NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing the plan of care for a client diagnosed with Stevens-Johnson syndrome. Which interventions should the nurse include? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Monitoring I&O, breath sounds, skin lesions, and orientation address SJS complications (fluid loss, respiratory issues, skin breakdown, neurological changes). Whisper test is irrelevant.
Question 2 of 5
Which of the following terms would the eye clinic nurse use to document that a client has nearsightedness?
Correct Answer: D
Rationale: Myopia is the medical term for nearsightedness, where distant objects appear blurry.
Question 3 of 5
Which common ailment should the nurse instruct the client who underwent a stapedectomy to immediately report to the physician?
Correct Answer: A
Rationale: A cold can lead to middle ear pressure changes, risking surgical complications.
Question 4 of 5
If a client with a middle ear infection reports the following symptoms, which one suggests that the infection has spread to the inner ear?
Correct Answer: D
Rationale: Postural dizziness suggests inner ear involvement, such as labyrinthitis.
Question 5 of 5
The client is diagnosed with a viral infection and the HCP has prescribed an antiviral medication to be administered by weight. The client weighs 220 pounds and the order reads 10 mg per kilogram per day to be administered in equally divided doses every six (6) hours. How many milligrams will be administered in one dose?
Correct Answer: 250
Rationale: 220 lbs ÷ 2.2 = 100 kg; 10 mg/kg/day = 1000 mg/day; 1000 mg ÷ 4 doses = 250 mg/dose.