NCLEX-PN
Integumentary Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The school nurse is preparing to teach a health promotion class to high school seniors. Which information regarding self-care should be included in the teaching?
Correct Answer: C
Rationale: Monthly skin checks detect early skin cancer changes. SPF 10 is inadequate, 0300–0500 is nighttime, and caps/long sleeves are protective.
Question 2 of 5
The nurse is concerned that a very dark-skinned African American client may be developing a pressure ulcer on the heel. What should the nurse do to assess for the presence of tissue injury?
Correct Answer: C
Rationale: In a dark-skinned client, injured skin may appear darker than surrounding skin. Natural or halogen light should be used, as fluorescent light produces a bluish tone. Dark skin does not blanch. Red tones are absent in very dark-skinned persons; inflammation may appear purplish-blue or violet.
Question 3 of 5
The client experiences local burning and stinging when mafenide cream is applied to treat a burn injury. Which action should be taken by the nurse?
Correct Answer: D
Rationale: Burning or stinging with application of mafenide (Sulfamylon) is a normal response. Mafenide is bacteriostatic and used to reduce gram-negative and gram-positive organisms present in burned tissues. Removal of mafenide or notifying the HCP is unnecessary. Mafenide cream is supplied in 11.2% cream; there are no other concentrations available.
Question 4 of 5
The nurse is assessing the client using desoximetasone topical cream for an abdominal rash. Which finding should indicate to the nurse that the client is experiencing a known side effect from the medication?
Correct Answer: A
Rationale: The presence of skin discoloration such as purpura and hyperpigmentation should indicate to the nurse that the client has a side effect from using desoximetasone (
Topicort). Thinning skin, not thickening, is a side effect. The presence of striae, not a decrease, is a side effect. Folliculitis, not increased skin hair, is a side effect.
Question 5 of 5
The nurse is explaining facelift (rhytidectomy) surgery to the client and describing the site where the incision is most commonly made. Place an X on the site where the incision most commonly used for rhytidectomy is made.
Correct Answer: A
Rationale: An incision either in front or in back of the ear is made during rhytidectomy to remove excess skin and treat muscle laxity of the face. Incisions in the forehead and periorbital area are for blepharoplasty and browlift. Head and neck reconstruction utilizes the chin site.