NSG 200 - Tissue Integrity And Sensory Perception
NCLEX Exam With Complete Solutions
The nurse is caring for a client with acne. Which condition describes the nurse's
understanding of the classification of acne? - ANSWER Inflammatory
While applying lotion to the skin of an older adult client, the client asks why it is
more important to take better care of the skin now than at a younger age. Which
aspect of integumentary changes in older adult clients should the nurse include
in the response? Select all that apply. - ANSWER -Decreased turnover of the
outer skin layer
-Impaired skin barrier
-Greater sensitization to allergies
The nurse is discussing factors that are attributed to allergic contact dermatitis
with a client. Which factor should the nurse include in the discussion? Select all
that apply. - ANSWER -Exposure to plants
-Exposure to soap
-Exposure to perfumes
The nurse is reviewing a client's chart who presents to the clinic with report of a
"skin rash." Which descriptive characteristic indicates a specific skin disorder
that the nurse may consider? Select all that apply. - ANSWER -Vesicle
-Macule
-Wheal
The nurse is caring for a client with impaired mobility. Which concern regarding
tissue integrity should the nurse address? Select all that apply. - ANSWER -
Pressure ulcer formation
-Skin breakdown
The nurse notes circular lesions on a client's upper back. Which condition
should the nurse consider prior to the examination? Select all that apply. -
ANSWER -Ringworm
-Tinea versicolor
The nurse is preparing to perform an assessment on a client. Which factor
should the nurse include in the integumentary assessment? Select all that apply.
- ANSWER -Nails
-Turgor
-Temperature
, -Texture
The nurse notes that a client appears to have an integumentary infection. Which
diagnostic test should the nurse anticipate will be performed? - ANSWER Wood
lamp
The nurse is caring for an adolescent female client who has begun
menstruating. Which preexisting disorder should the nurse expect to be
exacerbated by the hormonal changes that occur? - ANSWER Eczema
The nurse is reviewing the chart of a client who is pregnant and reports "red
patches of skin that itch." Which assessment finding should the nurse
anticipate? - ANSWER Eczematous skin changes around the neck
The nurse reviewing a newborn's chart notes Mongolian spots found on a prior
assessment. Which describes the nurse's understanding of the etiology? -
ANSWER Congenital
The nurse is reviewing the chart of a client diagnosed with neurofibromatosis.
Which change in skin pigmentation should the nurse anticipate finding based on
the client's diagnosis. - ANSWER Cafe au lout spots
The nurse is assessing diffuse bullae and vesicles on a client's hands and arms.
Which question should the nurse ask the client? - ANSWER "Have you been in
contact with poison ivy?"
The nurse is reviewing the chart of a client who has developed keloids as a
result of multiple surgeries. Which assessment finding should the nurse
anticipate? - ANSWER Elevated, irregular, darkened area
The nurse is reviewing the chart of a client diagnosed with paronychia. Which
assessment finding should the nurse anticipate? - ANSWER Infection around the
fingernail
The nurse is caring for an older adult client who is significantly underweight.
Which intervention should the nurse include in the plan of care for the client to
maintain skin integrity? - ANSWER Review safety strategies to prevent injuries
and falls
The nurse performing a home visit for an older adult client determines the client
would benefit from teaching about the promotion of skin integrity. Which
assessment finding indicates the need for further teaching? - ANSWER The
client uses a body spray perfume
NCLEX Exam With Complete Solutions
The nurse is caring for a client with acne. Which condition describes the nurse's
understanding of the classification of acne? - ANSWER Inflammatory
While applying lotion to the skin of an older adult client, the client asks why it is
more important to take better care of the skin now than at a younger age. Which
aspect of integumentary changes in older adult clients should the nurse include
in the response? Select all that apply. - ANSWER -Decreased turnover of the
outer skin layer
-Impaired skin barrier
-Greater sensitization to allergies
The nurse is discussing factors that are attributed to allergic contact dermatitis
with a client. Which factor should the nurse include in the discussion? Select all
that apply. - ANSWER -Exposure to plants
-Exposure to soap
-Exposure to perfumes
The nurse is reviewing a client's chart who presents to the clinic with report of a
"skin rash." Which descriptive characteristic indicates a specific skin disorder
that the nurse may consider? Select all that apply. - ANSWER -Vesicle
-Macule
-Wheal
The nurse is caring for a client with impaired mobility. Which concern regarding
tissue integrity should the nurse address? Select all that apply. - ANSWER -
Pressure ulcer formation
-Skin breakdown
The nurse notes circular lesions on a client's upper back. Which condition
should the nurse consider prior to the examination? Select all that apply. -
ANSWER -Ringworm
-Tinea versicolor
The nurse is preparing to perform an assessment on a client. Which factor
should the nurse include in the integumentary assessment? Select all that apply.
- ANSWER -Nails
-Turgor
-Temperature
, -Texture
The nurse notes that a client appears to have an integumentary infection. Which
diagnostic test should the nurse anticipate will be performed? - ANSWER Wood
lamp
The nurse is caring for an adolescent female client who has begun
menstruating. Which preexisting disorder should the nurse expect to be
exacerbated by the hormonal changes that occur? - ANSWER Eczema
The nurse is reviewing the chart of a client who is pregnant and reports "red
patches of skin that itch." Which assessment finding should the nurse
anticipate? - ANSWER Eczematous skin changes around the neck
The nurse reviewing a newborn's chart notes Mongolian spots found on a prior
assessment. Which describes the nurse's understanding of the etiology? -
ANSWER Congenital
The nurse is reviewing the chart of a client diagnosed with neurofibromatosis.
Which change in skin pigmentation should the nurse anticipate finding based on
the client's diagnosis. - ANSWER Cafe au lout spots
The nurse is assessing diffuse bullae and vesicles on a client's hands and arms.
Which question should the nurse ask the client? - ANSWER "Have you been in
contact with poison ivy?"
The nurse is reviewing the chart of a client who has developed keloids as a
result of multiple surgeries. Which assessment finding should the nurse
anticipate? - ANSWER Elevated, irregular, darkened area
The nurse is reviewing the chart of a client diagnosed with paronychia. Which
assessment finding should the nurse anticipate? - ANSWER Infection around the
fingernail
The nurse is caring for an older adult client who is significantly underweight.
Which intervention should the nurse include in the plan of care for the client to
maintain skin integrity? - ANSWER Review safety strategies to prevent injuries
and falls
The nurse performing a home visit for an older adult client determines the client
would benefit from teaching about the promotion of skin integrity. Which
assessment finding indicates the need for further teaching? - ANSWER The
client uses a body spray perfume
