NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
When developing nursing care plans, the nurse is careful to classify which type of wound as a chronic wound?
Correct Answer: B
Rationale: Diabetic foot ulcers heal slowly, classifying them as chronic.
Question 2 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.
Question 3 of 5
After cleaning a client's prescription eyeglasses with soap and warm water or a commercial glass cleaner, which nursing action is best for drying the moist lenses?
Correct Answer: B
Rationale: A soft cloth prevents scratches and effectively dries the lenses.
Question 4 of 5
A woman who has herpes simplex 1 (HSV1) around the mouth and nose asks the nurse if she can give the sores to her husband. What should the nurse include when answering this client?
Correct Answer: B
Rationale: HSV1 is contagious and can be transmitted through direct contact, such as kissing, especially during active outbreaks.
Question 5 of 5
The nurse is caring for the client with a burn injury. Which findings should prompt the nurse to notify the HCP because the client may be developing sepsis?
Correct Answer: C
Rationale: T 103.2°F (39.6°
C) and HR 120 bpm may indicate that the client has sepsis. A Paco2 35 mm Hg is WNL. Hyperglycemia does occur in sepsis, but this alone is not sufficient. Abnormal clotting may occur with sepsis, but hypoglycemia does not. An RR of 34 breaths/min may indicate sepsis, but the WBC is WNL.