NCLEX-PN
Med Surg Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
When the client asks the nurse about the purpose of the eye shield, which explanation is best?
Correct Answer: B
Rationale: The shield prevents accidental trauma to the healing eye during sleep.
Question 2 of 5
Three days ago the client received circumferential, partial, and full-thickness burns to 30% total body surface area of the chest and abdomen. The nurse monitors the client for restricted breathing due to Which physiological response?
Correct Answer: A
Rationale: A layer of eschar or devitalized tissue commonly forms over partial- and full-thickness burns, which, when circumferential and when combined with increased fluid retention, can restrict circulation and lung expansion. Loss of tissue containing elastin and collagen does occur in partial- and full-thickness burns but would not be a source of constriction that would prevent lung expansion. Ischemia and hypoxia may be experienced in the alveoli due to inhalation burns; however, restricted breathing (a mechanical process) is more of a risk due to circumferential eschar formation. Although fluid overload is a possibility, it is not likely to restrict breathing unless it is combined with eschar formation.
Question 3 of 5
A severely burned client is to be admitted from the emergency department. What type of room should the nurse prepare for the client?
Correct Answer: C
Rationale: An isolation room is necessary to reduce the risk of infection, a major complication in burn clients due to compromised skin barriers.
Question 4 of 5
The client sustained a hot grease burn to the right hand and calls the emergency department for advice. Which information should the nurse provide to the client?
Correct Answer: B
Rationale: Cool water reduces burn progression and pain without tissue damage. Ice causes frostbite, rupturing blisters risks infection, and immediate doctor visits depend on severity.
Question 5 of 5
After instilling medication into the client's ear, which nursing instruction is most appropriate?
Correct Answer: A
Rationale: Keeping the head tilted allows the medication to stay in contact with the ear canal.