NCLEX Practice Exam for Skin and Integumentary Diseases Part 1

Practice Mode

Welcome to your NCLEX Practice Exam for Skin and Integumentary Diseases Part 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Think about the most immediate and straightforward method to control external bleeding before considering other measures.

1 / 30

1. Nurse Jake is attending to Mr. Reynolds, a patient with external bleeding. What should be the first intervention Nurse Jake performs to manage the bleeding?

💡 Hint

Focus on how long the medication remains active and could increase light sensitivity, particularly affecting the eyes.

2 / 30

2. Nurse Rachel is educating Ms. Stevens, who has atopic dermatitis and is starting photochemotherapy, about protecting her skin and eyes. After receiving the medication, Nurse Rachel emphasizes the importance of shielding her eyes from ultraviolet light. How long should Ms. Stevens protect her eyes after the medication?

💡 Hint

Think about how gonorrhea can spread beyond the original infection site, particularly to areas like the eyes through poor hygiene.

3 / 30

3. Nurse Emily is educating Mr. Carter, a patient recently diagnosed with gonorrhea. As part of the teaching, which key instruction should Nurse Emily emphasize to prevent further complications?

💡 Hint

Think about the characteristic buildup of excess skin cells seen in psoriasis.

4 / 30

4. Nurse Kate is assessing a male patient who has psoriasis during his visit to the dermatology clinic. As she examines the areas affected by the condition, which type of secondary skin lesion is she most likely to observe?

💡 Hint

In fluid resuscitation, monitoring renal function through urine output is key to evaluating the client's fluid balance and perfusion.

5 / 30

5. Nurse Karen is caring for a male patient who weighs 155 lb (70 kg) and has sustained full-thickness burns over 40% of his body. He's receiving fluid resuscitation in the burn unit. Which observation indicates that the fluid resuscitation is effectively benefiting the patient?

💡 Hint

Consider how covering the medicated area with an occlusive dressing could affect the medication's absorption into the body.

6 / 30

6. Nurse Maria is caring for a female patient with atopic dermatitis who has been prescribed a potent topical corticosteroid, to be used with an occlusive dressing. To address the risk of complications associated with this treatment, Nurse Maria needs to formulate a nursing diagnosis of “Risk for injury”. What should she add to complete the “related-to” statement?

💡 Hint

Think about the potential complications of herpes simplex infection during pregnancy.

7 / 30

7. Nurse John is educating a male patient recently diagnosed with herpes simplex. As he explains the condition, he wants to ensure the patient has accurate information about the infection. Which statement about herpes simplex is correct?

💡 Hint

Consider the common first-line treatments used for localized skin conditions.

8 / 30

8. Nurse Sarah is assisting Mr. Leonard, a patient who has come to the clinic seeking treatment for a skin condition. After assessing the patient, the nurse anticipates the physician will start with which initial treatment approach?

💡 Hint

Think about how the skin is most hydrated immediately after bathing and how emollients can help maintain this moisture.

9 / 30

9. Nurse Olivia is educating Ms. Parker, a patient who was recently prescribed an emollient for newly developed pruritus. Ms. Parker asks why it’s important to apply the emollient right after bathing. What is Nurse Olivia’s best response?

💡 Hint

Consider what activities could compromise the healing and attachment of the newly applied artificial skin.

10 / 30

10. Nurse Beth is educating Mr. Johnson, a patient who recently had artificial skin applied following a full-thickness burn on his left arm. During their conversation, Nurse Beth assesses the patient’s understanding of postoperative care when he mentions that for the first 7 days after the procedure, he will limit which of the following?

💡 Hint

Think about what happens when skin surfaces rub together, especially in areas like under the breasts or in skin folds.

11 / 30

11. Nurse Jenny reviews a female client’s chart and notices that her chief complaint was intertrigo. This term refers to which condition?

💡 Hint

Focus on the antiviral treatment specifically used for herpes simplex virus infections.

12 / 30

12. Nurse Carla is providing discharge instructions to a male patient recently diagnosed with primary herpes genitalis. Which instruction is most appropriate for managing this condition?

💡 Hint

Think about the phase where the wound starts forming a protective layer and cells begin moving to initiate repair.

13 / 30

13. Nurse Laura observes and documents the formation of a scab on a client’s deep wound. She recognizes this as a sign of which phase in the wound healing process?

💡 Hint

Think about minimizing skin irritation by applying the cream in a way that follows the natural hair growth pattern.

14 / 30

14. Nurse Jenny is preparing to apply dexamethasone cream to a client with dermatitis over the anterior chest. What is the correct technique for applying this topical medication?

💡 Hint

This aminoglycoside is known for potentially affecting sensory organs, particularly those responsible for hearing and balance.

15 / 30

15. Nurse Ellen is administering gentamicin sulfate (Garamycin) via I.V. to a female patient with a severe staphylococcal infection. As part of her care, she must monitor for potential adverse effects. What reaction should Nurse Ellen be most vigilant about?

💡 Hint

Break down the percentages for each body part affected based on the Rule of Nines for a more accurate TBSA calculation.

16 / 30

16. Nurse Sarah is assessing a female patient who was admitted to the emergency department with second- and third-degree burns affecting her left arm, left anterior leg, and anterior trunk. She uses the Rule of Nines to calculate the total body surface area (TBSA) affected by burns. What is the estimated TBSA that has been burned?

💡 Hint

Think about the most direct and effective intervention to alleviate constant pressure on the skin.

17 / 30

17. Nurse Kim is caring for Mr. Howard, a 72-year-old patient recovering from a cerebrovascular accident (CVA), who is currently too weak to reposition himself. To prevent the development of pressure ulcers, which action should Nurse Kim prioritize?

💡 Hint

Think about the immediate discomfort and acute symptoms a patient with extensive burns might experience upon arrival.

18 / 30

18. Nurse Jenna is assessing Mr. Brooks, a patient who presented to urgent care with a severe solar burn affecting his chest, back, face, and arms. What should be Nurse Jenna's primary focus when caring for him?

💡 Hint

Consider which action directly addresses maintaining mobility and preventing tightening of joints in the affected area.

19 / 30

19. Nurse Carla is caring for a female patient with burns on her legs. As part of her rehabilitation plan, Nurse Carla must focus on preventing contractures. Which nursing intervention should she implement to achieve this goal?

💡 Hint

Think about the need for skin protection even when the sun doesn’t appear directly visible.

20 / 30

20. Nurse Lisa is seeing a male patient who has come to the clinic seeking treatment for a severe sunburn. She uses this moment to educate him on how to better protect his skin from harmful UV rays. What advice should she prioritize to best prevent future skin damage?

💡 Hint

Focus on common gastrointestinal side effects often associated with antiviral medications like acyclovir.

21 / 30

21. Nurse Ellen is educating a female patient with herpes zoster who has been prescribed acyclovir (Zovirax), 200 mg by mouth every 4 hours while awake. She should inform the patient that this medication may cause:

💡 Hint

Focus on protecting the graft from environmental factors that could delay healing or damage the new skin.

22 / 30

22. Nurse Sarah is giving discharge instructions to Ms. Lewis, who recently had a skin graft. In reviewing home care, what is the most important point Nurse Sarah should emphasize for the client's recovery?

💡 Hint

Think about the fragility of newly placed grafts and the importance of allowing them time to adhere properly.

23 / 30

23. Nurse Carla is caring for Ms. Harper, a patient who recently had autografts applied to second- and third-degree burns on her arms. Two days after the procedure, Nurse Carla finds Ms. Harper performing arm exercises. Why should the nurse advise the client to stop exercising?

💡 Hint

Consider the role of internal factors, like fluid balance, in maintaining skin health and elasticity.

24 / 30

24. Nurse Jenna is educating her patient on ways to maintain healthy skin. She emphasizes certain nursing interventions that can help promote skin integrity. Which intervention should Nurse Jenna prioritize?

💡 Hint

Scabies is highly contagious, even before symptoms appear, so preventive measures are often recommended for everyone in close contact.

25 / 30

25. Nurse Leah is speaking with Ms. Turner, who was recently diagnosed with scabies after being discharged from a skilled nursing facility. Ms. Turner now lives with her daughter and six other family members, and she is concerned about what steps her family should take. What is the most appropriate advice Nurse Leah should give her?

💡 Hint

For severe cases of impetigo, consider treatments that work throughout the entire body rather than just localized areas.

26 / 30

26. Nurse Jenna is caring for Mr. Wallace, a patient diagnosed with severe impetigo. As part of the treatment plan, what intervention should Nurse Jenna include in his care?

💡 Hint

Think about the most immediate life-threatening concern following burns, especially on the upper body.

27 / 30

27. Nurse Amanda is developing a care plan for a male patient who has sustained burns on his upper torso. While evaluating his condition, she needs to determine which nursing diagnosis should be addressed first to ensure patient safety and proper recovery. Which diagnosis should take precedence in her plan of care?

💡 Hint

Focus on isolating items that may come into direct contact with the skin and spread the mites to others.

28 / 30

28. Nurse Kelly discovers that a newly transferred patient to the medical-surgical unit from the day surgery unit has scabies. To prevent the spread of infection to other patients, what is the best action for Nurse Kelly to take?

💡 Hint

Consider the type of cancer commonly associated with certain sexually transmitted infections, especially in women.

29 / 30

29. Nurse Amanda is providing education to Ms. Davis, a patient receiving outpatient treatment for genital herpes simplex. Nurse Amanda discusses strategies to reduce recurrences and highlights the importance of addressing complications quickly. She also explains that genital herpes simplex increases the risk of developing which type of cancer?

💡 Hint

Consider which option could create localized pressure around an area, potentially cutting off circulation rather than distributing weight evenly.

30 / 30

30. Nurse Daniel is caring for a wheelchair-bound patient and wants to ensure that all equipment used promotes circulation and prevents pressure injuries. Which item might actually impair circulation in the area it's intended to protect?

Exam Mode

Welcome to your NCLEX Practice Exam for Skin and Integumentary Diseases Part 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Jenny is preparing to apply dexamethasone cream to a client with dermatitis over the anterior chest. What is the correct technique for applying this topical medication?

2 / 30

2. Nurse Carla is caring for Ms. Harper, a patient who recently had autografts applied to second- and third-degree burns on her arms. Two days after the procedure, Nurse Carla finds Ms. Harper performing arm exercises. Why should the nurse advise the client to stop exercising?

3 / 30

3. Nurse Beth is educating Mr. Johnson, a patient who recently had artificial skin applied following a full-thickness burn on his left arm. During their conversation, Nurse Beth assesses the patient’s understanding of postoperative care when he mentions that for the first 7 days after the procedure, he will limit which of the following?

4 / 30

4. Nurse Lisa is seeing a male patient who has come to the clinic seeking treatment for a severe sunburn. She uses this moment to educate him on how to better protect his skin from harmful UV rays. What advice should she prioritize to best prevent future skin damage?

5 / 30

5. Nurse Daniel is caring for a wheelchair-bound patient and wants to ensure that all equipment used promotes circulation and prevents pressure injuries. Which item might actually impair circulation in the area it's intended to protect?

6 / 30

6. Nurse Sarah is assessing a female patient who was admitted to the emergency department with second- and third-degree burns affecting her left arm, left anterior leg, and anterior trunk. She uses the Rule of Nines to calculate the total body surface area (TBSA) affected by burns. What is the estimated TBSA that has been burned?

7 / 30

7. Nurse Ellen is educating a female patient with herpes zoster who has been prescribed acyclovir (Zovirax), 200 mg by mouth every 4 hours while awake. She should inform the patient that this medication may cause:

8 / 30

8. Nurse Jenna is educating her patient on ways to maintain healthy skin. She emphasizes certain nursing interventions that can help promote skin integrity. Which intervention should Nurse Jenna prioritize?

9 / 30

9. Nurse Jake is attending to Mr. Reynolds, a patient with external bleeding. What should be the first intervention Nurse Jake performs to manage the bleeding?

10 / 30

10. Nurse Laura observes and documents the formation of a scab on a client’s deep wound. She recognizes this as a sign of which phase in the wound healing process?

11 / 30

11. Nurse Kim is caring for Mr. Howard, a 72-year-old patient recovering from a cerebrovascular accident (CVA), who is currently too weak to reposition himself. To prevent the development of pressure ulcers, which action should Nurse Kim prioritize?

12 / 30

12. Nurse Kelly discovers that a newly transferred patient to the medical-surgical unit from the day surgery unit has scabies. To prevent the spread of infection to other patients, what is the best action for Nurse Kelly to take?

13 / 30

13. Nurse Carla is providing discharge instructions to a male patient recently diagnosed with primary herpes genitalis. Which instruction is most appropriate for managing this condition?

14 / 30

14. Nurse Amanda is providing education to Ms. Davis, a patient receiving outpatient treatment for genital herpes simplex. Nurse Amanda discusses strategies to reduce recurrences and highlights the importance of addressing complications quickly. She also explains that genital herpes simplex increases the risk of developing which type of cancer?

15 / 30

15. Nurse Amanda is developing a care plan for a male patient who has sustained burns on his upper torso. While evaluating his condition, she needs to determine which nursing diagnosis should be addressed first to ensure patient safety and proper recovery. Which diagnosis should take precedence in her plan of care?

16 / 30

16. Nurse Sarah is assisting Mr. Leonard, a patient who has come to the clinic seeking treatment for a skin condition. After assessing the patient, the nurse anticipates the physician will start with which initial treatment approach?

17 / 30

17. Nurse Leah is speaking with Ms. Turner, who was recently diagnosed with scabies after being discharged from a skilled nursing facility. Ms. Turner now lives with her daughter and six other family members, and she is concerned about what steps her family should take. What is the most appropriate advice Nurse Leah should give her?

18 / 30

18. Nurse Karen is caring for a male patient who weighs 155 lb (70 kg) and has sustained full-thickness burns over 40% of his body. He's receiving fluid resuscitation in the burn unit. Which observation indicates that the fluid resuscitation is effectively benefiting the patient?

19 / 30

19. Nurse Rachel is educating Ms. Stevens, who has atopic dermatitis and is starting photochemotherapy, about protecting her skin and eyes. After receiving the medication, Nurse Rachel emphasizes the importance of shielding her eyes from ultraviolet light. How long should Ms. Stevens protect her eyes after the medication?

20 / 30

20. Nurse Jenna is caring for Mr. Wallace, a patient diagnosed with severe impetigo. As part of the treatment plan, what intervention should Nurse Jenna include in his care?

21 / 30

21. Nurse Sarah is giving discharge instructions to Ms. Lewis, who recently had a skin graft. In reviewing home care, what is the most important point Nurse Sarah should emphasize for the client's recovery?

22 / 30

22. Nurse Ellen is administering gentamicin sulfate (Garamycin) via I.V. to a female patient with a severe staphylococcal infection. As part of her care, she must monitor for potential adverse effects. What reaction should Nurse Ellen be most vigilant about?

23 / 30

23. Nurse Jenny reviews a female client’s chart and notices that her chief complaint was intertrigo. This term refers to which condition?

24 / 30

24. Nurse John is educating a male patient recently diagnosed with herpes simplex. As he explains the condition, he wants to ensure the patient has accurate information about the infection. Which statement about herpes simplex is correct?

25 / 30

25. Nurse Carla is caring for a female patient with burns on her legs. As part of her rehabilitation plan, Nurse Carla must focus on preventing contractures. Which nursing intervention should she implement to achieve this goal?

26 / 30

26. Nurse Maria is caring for a female patient with atopic dermatitis who has been prescribed a potent topical corticosteroid, to be used with an occlusive dressing. To address the risk of complications associated with this treatment, Nurse Maria needs to formulate a nursing diagnosis of “Risk for injury”. What should she add to complete the “related-to” statement?

27 / 30

27. Nurse Kate is assessing a male patient who has psoriasis during his visit to the dermatology clinic. As she examines the areas affected by the condition, which type of secondary skin lesion is she most likely to observe?

28 / 30

28. Nurse Olivia is educating Ms. Parker, a patient who was recently prescribed an emollient for newly developed pruritus. Ms. Parker asks why it’s important to apply the emollient right after bathing. What is Nurse Olivia’s best response?

29 / 30

29. Nurse Jenna is assessing Mr. Brooks, a patient who presented to urgent care with a severe solar burn affecting his chest, back, face, and arms. What should be Nurse Jenna's primary focus when caring for him?

30 / 30

30. Nurse Emily is educating Mr. Carter, a patient recently diagnosed with gonorrhea. As part of the teaching, which key instruction should Nurse Emily emphasize to prevent further complications?