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NCLEX PN· Integumentary · Integumentary System NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client has full-thickness burns to 65% of the body, including the chest area. After establishing a patent airway, which collaborative intervention is priority for the client?

A. Replace fluids and electrolytes.

B. Prevent contractures of extremities.

C. Monitor urine output hourly.

D. Prepare to assist with an escharotomy.

Expert Explanatory Rationale

Correct Answer: Replace fluids and electrolytes.

Question 2 of 5

The nurse is caring for a client with deep partial-thickness and full-thickness burns to the chest area. Which assessment data would warrant notifying the health-care provider?

A. The client is complaining of severe pain.

B. The client's pulse oximeter reading is 95%.

C. The client has T 100.4Â°F, P 100, R 24, and BP 102/60.

D. The client's urinary output is 50 mL in two (2) hours.

Expert Explanatory Rationale

Correct Answer: The client has T 100.4Â°F, P 100, R 24, and BP 102/60.

Question 3 of 5

On inspecting the client's eye, the nurse will note which symptom of conjunctivitis in addition to erythema?

A. Dried drainage along the eyelid

B. Lack of pupil response to light

C. Bulging of the eye from the orbit

D. Loss of moisture on the cornea

Expert Explanatory Rationale

Correct Answer: Dried drainage along the eyelid

Question 4 of 5

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

Expert Explanatory Rationale

Correct Answer: Disturbed body image

Question 5 of 5

Which plan best promotes a blind client's feeling of self-reliance when eating?

A. Help the client locate food by comparing its placement to clock positions.

B. Ask a hospital volunteer to feed the client so the client does not have to ask for help.

C. Order foods that can be sipped from containers rather than eaten with utensils.

D. Ask the dietary department to serve the client's food on paper plates and in cups.

Expert Explanatory Rationale

Correct Answer: Help the client locate food by comparing its placement to clock positions.

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