NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 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 2 of 5
The nurse is teaching a class on how to prevent Lyme disease. Which intervention should be included in the discussion?
Correct Answer: C
Rationale: Avoiding dense undergrowth reduces tick exposure, preventing Lyme disease. Dark clothes attract ticks, sunscreen is irrelevant, and insect repellent is recommended.
Question 3 of 5
The health department nurse is caring for the client who has leprosy (Hansen’s disease). Which assessment data indicate the client is experiencing a complication of the disease?
Correct Answer: C
Rationale: Reduced sensation in lesions indicates nerve damage, a leprosy complication. Night fevers, discoloration, and bacterial load are less specific.
Question 4 of 5
The client has tinea pedis. Which intervention should the nurse teach to the client?
Correct Answer: A
Rationale: Vinegar-water soaks create an acidic environment, reducing tinea pedis. Socks absorb moisture, alternating shoes daily (not monthly) helps, and toenail cutting is unrelated.
Question 5 of 5
Before the client leaves the emergency department, which nursing instruction is most appropriate?
Correct Answer: D
Rationale: Avoiding nose blowing prevents dislodging clots and restarting bleeding.