NCLEX-PN
Med Surg Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client at increased risk for developing pressure ulcers. Which measure should the nurse take to limit shearing forces?
Correct Answer: D
Rationale: Keeping the HOB higher than 30 degrees increases the shearing forces to the shoulders, sacrum, and heels. Padding and air mattresses reduce tissue pressure but not shearing forces. Using a lift sheet helps reduce friction but not shearing forces.
Question 2 of 5
The nurse must withhold medication administration and notify the physician if which drug is ordered for a client with glaucoma?
Correct Answer: A
Rationale: Atropine can increase intraocular pressure, worsening glaucoma.
Question 3 of 5
The nurse is caring for the client diagnosed with contact dermatitis. Which collaborative intervention should the nurse implement?
Correct Answer: B
Rationale:
Topical anti-inflammatory cream (e.g., steroids) treats contact dermatitis. Stockings, scale removal, and lindane are irrelevant.
Question 4 of 5
Which nursing instruction is most appropriate before the client leaves the emergency department?
Correct Answer: D
Rationale: Avoiding nose blowing prevents dislodging clots and restarting bleeding.
Question 5 of 5
The nurse is caring for the client at increased risk for developing pressure ulcers. Which measure should the nurse take to limit shearing forces?
Correct Answer: D
Rationale: Keeping the HOB higher than 30 degrees increases the shearing forces to the shoulders, sacrum, and heels. Padding and air mattresses reduce tissue pressure but not shearing forces. Using a lift sheet helps reduce friction but not shearing forces.