1. Integumentary nclex questions about a client who suffered smoke inhalation and burns to the anterior trunk during a house fire. The client has a nursing diagnosis of impaired gas exchange. Which of the following actions would be contraindicated as the nurse delivers care to this client?
a) Suctioning the airway on as-needed basis
b) Encouraging regular use of incentive spirometer
c) repositioning side to side every 2 hours
d) Keeping the client in a supine position
2. A nurse looks up at the clock and notes that a client is due in hydrotherapy for a burn dressing change in 30 minutes. The nurse plans to do which of the following next in the care of this client?
a) Immediately place the client on nothing per mouth (NPO) status
b) Administering an opioid analgesic
c) Gather dressing supplies to send with the client to hydrotherapy
d) Get out a robe and slippers for the client
3. Integumentary nclex questions about a client with a major burn who is admitted to the emergency department. The nurse anticipates that which of the following routes will be ordered for analgesics for this client?
4. A client calls the health care clinic and tells the nurse that she was bitten by a tick. The client is concerned and asks the nurse about the first signs of Lyme disease. The nurse informs the client that stage I of Lyme disease is characterized by:
a) Tremors and weakness
b) painful joints
c) Headaches and blurred vision
d) Flulike symptoms
5. A client arrives at the ambulatory care center complaining of flulike symptoms. On assessment, the client tells the nurse that she was bitten by a tick and is concerned that the bite is causing the sick feeling. The client requests a blood test to determine the presence of Lyme disease. Which of the following appropriate questions should the nurse ask next?
a) Did you save the tick for inspection?
b) When were you bitten by the tick?
c) Was the tick small or large?
d) Did the tick bite anyone else in the family?
Integumentary NCLEX Questions
Answers and Rationale
- The client with a thoracic burn and smoke inhalation requires aggressive pulmonary measures to prevent atelectasis and pneumonia. These include turning and repositioning, using humidified oxygen, providing incentive spirometry, and suctioning on an as-needed basis. The client should not be left lying in a single position and should not have the head of the bed flat. These could promote the development of complications by limiting chest expansion
- The client should receive pain medication approximately 20 minutes before a burn dressing change. This will help the client tolerate an otherwise painful procedure. The client does not need to be NPO for this procedure. Dressing supplies are not sent with the client because they are available in the hydrotherapy area. A robe and slippers are given to the client for transport but are not indicated 30 minutes ahead of time.
- The client with a major burn should receive medications by the intravenous route whenever possible. Oral medications are not absorbed well because the mobility of the gastrointestinal tract slows with shock or paralytic ileus. The subcutaneous and intramuscular routes are avoided because absorption may be poor or erratic because of fluid shifts as a result of the burn injury. Integumentary nclex questions number 3 answer is B.
- The hallmark of stage I is the development of a skin rash within 2 to 30 days of infection, generally at the site of the tick bite. The rash develops into a concentric ring, giving it a bull's-eye appearance. The lesion enlarges up to 50 to 60 cm, and smaller lesions develop farther away from the original tick bite. In stage I, most infected persons develop flulike symptoms that last 7 to 10 days and may recur later. Options A, B, and C are not the first symptoms related to Lyme disease.
- There is a blood test available to detect Lyme disease; however, it is not a reliable test if performed before 4 to 6 weeks following the tick bite. The most appropriate question by the nurse would elicit information related to when the tick bite occurred.
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Typical percentages of questions on the NCLEX
RN exam are as follows:
13-19% management of care, 8-14% safety and infection control, 6-12%
health promotion and maintenance, 6-12% psychosocial integrity, 6-12%
basic care and comfort, 13-19% pharmacological and parenteral therapies,
13-19% reduction of risk potential, and 11-17% physiological
adaptations. To address these questions, we accumulate different
questions from different nclex books for you to practice. You can find
these questions at the end of this page.
Students have different learning styles to acquire knowledge, that is why we also include Flashcards like our page: Nursing Mnemonics to benefit you because according to some studies; retention of information is greater if our eyes see the pictures of the said information. But of course, it is up to you to take advantage of such method.
Some students always ask, "How can I pass the NCLEX Exam?"
the said exam is not easy task. Although we cannot do that for you but
we can give some advice to grab that dream of yours. Here is the answer.
It is not ours to begin with, we read it in an online article in the
internet but we are touched by the student answer after passing the
NCLEX exam. She said "ACT LIKE STUDYING IS YOUR JOB." That's it, she
passed the exam after doing this method even though according to her,
she is not a bright student during her college years.
I hope that after you finished these questions and read the rationale behind the correct answers, you can somehow be ready to use critical thinking in answering your future actual NCLEX Nursing Licensing Exam.
But before Online Nursing CEUS releases you, we also include some very useful links that you can visit to further help you in preparing for the NCLEX nursing licensing exam. Visit the links below for some NCLEX practice test: