The nurse is assessing the client diagnosed with psoriasis. Which data

Integumentary System NCLEX Questions

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Question 1 of 5.

The nurse is assessing the client diagnosed with psoriasis. Which data would support that diagnosis?

A. Appearance of red, elevated plaques with silvery white scales.

B. A burning, prickling row of vesicles located along the torso.

C. Raised, flesh-colored papules with a rough surface area.

D. An overgrowth of tissue with an excessive amount of collagen.

Explanation: Red plaques with silvery scales are characteristic of psoriasis. Vesicles suggest herpes zoster, papules suggest warts, and collagen overgrowth suggests keloids.

Question 2 of 5.

The client has full-thickness burns to 65% of the body, including the chest area. After establishing a patent airway, which collaborative intervention is priority for the client?

A. Replace fluids and electrolytes.

B. Prevent contractures of extremities.

C. Monitor urine output hourly.

D. Prepare to assist with an escharotomy.

Explanation: Massive fluid loss in 65% burns requires immediate fluid and electrolyte replacement to prevent shock. Contracture prevention, urine monitoring, and escharotomy are secondary after fluid resuscitation.

Question 3 of 5.

The nurse is caring for a client with deep partial-thickness and full-thickness burns to the chest area. Which assessment data would warrant notifying the health-care provider?

A. The client is complaining of severe pain.

B. The client's pulse oximeter reading is 95%.

C. The client has T 100.4°F, P 100, R 24, and BP 102/60.

D. The client's urinary output is 50 mL in two (2) hours.

Explanation: Fever, tachycardia, and hypotension suggest sepsis or hypovolemia, requiring immediate HCP notification. Pain is expected, 95% SpO2 is acceptable, and low urine output is secondary.

Question 4 of 5.

The nurse is caring for clients in a long-term care facility. Which is a modifiable risk factor for the development of pressure ulcers?

A. Constant perineal moisture.

B. Ability of the clients to reposition themselves.

C. Decreased elasticity of the skin.

D. Impaired cardiovascular perfusion of the periphery.

Explanation: Perineal moisture is modifiable through hygiene and barriers, reducing ulcer risk. Repositioning ability, skin elasticity, and perfusion are less modifiable.

Question 5 of 5.

The nurse is developing a plan of care for a client diagnosed with left-sided paralysis secondary to a right-sided cerebrovascular accident (stroke). Which should be included in the interventions?

A. Use a pillow to keep the heels off the bed when supine.

B. Order a low air-loss therapy bed immediately.

C. Prepare to insert a nasogastric feeding tube.

D. Order an occupational therapy consult for strength training.

Explanation: Heel elevation prevents pressure ulcers in paralyzed clients. Low air-loss beds require HCP orders, NG tubes are premature, and OT is for rehabilitation, not immediate care.