NCLEX-PN
Integumentary Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is concerned that a very dark-skinned African American client may be developing a pressure ulcer on the heel. What should the nurse do to assess for the presence of tissue injury?
Correct Answer: C
Rationale: In a dark-skinned client, injured skin may appear darker than surrounding skin. Natural or halogen light should be used, as fluorescent light produces a bluish tone. Dark skin does not blanch. Red tones are absent in very dark-skinned persons; inflammation may appear purplish-blue or violet.
Question 2 of 5
Aside from blood on the anterior end of the packing, what other sign or symptom would suggest that the client is bleeding from the operative area?
Correct Answer: A
Rationale: Frequent swallowing may indicate blood trickling down the throat.
Question 3 of 5
The client with thick, crusty, yellow toenails is diagnosed with tinea unguium (onychomycosis) and asks the clinic nurse what happens if he can’t afford to take the medication the physician prescribed. The nurse’s response will be based on which scientific rationale?
Correct Answer: C
Rationale: Untreated onychomycosis can destroy the toenail plate, causing separation. Gangrene is unlikely, OTC creams are less effective, and antibiotics are irrelevant.
Question 4 of 5
The client is diagnosed with acne vulgaris. Which psychosocial problem is priority?
Correct Answer: C
Rationale: Acne vulgaris often causes body image disturbance, especially in adolescents, due to visible lesions. Skin integrity, grieving, and knowledge are secondary.
Question 5 of 5
The client is complaining of severe itching following a course of antibiotics. Which independent nursing action should the nurse implement?
Correct Answer: D
Rationale: Colloidal oatmeal baths relieve itching, an independent nursing action. Specialist referral, tar gels, and tight covers are inappropriate or dependent.