NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with deep partial-thickness and full-thickness burns to the chest area. Which assessment data would warrant notifying the health-care provider?
Correct Answer: C
Rationale: Fever, tachycardia, and hypotension suggest sepsis or hypovolemia, requiring immediate HCP notification. Pain is expected, 95% SpO2 is acceptable, and low urine output is secondary.
Question 2 of 5
Which action is the nurse's immediate priority?
Correct Answer: D
Rationale: Smothering flames stops the burning process, the immediate priority.
Question 3 of 5
Which common ailment should the nurse instruct the client who underwent a stapedectomy to immediately report to the physician?
Correct Answer: A
Rationale: A cold can lead to middle ear pressure changes, risking surgical complications.
Question 4 of 5
Which symptom related to the chronic progression of untreated glaucoma will a client most likely report to the nurse?
Correct Answer: A
Rationale: Untreated glaucoma leads to tunnel vision due to progressive peripheral vision loss.
Question 5 of 5
The client has full-thickness burns to 65% of the body, including the chest area. After establishing a patent airway, which collaborative intervention is priority for the client?
Correct Answer: A
Rationale: Massive fluid loss in 65% burns requires immediate fluid and electrolyte replacement to prevent shock. Contracture prevention, urine monitoring, and escharotomy are secondary after fluid resuscitation.