NCLEX-RN Practice Question for Pressure Ulcers & Burns

This NCLEX practice exam tests your nursing knowledge on the integumentary system, specifically pressure ulcers and burns. As a new nurse you must know the basic skills and interventions to provide to a patient with skin problems. If you haven’t already take Part 1 of the NCLEX Integumentary system, you will want to take that part first.

NCLEX Practice Exam Integumentary Problems Part 2

This NCLEX practice quiz tests your knowledge of the integumentary system. In this test, you will be required to know how to care for patients with burns and pressure ulcers. In the healthcare setting, you will see a variety of skin conditions and as the nurse you must know how to care for these patients.

1. You are assigned five patients on your nursing unit. Which patient is at most risk for pressure ulcers?*
- A. A 72 year old female weighing 82 lbs with stress incontinence and dementia.
- B. A 90 year old male with Congestive Heart Failure who has 3+ pitting edema in lower extremities.
- C. A 6 month old with the flu.
- D. An ambulatory 88 year old with dementia who is admitted with shingles.
2. As a home care nurse, you are providing care to a 63 year old male who suffered a massive stroke. He has paralysis on upper and lower extremities. He has a PEG tube with tubing feedings. The patient's daughter provides care to the patient. You notice the patient has a stage I pressure ulcer on the sacral area. What would you NOT include when educating the daughter on preventing further breakdown of the current pressure ulcer and how to prevent other ones from forming?*
- A. Exercise the extremities actively and passively.
- B. Turn and re-position the patient every 2 hours.
- C. Keep the skin moist and layer the sacral area with extra sheet layers.
- D. Use pillows to elevated bony prominences.
3. During a full body admission assessment, you note the patient has a stage III pressure ulcer. How would you document the appearance of the wound?*
- A. Area is red and does not blanch.
- B. Full-thickness skin loss to dermis and subcutaneous tissues.
- C. Partial thickness of dermis with shallow open ulcer.
- D. Full thickness with bone and tendon visible.
4. You have a patient who has multiple burns on their body. Using the rule of nines, what is the estimate extent of burn injury to the following patient. The following areas are burned: Anterior trunk, anterior left arm, and posterior left leg.*
- A. 31.5%
- B. 36%
- C. 28.5%
- D. 30%
5. Which patient is at risk for compartment syndrome due to a burn?*
- A. A 25 year old with circumferential burn of the anterior and posterior left arm.
- B. A 7 year old with a burn of the left and right ear.
- C. A 55 year old with an electrical burn on the neck.
- D. A 15 year old with a chemical burn to the right foot.
6. As a nurse working on a burn unit, which of your patients are at high risk for internal tissue damage?*
- A. Patient in room 2101 with a chemical burn to face.
- B. Patient in room 2106 with a radiation burn on the abdomen.
- C. Patient in room 2103 with a thermal burn to peritoneal area.
- D. Patient in room 2101 with an electrical burn on torso.
7. A preceptor is observing a nursing student provide care to a patient with major burns to the face and head. What nursing intervention does the student perform correctly?*
- A. Assist the patient with eating food tray.
- B. Uses gloves and face mask when providing care.
- C. Places the patient in trendelenburg position.
- D. Elevates the head of the bead at 30'.
8. A patient with 55% burns is groaing out in pain and rates pain 10 on 1-10 scale. You have PRN orders for the following medications. What is the best option for this patient?*
- A. IV Morphine
- B. Oral Lortab liquid suspension
- C. IM Demerol
- D. Subcutaneous Demerol
9. A patient is being discharge after having autografting. What would you include in your discharge education?*
- A. Avoid using splints or any type of support garment.
- B. Encourage for the site to be exposed to sunlight to promoted melanin production.
- C. Keep the site free from pressure and keep the site lubricated.
- D. Encourage weight-bearing exercise every 4 to 6 hours.
10. A patient is undergoing a escharotomy. Which of the following is correct about the procedure?*
- A. It is performed on circumferential burns and is usually performed at bedside without anesthesia.
- B. It is performed on radiation burns and requires general anesthesia.
- C. It is performed if tissue perfusion does NOT return after a fasciotomy.
- D. None of the options are correct.

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NCLEX-RN Practice Question for Pressure Ulcers & Burns

NCLEX Practice Exam Integumentary Problems Part 2

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