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 ["C","D"]

Explanation

A. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound. - This indicates a possible consolidation in the lungs, which is abnormal.
B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. - This suggests abnormal voice transmission and could indicate lung consolidation or other issues.
C. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. - This is normal, indicating clear and symmetrical transmission of voice sounds.
D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." - This is also normal, as it indicates normal transmission of sound and no lung consolidation.
E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. - This is normal for whispered voice sounds and is not a sign of abnormal lung findings.

A. Determine the cause of current health problems B. validate current symptoms C. Identify current and past health problems D. identify actual health problems

Correct Answer is C

Explanation

A. A review of systems helps assess overall health and symptoms, but it may not always pinpoint the cause directly.
B. While this may be a part of the review of systems, the primary purpose is broader—identifying both current and past health problems.
C. The review of systems is designed to gather information on both current and past health problems, helping to form a comprehensive health history.
D. This is part of the process but is too narrow compared to identifying both current and past health concerns.

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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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["C","D"]

Explanation

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

Correct Answer is C

Explanation

The movement of the leg laterally then medially, with knee straight is referred to as:

A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first level priority problem?

During an assessment of the neurological system, a nurse places a key in the hand of a client, and he identifies it as a key. The nurse would describe this finding as

The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?

A nurse assesses four clients. Which client assessment will require the nurse to perform an immediate focused assessment?

A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

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