NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
Which response by the nurse is best in this situation?
Correct Answer: A
Rationale: Bed rest uses gravity to aid retinal reattachment.
Question 2 of 5
The nurse is assessing the client for possible scabies infestation. Which findings should the nurse expect?
Correct Answer: C
Rationale: The most common symptoms of a scabies infestation are itching and papule rash. Serosanguineous drainage and fever or malaise and edema occur with wound infections. Macule rash and blisters may occur with allergic reactions.
Question 3 of 5
After touching a hot oven grate, the client telephones the ED asking for advice for the singed fingers. Which initial statement by the nurse is most appropriate?
Correct Answer: C
Rationale: Ice causes vasoconstriction and can worsen the tissue damage. The nurse should collect additional information before advising that the client be seen in the ED. A first-degree burn ordinarily does not require medical care. Cool water will minimize skin redness, pain, and swelling and limit tissue damage. Applying a skin ointment as an initial intervention can trap heat in the tissues; if it has an oily base, it can prevent healing.
Question 4 of 5
The nurse who documents the burn injury is accurate in identifying the full-thickness burns as having what appearance?
Correct Answer: A
Rationale: Full-thickness burns appear white, leathery, and painless due to nerve destruction.
Question 5 of 5
The client is scheduled for application of a cadaver homograph to a burn on the forearm. Which comment by the client demonstrates an accurate understanding of this procedure?
Correct Answer: B
Rationale: A cadaver skin graft is a type of temporary graft, also called a biological dressing, and it is used to protect the damaged skin and promote healing and epithelialization. A cadaver skin graft does not use the client's own skin, so there is no donor site. There is a risk of transmitting blood-borne infections with cadaver grafts. The graft is not permanent, so no further donor site selection is needed.