NCLEX-PN
Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is obtaining a preoperative health history on the client scheduled for revision of facial scars. Which client comment indicates an increased risk for a poor cosmetic outcome?
Correct Answer: D
Rationale: Diclofenac (Voltaren) is an NSAID; increased bleeding tendency and increased sensitivity to sunlight are side effects that may inhibit achieving optimal cosmetic outcomes. Fasting is standard practice. Nervousness does not affect cosmetic outcomes. Controlled hypertension poses no significant risk.
Question 2 of 5
The experienced nurse is supervising the new nurse. The nurse should intervene if observing the new nurse performing which intervention?
Correct Answer: A
Rationale: The skin of a person with pemphigus is so مرور fragile that touching the skin can cause it to tear; the experienced nurse should intervene. In scleroderma, emollients relieve dry, itching skin. Herpes simplex lesions are contagious until crusted. UV light therapy is a treatment option for acne vulgaris.
Question 3 of 5
The nurse is caring for a male client diagnosed with folliculitis barbae. Which information should the nurse teach to prevent a reoccurrence?
Correct Answer: D
Rationale: Antibacterial soap reduces bacterial load, preventing folliculitis barbae. Not shaving is impractical, astringents irritate, and hot packs are less effective.
Question 4 of 5
The client receives treatment for uncomplicated lower-extremity cellulitis. The nurse notes improvement in the client's condition when which observation is noted on assessment?
Correct Answer: A
Rationale: Cellulitis is an infection with diffuse inflammation occurring in the tissue just under the skin. Observing a decrease in swelling is evidence of improvement. Circulation is not involved with cellulitis, so pedal pulses are unaffected. Increased erythema indicates worsening. A WBC of 14,000/mm3 is elevated, indicating infection.
Question 5 of 5
There is an outbreak of scabies in a long-term care facility. Which instruction should the infection control nurse provide to all client care staff concerning the transmission of this parasitic infection?
Correct Answer: B
Rationale: Gloves prevent scabies transmission during direct contact. Hand-washing foam is insufficient, hot water washing is needed, and plastic utensils are irrelevant.