NCLEX-PN
Integumentary Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing intervention is most appropriate to add to the care plan to reduce the client's anxiety?
Correct Answer: A
Rationale: Involving the client in care decisions reduces anxiety by providing control.
Question 2 of 5
The nurse writes the nursing diagnosis 'impaired skin integrity related to open burn wounds.' Which intervention would be appropriate for this nursing diagnosis?
Correct Answer: B
Rationale: Daily wound cleaning prevents infection and promotes healing, addressing impaired skin integrity. Analgesia addresses pain, visitor screening is for infection control, and plants increase infection risk.
Question 3 of 5
The client is diagnosed with acne vulgaris. Which psychosocial problem is priority?
Correct Answer: C
Rationale: Acne vulgaris often causes body image disturbance, especially in adolescents, due to visible lesions. Skin integrity, grieving, and knowledge are secondary.
Question 4 of 5
What is the most common profile of a client with malignant melanoma?
Correct Answer: B
Rationale: Fair-skinned individuals with freckles are at higher risk for melanoma.
Question 5 of 5
The nurse is explaining facelift (rhytidectomy) surgery to the client and describing the site where the incision is most commonly made. Place an X on the site where the incision most commonly used for rhytidectomy is made.
Correct Answer: A
Rationale: An incision either in front or in back of the ear is made during rhytidectomy to remove excess skin and treat muscle laxity of the face. Incisions in the forehead and periorbital area are for blepharoplasty and browlift. Head and neck reconstruction utilizes the chin site.