SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
1. The nurse performs an assessment on a client admitted with contact dermatitis.
Which signs and symptoms should the nurse look for?
✓ Lesions with well-defined geometric margins
2. The nurse is providing home care instructions to the client who just had surgery for
squamous cell carcinoma. The nurse provides follow-up teaching and explains to the
client to watch for which characteristics of this type of skin carcinoma?
✓ Firm, nodular lesion topped with a crust or with a central
area of ulceration
3. The nurse is teaching the client about risk factors for skin cancer. Which statements
by the client indicate that teaching was successful? Select all that apply.
✓ "I have to avoid excessive exposure to sunlight."
✓ "I am at higher risk for skin cancer because my
mother had one."
4. The nurse is assessing a dark-skinned client for signs of anemia. The nurse should
focus the assessment on which structures? Select all that apply.
✓ Lips
✓ Conjunctiva
✓ Mucous membranes
5. The nurse is providing teaching to a client who will undergo chemotherapy for
cancer, and alopecia is expected from the chemotherapeutic agent. Which statement
made by the client indicates a need for further teaching?
✓ "I can't believe my hair loss will be permanent."
6. The nurse is caring for a client with full-thickness circumferential burns of the
entire trunk of the body. Which finding suggests that an escharotomy may be
necessary?
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
✓ High pressure alarm keeps sounding on the ventilator
7. A client with chloasma is extremely stressed about the change in her facial
appearance. Which integumentary change observed by the nurse is consistent
with this problem?
✓ Blotchy brown macules across the cheeks and forehead
8. The nurse is planning care for a client who suffered a burn injury and has a
negative self-image related to keloid formation at the burn site. The keloid
formation is indicative of which condition?
✓ Hypertrophy of collagen fibers
9. A client recently diagnosed with chronic kidney disease requiring hemodialysis has
an arteriovenous fistula for access. The client asks the nurse what complications can
occur with the access site. What complications should the nurse inform the client
about? Select all that apply.
✓ Hepatitis
✓ Infection
10. The nurse has completed discharge teaching for a client who was admitted for
reticular skin lesions. Which statement by the client indicates understanding of the
discharge instructions?
✓ "I need to assess my skin for lesions that appear net-
like."
11. A client exhibits erythema of the skin. The nurse plans care, knowing that which
factors are responsible for this finding? Select all that apply.
✓ Fever
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
✓ Vasodilation
✓ Inflammation
✓ Excessively high environmental temperature
12. An older client's physical examination reveals the presence of a fiery star-shaped
marking with a circular, solid center. The nurse recognizes that these findings,
which are caused by capillary radiations extending from the central arterial body,
are representative of which lesions?
✓ Spider angioma
13. An older client is lying in a supine position. The nurse understands that the
client is at least risk for skin breakdown in which body area?
✓ Greater trochanter
14. In planning care for the client with psoriasis, the nurse understands that which
represents a priority client problem?
✓ Altered body image
15. The nurse is performing an admission assessment on a client diagnosed with
paronychia. The nurse should plan to assess which part of the integumentary
system first?
✓ Nails
16. A client exhibits a purplish bruise to the skin after a fall. The nurse would document
this finding in the health record most accurately using which term?
✓ Ecchymosis
17. A client is diagnosed with a full-thickness burn. What should the nurse anticipate
will be used for final coverage of the client's burn wound?
✓ Autograft
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
18. The nurse is providing instructions to a client with psoriasis who will be
receiving ultraviolet (UV) light therapy. Which statement would be most
appropriate for the nurse to include in the client's instructions?
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
1. The nurse performs an assessment on a client admitted with contact dermatitis.
Which signs and symptoms should the nurse look for?
✓ Lesions with well-defined geometric margins
2. The nurse is providing home care instructions to the client who just had surgery for
squamous cell carcinoma. The nurse provides follow-up teaching and explains to the
client to watch for which characteristics of this type of skin carcinoma?
✓ Firm, nodular lesion topped with a crust or with a central
area of ulceration
3. The nurse is teaching the client about risk factors for skin cancer. Which statements
by the client indicate that teaching was successful? Select all that apply.
✓ "I have to avoid excessive exposure to sunlight."
✓ "I am at higher risk for skin cancer because my
mother had one."
4. The nurse is assessing a dark-skinned client for signs of anemia. The nurse should
focus the assessment on which structures? Select all that apply.
✓ Lips
✓ Conjunctiva
✓ Mucous membranes
5. The nurse is providing teaching to a client who will undergo chemotherapy for
cancer, and alopecia is expected from the chemotherapeutic agent. Which statement
made by the client indicates a need for further teaching?
✓ "I can't believe my hair loss will be permanent."
6. The nurse is caring for a client with full-thickness circumferential burns of the
entire trunk of the body. Which finding suggests that an escharotomy may be
necessary?
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
✓ High pressure alarm keeps sounding on the ventilator
7. A client with chloasma is extremely stressed about the change in her facial
appearance. Which integumentary change observed by the nurse is consistent
with this problem?
✓ Blotchy brown macules across the cheeks and forehead
8. The nurse is planning care for a client who suffered a burn injury and has a
negative self-image related to keloid formation at the burn site. The keloid
formation is indicative of which condition?
✓ Hypertrophy of collagen fibers
9. A client recently diagnosed with chronic kidney disease requiring hemodialysis has
an arteriovenous fistula for access. The client asks the nurse what complications can
occur with the access site. What complications should the nurse inform the client
about? Select all that apply.
✓ Hepatitis
✓ Infection
10. The nurse has completed discharge teaching for a client who was admitted for
reticular skin lesions. Which statement by the client indicates understanding of the
discharge instructions?
✓ "I need to assess my skin for lesions that appear net-
like."
11. A client exhibits erythema of the skin. The nurse plans care, knowing that which
factors are responsible for this finding? Select all that apply.
✓ Fever
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
✓ Vasodilation
✓ Inflammation
✓ Excessively high environmental temperature
12. An older client's physical examination reveals the presence of a fiery star-shaped
marking with a circular, solid center. The nurse recognizes that these findings,
which are caused by capillary radiations extending from the central arterial body,
are representative of which lesions?
✓ Spider angioma
13. An older client is lying in a supine position. The nurse understands that the
client is at least risk for skin breakdown in which body area?
✓ Greater trochanter
14. In planning care for the client with psoriasis, the nurse understands that which
represents a priority client problem?
✓ Altered body image
15. The nurse is performing an admission assessment on a client diagnosed with
paronychia. The nurse should plan to assess which part of the integumentary
system first?
✓ Nails
16. A client exhibits a purplish bruise to the skin after a fall. The nurse would document
this finding in the health record most accurately using which term?
✓ Ecchymosis
17. A client is diagnosed with a full-thickness burn. What should the nurse anticipate
will be used for final coverage of the client's burn wound?
✓ Autograft
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX QUESTIONS AND ANSWERS 100% CORRECT
RATED A+
18. The nurse is providing instructions to a client with psoriasis who will be
receiving ultraviolet (UV) light therapy. Which statement would be most
appropriate for the nurse to include in the client's instructions?
