NCLEX Review - Week 12_Integumentary System

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See how much you know about the Integumentary System

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Mrs. Ramos

United States

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NCLEX Review - Week 12_Integumentary System


NCLEX Review - Week 12_Integumentary SystemOnline version See how much you know about the Integumentary System by Mrs. Ramos 1 The nurse is assessing a client with a suspected basal cell carcinoma. Which clinical finding is most characteristic? a Rough, scaly, reddish patches on the trunk b Pearly, waxy nodule with rolled borders c Irregular, multicolored mole with asymmetry d Thick, white, scaly patches on the scalp 2 A client with psoriasis asks why their skin develops thick, silvery scales. Which is the best response? a “Your skin cells are being destroyed faster than normal.” b “Your immune system is causing skin cells to multiply too quickly.” c “It is due to a fungal infection of the skin.” d “You have a vitamin D deficiency.” 3 A nurse is caring for a burn patient. The burn is moist, pink, blistered, and painful. How should this burn be classified? a Superficial b Superficial partial-thickness c Deep partial-thickness d Full-thickness 4 A client presents with intense itching and linear burrows between the fingers. Which condition is most likely? a Pediculosis capitis b Tinea corporis c Impetigo d Scabies 5 A nurse notes that a client’s mole has changed shape, color, and size. Which action is the priority? a Document and recheck in 3 months b Recommend daily sunscreen c Refer to a dermatologist for evaluation d Apply topical corticosteroid 6 Which nursing intervention is most important for a client with pruritus? a Apply alcohol-based cleansers twice daily b Maintain a cool, humidified environment c Encourage hot showers to soothe the skin d Use perfumed moisturizers 7 A client with herpes zoster is prescribed acyclovir. Which statement indicates effective patient teaching? a “This medication will prevent me from ever getting shingles again.” b “This drug will help shorten the duration of symptoms.” c “I should stop taking the drug once the blisters crust over.” d “I need to increase my potassium while taking this medication.” 8 Which finding in a client with a burn injury indicates possible compartment syndrome? a Soft tissue with brisk capillary refill b Diminished pulse and severe pain unrelieved by opioids c Formation of large serous blisters d Mild swelling with tingling sensation 9 Which is the most important initial nursing intervention for a client with suspected inhalation injury after a house fire? a Administer pain medication b Apply high-flow oxygen via non-rebreather mask c Insert an indwelling urinary catheter d Cover burns with sterile dressings 10 The nurse provides discharge teaching to a client with contact dermatitis. Which statement indicates a need for further teaching? a “I will avoid the substance that caused my reaction.” b “I can use cool compresses to reduce itching.” c “I should take hot baths to relieve the rash.” d “I can use OTC hydrocortisone for mild symptoms.” 11 A client with melanoma asks about the most important factor in determining prognosis. Which is the best response? a “The color of the lesion” b “The lesion’s diameter” c “The depth of invasion” d “Your age and gender” 12 A nurse caring for a client with a major burn injury knows that which electrolyte imbalance is most likely during the first 24 hours? a Hyperkalemia b Hypokalemia c Hypercalcemia d Hyponatremia 13 Which client is at highest priority for receiving the shingles vaccine? a 35-year-old with a history of eczema b 45-year-old with HIV and CD4 count of 80 (Severe immunosuppression (CD4 <200) c 52-year-old who has never had chickenpox d 68-year-old with controlled hypertension 14 The nurse observes yellow, honey-colored crusts on a child’s face. Which infection should be suspected? a Impetigo b Ringworm c Measles d Fifth disease 15 A client with partial-thickness burns to the legs is at risk for hypovolemic shock. Which finding should the nurse report immediately? a Urine output of 60 mL/hr b Heart rate of 128 bpm c Serum potassium 4.5 mEq/L d Blood pressure 118/76 mmHg 16 When assessing a pressure injury over the sacrum, the nurse notes full-thickness skin loss with visible subcutaneous fat but no bone or muscle exposure. How should this be staged? a Stage I b Stage II c Stage III d Stage IV 17 A nurse is educating a client with acne about isotretinoin therapy. Which statement requires immediate follow-up? a “I’ll use two forms of birth control while on this drug.” b “I will donate blood while taking this medication.” c “I will have my liver function monitored.” d “I will use sunscreen daily.” 18 Which teaching is most important for a client with systemic lupus erythematosus (SLE) and photosensitivity? a “Avoid sunlight between 10 a.m. and 4 p.m.” b “Apply sunscreen with SPF 15 daily.” c “Limit use of wide-brimmed hats.” d “Discontinue sunscreen if rash develops.” 19 The nurse is caring for a client with a chemical burn to the eye. What is the priority action? a Apply antibiotic ointment b Irrigate the eye with copious amounts of sterile saline c Place an eye patch d Administer analgesics 20 A client with a fungal infection of the toenail is prescribed terbinafine. Which laboratory test should be monitored during therapy? a Serum creatinine b Liver function tests c Serum calcium d Hemoglobin

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NCLEX Review - Week 12_Integumentary System

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NCLEX Review - Week 12_Integumentary SystemOnline version

by Mrs. Ramos

The nurse is assessing a client with a suspected basal cell carcinoma. Which clinical finding is most characteristic?

A client with psoriasis asks why their skin develops thick, silvery scales. Which is the best response?

A nurse is caring for a burn patient. The burn is moist, pink, blistered, and painful. How should this burn be classified?

A client presents with intense itching and linear burrows between the fingers. Which condition is most likely?

A nurse notes that a client’s mole has changed shape, color, and size. Which action is the priority?

Which nursing intervention is most important for a client with pruritus?

A client with herpes zoster is prescribed acyclovir. Which statement indicates effective patient teaching?

Which finding in a client with a burn injury indicates possible compartment syndrome?

Which is the most important initial nursing intervention for a client with suspected inhalation injury after a house fire?

The nurse provides discharge teaching to a client with contact dermatitis. Which statement indicates a need for further teaching?

A client with melanoma asks about the most important factor in determining prognosis. Which is the best response?

A nurse caring for a client with a major burn injury knows that which electrolyte imbalance is most likely during the first 24 hours?

Which client is at highest priority for receiving the shingles vaccine?

The nurse observes yellow, honey-colored crusts on a child’s face. Which infection should be suspected?

A client with partial-thickness burns to the legs is at risk for hypovolemic shock. Which finding should the nurse report immediately?

When assessing a pressure injury over the sacrum, the nurse notes full-thickness skin loss with visible subcutaneous fat but no bone or muscle exposure. How should this be staged?

A nurse is educating a client with acne about isotretinoin therapy. Which statement requires immediate follow-up?

Which teaching is most important for a client with systemic lupus erythematosus (SLE) and photosensitivity?

The nurse is caring for a client with a chemical burn to the eye. What is the priority action?

A client with a fungal infection of the toenail is prescribed terbinafine. Which laboratory test should be monitored during therapy?