A nurse is collecting data from a client who has an arm lesion. Which of the following characteristics is a clinical manifestation of a malignant melanoma?
Firm nodule with crust
Pearly papule with and ulcerated center.
Rough, dry and scaly
irregularly shaped, irregular borders, brown, tan and black coloring
The Correct Answer is D
A. Firm nodule with crust:
Suggests squamous cell carcinoma, not melanoma.
B. Pearly papule with an ulcerated center:
Classic for basal cell carcinoma, not melanoma.
C. Rough, dry and scaly:
Suggestive of actinic keratosis, a precursor to squamous cell carcinoma.
D. Irregularly shaped, irregular borders, brown, tan and black coloring:
This is typical of malignant melanoma, which often appears as an asymmetrical lesion with variegated color and irregular borders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Circular, erythematous patches on the scalp:
Describes tinea capitis, not tinea pedis.
B. Scaling and redness between the toes:
Classic symptoms of tinea pedis (athlete’s foot), a fungal infection often affecting the web spaces of toes.
C. Recent exposure to poison ivy:
Suggests allergic contact dermatitis, not fungal infection.
D. A recent prescription for an antiseizure medication:
More suggestive of Stevens-Johnson syndrome or drug reactions-not tinea pedis.
Correct Answer is B
Explanation
A. Minimal edema in the affected extremities:
Expected after 72 hours as inflammation begins to subside.
B. Temperature of 39.1°C (102.4°F):
Elevated temperature may indicate infection or systemic inflammation and should be reported.
C. Pain at the burn sites:
Pain is expected, especially in partial-thickness burns where nerve endings are exposed.
D. Urine output of 30 mL/hr:
While on the lower end of normal, this is still acceptable for an adult (minimum: 30 mL/hr).
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