NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
The wound care nurse documented a client’s pressure ulcers on admission as 3.3 cm × 4 cm stage II on the coccyx. Which information would alert the nurse that the client’s pressure ulcer is getting worse?
Correct Answer: D
Rationale: Extension to the subcutaneous layer with drainage indicates progression to stage III or IV, worsening the ulcer. Smaller size, blisters, or pain are less severe.
Question 2 of 5
The nurse is caring for several clients who have burns. Which of the following persons with burns has the poorest prognosis?
Correct Answer: B
Rationale: The 80-year-old with burns over 50% has the poorest prognosis due to age-related factors, such as reduced physiological reserve and difficulty managing fluid shifts, increasing mortality risk.
Question 3 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 4 of 5
The nurse is caring for clients with second- and third-degree burns. Which medication should the nurse plan to apply topically to treat bacterial and yeast infections?
Correct Answer: C
Rationale: Silver sulfadiazine (Silvadene) is a topical anti-infective agent for prevention and treatment of wound infection in second- and third-degree burn clients. Bismuth subsalicylate (Kaopectate) is an antidiarrheal medication. Gold sodium thiomalate (Aurolate) is used to treat rheumatoid arthritis resistant to conventional therapy. Arsenic trioxide (Trisenox) is an antineoplastic.
Question 5 of 5
The client diagnosed with stage IV infected pressure ulcers on the coccyx is scheduled for a fecal diversion operation. The nurse knows that client teaching has been effective when the client makes which statement?
Correct Answer: D
Rationale: Fecal diversion (colostomy) prevents stool contamination of coccyx ulcers, aiding healing. Skin flaps, debridement, and oxygen delivery are unrelated to this surgery.