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NCLEX PN REVIEW QUESTIONS INTEGUMENTARY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX PN REVIEW QUESTIONS INTEGUMENTARY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX PN REVIEW QUESTIONSINTEGUMENTARY QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
anFadultFclientFwasFburnedFasFaFresultFofFanFexplosion.F
theFburnFinitiallyFaffectedFtheFclient'sFentireFfaceF(theFanteriorFhalfFofFtheFhead)FandFtheFupperFhalfFofFtheFa
nteriorFtorso,FandFthereFwereFcircumferentialFburnsFtoFtheFlowerFhalfFofFbothFofFtheFarms.FtheFclient'sFclot
hesFcaughtFonFfire,FandFtheFclientFran,FwhichFcausedFsubsequentFburnFinjuriesFofFtheFposteriorFsurfaceFofFt
heFheadFandFtheFupperFhalfFofFtheFposteriorFtorso.F
accordingFtoFtheFruleFofFnines,FwhatFisFtheFextentFofFthisFclient'sFburnFinjury?F-FANSWERF36%F
rationaleF
accordingFtoFtheFruleFofFnines,FwithFtheFinitialFburn,FtheFanteriorFhalfFofFtheFheadFequalsF4.5%
theFupperFhalfFofFtheFanteriorFtorsoFequalsF9%F
andFtheFlowerFhalvesFofFbothFarmsFequalF9%
theFsubsequentFburnFincludedFtheFposteriorFhalfFofFtheFhead,FwhichFequalsF4.5%
andFtheFupperFhalfFofFtheFposteriorFtorsoFwhichFequalsF9%.
thisFtotalsF36%
aFclientFreturnsFtoFtheFclinicFforFfollow-
upFtreatmentFafterFaFskinFbiopsyFofFaFsuspiciousFlesionFthatFwasFperformedF1FweekFago.F
theFbiopsyFreportFindicatesFthatFtheFlesionFisFaFmelanoma.F
theFnurseFunderstandsFthatFwhichFdescribesFaFcharacteristicFofFthisFtypeFofFlesion?F
A)FmetastasisFisFrareF
B)FitFisFencapsulatedF
C)FitFisFhighlyFmetastaticF
,D)FitFisFcharacterizedFbyFlocalFinvasionF-FANSWERFC)FitFisFhighlyFmetastaticF
rationaleF
melanomasFareFpigmentedFmalignantFlesionsFthatForiginateFinFtheFmelanin-
producingFcellsFofFtheFepidermis.F
thisFskinFcancerFisFhighlyFmetastatic,FandFaFperson'sFsurvivalFdependsFonFearlyFdiagnosisFandFtreatment.F
basalFcellFcarcinomasFariseFinFtheFbasalFcellFlayerFofFtheFepidermis.F
earlyFmalignantFbasalFcellFlesionsFoftenFgoFunnoticed,FandFalthoughFmetastasisFisFrare,FunderlyingFtissueFd
estructionFcanFprogressFtoFincludeFvitalFstructures.F
squamousFcellFcarcinomasFareFmalignantFneoplasmsFofFtheFepidermis.F
theyFareFcharacterizedFbyFlocalFinvasionFandFtheFpotentialFforFmetastasis.
theFnurseFreinforcesFinstructionsFtoFaFgroupFofFclientsFregardingFmeasuresFthatFwillFassistFwithFtheFpreventi
onFofFskinFcancer.F
whichFstatementFbyFaFclientFindicatesFtheFneedFforFfurtherFteaching?F
A)FiFneedFtoFwearFsunscreenFwhenFparticipatingFinFoutdoorFactivitiesF
B)FiFneedFtoFavoidFsunFexposureFbeforeF10FamFandFafterF4pmF
C)FiFneedFtoFwearFaFhat,FopaqueFclothing,FandFsunglassesFwhenFinFtheFsun
D)FiFneedFtoFexamineFmyFbodyFmonthlyFforFanyFlesionsFthatFmayFbeFsuspiciousF-
FANSWERFB)FiFneedFtoFavoidFsunFexposureFbeforeF10amFandFafterF4pmF
rationaleF
theFclientFshouldFbeFinstructedFtoFavoidFsunFexposureFbetweenFtheFhoursFofFapproximatelyF10amFandF4pm
.F
sunscreen,FaFhat,FopaqueFclothing,FandFsunglassesFshouldFbeFwornFforFoutdoorFactivities.F
theFclientFshouldFbeFinstructedFtoFexamineFtheFbodyFmonthlyFforFtheFappearanceFofFanyFpossibleFcancerou
sForFprecancerousFlesions
,aFclientFarrivesFatFtheFemergencyFdepartmentFandFhasFexperiencedFfrostbiteFtoFtheFrightFhand.F
whichFshouldFtheFnurseFexpectFtoFfindFwhenFinspectingFtheFclient'sFhand?F
A)FaFpink,FedematousFhandF
B)FfieryFredFskinFwithFedemaFinFtheFnailFbedsF
C)FblackFfingertipsFsurroundedFbyFanFerythematousFrashF
D)FaFwhiteFcolorFofFtheFskin,FwhichFisFinsensitiveFtoFtouchF-
FANSWERFD)FaFwhiteFcolorFofFtheFskin,FwhichFisFinsensitiveFtoFtouchF
rationaleF
theFfindingsFrelatedFtoFfrostbiteFincludeFaFwhiteForFblueFskinFcolorFandFskinFthatFisFhard,Fcold,FandFinsensitiv
eFtoFtouch.
asFthawingFoccurs,FsoFdoesFflushingFofFtheFskin,FtheFdevelopmentFofFblistersForFblebs,ForFtissueFedema.F
gangreneFcanFdevelopFinF9FtoF15Fdays
theFnurseFisFreviewingFtheFhealthFcareFrecordFofFaFclientFwithFaFlesionFthatFhasFbeenFdiagnosedFasFaFmalign
antFmelanoma.F
theFnurseFshouldFexpectFwhichFcharacteristicFofFthisFtypeFofFlesionFtoFbeFdocumentedFinFtheFclient'sFrecord
?F
A)FanFirregularlyFshapedFlesionF
B)FaFsmallFpapuleFwithFaFdry,FroughFscaleF
C)FaFfirmFnodularFlesionFtoppedFwithFaFcrustF
, D)FaFpearlyFpapuleFwithFaFcentralFcraterFandFaFwaxyFborderF-FANSWERFA)FanFirregularlyFshapedFlesionF
rationaleF
aFmelanomaFisFanFirregularlyFshapedFpigmentedFpapuleForFplaqueFwithFaFred,Fwhite,ForFblueFcolor.
basalFcellFcarcinomaFappearsFasFaFpearlyFpapuleFwithFaFcentralFcraterFandFaFrolled,FwaxyFborder.
squamousFcellFcarcinomaFisFaFfirmFnodularFlesionFthatFisFtoppedFwithFaFcrustForFaFcentralFareaFofFulceration
.F
actinicFkeratosis,FwhichFisFaFpremalignantFlesion,FappearsFasFaFsmallFmaculeForFpapuleFwithFaFdry,Frough,Fa
dherentFyellowForFbrownFscale.
theFeveningFnurseFreviewsFtheFnursingFdocumentationFinFtheFclient'sFchartFandFnotesFthatFtheFdayFnurseFh
asFdocumentedFthatFtheFclientFhasFaFstageF2FpressureFulcerFinFtheFsacralFarea.F
whichFshouldFtheFnurseFexpectFtoFfindFwhenFcheckingFtheFclient'sFsacralFarea?F
A)FintactFskinF
B)FtheFpresenceFofFtunnelingF
C)FaFdeep,Fcrater-likeFappearanceF
D)Fpartial-thicknessFskinFlossFofFtheFepidermisF-FANSWERFD)Fpartial-thicknessFskinFlossFofFtheFepidermisF
rationaleF
withFaFstageF2FpressureFulcer,FtheFskinFisFnotFintact.F
thereFisFpartial-thicknessFskinFlossFofFtheFepidermisForFdermis.F
theFulcerFisFsuperficial,FandFitFmayFlookFlikeFanFabrasion,Fblister,ForFshallowFcrater.
theFskinFisFintactFwithFaFstageF1FpressureFulcer.F
aFdeep,Fcrater-likeFappearanceFoccursFduringFstageF3FandFtunnelingFdevelopsFduringFstageF4.
theFnurseFinspectsFtheFskinFofFaFclientFwhoFisFsuspectedFofFhavingFpsoriasis.F
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