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A nurse is caring for a client who has a nonpalpable skin lesion that is less than 0.5 cm (0.2 In) in diameter. Which of the following terms should the nurse use to document this finding?

Papule

Vesicle

Nodule

Macule

Answer and Explanation

The Correct Answer is D

A. Papule – A papule is a raised, solid lesion (e.g., a mole) and is palpable, not flat.

B. Vesicle – A vesicle is a fluid-filled blister (e.g., herpes, chickenpox), which is not the case here.

C. Nodule – A nodule is a deep, raised lesion that extends into the dermis or subcutaneous tissue.

D. Macule – A macule is a flat, nonpalpable skin discoloration that is less than 1 cm (e.g., a freckle or petechiae).

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Correct Answer is B

Explanation

A. Takes several steps on tiptoes. Typically develops around 24 months, not 15 months.

B. Walks without assistance using a wide stance. At 15 months, toddlers typically walk independently with a wide stance to improve balance.

C. Has an accentuated cervical curvature when standing. Not an expected motor milestone.

D. Stands with the feet turned slightly inward. Inward foot positioning can indicate a developmental delay or foot abnormality.

A. Administer antibiotic therapy to the client. B. Provide the client with analgesics as needed. C. Initiate droplet precautions for the client. D. Educate the client about the meningococcal vaccine

Correct Answer is C

Explanation

A. Administer antibiotic therapy to the client. This is a priority intervention, but it is not the first action. Before administration, infection control measures should be in place.

B. Provide the client with analgesics as needed. Pain management is important but is not the first priority. The spread of infection must be controlled immediately.

C. Initiate droplet precautions for the client. Meningococcal meningitis is highly contagious. Droplet precautions (mask, private room) must be initiated immediately to prevent transmission before other interventions.

D. Educate the client about the meningococcal vaccine. Vaccination is a preventive measure but does not address the immediate risk of infection spread.

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A nurse is caring for a client who has a nonpalpable skin lesion that is less than 0.5 cm (0.2 In) in diameter. Which of the following terms should the nurse use to document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is assessing the motor skill development of a 15-month-old toddler during a well-child visit. Which of the following gross motor skills should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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