NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
The nurse is caring for the immobile client who is at risk for developing pressure ulcers. Which food should the nurse recommend?
Correct Answer: C
Rationale: Chicken is a high-protein food. Proteins are needed to help meet the body's needs for tissue repair and to maintain skin integrity. Fruit salad, oatmeal, and lettuce salad are high-fiber or carbohydrate foods, not high in protein.
Question 2 of 5
The nurse is planning care for a newly burned client. What is the priority nursing observation to be made during the first 48 hours after the burn?
Correct Answer: C
Rationale: Hourly urine measurement is critical in the first 48 hours to monitor fluid resuscitation effectiveness and prevent hypovolemic shock.
Question 3 of 5
The nurse is caring for the immobile client who is at risk for developing pressure ulcers. Which food should the nurse recommend?
Correct Answer: C
Rationale: Chicken is a high-protein food. Proteins are needed to help meet the body's needs for tissue repair and to maintain skin integrity. Fruit salad, oatmeal, and lettuce salad are high-fiber or carbohydrate foods, not high in protein.
Question 4 of 5
The nurse is caring for a client one (1) day postoperative for facial reconstruction. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Assessing for infection is critical post-facial reconstruction to prevent complications. ADL provision, voicing concerns, and nutrition are secondary.
Question 5 of 5
The nurse is assessing the client for possible scabies infestation. Which findings should the nurse expect?
Correct Answer: C
Rationale: The most common symptoms of a scabies infestation are itching and papule rash. Serosanguineous drainage and fever or malaise and edema occur with wound infections. Macule rash and blisters may occur with allergic reactions.