3/21/25, 2:44 Saunders NCLEX-RN Flashcards |
PM
SAUNDERS NCLEX-RN EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (56)
Isotretinoin is prescribed for a client with 1."I need to continue to take my vitamin A supplements."
severe cystic acne. The nurse provides Rationale: In severe cystic acne, isotretinoin is used to inhibit inflammation. Adverse
instructions to the client regarding effects include elevated triglyceride levels, skin dryness, eye discomfort such as
administration of the medication. Which dryness and burning, and cheilitis (lip inflammation). Close medical follow-up is
phrase stated by the client indicates a
required, and dry skin and cheilitis can be decreased by the use of emollients and
need for further teaching regarding this
lip balms. Vitamin A supplements are stopped during this treatment.
medication?
1. "I need to continue to take my
vitamin A supplements."
2. "The medication may cause
dryness and burning in my eyes."
3. "I need to use emollients and
lip balms for my dry skin and lips."
4. "I will need to return for a
blood test to check my triglyceride
level."
Altered body image
In planning care for the client with Psoriasis is an autoimmune dermatitis that is expressed as silvery scales on reddish-
psoriasis, the nurse understands that which colored skin on areas such as scalp, elbows, hands, and knees. Onset of the disease
represents a priority client problem? generally occurs before age 40, with symptoms varying in intensity from mild to
1. Fatigue severe. Skin disorders, particularly when experienced by young persons and
2. Constipation particularly when visible on exposed body parts, can cause significant psychosocial
distress. Altered body image is a priority client problem that should be considered
3. Impaired safety
when planning care for a client with psoriasis. The remaining options are not priority
4. Altered body image
client problems associated with psoriasis.
The nurse expects to note which 1.Applying warm compresses to the affected area
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PM
prescription for a client with a skin Warm compresses may be prescribed to decrease the discomfort, erythema, and
infection that extends into the dermis? edema associated with a skin infection that is characteristic of cellulitis. The
1.Applying warm compresses to the nurse
affected area 2.Placing iced compresses to should also provide supportive care as prescribed to manage associated symptoms
the affected area every 4 hours such as fever or chills. After tissue and blood are obtained for culture, antibiotics
3.Alternating the application of hot and are initiated. Heat lamps can cause more disruption to already inflamed tissue. Iced
iced compresses every 2 hours compresses are not prescribed because they can damage tissue.
4.Placing antibiotic ointment on the
affected site followed by continuous heat
lamp application
A client is being admitted to the hospital 2.A skin infection of the dermis and underlying hypodermis
for treatment of acute cellulitis of the Cellulitis is an infection of the dermis and underlying hypodermis that results in
lower left leg. During the admission a deep red erythema without sharp borders and spreads widely throughout
assessment, the nurse expects to note tissue spaces. The skin is erythematous, edematous, tender, and sometimes
which finding? nodular.
1. An inflammation of the epidermis Erysipelas is an acute, superficial, rapidly spreading inflammation of the dermis and
only lymphatics. The infection is not superficial and extends deeper than the
2. A skin infection of the epidermis.
dermis and underlying
hypodermis
3. An acute superficial
infection of the dermis and
lymphatics
4. An epidermal and lymphatic
infection caused by Staphylococcus
An outbreak of head lice infestation has 4.Leave the lotion on for 8 to 12 hours, and then wash the hair with nonmedicated
occurred at a local school. The school shampoo.
nurse is providing instructions to the Rationale: The instructions for the use of malathion are as follows: Sprinkle lotion on
mothers of the children attending the dry hair and rub gently until the scalp is moistened; allow to dry naturally; after 8 to
school regarding the application of 12 hours, wash the hair with a nonmedicated shampoo; rinse and use a fine-toothed
malathion. The nurse should tell the comb to remove lice; and repeat in 7 to 9 days if needed.
mothers to take which action?
1. Apply the lotion
immediately after washing the
hair.
2. Pour the lotion onto the hair
and then rinse immediately.
3. Allow the lotion to remain on
2/22
, 3/21/25, 2:44 Saunders NCLEX-RN Flashcards |
PM
the hair for 10 minutes and then rinse
with water.
4. Leave the lotion on for 8 to 12
hours, and then wash the hair with
nonmedicated shampoo.
The nurse is providing an educational 1.It is caused by a tick bite.
session to community members Lyme disease is a multisystem infection that results from a bite by a tick that is usually
regarding Lyme disease. The nurse carried by several species of deer. Persons bitten by the Ixodes ticks are
should provide what information infected with the spirochete Borrelia burgdorferi. Lyme disease cannot be
regarding this disease? transmitted from 1 person to another. Histoplasmosis is caused by the inhalation of
1. It is caused by a tick bite. spores from bat or bird droppings. Toxoplasmosis is caused from the inhalation of
2. It can be contagious by skin cysts from
contact with an infected person. contaminated cat feces or the consumption of rare or raw meat.
3. It can be caused by the
inhalation of spores from bird
droppings.
4. It is caused by contamination
from cat feces or the consumption of
rare or raw meat.
The nurse suspects herpes zoster (shingles) 1.Clustered skin vesicles
when which assessment finding is The primary lesion of herpes zoster is a vesicle. The classic presentation is grouped
noted? vesicles on an erythematous base along a dermatome. Because the lesions follow
1. Clustered skin vesicles nerve pathways, they do not cross the midline of the body. Options 2, 3, and 4 are
2. A generalized body rash incorrect descriptions of herpes zoster.
3. Small blue-white spots with a red
base
4. A fiery red, edematous
rash on the cheeks
Isotretinoin has been prescribed for an 4."I need to be sure to take my vitamin A supplement so that the treatment will work."
adolescent with a diagnosis of Rationale:
severe
Isotretinoin is used to inhibit inflammation in the client with severe cystic acne.
cystic acne. The nurse provides
Vitamin A supplements are stopped during this treatment because isotretinoin is a
instructions to the adolescent regarding
derivative of vitamin A, and taking vitamin A concurrently will induce additive
the use of the medication. Which
effects. Adverse effects include elevated triglycerides, skin dryness, and eye
statement, if made by the adolescent,
discomfort, such as dryness and burning. Lip inflammation, called cheilitis, also can
indicates a need for
occur.
further instruction?
3/22
PM
SAUNDERS NCLEX-RN EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (56)
Isotretinoin is prescribed for a client with 1."I need to continue to take my vitamin A supplements."
severe cystic acne. The nurse provides Rationale: In severe cystic acne, isotretinoin is used to inhibit inflammation. Adverse
instructions to the client regarding effects include elevated triglyceride levels, skin dryness, eye discomfort such as
administration of the medication. Which dryness and burning, and cheilitis (lip inflammation). Close medical follow-up is
phrase stated by the client indicates a
required, and dry skin and cheilitis can be decreased by the use of emollients and
need for further teaching regarding this
lip balms. Vitamin A supplements are stopped during this treatment.
medication?
1. "I need to continue to take my
vitamin A supplements."
2. "The medication may cause
dryness and burning in my eyes."
3. "I need to use emollients and
lip balms for my dry skin and lips."
4. "I will need to return for a
blood test to check my triglyceride
level."
Altered body image
In planning care for the client with Psoriasis is an autoimmune dermatitis that is expressed as silvery scales on reddish-
psoriasis, the nurse understands that which colored skin on areas such as scalp, elbows, hands, and knees. Onset of the disease
represents a priority client problem? generally occurs before age 40, with symptoms varying in intensity from mild to
1. Fatigue severe. Skin disorders, particularly when experienced by young persons and
2. Constipation particularly when visible on exposed body parts, can cause significant psychosocial
distress. Altered body image is a priority client problem that should be considered
3. Impaired safety
when planning care for a client with psoriasis. The remaining options are not priority
4. Altered body image
client problems associated with psoriasis.
The nurse expects to note which 1.Applying warm compresses to the affected area
1/22
,3/21/25, 2:44 Saunders NCLEX-RN Flashcards |
PM
prescription for a client with a skin Warm compresses may be prescribed to decrease the discomfort, erythema, and
infection that extends into the dermis? edema associated with a skin infection that is characteristic of cellulitis. The
1.Applying warm compresses to the nurse
affected area 2.Placing iced compresses to should also provide supportive care as prescribed to manage associated symptoms
the affected area every 4 hours such as fever or chills. After tissue and blood are obtained for culture, antibiotics
3.Alternating the application of hot and are initiated. Heat lamps can cause more disruption to already inflamed tissue. Iced
iced compresses every 2 hours compresses are not prescribed because they can damage tissue.
4.Placing antibiotic ointment on the
affected site followed by continuous heat
lamp application
A client is being admitted to the hospital 2.A skin infection of the dermis and underlying hypodermis
for treatment of acute cellulitis of the Cellulitis is an infection of the dermis and underlying hypodermis that results in
lower left leg. During the admission a deep red erythema without sharp borders and spreads widely throughout
assessment, the nurse expects to note tissue spaces. The skin is erythematous, edematous, tender, and sometimes
which finding? nodular.
1. An inflammation of the epidermis Erysipelas is an acute, superficial, rapidly spreading inflammation of the dermis and
only lymphatics. The infection is not superficial and extends deeper than the
2. A skin infection of the epidermis.
dermis and underlying
hypodermis
3. An acute superficial
infection of the dermis and
lymphatics
4. An epidermal and lymphatic
infection caused by Staphylococcus
An outbreak of head lice infestation has 4.Leave the lotion on for 8 to 12 hours, and then wash the hair with nonmedicated
occurred at a local school. The school shampoo.
nurse is providing instructions to the Rationale: The instructions for the use of malathion are as follows: Sprinkle lotion on
mothers of the children attending the dry hair and rub gently until the scalp is moistened; allow to dry naturally; after 8 to
school regarding the application of 12 hours, wash the hair with a nonmedicated shampoo; rinse and use a fine-toothed
malathion. The nurse should tell the comb to remove lice; and repeat in 7 to 9 days if needed.
mothers to take which action?
1. Apply the lotion
immediately after washing the
hair.
2. Pour the lotion onto the hair
and then rinse immediately.
3. Allow the lotion to remain on
2/22
, 3/21/25, 2:44 Saunders NCLEX-RN Flashcards |
PM
the hair for 10 minutes and then rinse
with water.
4. Leave the lotion on for 8 to 12
hours, and then wash the hair with
nonmedicated shampoo.
The nurse is providing an educational 1.It is caused by a tick bite.
session to community members Lyme disease is a multisystem infection that results from a bite by a tick that is usually
regarding Lyme disease. The nurse carried by several species of deer. Persons bitten by the Ixodes ticks are
should provide what information infected with the spirochete Borrelia burgdorferi. Lyme disease cannot be
regarding this disease? transmitted from 1 person to another. Histoplasmosis is caused by the inhalation of
1. It is caused by a tick bite. spores from bat or bird droppings. Toxoplasmosis is caused from the inhalation of
2. It can be contagious by skin cysts from
contact with an infected person. contaminated cat feces or the consumption of rare or raw meat.
3. It can be caused by the
inhalation of spores from bird
droppings.
4. It is caused by contamination
from cat feces or the consumption of
rare or raw meat.
The nurse suspects herpes zoster (shingles) 1.Clustered skin vesicles
when which assessment finding is The primary lesion of herpes zoster is a vesicle. The classic presentation is grouped
noted? vesicles on an erythematous base along a dermatome. Because the lesions follow
1. Clustered skin vesicles nerve pathways, they do not cross the midline of the body. Options 2, 3, and 4 are
2. A generalized body rash incorrect descriptions of herpes zoster.
3. Small blue-white spots with a red
base
4. A fiery red, edematous
rash on the cheeks
Isotretinoin has been prescribed for an 4."I need to be sure to take my vitamin A supplement so that the treatment will work."
adolescent with a diagnosis of Rationale:
severe
Isotretinoin is used to inhibit inflammation in the client with severe cystic acne.
cystic acne. The nurse provides
Vitamin A supplements are stopped during this treatment because isotretinoin is a
instructions to the adolescent regarding
derivative of vitamin A, and taking vitamin A concurrently will induce additive
the use of the medication. Which
effects. Adverse effects include elevated triglycerides, skin dryness, and eye
statement, if made by the adolescent,
discomfort, such as dryness and burning. Lip inflammation, called cheilitis, also can
indicates a need for
occur.
further instruction?
3/22
