1 | Page
NCLEX 10000 INTEGUMENTARY Questions
and Correct Answers/ Latest Update /
Already Graded
A client is receiving fluid replacement with lactated Ringer's after
40% of the body was burned 10 hours ago. The assessment reveals
temperature 97.1° F (36.2° C), heart rate 122 bpm, blood pressure
84/42 mm Hg, central venous pressure (CVP) 2 mm Hg, and urine
output 25 mL for the last 2 hours. The IV rate is currently at 375 mL/h.
Using the SBAR (Situation-Background-Assessment-
Recommendation) technique for communication, the nurse calls the
health care provider (HCP) with a recommendation for:
Ans: IV rate increase
Which factor is most important for the nurse to consider when
determining the angle at which to insert the needle for a
subcutaneous injection?
Ans: amount of subcutaneous tissue
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While caring for the client with a burn injury who is experiencing
hypersecretion of gastric acid, the nurse should observe the client
for:
Ans: gastrointestinal ulceration.
A nurse is preparing a discharge teaching plan for a client with
atopic dermatitis. Which instruction should the nurse include in her
teaching plan?
Ans: Use a topical skin moisturizer daily.
A client with deep partial-thickness and full-thickness burns on the
arms receives autografts. Two days later, the nurse finds the client
doing arm exercises. The nurse provides additional client teaching
because these exercises may:
Ans: dislodge the autografts.
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A client who was bitten by a wild animal is admitted to an acute
care facility for treatment of rabies. Which type of isolation does this
client require?
Ans: Contact
Which instruction is the most important to give a client who has
recently had a skin graft?
Ans: Protect the graft from direct sunlight.
A client received burns to his entire back and left arm. Using the Rule
of Nines, the nurse can calculate that he has sustained burns on
what percentage of his body?
Ans: 27%
A client with right sided hemiparesis has limited mobility. Which
action should the nurse include in the plan of care to help maintain
skin integrity?
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Ans: Turn him regularly.
When assessing a client with partial-thickness burns over 60% of the
body, which finding should the nurse report immediately?
Ans: Hoarseness of the voice
Which disciplines should be consulted when caring for a client with a
stage III heel ulcer?
Ans: Nutrition support and orthotics
A night-shift nurse receives a call from the emergency department
about a client with herpes zoster who is going to be admitted to the
floor. Based on this diagnosis, where should the nurse assign the
client?
Ans: Private room
NCLEX 10000 INTEGUMENTARY Questions
and Correct Answers/ Latest Update /
Already Graded
A client is receiving fluid replacement with lactated Ringer's after
40% of the body was burned 10 hours ago. The assessment reveals
temperature 97.1° F (36.2° C), heart rate 122 bpm, blood pressure
84/42 mm Hg, central venous pressure (CVP) 2 mm Hg, and urine
output 25 mL for the last 2 hours. The IV rate is currently at 375 mL/h.
Using the SBAR (Situation-Background-Assessment-
Recommendation) technique for communication, the nurse calls the
health care provider (HCP) with a recommendation for:
Ans: IV rate increase
Which factor is most important for the nurse to consider when
determining the angle at which to insert the needle for a
subcutaneous injection?
Ans: amount of subcutaneous tissue
,2 | Page
While caring for the client with a burn injury who is experiencing
hypersecretion of gastric acid, the nurse should observe the client
for:
Ans: gastrointestinal ulceration.
A nurse is preparing a discharge teaching plan for a client with
atopic dermatitis. Which instruction should the nurse include in her
teaching plan?
Ans: Use a topical skin moisturizer daily.
A client with deep partial-thickness and full-thickness burns on the
arms receives autografts. Two days later, the nurse finds the client
doing arm exercises. The nurse provides additional client teaching
because these exercises may:
Ans: dislodge the autografts.
,3 | Page
A client who was bitten by a wild animal is admitted to an acute
care facility for treatment of rabies. Which type of isolation does this
client require?
Ans: Contact
Which instruction is the most important to give a client who has
recently had a skin graft?
Ans: Protect the graft from direct sunlight.
A client received burns to his entire back and left arm. Using the Rule
of Nines, the nurse can calculate that he has sustained burns on
what percentage of his body?
Ans: 27%
A client with right sided hemiparesis has limited mobility. Which
action should the nurse include in the plan of care to help maintain
skin integrity?
, 4 | Page
Ans: Turn him regularly.
When assessing a client with partial-thickness burns over 60% of the
body, which finding should the nurse report immediately?
Ans: Hoarseness of the voice
Which disciplines should be consulted when caring for a client with a
stage III heel ulcer?
Ans: Nutrition support and orthotics
A night-shift nurse receives a call from the emergency department
about a client with herpes zoster who is going to be admitted to the
floor. Based on this diagnosis, where should the nurse assign the
client?
Ans: Private room
