Integumentary NCLEX Questions

Extract:

Question 1 of 5

The nurse is irrigating the arm of the client with an acid burn. Which factors should prompt the nurse to continue with the irrigation? Select all that apply.

Correct Answer: A,B,E

Rationale: The presence of a burning sensation may indicate that some acid remains on the skin and additional irrigation is needed. The presence of pain, even though reduced, could indicate that not all of the acid has been removed from the skin. A pH of 4.8 is acidic and indicates there is still acid residue that needs to be removed. A pH of 7 indicates a nonacidic status, which would be a positive finding. The absence of pain would indicate that all acid was removed before it could damage the skin.

Question 2 of 5

The nurse is admitting an 88-year-old client diagnosed with a viral skin infection. Which nursing task could the nurse delegate to the unlicensed assistive personnel?

A. Measure and document the client’s skin lesions. B. Apply the antihistamine cream to the lesions. C. Set up the isolation equipment for the client. D. Determine if the client has prepared an advance directive.

Correct Answer: C

Rationale: Setting up isolation equipment is within UAP scope. Measuring lesions, applying medication, and assessing advance directives require nursing judgment.

Question 3 of 5

Before leaving the room, which of the following nursing actions should the nurse perform?

A. The nurse straightens the client's linens. B. The nurse informs the client when leaving the room. C. The nurse offers to give the client a back rub. D. The nurse shares some current events with the client.

Correct Answer: B

Rationale: Informing the client when leaving reduces anxiety and enhances safety.

Question 4 of 5

The female client admitted for an unrelated diagnosis asks the nurse to check her back because 'it itches all the time in that one spot.' When the nurse assesses the client’s back, the nurse notes an irregular-shaped lesion with some scabbed-over areas surrounding the lesion. Which action should the nurse implement first?

A. Notify the HCP to check the lesion on rounds. B. Measure the lesion and note the color. C. Apply lotion to the lesion. D. Instruct the client to make sure the HCP checks the lesion.

Correct Answer: B

Rationale: Measuring and documenting the lesion provides baseline data for HCP evaluation. Notification, lotion, or client instruction are secondary.

Question 5 of 5

What is the best evidence that the antibiotic the nurse is administering for the treatment of acute otitis media is having a therapeutic effect?

A. The ear feels less warm to the touch. B. Ear drainage is thin and watery. C. Ear discomfort is relieved.

Correct Answer: C

Rationale: Relief of ear discomfort indicates the infection is responding to treatment.

Integumentary NCLEX Questions | Nurselytic

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