NCLEX-PN
Integumentary System NCLEX Questions Questions
Extract:
Question 1 of 5
Which standing nursing order should be eliminated from this client's care plan?
Correct Answer: B
Rationale: Coughing is unnecessary and may increase intraocular pressure, risking complications.
Question 2 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 3 of 5
Which plan best promotes a blind client's feeling of self-reliance when eating?
Correct Answer: A
Rationale: Using clock positions empowers the client to eat independently by orienting them to food placement.
Question 4 of 5
Which action is the nurse's immediate priority?
Correct Answer: D
Rationale: Smothering flames stops the burning process, the immediate priority.
Question 5 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.