Integumentary System NCLEX Questions | Nurselytic

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Integumentary System NCLEX Questions Questions

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Question 1 of 5

Which laboratory test should the nurse monitor to identify an allergic reaction for the client diagnosed with contact dermatitis?

Correct Answer: C

Rationale: IgE mediates allergic reactions, elevated in contact dermatitis. IgA, IgD, and IgG are less relevant.

Question 2 of 5

The nurse is speaking with clients during a wellness fair. What information should the nurse provide to prevent or minimize burn injury? Select all that apply.

Correct Answer: A,B,E

Rationale: The nurse should discuss flame-retardant clothing. 'Stop, drop, and roll' maneuvers should be used to minimize burn. Smoke detectors should be included throughout the home, including one near the furnace. It does not matter what type of container holds the burning candle. For a small fire on the stove, covering the flame with a lid is recommended.

Question 3 of 5

While the nurse is assessing the client hospitalized with recurrent lower-extremity cellulitis, the client states, 'I have athlete's foot; do you want to check it?' The nurse concludes that this information is significant for what reason?

Correct Answer: D

Rationale: Cellulitis is an infection with diffuse inflammation occurring in the tissue just under the skin. Chronic athlete's foot causes minute breaks in the skin, allowing bacteria on the skin to enter the tissue and cause the infectious process. Cellulitis is caused by a bacterial infection, not fungal. Cellulitis requires antibiotics, not fungicides. Neuralgia is associated with herpes zoster, not cellulitis.

Question 4 of 5

Which common ailment should the nurse instruct the client who underwent a stapedectomy to immediately report to the physician?

Correct Answer: A

Rationale: A cold can lead to middle ear pressure changes, risking surgical complications.

Question 5 of 5

The ED nurse is caring for a client admitted with extensive, deep partial-thickness and full-thickness burns. Which interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Estimate the amount of burned area using the rule of nines.
Insert two (2) 18-gauge catheters and begin fluid replacement.
Apply sterile saline dressings to the burned areas.
Determine the client’s airway status.
Administer morphine sulfate, IV.

Correct Answer: D,B,E,A,C

Rationale: Priority: 1) Airway status (ABCs); 2) IV catheters/fluids (prevent shock); 3) Morphine (pain control); 4) Rule of nines (guide resuscitation); 5) Sterile dressings (infection prevention).

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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.

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