NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 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 2 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 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
Which plan best promotes a blind client's feeling of self-reliance when eating?
Correct Answer: A
Rationale: Using clock positions empowers the client to eat independently by orienting them to food placement.
Question 5 of 5
Which of the following terms would the eye clinic nurse use to document that a client has nearsightedness?
Correct Answer: D
Rationale: Myopia is the medical term for nearsightedness, where distant objects appear blurry.