Exam 3- NCLEX style questions with
answers
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.VERIFIED ANSWERS **✔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 activityVERIFIED ANSWERS **✔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.VERIFIED ANSWERS **✔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.VERIFIED ANSWERS **✔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?"VERIFIED ANSWERS **✔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 secretionVERIFIED ANSWERS **✔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.
answers
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.VERIFIED ANSWERS **✔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 activityVERIFIED ANSWERS **✔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.VERIFIED ANSWERS **✔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.VERIFIED ANSWERS **✔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?"VERIFIED ANSWERS **✔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 secretionVERIFIED ANSWERS **✔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.
