A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest

Possible skin cancer

That there is nothing to be concerned about.

Normal Wound heating.

A secondary lesion

Answer and Explanation

The Correct Answer is A

A.   Changes in size, color, and shape of a mole or spot, especially with the development of a bump, could be indicative of skin cancer, particularly melanoma.
B.   That there is nothing to be concerned about. Given the changes in the spot's appearance, this is a concerning sign and requires further investigation, so this choice is not correct.
C.   Wounds typically heal without such significant color and shape changes, so this is unlikely to be a normal healing process.
D.   A secondary lesion is caused by trauma or infection, but the described changes are more concerning for a potential primary skin malignancy, such as melanoma.

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Correct Answer is D

Explanation

A. This area is used to assess the mitral area, not the pulmonic area.
B. The left fifth intercostal space at the midclavicular line. This is the correct location to assess the mitral area of the heart, not the pulmonic area.
C. This is the correct area to assess the pulmonic valve, not the left side.
D. This is the correct location to assess for the pulmonic area, where the second heart sound is best heard and where pulsations may be noted.

A. 24 B. 12 C. 15 D. 6

Correct Answer is D

Explanation

A. A score of 24 would indicate a fully alert and responsive patient. The Glasgow Coma Scale ranges from 3 (deep coma) to 15 (fully awake).
B. A score of 12 indicates a moderate level of consciousness, not a coma.
C. A score of 15 indicates that the patient is fully conscious and alert.
D. A score of 6 indicates a coma and represents a very low level of consciousness, with minimal responses to stimuli.

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A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?

Correct Answer is D

Explanation

The nurse is reviewing a patient's medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates that the patient is in a coma?

Correct Answer is D

Explanation

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:

During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

Which of the following would be considered an expected finding when assessing accommodation in an adult client?

An adult client is admitted to the nursing unit with a medical diagnosis of Acute Stroke. The client does not respond to verbal stimuli. In this situation, what is the best action by the nurse to provoke a client response?

The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? (Select All that Apply)

Which of the following statements is true regarding the function of the brain?

The nurse should use which test to check for large amounts of fluid around the patella?