying, reducing fungal growth.

Question 4 of 5

The client is diagnosed with a viral infection and the HCP has prescribed an antiviral medication to be administered by weight. The client weighs 220 pounds and the order reads 10 mg per kilogram per day to be administered in equally divided doses every six (6) hours. How many milligrams will be administered in one dose?

Correct Answer: 250

Rationale: 220 lbs ÷ 2.2 = 100 kg; 10 mg/kg/day = 1000 mg/day; 1000 mg ÷ 4 doses = 250 mg/dose.

Question 5 of 5

If a client who has recently experienced diminished hearing takes medications from each of the following drug categories, which one is most likely to have affected the client's hearing?

Correct Answer: C

Rationale: Aminoglycosides are ototoxic and can cause hearing loss.

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