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WorksheetsNCLEX - INTEGUMENTARY Day1
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
Which client statement about psoriasis requires follow-up?
a)
Exposure to sunlight will worsen my psoriasis.
b)
I should avoid drinking alcohol.
c)
I should gently pat my skin dry after showering.
d)
Stress can worsen my psoriasis.
e)
-
2.
Which staff action for cellulitis client with wound drainage needs intervention?
a)
Administering antibiotics
b)
Keeping the affected leg flat
c)
Marking and dating the red areas
d)
Wearing gloves and a gown during bathing
e)
-
3.
Which actions are appropriate for a sacral wound found under dressing?
a)
Discuss high-calorie nutrition
b)
Document unstageable pressure injury
c)
Gently cleanse with normal saline and pat dry
d)
Apply hydrophilic dressing
e)
Reposition frequently
4.
Which client requires teaching to prevent spread of illness?
a)
Eczema on torso
b)
Oral candidiasis
c)
Psoriasis on hands
d)
Tinea corporis (ringworm)
e)
-
5.
Which sunburn care statements by a parent are correct?
a)
Encourage extra fluids
b)
Give aspirin for pain
c)
Allow outdoor play with sun protection
d)
Use cool compresses for discomfort
e)
Apply hydrocortisone with gauze
6.
Which instruction is most important for a female client prescribed isotretinoin?
a)
Use eye drops for contact dryness
b)
Don't crush or chew capsules
c)
Use sunscreen regularly
d)
Use two forms of contraception
e)
-
7.
Best route to administer pain medication to a client with severe burns?
a)
Intramuscular
b)
Intravenous
c)
Oral
d)
Subcutaneous
e)
-
8.
Which acne care statement indicates need for more instruction?
a)
“I scrub my face twice daily with antibacterial soap.”
b)
“I should use noncomedogenic products.”
c)
“A healthy diet will help healing.”
d)
“Picking lesions worsens acne.”
e)
-
9.
What tetracycline education should be given to teen with acne?
a)
Don’t take with dairy
b)
Can be taken at bedtime
c)
Take with food
d)
Use backup contraception
e)
Use sunblock
10.
Which are skin cancer risk factors?
a)
Family history
b)
High number of moles
c)
Severe adolescent acne
d)
Immunosuppressant use
e)
Outdoor occupation
11.
Which parent statement about child with tinea capitis needs follow-up?
a)
I’ll stop griseofulvin when itching and scaling go away.
b)
I’ll give griseofulvin after a fatty meal.
c)
I’ll monitor for sun sensitivity.
d)
I’ll use medicated shampoo weekly.
e)
-
12.
Which burn recovery statement needs follow-up?
a)
I’ll use water-based creams.
b)
I’ll take antihistamines for itching.
c)
I’ll wear compression garments if swelling develops.
d)
I’ll avoid sunlight on affected skin.
e)
-
13.
First nursing priority for full-thickness burn client?
a)
Administer IV fentanyl
b)
Initiate IV fluid resuscitation
c)
Prepare for escharotomy
d)
Apply topical antimicrobial ointment
e)
-
14.
What interventions should nurse include for client with toxic epidermal necrolysis?
a)
Apply sterile moist dressings
b)
Discontinue lamotrigine
c)
Provide cotton blankets
d)
Massage affected areas
e)
Use lubricating eye drops
15.
Calculate TBSA for burns to posterior torso and full right limbs.
4 lines
16.
Which signs may suggest malignant skin lesion?
a)
Blanches with pressure
b)
Lesion half raised/half flat
c)
Purulent drainage
d)
Size of a nickel
e)
Multiple color shades
17.
Best fluid choice for resuscitation in burn client?
a)
0.45% NS
b)
D5NS
c)
D5W
d)
Lactated Ringer’s
e)
-
18.
Priority intervention after burn client begins diuresis?
a)
Begin enteral feeding
b)
Assist with ADLs
c)
Call religious advisor
d)
Educate family on wound care
e)
-
19.
Child’s feet are red/swollen after snow exposure. What’s the priority response?
a)
Visit HCP
b)
Give warm drink
c)
Massage feet gently
d)
Place feet in warm water
e)
-
20.
Expected finding in partial-thickness (second-degree) burn?
a)
Eschar
b)
Blistering
c)
Nerve damage
d)
Muscle involvement
e)
-
21.
Wound base obscured by eschar/slough. What’s the pressure injury stage?
a)
Deep tissue injury
b)
Stage 1
c)
Stage 2
d)
Unstageable
e)
-
22.
Client prescribed isotretinoin for acne says, “I take vitamin A supplements too.” What needs correction?
a)
I’ll use contraceptives.
b)
I’ll wear sunscreen outside.
c)
I take vitamin A supplements.
d)
I’ll avoid alcohol.
e)
-
23.
Which lice prevention action shows parent understanding?
a)
Washing clothes, sheets, towels in hot water
b)
Clean eating utensils in dishwasher
c)
Spray insecticide in house
d)
Throw away unwashed toys
e)
-
24.
Calculate TBSA for anterior burns below the neck.
4 lines
25.
Parent calls after child exposure to poison ivy. Most important instruction?
a)
Apply cool compresses
b)
Apply cortisone cream
c)
Discourage scratching
d)
Wash exposed skin immediately
e)
-
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