NCLEX-PN
Med Surg Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is determining the IV fluid needs for the 50-kg client with partial-thickness burns to 40% total body surface area (TBSA). Using the Parkland formula (4 mL X weight in kg X % TBSA burn = 24-hour IV fluid volume replacement; half given in first 8 hours), how many mL of IV fluid are needed during the first 8 hours after injury? mL of IV fluid (Record your answer as a whole number.)
Correct Answer: A
Rationale: Use the Parkland formula provided: 4.0 mL at 50 kg = 200 mL; 200 mL × 40% TBSA burn = 8000 mL. Half of 8000 mL, or 4000 mL, is given in the first 8 hours after the burn.
Question 2 of 5
The nurse suspects that the client's anxiety is due to fear that nursing care will intensify symptoms. Which nursing intervention is most appropriate to add to the care plan?
Correct Answer: A
Rationale: Involving the client in care decisions reduces anxiety by providing control.
Question 3 of 5
The nurse is caring for a person who has severe poison ivy. Soaks with Burrow's solution are ordered. What is the primary reason for using Burrow's solution soaks?
Correct Answer: C
Rationale: Burrow’s solution soaks relieve pruritus (itching) in poison ivy by soothing the skin and reducing inflammation.
Question 4 of 5
When planning the child's discharge, what nursing instruction is most appropriate for the nurse to provide the parent concerning the cotton ball in the client's ear canal?
Correct Answer: B
Rationale: A loosely placed cotton ball protects the ear without causing pressure.
Question 5 of 5
The nurse is assessing a young mother who came to the clinic complaining of sores on her skin. Which assessment data would support that the client has chickenpox?
Correct Answer: A
Rationale: Crops of pustular lesions with a red base are characteristic of chickenpox. Scaling lesions, scalp eggs, and ringed lesions suggest other conditions.