NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
Which other assessment finding is most indicative of an infection in the external ear?
Correct Answer: A
Rationale: Foul-smelling drainage is a hallmark of external ear infections.
Question 2 of 5
The client had an allergic reaction to poison oak two (2) weeks ago. He has returned to the clinic with severe itching and weeping vesicles on the arms and legs. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Fever suggests secondary infection in persistent poison oak dermatitis, requiring assessment. Cultures, medication allergies, and plant destruction are secondary.
Question 3 of 5
During the initial assessment, the nurse can assist the physician in determining the etiology of the client's problem by assessing if there is a history of which condition?
Correct Answer: B
Rationale: Respiratory allergies are a common cause of nasal polyps.
Question 4 of 5
The nurse is teaching a 24-year-old female with severe cystic acne who is prescribed a systemic retinoic acid drug. Which question is priority?
Correct Answer: A
Rationale: A systemic retinoic acid drug is teratogenic. A sexually active female must be instructed to practice birth control while taking this class of drugs, to avoid pregnancy. Allergy, skin sensitivity, and adherence are important but not the priority.
Question 5 of 5
The nurse is planning care for a newly burned client. What is the priority nursing observation to be made during the first 48 hours after the burn?
Correct Answer: C
Rationale: Hourly urine measurement is critical in the first 48 hours to monitor fluid resuscitation effectiveness and prevent hypovolemic shock.