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NCLEX RN· RN Integumentary · Integumentary Disorders NCLEX RN Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following accurately summarizes the primary purpose of skin care and hygiene?

A. Maintain skin sterility and prevent infection
B. Prevent bodily odors by eliminating bacteria
C. Protect the body's first line of defense
D. Provide the client with comfort and well-being

Expert Explanatory Rationale

Correct Answer: Protect the body's first line of defense

Question 2 of 5

The nurse is performing a head-to-toe assessment for an older adult. Which finding from the integumentary assessment does the nurse recognize as a normal age-related change:

A. Moist skin
B. Increased nail growth
C. Dry, itchy skin
D. Increased skin pigmentation

Expert Explanatory Rationale

Correct Answer: Dry, itchy skin

Question 3 of 5

Based on the client's injuries, the client has sustained a ………………… total body surface area burn.

A. 50%
B. 75%
C. 46.50%
D. 76.50%

Expert Explanatory Rationale

Correct Answer: 76.50%

Question 4 of 5

The nurse is conducting a staff in-service on managing an acute burn. The nurse should reinforce the utilization of which formula to guide fluid resuscitation?

A. 4 mL x kg x Total Body Surface Area (TBSA) burned
B. 30 mL/kg
C. 0.5 mL/kg/hr
D. 0.10 mL/kg/hr

Expert Explanatory Rationale

Correct Answer: 4 mL x kg x Total Body Surface Area (TBSA) burned

Question 5 of 5

A nurse is caring for a client at risk of developing pressure ulcers. Which of the following is an intrinsic risk factor that contributes to this increased risk?

A. Shearing
B. Friction
C. Impaired tissue perfusion
D. Pressure

Expert Explanatory Rationale

Correct Answer: Impaired tissue perfusion

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