NCLEX-PN
Med Surg Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse must withhold medication administration and notify the physician if which drug is ordered for a client with glaucoma?
Correct Answer: A
Rationale: Atropine can increase intraocular pressure, worsening glaucoma.
Question 2 of 5
Which action is most appropriate to include in the postoperative care plan when a client has skin grafts?
Correct Answer: A
Rationale: Minimizing movement ensures graft adherence and healing.
Question 3 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 4 of 5
The female teacher comes to the school nurse’s office and shows the nurse a rash on her hands. The nurse tells the teacher she has probably contracted impetigo from one of the students. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Impetigo requires HCP evaluation for antibiotics. Handwashing is preventive, vitamin E is ineffective, and spontaneous resolution is unlikely.
Question 5 of 5
The middle-aged client has had two (2) lesions diagnosed as basal cell carcinoma removed. Which discharge instruction should the nurse include?
Correct Answer: D
Rationale: Surgical site care prevents infection and promotes healing. Ongoing cancer risk remains, prostheses are irrelevant, and sunscreen is secondary post-surgery.