NCLEX-PN
Integumentary System NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for the client with the pressure ulcer illustrated. Which stage should the nurse document?
Correct Answer: C
Rationale: Stage III pressure ulcer is full-thickness skin loss that extends to the subcutaneous fat, but not fascia; bone, tendon, and muscle are not visible. Stage I is intact but red and nonblanching. Stage II involves a break in the skin with partial-thickness loss. Stage IV is full-thickness loss with exposed muscle and bone.
Question 2 of 5
The client who is debilitated and has developed multiple pressure ulcers complains to the nurse during a dressing change that he is 'tired of it all.' Which is the nurse’s best therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s feelings encourages discussion, addressing emotional distress. Protein focus, defensiveness, or advance directives dismiss the client’s emotions.
Question 3 of 5
The nurse is caring for an adult who has herpes zoster. What medication is most likely to be administered to this client?
Correct Answer: B
Rationale: Acyclovir is the antiviral medication used to treat herpes zoster (shingles), reducing viral replication and symptom duration.
Question 4 of 5
How can the nurse best relieve the client's fear and anxiety?
Correct Answer: C
Rationale: Changing stained clothing reduces visual reminders of bleeding, easing fear.
Question 5 of 5
Which client signs and symptoms indicate contact dermatitis to the nurse?
Correct Answer: A
Rationale: Erythema and oozing vesicles are hallmark signs of contact dermatitis. Pustules, varicosities, and telangiectasia suggest other conditions.