NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 of 5
When the nurse applies mafenide acetate cream to the burn wound, the nurse should recognize which of the following as its chief disadvantage?
Correct Answer: B
Rationale: Mafenide acetate causes significant pain upon application.
Question 2 of 5
The nurse is planning the care for clients recovering from second- or third-degree burns. Which psychosocial nursing problem should be priority?
Correct Answer: C
Rationale: Disturbed body image occurs during the recovering stages of the burn condition and should be priority. Altered sensory perception and altered skin integrity are physiological problems. Disturbed personal identity is less likely to occur than disturbed body image.
Question 3 of 5
When assessing the client's skin the nurse notices a rounded area of hair loss with redness, pustules, and scales that appear greenish-yellow when exposed to a black light (Wood's lamp). The nurse should plan to implement treatment for which condition?
Correct Answer: B
Rationale: A fungal infection that manifests on the scalp with red, scaly lesions and hair loss will appear either greenish-yellow or bluish-green under a Wood's lamp. Lyme disease produces a bull's-eye rash that does not fluoresce. Anaerobic infections have diffuse redness and do not fluoresce. Contact dermatitis does not display a discrete, rounded area of hair loss or fluoresce.
Question 4 of 5
The nurse is preparing the plan of care for a client diagnosed with Stevens-Johnson syndrome. Which interventions should the nurse include? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Monitoring I&O, breath sounds, skin lesions, and orientation address SJS complications (fluid loss, respiratory issues, skin breakdown, neurological changes). Whisper test is irrelevant.
Question 5 of 5
The nurse is caring for clients in an outpatient surgery clinic. Which client should be assessed first?
Correct Answer: A
Rationale: Crying suggests emotional distress or pain, requiring immediate assessment. Sleeping, voiding, and discharge-ready clients are stable.