NCLEX Review about Skin and Integumentary Disorders (46-50)

NCLEX Review about Skin and Integumentary Disorders

46. A community health nurse is providing a teaching session to firefighters in a small community regarding care of a burn victim at the scene of injury. The nurse instructs the firefighters that in the event of a tar burn, the immediate action should be:

a) cooling the injury with water
b) removing all clothing immediately
c) removing the tar from the burn injury
d) leaving any clothing that is saturated with tar in place

47. An industrial nurse is providing instructions to a group of employees regarding care to a client in the event of a chemical burn injury. The nurse instructs the employees that the first consideration in immediate care is:

a) leaving all clothing in place until the client is brought to the emergency department
b) removing all clothing including gloves and shoes
c) lavaging the skin with water and avoiding brushing powdered chemicals off the clothing to prevent further spread of the injury
d) determining the antidote for the chemical and placing the antidote on the burn site

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NCLEX Review about Skin and Integumentary Disorders (41-45)

NCLEX Review about Skin and Integumentary Disorders

41. An emergency department nurse is caring for a client who has sustained chemical burns to the esophagus after ingestion of lye. The nurse reviews the physician's orders and plans to question an order for which of the following?

a) nothing by mouth (NPO) status
b) gastric lavage
c) intravenous fluid therapy
d) preparation for barium swallow

42. A home care nurse is visiting a client with a skin infection who is receiving amoxicillin (Amoxil) 500 mg every 8 hours. Which of the following would indicate to the nurse that the client is experiencing a frequent side effect related to the medication?

a) severe abdominal cramps
b) vaginal drainage
c) fever
d) severe watery diarrhea

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Online Nursing Practice Test about Skin (Integumentary Disorder 36-40)

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36. When caring for a client with extensive burns, the nurse anticipates that pain medication will be administered via which route?

a) oral
b) intravenous
c) intramuscular
d) subcutaneous

37. The nurse is caring for a client following an autograft and grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client?

a) out of bed
b) bathroom privileges
c) immobilization of the affected leg
d) placing the affected leg in a dependent position

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Online Nursing Practice Test about Skin (Integumentary Disorder 31-35)

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31. The client scheduled for a skin biopsy is concerned and asks the nurse how painful the procedure is. The appropriate response by the nurse is:

a) there is no pain associated with this procedure
b) the local anesthesia may cause a burning or stinging sensation
c) a preoperative medication will be given so you will be sleeping and will not feel any pain
d) there is some pain, but the physician will prescribe an opioid analgesic following the procedure

32. The nurse prepares to assist the physician to examine the client's skin with a Wood light. The nurse includes which of the following in the plan for this procedure?

a) prepare a local anesthetic
b) obtain an informed consent
c) darken the room for the examination
d) shave the skin and scrub with povidine-iodine solution

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Online Nursing Practice Test about Skin (Integumentary Disorder 26-30)

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26. When assessing a lesion diagnosed as malignant melanoma, the nurse most likely expects to note which of the following?

a) an irregularly shaped lesion
b) a small papule with a dry, rough scale
c) a firm, nodular lesion topped with crust
d) a pearly papule with a crater and a waxy border

27. The nurse prepares discharge instructions for a client following cryosurgery for the treatment of a malignant skin lesion. Which of the following should the nurse include in the instructions?

a) avoid showering for 7 to 10 days
b) apply ice to the site to prevent discomfort
c) apply alcohol-soaked dressings twice a day
d) clean the site with hydrogen peroxide to prevent infection

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Online Nursing Practice Test about Skin (Integumentary Disorder 21-25)

21. The nurse is assessing for the presence of cyanosis in a dark-skinned client. The nurse understands that which body area would provide the best assessment?

a) lips
b) sacrum
c) earlobes
d) back of the hands


22. A male client calls the emergency room and tells the nurse that he had been cleaning a wooded area in the backyard and came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. Which of the following is the appropriate nursing response?

a) come to the emergency room
b) apply calamine lotion immediately to the expected skin areas
c) take a shower immediately , lathering and rinsing several times
d) it is not necessary to do anything if you cannot see anything on your skin

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NCLEX Integumentary Questions 16-20

Begin answering NCLEX Integumentary Questions . . .



16. The nurse has provided instructions to a client regarding the use of tretinoin (Retin-A). Which statement, if made by the client, indicates the need for further instructions?

a) I will apply a very thin layer to the skin
b) optimal results will be seen after 6 weeks
c) I will wash my hands thoroughly after applying the medication
d) I will cleanse the skin thoroughly before applying the medication

17. Isotretinoin (Accutane) is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

a) platelet count
b) triglyceride level
c) complete blood count
d) white blood cell count

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Online Nursing Practice Test about Skin (Integumentary Disorder 11-15)

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11. The clinic nurse inspects the skin of a client suspected of having scabies. Which assessment finding would the nurse note if this disorder was present?

a) patchy hair loss and round red macules with scales
b) the presence of white patches scattered about the trunk
c) multiple straight or wavy, thread-like lines beneath the skin
d) the appearance of vesicles or pustules with a thick honey-colored crust

12. The nurse is preparing to care for a burn client scheduled for an escharotomy procedure being performed for a third degree circumferential arm burn. The nurse understands that the anticipated therapeutic outcome of the escharotomy is:

a) return of distal pulses
b) brisk bleeding from the site
c) decreasing edema formation
d) formation of granulation tissue

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Online Nursing Practice Test about Skin (Integumentary Diseases 6-10)

6. The client arrives at the emergency room and has experienced frostbite to the right hand. Which of the following would the nurse note on assessment of the client's hand?

a) a pink, edematous hand
b) a fiery red skin with edema in the nail beds
c) black fingertips surrounded by an erythematous rash
d) a white color to the skin, which is insensitive to touch

7. The nurse prepares to treat a client with frostbite of the toes. Which of the following does the nurse anticipate to be prescribed for this condition?

a) rapid and continuous rewarming of the toes after flushing returns
b) rapid and continuous rewarming of the toes in cold water for 45 minutes
c) rapid and continuous rewarming of the toes in hot water for 15 to 20 minutes
d) rapid and continuous rewarming of the toes in a warm water bath until flushing of the skin occurs

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Online Nursing Practice Test about Skin (Integumentary Diseases 1-5)

1. Which of the following individuals is least likely to be at risk of developing psoriasis?

a) a 32-year old African American
b) a woman experiencing menopause
c) a client with a family history of the disorder
d) an individual who has experienced a significant amount of emotional stress


2. Which of the following clients would least likely be at risk of developing skin breakdown?

a) a client incontinent of urine and feces
b) a client with chronic nutritional deficiencies
c) a client with decreased sensory perception
d) a client who is unable to move about and is confined to bed

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