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A nurse is evaluating a patient’s sensory function.
Which of the following sensory stimuli is primarily associated with the tactile system?

Detecting the scent of a rose

Observing the color of a flower

Feeling the texture of a fabric

Hearing the sound of a bell

Answer and Explanation

The Correct Answer is C

Choice A rationale

Detecting the scent of a rose is primarily associated with the olfactory system, not the tactile system.

Choice B rationale

Observing the color of a flower is primarily associated with the visual system, not the tactile system.

Choice C rationale

Feeling the texture of a fabric is primarily associated with the tactile system. The tactile system, part of the somatosensory system, allows us to perceive touch, pressure, temperature, pain, and vibration.

Choice D rationale

Hearing the sound of a bell is primarily associated with the auditory system, not the tactile system.

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Correct Answer is A

Explanation

A pale stoma can indicate poor blood flow, which is a serious concern that should be reported to the provider immediately. A healthy stoma should be moist and dark red or pink in color.

A. Full-thickness skin loss with visible bone. B. Full-thickness skin loss with visible adipose tissue. C. Skin remains intact with localized erythema. D. Partial-thickness skin loss with red tissue in the wound bed.

Correct Answer is C

Explanation

Choice A rationale

Full-thickness skin loss with visible bone is characteristic of a stage 4 pressure injury, not a stage 1 pressure injury.

Choice B rationale

Full-thickness skin loss with visible adipose tissue is characteristic of a stage 3 pressure injury, not a stage 1 pressure injury.

Choice C rationale

In a stage 1 pressure injury, the skin remains intact with localized erythema. The area may be painful, firm, soft, warmer, or cooler compared to adjacent tissue.

Choice D rationale

Partial-thickness skin loss with red tissue in the wound bed is characteristic of a stage 2 pressure injury, not a stage 1 pressure injury.

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A nurse is evaluating a patient’s sensory function.Which of the following sensory stimuli is primarily associated with the tactile system?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a colostomy and notices that the stoma is pale in color. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is evaluating a patient who has a stage 1 pressure injury. What findings should the nurse anticipate?

Correct Answer is C

Explanation

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A nurse is evaluating a patient’s sensory function.
Which of the following sensory stimuli is primarily associated with the tactile system?