RN NCLEX Set 7 - Free Nurse Test Bank

Are you ready to pass your final nursing exam? Test your knowledge with this free nurse test bank on 10 questions and answers. Answers are provided at the end of the questions.

Question 1

One patient is prescribed isotretinoin for severe cystic acne. The client receives instructions from the nurse on how to administer the medication. Which term provided by the client shows a need for further teaching regarding this 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."

Question 2

Which individuals are most likely to be at risk for development of psoriasis? Select all that apply.

1. A 32-year-old African American

2. A woman experiencing menopause

3. A client with a family history of the disorder4

. An individual who has experienced a significant amount of emotional distress

5. A female client with a thin body frame who adheres to a regular exercise program

Question 3

A dressing change is planned for a client who has a wound with moderate drainage. Which dressing, should the student nurse choose it, needs the nursing instructor to step in more?

1. Foam

2. Alginate dressing

3. Hydrocolloid dressing

4. Semipermeable transparent film

Question 4

Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication?

1.Tinnitus

2.Diarrhea

3.Constipation

4.Decreased respirations

Question 5

A client presents with cutaneous erythema. Knowing which factors are responsible for this finding, the nurse arranges care accordingly. Select all that apply.

1. Fever

2. Vasodilation

3. Inflammation

4. Deoxygenated hemoglobin

5. Excessively high environmental temperature

Question 6

Which prescription does the nurse anticipate writing down for a patient who has a dermal skin infection?

1. Applying warm compresses to the affected area

2. Placing iced compresses to the affected area every 4 hours

3. Alternating the application of hot and iced compresses every 2 hours

4. Placing antibiotic ointment on the affected site followed by continuous heat lamp application

Question 7

The nurse performs an assessment on a client admitted with contact dermatitis. Which signs and symptoms should the nurse look for?

1. Lichenification with scaling and excoriation

2. Lesions with well-defined geometric margins

3. Bright red erythematous macules and papules

4. Evolution of lesions from vesicles to weeping papules and plaques

Question 8

A nearby school has experienced a head lice epidemic. The moms of the students enrolled in the school are receiving instructions from the school nurse on how to apply malathion. Which action is it that the nurse should advise the mothers to take?

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 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 non-medicated shampoo.

Question 9

In planning care for the client with psoriasis, the nurse understands that which represents a priority client problem?

1. Fatigue

2. Constipation

3. Impaired safety

4. Altered body image

Question 10

A patient with acute cellulitis of the lower left leg is being admitted to the hospital. Which finding is the nurse expecting to record during the admission assessment?

1. An inflammation of the epidermis only

2. A skin infection of the dermis and underlying hypodermis

3. An acute superficial infection of the dermis and lymphatics

4. An epidermal and lymphatic infection caused by Staphylococcus

Answer Key

Question 1 Answer - 1

Rationale: In severe cystic acne, isotretinoin is used to inhibit inflammation. Adverse effects include elevated triglyceride levels, skin dryness, eye discomfort such as dryness and burning, and cheilitis (lip inflammation). Close medical follow-up is required, and dry skin and cheilitis can be decreased by the use of emollients and lip balms. Vitamin A supplements are stopped during this treatment.

Question 2 Answers - 2, 3, 4

Rationale: Psoriasis is a chronic, noninfectious skin inflammation involving keratin synthesis that results in psoriatic patches. Various forms exist, with psoriasis vulgaris being the most common type. Possible causes of the disorder include stress, trauma, infection, hormonal changes, obesity, an autoimmune reaction, and climate changes; a genetic predisposition may also be a cause. The disorder also may be exacerbated by the use of certain medications. Psoriasis occurs equally among women and men, although the incidence is lower in darker-skinned races and ethnic groups.

Question 3 Answer - 4

Rationale: The client's wound has moderate drainage. Recall that foam, alginate, and hydrocolloid dressings are applied to wounds with moderate to heavy drainage. Semipermeable transparent films are applied to dry wounds.

Question 4 Answer - 1

Rationale: Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation and diarrhea are not associated with salicylism.

Question 5 Answers - 1,2,4,5

Rationale: Erythema (or redness) of the skin can be caused by vasodilation from high environmental temperatures, fever, or inflammation. The presence of deoxygenated hemoglobin is responsible for cyanosis of the

skin.

Question 6 Answer - 1

Rationale: Warm compresses may be prescribed to decrease the discomfort, erythema, and edema associated with a skin infection that is characteristic of cellulitis. The nurse should also provide supportive care as prescribed to manage associated symptoms such as fever or chills. After tissue and blood are obtained for culture, antibiotics are initiated. Heat lamps can cause more disruption to already inflamed tissue. Iced compresses are not prescribed because they can damage tissue.

Question 7 Answer - 2

Rationale: Contact dermatitis findings include skin lesions with well-defined geometric margins. Option 1 describes a medication eruption. Option 3 describes nonspecific eczematous dermatitis. Option 4 describes atopic dermatitis.

Question 8 Answer - 4

Rationale: The instructions for the use of malathion are as follows: Sprinkle lotion on dry hair and rub gently until the scalp is moistened. Allow to dry naturally; after 8 to 12 hours, wash the hair with a nonmedicated shampoo; rinse and use a fine-toothed comb to remove lice; and repeat in 7 to 9 days if needed.

Question 9 Answer - 4

Rationale: Psoriasis is an autoimmune dermatitis that is expressed as silvery scales on reddish-colored skin in areas such as the scalp, elbows, hands, and knees. The onset of the disease generally occurs before age 40, with symptoms varying in intensity from mild to severe. Skin disorders, particularly when experienced by young persons and particularly when visible on exposed body parts, can cause significant psychosocial distress. Altered body image is a priority client problem that should be considered when planning care for a client with psoriasis. The remaining options are not priority client problems associated with psoriasis.

Question 10 Answer - 2

Rationale: Cellulitis is an infection of the dermis and underlying hypodermis that results in a deep red erythema without sharp borders and spreads widely throughout tissue spaces. The skin is erythematous, edematous, tender, and sometimes nodular. Erysipelas is an acute, superficial, rapidly spreading inflammation of the dermis and lymphatics. The infection is not superficial and extends deeper than the epidermis.

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