NCLEX 10000 INTEGUMENTARY
DISORDERS BOARD EVALUATION 2026
GUARANTEED PASS ANSWERS GRADED A+
● What is the primary goal of nursing care during the emergent phase
after a burn injury?
a) Promote wound healing.
b) Replace lost fluids.
c) Control pain.
d) Prevent infection.. Answer: Replace lost fluids.
Correct
Explanation:
During the emergent phase of burn care, one of the most significant
problems is hypovolemic shock. The development of hypovolemic
shock can lead to impaired blood flow through the heart and kidneys,
resulting in decreased cardiac output and renal ischemia. Efforts are
directed toward replacing lost fluids and preventing hypovolemic shock.
● The nurse is evaluating the client's risk for having a pressure sore.
Which is the best indicator of risk for the client's developing a pressure
sore?
,a) nutritional status
b) orientation status
c) circulatory status
d) mobility status. Answer: mobility status
Correct
Explanation:
The client's mobility status is the best indicator of risk for development
of a pressure sore.
● A child is brought to the emergency department with a full-thickness
burn involving the epidermis, dermis, and underlying subcutaneous
tissue, but does not report pain at this time. Which of the following
statements by the nurse are correct about this type of burn? Select all
that apply.
a) This is a severe burn and nerve endings have been destroyed.
b) Rehabilitation and skin grafting will be necessary.
c) Pain medication has been administered orally and was effective.
d) This is a superficial burn, so no pain is present.
e) The child must be monitored for signs of fluid shift. Answer: • This is
a severe burn and nerve endings have been destroyed.
• The child must be monitored for signs of fluid shift.
• Rehabilitation and skin grafting will be necessary.
Correct
,Explanation:
This is an example of a third-degree burn, which is very serious. This
child must be carefully monitored for complications. The fact that there
is no pain is due to the destruction of the nerve endings. Fluid shift can
occur and result in shock. A burn of this degree will also require a long
rehabilitation with skin grafting.
● A client is recovering from an infected abdominal wound. Which
foods should the nurse encourage the client to eat to support wound
healing and recovery from the infection?
a) cheeseburger and french fries
b) cheese omelet and bacon
c) gelatin salad and tea
d) chicken and orange slices. Answer: chicken and orange slices
Correct
Explanation:
Protein and vitamin C are particularly important in promoting wound
healing and recovery from infection. A diet high in carbohydrates is also
essential. Because the client with an infection commonly does not feel
like eating, it is important that what the client eats should be nutritious.
Chicken and orange slices would help meet the client's protein and
vitamin needs.
, ● In an industrial accident, a client who weighs 155 lb (70 kg) sustained
full-thickness burns over 40% of his body. He's in the burn unit
receiving fluid resuscitation. Which finding shows that the fluid
resuscitation is benefiting the client?
a) A urine output consistently above 40 ml/hour (40 mL/hour)
b) Body temperature readings all within normal limits
c) A weight gain of 4 lb (2 kg) in 24 hours
d) An electrocardiogram (ECG) showing no arrhythmias. Answer: A
urine output consistently above 40 ml/hour (40 mL/hour)
Correct
Explanation:
In a client with burns, the goal of fluid resuscitation is to maintain a
mean arterial blood pressure that provides adequate perfusion of vital
structures. If the kidneys are adequately perfused, they will produce an
acceptable urine output of at least 0.5 ml/kg/hour. Thus, the expected
urine output of a 155-lb (70 kg) client is 35 ml/hour, and a urine output
consistently above 40 ml/hour is adequate. Weight gain from fluid
resuscitation isn't a goal. In fact, a 4-lb (2 kg) weight gain in 24 hours
suggests third spacing.
● The nurse is caring for a client who has severe burns on the head,
neck, trunk, and groin areas. Which position would be most appropriate
for preventing contractures?
a) semi-Fowler's
DISORDERS BOARD EVALUATION 2026
GUARANTEED PASS ANSWERS GRADED A+
● What is the primary goal of nursing care during the emergent phase
after a burn injury?
a) Promote wound healing.
b) Replace lost fluids.
c) Control pain.
d) Prevent infection.. Answer: Replace lost fluids.
Correct
Explanation:
During the emergent phase of burn care, one of the most significant
problems is hypovolemic shock. The development of hypovolemic
shock can lead to impaired blood flow through the heart and kidneys,
resulting in decreased cardiac output and renal ischemia. Efforts are
directed toward replacing lost fluids and preventing hypovolemic shock.
● The nurse is evaluating the client's risk for having a pressure sore.
Which is the best indicator of risk for the client's developing a pressure
sore?
,a) nutritional status
b) orientation status
c) circulatory status
d) mobility status. Answer: mobility status
Correct
Explanation:
The client's mobility status is the best indicator of risk for development
of a pressure sore.
● A child is brought to the emergency department with a full-thickness
burn involving the epidermis, dermis, and underlying subcutaneous
tissue, but does not report pain at this time. Which of the following
statements by the nurse are correct about this type of burn? Select all
that apply.
a) This is a severe burn and nerve endings have been destroyed.
b) Rehabilitation and skin grafting will be necessary.
c) Pain medication has been administered orally and was effective.
d) This is a superficial burn, so no pain is present.
e) The child must be monitored for signs of fluid shift. Answer: • This is
a severe burn and nerve endings have been destroyed.
• The child must be monitored for signs of fluid shift.
• Rehabilitation and skin grafting will be necessary.
Correct
,Explanation:
This is an example of a third-degree burn, which is very serious. This
child must be carefully monitored for complications. The fact that there
is no pain is due to the destruction of the nerve endings. Fluid shift can
occur and result in shock. A burn of this degree will also require a long
rehabilitation with skin grafting.
● A client is recovering from an infected abdominal wound. Which
foods should the nurse encourage the client to eat to support wound
healing and recovery from the infection?
a) cheeseburger and french fries
b) cheese omelet and bacon
c) gelatin salad and tea
d) chicken and orange slices. Answer: chicken and orange slices
Correct
Explanation:
Protein and vitamin C are particularly important in promoting wound
healing and recovery from infection. A diet high in carbohydrates is also
essential. Because the client with an infection commonly does not feel
like eating, it is important that what the client eats should be nutritious.
Chicken and orange slices would help meet the client's protein and
vitamin needs.
, ● In an industrial accident, a client who weighs 155 lb (70 kg) sustained
full-thickness burns over 40% of his body. He's in the burn unit
receiving fluid resuscitation. Which finding shows that the fluid
resuscitation is benefiting the client?
a) A urine output consistently above 40 ml/hour (40 mL/hour)
b) Body temperature readings all within normal limits
c) A weight gain of 4 lb (2 kg) in 24 hours
d) An electrocardiogram (ECG) showing no arrhythmias. Answer: A
urine output consistently above 40 ml/hour (40 mL/hour)
Correct
Explanation:
In a client with burns, the goal of fluid resuscitation is to maintain a
mean arterial blood pressure that provides adequate perfusion of vital
structures. If the kidneys are adequately perfused, they will produce an
acceptable urine output of at least 0.5 ml/kg/hour. Thus, the expected
urine output of a 155-lb (70 kg) client is 35 ml/hour, and a urine output
consistently above 40 ml/hour is adequate. Weight gain from fluid
resuscitation isn't a goal. In fact, a 4-lb (2 kg) weight gain in 24 hours
suggests third spacing.
● The nurse is caring for a client who has severe burns on the head,
neck, trunk, and groin areas. Which position would be most appropriate
for preventing contractures?
a) semi-Fowler's
