med surg EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution ms




Medical Surgical Nursing NCLEX Prep Study Questions ms ms ms ms ms ms ms




2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND
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VERIFIED ANSWERS (47267) ms ms




QUESTION 1 ms




A client sustains a second-
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degree (partial thickness) burn. The nurse would observe for damage to the: 1) epide
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rmis only 2) muscle and bone 3) epidermis and dermis 4) epidermis, dermis, and sub
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cutaneous tissue ms




ANSWER

3) epidermis and dermis Rationale: In a second-degree, or partial-
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thickness, burn both the epidermis and dermis are damaged. A first degree, superficial burn, such as
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sunburn, involves only the epidermis (1). A third- or fourth-degree full-
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thickness burn may involve muscle and bone (2). A third-degree, deep, partial- to full-
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thickness burn may include the epidermis, dermis, and subcutaneous tissue
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QUESTION 2 ms




Which nursing intervention would be most effective to improve comfort for a client wi
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th herpes zoster? 1. Direct sunlight 2. Dry heating pad 3. Cool, wet dressing 4. Warm,
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moist compress ms




ANSWER

3) Cool, wet dressing Rationale: Application of a cool, wet dressing followed by an analgesic is usual
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ly effective in relieving discomforts related to herpes zoster (shingles). The application of any form
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of warmth (1, 2, 4) may increase sensitivity of nerve endings and increase pain.
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QUESTION 3 ms




A client complains of small, red pruritic lesions between the fingers and toes. Upon ex
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amination, the nurse discovers the lesions to appear as a pattern of small linear lines.
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Which of the following conditions do these symptoms most likely represent? 1. Scabie
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s 2. Varicella 3. Contusions 4. Herpes zoster
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, ANSWER

1) Scabies Rationale: Scabies are contagious microscopic mites that manifest as linear burrows, frequ
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ently seen between the fingers and toes. Scabies causes intense itching, especially at night. Varicella
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(2) (chickenpox) is a highly contagious airborne disease that appears as a vesicular skin rash that is
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itchy. Contusion (3) Is a bruise that results from blood leakage out of capillary vessels into surroun
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ding tissue. Herpes zoster (4) (shingles) is a viral disease seen in older adults and manifests as a pa
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inful rash with blisters. Herpes zoster may occur as reactivation of the varicella virus, which is dorm
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ant in the ganglion after a primary case of chickenpox.
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QUESTION 4 ms




Which description is most accurate regarding a deep partial-
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thickness burn? 1. Painful with weeping blisters 2. Minimal damage to the epidermis
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3. Necrotic tissue through all layers of the skin 4. Charring visible in the deepest area
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s
ANSWER

1) Painful with weeping blisters Rationale: A deep partial-
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thickness burn involves the epidermal and dermal layers of the skin. It is characterized by a wet, sh
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iny; weeping surface with blisters and is painful and very sensitive to the touch. Necrosis (3) and ch
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arring (4) are seen with a full-
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thickness bur. Redness and pain with minimal damage to the epidermis (2) are characteristics of a s
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uperficial, or first-degree, burn. ms ms ms




QUESTION 5 ms




A nurse is caring for a client who has sustained burns covering the entire surface of b
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oth arms, the anterior trunk, and the right leg. The nurse uses the rule of nines to est
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imate the percentage of the burn surface area to be: 1. 27%. 2. 36%. 3. 54% 4. 72%.
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ANSWER

3) 54% Rationale: The "Rule of Nines" is a method used to determine the body surface area (BSA) o
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f a burn injury. It accounts for 9% for each arm, 9% for the head, 18% for the anterior torso, 18%
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for the posterior torso, 18% for each leg, and 1% for the genitals. The other answer options (1, 2, 4
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) are incorrect based on the BSA "Rule of Nines" estimate
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QUESTION 6 ms




When a client has psoriasis, which sign would a nurse expect to find? I. Pustules in th
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e skinfolds 2. Itchy, scaly patches on the scalp 3. Macular rash on the trunk area 4. Ve
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sicular rash on the extremities ms ms ms ms




ANSWER

2) Itchy, scaly patches on the scalp Rationale: Psoriasis is a noncontagious autoimmune disease. It u
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sually presents as itchy scales on the scalp, knees, or elbows due to an overproduction of skin cells.
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