A nurse is assessing a client at a dermatology clinic.
Which of the following findings places the client at risk for developing malignant melanoma?

Age 19 to 30 years.

Dark hair.

Female gender.

History of repeated sunburn.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While individuals aged 19 to 30 years are generally at a lower risk for malignant melanoma compared to older adults, melanoma can still occur at any age, especially with certain risk factors. However, age alone does not significantly increase the risk of developing malignant melanoma without additional risk factors.

Choice B rationale

Hair color has minimal impact on the risk of developing malignant melanoma. Although individuals with fair skin and light hair have a higher risk of sunburn and subsequent melanoma, having dark hair does not significantly reduce the risk compared to other factors.

Choice C rationale

Female gender does not inherently increase the risk of developing malignant melanoma. Both males and females are at risk, although certain lifestyle factors and behaviors, such as sun exposure, can influence individual risk levels regardless of gender.

Choice D rationale

A history of repeated sunburn significantly increases the risk of developing malignant melanoma. Ultraviolet (UV) radiation from sunburns causes DNA damage in skin cells, leading to mutations that can result in melanoma. Repeated sunburns exacerbate this risk, making it a critical factor in melanoma development.

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Correct Answer is D

Explanation

Choice A rationale

Lordosis refers to an excessive inward curvature of the lumbar spine, often referred to as swayback. This condition causes the lower back to arch more than normal, leading to a prominent abdomen and buttocks. Lordosis does not affect the thoracic spine and does not cause an exaggerated curvature in that region.

Choice B rationale

Scoliosis is a lateral curvature of the spine that results in an S- or C-shaped curve. It can occur in the thoracic, lumbar, or cervical regions of the spine. Scoliosis involves a sideways deviation rather than an exaggerated curvature in the thoracic spine.

Choice C rationale

Spinal dysplasia is a broad term that refers to various congenital abnormalities affecting the development of the spine. It includes conditions such as spina bifida, kyphosis, and scoliosis, each with distinct characteristics. The term itself does not specify an exaggerated thoracic curvature.

Choice D rationale

Kyphosis is an exaggerated outward curvature of the thoracic spine, resulting in a rounded or hunched back appearance. This condition is common in elderly individuals and can be caused by factors such as osteoporosis, vertebral fractures, or degenerative changes. It leads to a noticeable forward bend of the upper back.

A. 5th ICS Left MCL. B. 3rd ICS Left SB. C. 2nd ICS Left SB. D. 4th ICS Left SB.

Correct Answer is B

Explanation

Choice A rationale

5th ICS Left MCL is the location for the apical impulse (point of maximal impulse), not Erb's Point.

Choice B rationale

Erb's Point is located at the 3rd ICS Left SB and is significant for auscultation of heart sounds, particularly the S1 and S2 sounds.

Choice C rationale

2nd ICS Left SB is the location for auscultating the pulmonic valve area.

Choice D rationale

4th ICS Left SB is where the tricuspid valve is auscultated.

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A nurse is assessing a client at a dermatology clinic.Which of the following findings places the client at risk for developing malignant melanoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is examining an elderly client and notes an exaggerated curvature of the thoracic spine.The nurse should document this finding as which of the following?

Correct Answer is D

Explanation

The instructor asks the student nurse to auscultate the client's Erb's Point. Where is the cardiac landmark referred to as the Erb's Point located?

Correct Answer is B

Explanation

A nurse is assessing cranial nerve VIII.What tests will be administered on the client?

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A nurse is assessing a client at a dermatology clinic.
Which of the following findings places the client at risk for developing malignant melanoma?