Break RoomScrubs NCLEX practice exam: Integumentary By Scrubs October 7, 2013 ShareTweet 0 iStockphoto | ThinkStock Do you think you could pass the NCLEX? Take this quiz with these sample exam questions on integumentary to see how you score! [10 questions] Which of the following clients are at greatest risk for skin cancer? Caucasian female with history of lifeguarding for 5 yearsAfrican-American male with family history of skin cancerHispanic female with a history of hypertension and cherry angiomasCaucasian male with an occupation of commercial building maintenanceThe prognosis of malignant melanoma depends primarily on:The client’s ageThe location of the melanomaThe thickness of the lesionThe ulceration of the lesionAn unlicensed assistive personnel massages the reddened bony prominences on an elderly client. This client is ordered to be on bed rest. The nurse should educate the client and assistive personnel that: Massage is an approved method of improving circulation over bony prominencesLotion improves the effectiveness of massage for elderly clientsThe plan of care states that massage every 12 hours is indicated for ulcer preventionMassage decreases blood flow to reddened bony prominences, and is contraindicatedWhich of the following clients is at greatest risk for impaired wound healing after abdominal surgery?Male, age 75 yearsFemale, age 35, poorly controlled diabetesMale, age 59, history of myocardial infarctionFemale, age 49, history of peripheral vascular diseaseWhile assessing a dark-skinned client’s Stage I pressure ulcer, the nurse should: Avoid touching the skin during assessmentUse a fluorescent light sourceLook for darker skin surrounding the ulcerDocument and report a Braden score greater than 18An elderly client complains of being cold in spite of a room temperature of 76° F (25°C). The nurse understands that this is: Abnormal, and may indicate impending sepsisNormal, due to sensitivity to increased humidityNormal, due to decreased ability to thermoregulateAbnormal, due to the ability of the client to ambulate independentlyThe priority nursing diagnosis for a client with pruritus who constantly scratches affected areas and appears agitated about the itching sensation would be: Risk for infection related to pruritusRisk for social isolation related to poor self-imageImpaired skin integrity related to dehydration from treatment medicationsIneffective health maintenance related to lack of knowledge about disease processA Stage II pressure ulcer is characterized by: NecrosisTissue sloughing and painRedness without blanchingMuscle damageA client arrives at the emergency department with burns on the anterior surfaces of his right leg, right arm, and upper chest. Using the rule of nines, what percentage of this client’s body surface has been burned?22.5354560An elderly client is brought into the urgent care clinic by his son. The client has first- and second-degree scald burns over hands and forearms. What should the nurse do first? Apply antibiotic cream to burned areasWrap the affected areas with dry gauzeSoak the burns in cool water to relieve painRefer the client to a burn center Post Views: 1,399
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