Nursing Board Exam Questions about Integumentary System (NLE 6-10)

Nursing Board Exam Questions about Integumentary System

6. The physician prescribes an emollient for a client with pruritus of recent onset. The client asks why the emollient should be applied immediately after a bath or shower. How should the nurse respond?

a. "This makes the skin feel soft."
b. "This prevents evaporation of water from the hydrated epidermis."
c. "This minimizes cracking of the dermis."
d. "This prevents inflammation of the skin."

7. The nurse discovers scabies when assessing a client who has just been transferred to the medical-surgical unit from the day surgery unit. To prevent scabies infection in other clients, the nurse should:

a. wash hands, apply a pediculicide to the client's scalp, and remove any observable mites.
b. isolate the client's bed linens until the client is no longer infectious.
c. notify the nurse in the day surgery unit of a potential scabies outbreak.
d. place the client on enteric precautions.

8. Nursing board exam questions about a client who is diagnosed with gonorrhea. When teaching the client about this disease, the nurse should include which instruction?

a. "Avoid sexual intercourse until you've completed treatment, which takes 14 to 21 days."
b. "Wash your hands thoroughly to avoid transferring the infection to your eyes."
c. "If you have intercourse before treatment ends, tell sexual partners of your status and have them wash well after intercourse."
d. "If you don't get treatment, you may develop meningitis and suffer widespread central nervous system (CNS) damage."

9. A client comes to the physician's office for treatment of severe sunburn. The nurse takes this opportunity to discuss the importance of protecting the skin from the sun's damaging rays. Which instruction would best prevent skin damage?

a. "Minimize sun exposure from 1 to 4 p.m. when the sun is strongest."
b. "Use a sunscreen with a sun protection factor of 6 or higher."
c. "Apply sunscreen even on overcast days."
d. "When at the beach, sit in the shade to prevent sunburn."

10. Nursing board exam questions when caring for a client with severe impetigo, the nurse should include which intervention in the plan of care?

a. Placing mitts on the client's hands
b. Administering systemic antibiotics as prescribed
c. Applying topical antibiotics as prescribed
d. Continuing to administer antibiotics for 21 days as prescribed

Nursing Board Exam Questions
Answers and Rationale

6) B
- Applying an emollient immediately after taking a bath or shower prevents evaporation of water from the hydrated epidermis, the skin's upper layer. Although emollients make the skin feel soft, this effect occurs whether or not the client has just bathed or showered. An emollient minimizes cracking of the epidermis, not the dermis (the layer beneath the epidermis). An emollient doesn't prevent skin inflammation.

7) B
- To prevent the spread of scabies in other hospitalized clients, the nurse should isolate the client's bed linens until the client is no longer infectious — usually 24 hours after treatment begins. Other required precautions include using good hand-washing technique and wearing gloves when applying the pediculicide and during all contact with the client. Although the nurse should notify the nurse in the day surgery unit of the client's condition, a scabies epidemic is unlikely because scabies is spread through skin or sexual contact. This client doesn't require enteric precautions because the mites aren't found on feces.

8) B
- Answer to nursing board exam questions - Adults and children with gonorrhea may develop gonococcal conjunctivitis by touching the eyes with contaminated hands. The client should avoid sexual intercourse until treatment is completed, which usually takes 4 to 7 days, and a follow-up culture confirms that the infection has been eradicated. A client who doesn't refrain from intercourse before treatment is completed should use a condom in addition to informing sex partners of the client's health status and instructing them to wash well after intercourse. Meningitis and widespread CNS damage are potential complications of untreated syphilis, not gonorrhea.

9) C
- Sunscreen should be applied even on overcast days, because the sun's rays are as damaging then as on sunny days. The sun is strongest from 10 a.m. to 2 p.m. (11 a.m. to 3 p.m. daylight saving time) — not from 1 to 4 p.m. Sun exposure should be minimized during these hours. The nurse should recommend sunscreen with a sun protection factor of at least 15. Sitting in the shade when at the beach doesn't guarantee protection against sunburn because sand, concrete, and water can reflect more than half the sun's rays onto the skin.

10) B
- Answer to nursing board exam questions - Impetigo is a contagious, superficial skin infection caused by beta-hemolytic streptococci. If the condition is severe, the physician typically prescribes systemic antibiotics for 7 to 10 days to prevent glomerulonephritis, a dangerous complication. The client's nails should be kept trimmed to avoid scratching; however, mitts aren't necessary. Topical antibiotics are less effective than systemic antibiotics in treating impetigo.

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