Exam 3- NCLEX style Questions And
Answers Rated 100%!!!
The nurse is developing a plan of care for a chair-bound patient. To prevent development of
pressure ulcers, which intervention(s) must be implemented? (Select all that apply.)
1.Maintain postural alignment.
2.Use pressure-relieving devices.
3.Teach weight shifts every 15 minutes.
4.Use donut-type devices.
5.Shift pressure points every hour. - ANS 1, 2, 3, and 5
Which physiologic change(s) associated with aging predispose(s) older adults to skin
breakdown? (Select all that apply.)
1.Decreased melanocytes
2.Loss of collagen
3.Increased elastic fibers
4.Decreased adipose tissues
5.Reduced sebaceous gland activity - ANS 2, 4, and 5
The nurse launching an information campaign to prevent skin tears among the residents in a
long-term care facility should include (Select all that apply.)
1.encouraging wearing long sleeves and pants.
2.providing adequate lighting.
3.using germicidal soap every day on extremities.
4.supporting dangling arms and legs with pillows or blankets.
5.removing tape and dressings with extreme caution. - ANS 1, 2, 4, and 5
The nurse reminds teenagers regarding the importance of protecting their skin from ultraviolet
rays by (Select all that apply.)
1.using a sunscreen with a skin protective factor (SPF) of at least 15.
2.applying sunscreen thinly.
3.wearing light, loose-fitting clothing.
4.gauging exposure while in the sun.
5.wearing sunglasses and a hat. - ANS 1 and 5
The patient presents with a rash of unknown origin. Which assessment question(s) would help
determine the cause? (Select all that apply.)
1."When did the rash or lesion first appear?"
, 2."Can you think of any event or different food you ate or substance you were using just before
the rash appeared?"
3."Which drugs are you taking? Do you take any over-the-counter preparations?"
4."Have you ever had radiation therapy?"
5."Do you have a history of any skin disorders in your family?" - ANS 1, 2, 3, 4, and 5
Which of the following is not a function of the integumentary system?
1)Protection
2)Provides color
3)Temperature regulation
4)Excretion and secretion - ANS 2
rationale: Providing color is not one of the four functions of the integumentary system. They are
protection, sensation, temperature regulation, and excretion and secretion.
Justin has a patient in a long-term care facility with a pressure injury. It can be described as
full-thickness skin loss that looks like a deep crater and extends to the fascia. Subcutaneous
tissue is damaged. Which stage is this injury?
1)Stage 1
2)Stage 2
3)Stage 3
4)Stage 4 - ANS 3
Which of the following is not one of the basic purposes of bathing?
1)Cleanses the body
2)Promotes comfort
3)Stimulates conversation
4)Removes waste products - ANS 3
Rationale: The basic purposes for bathing are to cleanse the body, promote comfort, remove
waste products, and promote stimulation of circulation to all areas of the body.
Which of the following is true regarding mouth care?
1)Mouth care creates halitosis and dental caries.
2)An unconscious patient should be provided full mouth care at least every 24 hours.
3)When assisting a conscious patient with mouth care, you should raise the head of the bed 15
to 30 degrees.
4)Dentures should be kept in a labeled denture container with saline or water when not in the
patient's mouth. - ANS 4
Rationale: Dentures should be properly stored when not in the patient's mouth. Mouth care
prevents halitosis and dental caries. Mouth care should be provided at least every 8 hours for
Answers Rated 100%!!!
The nurse is developing a plan of care for a chair-bound patient. To prevent development of
pressure ulcers, which intervention(s) must be implemented? (Select all that apply.)
1.Maintain postural alignment.
2.Use pressure-relieving devices.
3.Teach weight shifts every 15 minutes.
4.Use donut-type devices.
5.Shift pressure points every hour. - ANS 1, 2, 3, and 5
Which physiologic change(s) associated with aging predispose(s) older adults to skin
breakdown? (Select all that apply.)
1.Decreased melanocytes
2.Loss of collagen
3.Increased elastic fibers
4.Decreased adipose tissues
5.Reduced sebaceous gland activity - ANS 2, 4, and 5
The nurse launching an information campaign to prevent skin tears among the residents in a
long-term care facility should include (Select all that apply.)
1.encouraging wearing long sleeves and pants.
2.providing adequate lighting.
3.using germicidal soap every day on extremities.
4.supporting dangling arms and legs with pillows or blankets.
5.removing tape and dressings with extreme caution. - ANS 1, 2, 4, and 5
The nurse reminds teenagers regarding the importance of protecting their skin from ultraviolet
rays by (Select all that apply.)
1.using a sunscreen with a skin protective factor (SPF) of at least 15.
2.applying sunscreen thinly.
3.wearing light, loose-fitting clothing.
4.gauging exposure while in the sun.
5.wearing sunglasses and a hat. - ANS 1 and 5
The patient presents with a rash of unknown origin. Which assessment question(s) would help
determine the cause? (Select all that apply.)
1."When did the rash or lesion first appear?"
, 2."Can you think of any event or different food you ate or substance you were using just before
the rash appeared?"
3."Which drugs are you taking? Do you take any over-the-counter preparations?"
4."Have you ever had radiation therapy?"
5."Do you have a history of any skin disorders in your family?" - ANS 1, 2, 3, 4, and 5
Which of the following is not a function of the integumentary system?
1)Protection
2)Provides color
3)Temperature regulation
4)Excretion and secretion - ANS 2
rationale: Providing color is not one of the four functions of the integumentary system. They are
protection, sensation, temperature regulation, and excretion and secretion.
Justin has a patient in a long-term care facility with a pressure injury. It can be described as
full-thickness skin loss that looks like a deep crater and extends to the fascia. Subcutaneous
tissue is damaged. Which stage is this injury?
1)Stage 1
2)Stage 2
3)Stage 3
4)Stage 4 - ANS 3
Which of the following is not one of the basic purposes of bathing?
1)Cleanses the body
2)Promotes comfort
3)Stimulates conversation
4)Removes waste products - ANS 3
Rationale: The basic purposes for bathing are to cleanse the body, promote comfort, remove
waste products, and promote stimulation of circulation to all areas of the body.
Which of the following is true regarding mouth care?
1)Mouth care creates halitosis and dental caries.
2)An unconscious patient should be provided full mouth care at least every 24 hours.
3)When assisting a conscious patient with mouth care, you should raise the head of the bed 15
to 30 degrees.
4)Dentures should be kept in a labeled denture container with saline or water when not in the
patient's mouth. - ANS 4
Rationale: Dentures should be properly stored when not in the patient's mouth. Mouth care
prevents halitosis and dental caries. Mouth care should be provided at least every 8 hours for
