A nurse is performing a skin assessment on a patient and suspects basal cell carcinoma (BCC). Which of the following findings would support this suspicion?

A rapidly growing, irregular brown lesion with uneven borders

A slow-growing, pearly or waxy nodule with visible blood vessels with central ulceration

A dark, flat lesion with a satellite pattern of spreading pigmentation

A firm, scaly lesion with a rough, honey crusted surface

Answer and Explanation

The Correct Answer is B

A. A rapidly growing, irregular brown lesion with uneven borders. This description is more characteristic of melanoma, which presents as an asymmetrical, dark lesion with irregular borders and rapid growth.

B. A slow-growing, pearly or waxy nodule with visible blood vessels with central ulceration. BCC typically appears as a pearly, waxy nodule with visible telangiectasia (small blood vessels). It grows slowly and may develop a central ulceration over time.

C. A dark, flat lesion with a satellite pattern of spreading pigmentation. This description aligns more with melanoma, which often spreads in a radial pattern with satellite lesions.

D. A firm, scaly lesion with a rough, honey-crusted surface. This description is more consistent with squamous cell carcinoma (SCC), which presents as a rough, scaly lesion that may ulcerate.

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Correct Answer is D

Explanation

A. 54%. This percentage would be an overestimate based on the Rule of Nines.

B. 27%. This underestimates the TBSA affected based on the Rule of Nines.

C. 45%. This overestimates the TBSA.

D. 36%. Using the Rule of Nines:

Entire right arm = 9%
Front of right leg = 9%
Front of torso = 18%
Total TBSA = 9% + 9% + 18% = 36%

A. “I should turn my toes inward when lying down.” B. “I can bend my hip more than 90 degrees when sitting in a chair.” C. “I should cross my legs when sitting to improve circulation." D. “I should use an abduction pillow between my legs while in bed."

Correct Answer is D

Explanation

A. “I should turn my toes inward when lying down.” Internal rotation of the hip increases the risk of dislocation and should be avoided.

B. “I can bend my hip more than 90 degrees when sitting in a chair.” Flexing the hip beyond 90 degrees increases dislocation risk and should be avoided.

C. “I should cross my legs when sitting to improve circulation." Crossing the legs can lead to hip adduction and dislocation. Instead, legs should remain apart.

D. “I should use an abduction pillow between my legs while in bed.” An abduction pillow keeps the legs in proper alignment and prevents dislocation by maintaining slight abduction.

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A nurse is performing a skin assessment on a patient and suspects basal cell carcinoma (BCC). Which of the following findings would support this suspicion?

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Naxlex Comprehensive Predictor Exams

A 45-year-old male patient arrives at the emergency department with partial-thickness burns on his entire right arm, the front of his right leg, and the entire front of his torso. Using the Rule of Nines, what is the estimated Total Body Surface Area (TBSA) burned?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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