Nclex-Rn Practice Questions-Care of Adults Integumentary Management
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Question 1 |
The nurse is assessing the client. Which findings should the nurse associate with herpes zoster?
A | Serous drainage and pus |
B | Nodular lesions and burning |
C | Painful vesicles and pruritus |
D | Macule lesions and petechiae |
Question 2 |
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?
A | Cellulitis is commonly caused by a similar fungal infection. |
B | Both infections should resolve with topical fungicide therapy. |
C | Painful neuralgia can occur after the cellulitis. infection has resolved. |
D | The skin disruption with tinea pedis may be the cause of the cellulitis. |
Question 3 |
The nurse is planning teaching for the client who is using miconazole cream topically for tinea pedis. Which instruction should the nurse include?
A | Cover the treated area with an occlusive dressing. |
B | Avoid washing the area prior to applying the cream. |
C | Massage miconazole into the affected area of the foot. |
D | Once symptoms resolve, discontinue using miconazole. |
Question 4 |
The nurse is concerned that a very dark-skinned African American client may be developing a pressure ulcer on the heel. What should the nurse do to assess for the presence of tissue injury?
A | Turn on all of the fluorescent lights in the client’s room before inspection. |
B | Apply pressure to the heel, remove the pressure, and observe for blanching. |
C | Check to see if the area of pressure appears darker than the surrounding skin. |
D | Ask about pain and check the heel for redness, edema, and cracks in the tissue- |
Question 5 |
The client has a split-thickness skin graft taken from the thigh to cover a burn on the back. Which intervention should the nurse expect to implement to help reduce the risk of infection at the donor and graft site?
A | Obtain serial wound cultures of the donor site. |
B | Eliminate plants and flowers in the client’s room. |
C | Use clean technique for all wound care procedures. |
D | Administer a continual low dosage of an IV antibiotic. |
Question 6 |
The nurse is assessing the client for possible scabies infestation. Which findings should the nurse expect?
A | Serosanguineous drainage and fever |
B | Malaise and local edema |
C | Itching and papule-like rash |
D | Macule rash and blisters |
Question 7 |
The experienced nurse is supervising the new nurse. The nurse should intervene if observing the new nurse performing which intervention?
A | Applying skin lotion to the face, feet, and hands of the client with pemphigus |
B | Applying a skin emollient to the arms and legs of the client with scleroderrna |
C | Informing the client with herpes simplex that the lesions are contagious until crusted |
D | Telling the client that ultraviolet light therapy is one option for treating acne vulgaris |
Question 8 |
The nurse is assessing the client using desoximetasone topical cream for an abdominal rash. Which finding should indicate to the nurse that the client is experiencing a known side effect from the medication?
A | Skin discoloration |
B | Skin thickening |
C | Decreased striae |
D | Increased skin hair |
Question 9 |
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?
A | “The graft donor site from my right upper thigh shouldn’t take too long to heal.” |
B | “I know this graft will only be a temporary measure to protect and help heal my arm.” |
C | “I am glad that there is no risk of me getting a blood-borne disease with this type of graft-” |
D | “If this graft doesn’t permanently take, then I’ll need to select another graft donor site.” |
Question 10 |
The nurse is caring for clients with second- and third-degree burns. Which medication should the nurse plan to apply topically to treat bacterial and yeast infections?
A | Bismuth subsalicylate |
B | Gold sodium thiomalate |
C | Silver sulfadiazine |
D | Arsenic trioxide |
Question 11 |
The nurse is providing postoperative care for the client with a split-thickness skin graft on the burn wound at the sole of the right foot. Which is appropriate care for this client?
A | Immobilization of the graft site |
B | Weight-bearing exercises to the graft site |
C | Assist client out of bed as much as tolerated |
D | Maintain right leg in a dependent position |
Question 12 |
The nurse is planning the care for clients recovering from second- or third-degree burns. Which psychosocial nursing problem should be priority?
A | Altered sensory perception |
B | Altered skin integrity |
C | Disturbed body image |
D | Disturbed personal identity |
Question 13 |
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?
A | “Wrap ice in a washcloth and put it on the burn area.” |
B | “Come to the ED so a doctor can assess your fingers.” |
C | “Run cool water over the burned area on your fingers.” |
D | “Apply an antibiotic skin ointment to prevent infection.” |
Question 14 |
The client experiences local burning and stinging when mafenide cream is applied to treat a burn injury. Which action should be taken by the nurse?
A | Remove any mafenide that has been applied. |
B | Immediately notify the health care provider. |
C | Double-check the concentration of mafenide. |
D | Inform the client that this is a normal response. |
Question 15 |
When assessing the client’s skin the nurse notices a rounded area of hair loss with redness, pustules, and scales that appear greenish-yellow when exposed to a black light (Wood’s lamp). The nurse should plan to implement treatment for which condition?
A | Lyme disease |
B | Fungal infection |
C | Anaerobic infection |
D | Contact dermatitis |
Question 16 |
The nurse is caring for the client with a burn injury. Which findings should prompt the nurse to notify the HCP because the client may be developing sepsis?
A | Paco2 35 mm Hg and blood glucose level 250 |
B | Bleeding from IV site and blood glucose level 55 |
C | Temperature 103.2°F (396°C) and heart rate 120 bpm |
D | Respiratory rate 34 breaths/min and WBC 10,000/mm3 |
Question 17 |
The client is receiving UV light treatments for psoriasis along with methoxsalen, a photosensitizing agent. What precaution should be followed the first day after treatment?
A | Wear ultraviolet B—protective sunglasses. |
B | Avoid applying skin ointments and lotions. |
C | Check for elevated temperature every 4 hours. |
D | Stop treatments if skin redness or erythema occurs. |
Question 18 |
The nurse determines that the fluid status of the client with a second-degree bum is inadequate and immediately notifies the HCP. The client is 5 hours postburn and weighs 60 kg. Which findings prompted the nurse’s action?
A | Blood pressure 92/60 mm Hg and pulse 100 bpm |
B | Respirations 18 per minute and pulse 60 bpm |
C | Pulse 130 bpm and urine output 25 mL/hr |
D | Pulse 106 bpm and temperature 98.4°F (369°C) |
Question 19 |
When assessing a burn victim’s skin the nurse notices the entire right and left upper extremities are red, moist, weeping, and blistered. How should the nurse document the degree and total body surface area (TBSA) burned?
A | First-degree burn on 9% TBSA |
B | Partial—thickness burn on 18% TBSA |
C | Partial-thickness burn on 27% TBSA |
D | Full-thickness burn on 36% TBSA |
Question 20 |
The nurse is obtaining a preoperative health history on the client scheduled for revision of facial scars. Which client comment indicates an increased risk for a poor cosmetic outcome?
A | “I haven’t had anything to eat or drink since 10 pm. last night.” |
B | “I’m nervous about surgery; what if the surgery doesn’t work?” |
C | “My high blood pressure is controlled with lisinopril.” |
D | “I plan to continue taking diclofenac for pain control.” |
Question 21 |
The nurse is caring for the immobile client who is at risk for deve10ping pressure ulcers. Which food should the nurse recommend?
A | Assorted fruit salad |
B | Oatmeal with raisins |
C | Baked chicken breast |
D | Lettuce and tomato salad |
Question 22 |
The client has an entrance wound on the right hand and an exit wound on the left hand after contact with a high-power electrical line. Considering the nature and trajectory of the electrical current, which nursing action is priority?
A | Obtain a 12-lead ECG |
B | Check pupil size and reaction |
C | Auscultate both lung fields |
D | Check arm range of motion |
Question 23 |
The client receives treatment for uncomplicated lower-extremity cellulitis. The nurse notes improvement in the client’s condition when which observation is noted on assessment?
A | Decreased swelling in the lower extremity |
B | Strong dorsalis pedis pulses felt bilaterally |
C | Increased erythema in the lower extremity |
D | White blood cell (WBC) count 14,000/mrn3 |
Question 24 |
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?
A | “Are you sexually active?” |
B | “Are you allergic to vitamin A?” |
C | “Is your skin dry or sensitive?” |
D | “Can you take the drug as scheduled?” |
Question 25 |
The nurse is caring for the client at increased risk for developing pressure ulcers. Which measure should the nurse take to limit shearing forces?
A | Padding the client’s sacrum and heels |
B | Obtaining an alternating air pressure mattress |
C | Using a lifting device when turning the client |
D | Keeping the head of bed lower than 30 degrees |
Question 26 |
Three days ago the client received circumferential, partial, and full—thickness burns to 30% total body surface area of the chest and abdomen. The nurse monitors the client for restricted breathing due to Which physiological response?
A | Development of a layer of eschar |
B | Loss of elastin and collagen in the tissues |
C | Hypoxia and ischemia of the lungs’ alveoli |
D | Fluid overload in the alveoli of the lungs |
Question 27 |
The nurse assesses that the client with partial- thickness burns over 50% of the total body surface area (TBSA) has gained weight and has generalized edema after the first 24 hours. The nurse should consider that the edema and weight gain are most likely related to which physiological processes?
A | Elevated serum sodium and potassium levels |
B | Increased hemoglobin and hematocrit levels |
C | Excess intravenous fluid volume replacement |
D | Leakage of plasma into the interstitial space |
Question 28 |
The nurse is assessing the client’s grafted wound following a skin graft. Which information provided during shift report should prompt the nurse to care- fully assess if the client has a wound infection?
A | WBC at 9900/microL |
B | Serosanguineous drainage |
C | Temperature 103°F (394°C) |
D | Urine output 100 mL past 4 hours |
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