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PRACTISING QUIZ ON INTEGRAL DISORDERS (PART 1)
1. Which nursing diagnosis should be prioritized when arranging treatment for a male client with
upper torso burns?
A. Ineffective airway clearance related to edema of the respiratory passages
B. Impaired physical mobility related to the disease process
C. Disturbed sleep pattern related to facility environment
D. Risk for infection related to breaks in the skin
2. Which nursing action helps prevent contractures in a female client with burns on her legs?
A. Applying knee splints.
B. Elevating the foot of the bed.
C. Hyperextending the client’s palms.
D. Performing shoulder range-of-motion exercises.
3. A man comes to the doctor's office with a serious sunburn that has to be treated. The nurse uses
this occasion to stress the necessity of avoiding the harmful effects of the sun on the skin. What
is the greatest way to keep your skin from becoming damaged?
A. Minimize sun exposure from 1 to 4 p.m. when the sun is strongest.
B. Use sunscreen with a sun protection factor of 6 or higher.
C. Apply sunscreen even on overcast days.
D. When at the beach, sit in the shade to prevent sunburn.
4. On the left arm, left anterior leg, and anterior trunk, a female client is brought to the emergency
department with second- and third-degree burns. What is the total body surface area that has
been burned using the Rule of Nines?
A. 18%
B. 27%
C. 30%
D. 36%
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5. What kind of nursing intervention can assist a client keep their skin in good shape?
A. Keep the client well hydrated.
B. Avoid bathing the client with mild soap.
C. Remove adhesive tape quickly from the skin.
D. Recommend wearing tight-fitting clothes in hot weather.
6. The dermatologist clinic sees a psoriasis patient who is a man. The nurse expects to see this form
of secondary lesion when evaluating the afflicted areas?
A. Scale
B. Crust
C. Ulcer
D. Scar
7. A powerful topical corticosteroid is supplied to a female adult client with atopic dermatitis,
which is then covered with an occlusive bandage. The nurse formulates the nursing diagnosis of
Risk for Injury to address a potential client problem that may arise as a result of this treatment.
Which "related-to" term should the nurse use to complete the nursing diagnosis statement?
A. Related to potential interactions between the topical corticosteroid and other prescribed drugs
B. Related to vasodilatory effects of the topical corticosteroid
C. Related to percutaneous absorption of the topical corticosteroid
D. Related to topical corticosteroid application to the face, neck, and intertriginous sites
8. Herpes simplex is diagnosed in a customer who is a man. In the case of herpes simplex virus
infection, which of the following statements is correct?
A. During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature
delivery.
B. Genital herpes simplex lesions are painless, fluid-filled vesicles that ulcerate and heal in 3 to 7
days.
C. Herpetic keratoconjunctivitis usually is bilateral and causes systemic symptoms.
D. A client with genital herpes lesions can have sexual contact but must use a condom.
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9. The I.V. of the aminoglycoside gentamicin sulfate (Garamycin) is given to a female customer with
a severe staphylococcal infection. route. Which adverse reaction to this drug should the nurse
check on the client?
A. Aplastic anemia
B. Ototoxicity
C. Cardiac arrhythmias
D. Seizures
10. A case of primary genital herpes is discovered in a male client. Which instruction should the nurse
provide?
A. Apply one applicator of terconazole intravaginally at bedtime for 7 days.
B. Apply one applicator of tioconazole intravaginally at bedtime for 7 days.
C. Apply acyclovir ointment to the lesions every 3 hours, six times a day for 7 days.
D. Apply sulconazole nitrate twice daily by massaging it gently into the lesions.
11. A client with dermatitis of the anterior chest will be given dexamethasone cream by Nurse Christie.
What is the best way for the nurse to use this topical agent?
A. With a circular motion, to enhance absorption.
B. With an upward motion, to increase blood supply to the affected area.
C. In long, even, outward, and downward strokes in the direction of hair growth.
D. In long, even, outward, and upward strokes in the direction opposite hair growth.
12. A wheelchair-bound client is being cared for by nurse Angela. Which piece of equipment prevents
people from getting to the region they're supposed to protect?
A. Polyurethane foam mattress
B. Ring or donut
C. Gel flotation pad
D. Waterbed
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13. The appearance of a scab on a client's serious wound is documented by Nurse Nathan. Which
phase of wound healing is the nurse referring to?
A. Inflammatory
B. Migratory
C. Proliferative
D. Maturation
14. A 155-pound (70kg) male client suffered full-thickness burns to over 40% of his body as a result
of an industrial accident. He's having fluid resuscitation in the burn unit. Which evidence supports
the client's benefit from fluid resuscitation?
A. A urine output consistently above 100 ml/hour.
B. A weight gain of 4 lb (2 kg) in 24 hours.
C. Body temperature readings all within normal limits.
D. An electrocardiogram (ECG) showing no arrhythmias.
15. Acyclovir (Zovirax), 200 mg PO, is prescribed to a female client with herpes zoster. when you're
awake, every 4 hours. The consumer should be informed that this medicine may cause:
A. Palpitations
B. Dizziness
C. Diarrhea
D. Metallic taste
16. A dermatologist meets a customer who has an issue with her skin. After that, the nurse examines
the client's medical records and discovers that intertrigo was the main complaint. Which ailment
is referred to by this term?
A. Spontaneously occurring wheals.
B. A fungus that enters the skin’s surface, causing infection.
C. Inflammation of a hair follicle.
D. Irritation of opposing skin surfaces caused by friction.
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17. A male client who has experienced a cerebrovascular accident (CVA) is too weak to move on his
own. The nurse should do the following to help the client avoid pressure ulcers:
A. Turn him frequently.
B. Perform passive range-of-motion (ROM) exercises.
C. Reduce the client’s fluid intake.
D. Encourage the client to use a footboard.
18. A male client comes to the doctor's clinic for a skin problem that needs to be addressed. The nurse
expects the physician to prescribe the following as a first line of defense:
A. An I.V. corticosteroid
B. An I.V. antibiotic
C. An oral antibiotic
D. A topical agent
19. A male client contracted scabies while in a skilled care home, which was diagnosed the next day
after he was discharged. The client lives in a house shared by her daughter and six other people.
"What should my family do?" she asks a staff nurse during her visit to the clinic. " The nurse's
most accurate response is:
A. All family members will need to be treated.
B. If someone develops symptoms, tell him to see a physician right away.
C. Just be careful not to share linens and towels with family members.
D. After you’re treated, family members won’t be at risk for contracting scabies.
20. Which action should the nurse include in the care plan for a male client with severe impetigo?
A. Placing mitts on the client’s hands.
B. Administering systemic antibiotics as prescribed.
C. Applying topical antibiotics as prescribed.
D. Continuing to administer antibiotics for 21 days as prescribed.

Unformatted Attachment Preview

PRACTISING QUIZ ON INTEGRAL DISORDERS (PART 1) 1. Which nursing diagnosis should be prioritized when arranging treatment for a male client with upper torso burns? A. Ineffective airway clearance related to edema of the respiratory passages B. Impaired physical mobility related to the disease process C. Disturbed sleep pattern related to facility environment D. Risk for infection related to breaks in the skin 2. Which nursing action helps prevent contractures in a female client with burns on her legs? A. Applying knee splints. B. Elevating the foot of the bed. C. Hyperextending the client’s palms. D. Performing shoulder range-of-motion exercises. 3. A man comes to the doctor's office with a serious sunburn that has to be treated. The nurse uses this occasion to stress the necessity of avoiding the harmful effects of the sun on the skin. What is the greatest way to keep your skin from becoming damaged? A. Minimize sun exposure from 1 to 4 p.m. when the sun is strongest. B. Use sunscreen with a sun protection factor of 6 or higher. C. Apply sunscreen even on overcast days. D. When at the beach, sit in the shade to prevent sunburn. 4. On the left arm, left anterior leg, and anterior trunk, a female client is brought to the emergency department with second- and third-degree burns. What is the total body surface area that has been burned using the Rule of Nines? A. 18% B. 27% C. 30% D. 36% 5. What kind of nursing intervention can assist a client keep their skin in good shape? A. Keep the client well hydrated. B. Avoid bathing the client with mild soap. C. Remove adhesive tape quickly from the skin. D. Recommend wearing tight-fitting clothes in hot weather. 6. The dermatologist clinic sees a psoriasis patient who is a man. The nurse expects to see this form of secondary lesion when evaluating the afflicted areas? A. Scale B. Crust C. Ulcer D. Scar 7. A powerful topical corticosteroid is supplied to a female adult client with atopic dermatitis, which is then covered with an occlusive bandage. The nurse formulates the nursing diagnosis of Risk for Injury to address a potential client problem that may arise as a result of this treatment. Which "related-to" term should the nurse use to complete the nursing diagnosis statement? A. Related to potential interactions between the topical corticosteroid and other prescribed drugs B. Related to vasodilatory effects of the topical corticosteroid C. Related to percutaneous absorption of the topical corticosteroid D. Related to topical corticosteroid application to the face, neck, and intertriginous sites 8. Herpes simplex is diagnosed in a customer who is a man. In the case of herpes simplex virus infection, which of the following statements is correct? A. During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature delivery. B. Genital herpes simplex lesions are painless, fluid-filled vesicles that ulcerate and heal in 3 to 7 days. C. Herpetic keratoconjunctivitis usually is bilateral and causes systemic symptoms. D. A client with genital herpes lesions can have sexual contact but must use a condom. 9. The I.V. of the aminoglycoside gentamicin sulfate (Garamycin) is given to a female customer with a severe staphylococcal infection. route. Which adverse reaction to this drug should the nurse check on the client? A. Aplastic anemia B. Ototoxicity C. Cardiac arrhythmias D. Seizures 10. A case of primary genital herpes is discovered in a male client. Which instruction should the nurse provide? A. Apply one applicator of terconazole intravaginally at bedtime for 7 days. B. Apply one applicator of tioconazole intravaginally at bedtime for 7 days. C. Apply acyclovir ointment to the lesions every 3 hours, six times a day for 7 days. D. Apply sulconazole nitrate twice daily by massaging it gently into the lesions. 11. A client with dermatitis of the anterior chest will be given dexamethasone cream by Nurse Christie. What is the best way for the nurse to use this topical agent? A. With a circular motion, to enhance absorption. B. With an upward motion, to increase blood supply to the affected area. C. In long, even, outward, and downward strokes in the direction of hair growth. D. In long, even, outward, and upward strokes in the direction opposite hair growth. 12. A wheelchair-bound client is being cared for by nurse Angela. Which piece of equipment prevents people from getting to the region they're supposed to protect? A. Polyurethane foam mattress B. Ring or donut C. Gel flotation pad D. Waterbed 13. The appearance of a scab on a client's serious wound is documented by Nurse Nathan. Which phase of wound healing is the nurse referring to? A. Inflammatory B. Migratory C. Proliferative D. Maturation 14. A 155-pound (70kg) male client suffered full-thickness burns to over 40% of his body as a result of an industrial accident. He's having fluid resuscitation in the burn unit. Which evidence supports the client's benefit from fluid resuscitation? A. A urine output consistently above 100 ml/hour. B. A weight gain of 4 lb (2 kg) in 24 hours. C. Body temperature readings all within normal limits. D. An electrocardiogram (ECG) showing no arrhythmias. 15. Acyclovir (Zovirax), 200 mg PO, is prescribed to a female client with herpes zoster. when you're awake, every 4 hours. The consumer should be informed that this medicine may cause: A. Palpitations B. Dizziness C. Diarrhea D. Metallic taste 16. A dermatologist meets a customer who has an issue with her skin. After that, the nurse examines the client's medical records and discovers that intertrigo was the main complaint. Which ailment is referred to by this term? A. Spontaneously occurring wheals. B. A fungus that enters the skin’s surface, causing infection. C. Inflammation of a hair follicle. D. Irritation of opposing skin surfaces caused by friction. 17. A male client who has experienced a cerebrovascular accident (CVA) is too weak to move on his own. The nurse should do the following to help the client avoid pressure ulcers: A. Turn him frequently. B. Perform passive range-of-motion (ROM) exercises. C. Reduce the client’s fluid intake. D. Encourage the client to use a footboard. 18. A male client comes to the doctor's clinic for a skin problem that needs to be addressed. The nurse expects the physician to prescribe the following as a first line of defense: A. An I.V. corticosteroid B. An I.V. antibiotic C. An oral antibiotic D. A topical agent 19. A male client contracted scabies while in a skilled care home, which was diagnosed the next day after he was discharged. The client lives in a house shared by her daughter and six other people. "What should my family do?" she asks a staff nurse during her visit to the clinic. " The nurse's most accurate response is: A. All family members will need to be treated. B. If someone develops symptoms, tell him to see a physician right away. C. Just be careful not to share linens and towels with family members. D. After you’re treated, family members won’t be at risk for contracting scabies. 20. Which action should the nurse include in the care plan for a male client with severe impetigo? A. Placing mitts on the client’s hands. B. Administering systemic antibiotics as prescribed. C. Applying topical antibiotics as prescribed. D. Continuing to administer antibiotics for 21 days as prescribed. Name: Description: ...
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