Answers Graded A+
1. A client calls the emergency department and tells the "Take a shower
nurse that he came directly into contact with poison immediately, lath-
ivy shrubs. The client tells the nurse that he cannot ering and rinsing
see anything on the skin and asks the nurse what to several times."
do. The nurse should make which response?
2. A client is being admitted to the hospital for treatment A skin infection of
of acute cellulitis of the lower left leg. During the ad- the dermis and un-
mission assessment, the nurse expects to note which derlying hypoder-
finding? mis
3. The clinic nurse assesses the skin of a client with -Thinner and de-
psoriasis after the client has used a new topical treat- crease in number
ment for 2 months. The nurse identifies which char- of reddish papules
acteristics as improvement in the manifestations of -Scarce amount
psoriasis? Select all that apply. of silvery-white
scaly patches on
the arms
4. The clinic nurse notes that the primary health care Positive culture re-
provider has documented a diagnosis of herpes sults
zoster (shingles) in the client's chart. Based on an
understanding of the cause of this disorder, the nurse
determines that this definitive diagnosis was made
by which diagnostic test?
5. A client returns to the clinic for follow-up treatment -Lesion is highly
after a skin biopsy of a suspicious lesion performed metastatic.
1 week ago. The biopsy report indicates that the -Lesion is a nevus
lesion is a melanoma. The nurse understands that that has changes
melanoma has which characteristics? Select all that in color.
apply.
6. When assessing a lesion diagnosed as basal cell car- -A pearly papule
cinoma, the nurse most likely expects to note which with a central
findings? Select all that apply. crater and a waxy
border
-Location in the
bald spot atop the
, NCLEX Integumentary Test Questions with 100% Verified
Answers Graded A+
head that is ex-
posed to outdoor
sunlight
7. A client arriving at the emergency department has A white color to
experienced frostbite to the right hand. Which finding the skin, which
would the nurse note on assessment of the client's is insensitive to
hand? touch
8. The staff nurse reviews the nursing documentation in Partial-thickness
a client's chart and notes that the wound care nurse skin loss of the
has documented that the client has a stage II pressure dermis
injury in the sacral area. Which finding would the
nurse expect to note on assessment of the client's
sacral area?
9. The clinic nurse assesses the skin of a client with -Thinner and de-
psoriasis after the client has used a new topical treat- crease in number
ment for 2 months. The nurse identifies which char- of reddish papules
acteristics as improvement in the manifestations of -Scarce amount of
psoriasis? Select all that apply. silvery-white scaly
patches on the
arms
10. A client returns to the clinic for follow-up treatment -Lesion is highly
following a skin biopsy of a suspicious lesion per- metastatic.
formed 1 week ago. The biopsy report indicates that -Lesion is a nevus
the lesion is a melanoma. The nurse understands that that has changes
melanoma has which characteristics? Select all that in color.
apply.
11. The evening nurse reviews the nursing documenta- Partial-thickness
tion in a client's chart and notes that the day nurse skin loss of the
has documented that the client has a stage II pres- dermis
sure ulcer in the sacral area. Which finding would the
nurse expect to note on assessment of the client's
sacral area?
12. An adult client was burned in an explosion. The burn 36%
initially affected the client's entire face (anterior half
, NCLEX Integumentary Test Questions with 100% Verified
Answers Graded A+
of the head) and the upper half of the anterior torso,
and there were circumferential burns to the lower half
of both arms. The client's clothes caught on fire, and
the client ran, causing subsequent burn injuries to
the posterior surface of the head and the upper half
of the posterior torso. Using the rule of nines, what
would be the extent of the burn injury?
13. The nurse is preparing to care for a burn client sched- Return of distal
uled for an escharotomy procedure being performed pulses
for a third-degree circumferential arm burn. The nurse
understands that which finding is the anticipated
therapeutic outcome of the escharotomy?
14. The nurse is caring for a client who sustained superfi- Elevated hemat-
cial partial-thickness burns on the anterior lower legs ocrit levels
and anterior thorax. Which finding does the nurse ex-
pect to note during the resuscitation/emergent phase
of the burn injury?
15. The nurse is administering fluids intravenously as Urine output
prescribed to a client who sustained superficial par-
tial-thickness burn injuries of the back and legs. In
evaluating the adequacy of fluid resuscitation, the
nurse understands that which assessment would pro-
vide the most reliable indicator for determining the
adequacy?
16. The nurse is caring for a client following an autograft Immobilization of
and grafting to a burn wound on the right knee. What the affected leg
would the nurse anticipate to be prescribed for the
client?
17. The community health nurse is visiting a homeless Multiple straight or
shelter and is assessing the clients in the shelter for wavy thread-like
the presence of scabies. Which assessment finding lines underneath
should the nurse expect to note if scabies is present? the skin
18. The nurse is concerned about potential skin integrity Reposition every 2
problems for an unconscious client. Which interven- hours.