A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. The nurse should be concerned with which additional finding?
A mole that is symmetric
Irregular edges of the mole
Mole diameter less than 6 mm
Consistent color of the mole
The Correct Answer is B
hoice A reason: Symmetry is a benign mole feature; asymmetry is concerning for melanoma. Burning and bleeding with irregular edges raise cancer risk, so symmetry is not the concerning finding here.
Choice B reason: Irregular edges, combined with burning and bleeding, are concerning for melanoma, per the ABCDE criteria (Asymmetry, Border irregularity). This suggests malignancy, making it the correct additional finding to worry about.
Choice C reason: Diameter less than 6 mm is less concerning; melanomas are often >6 mm. Irregular edges with symptoms are more indicative of cancer, so this is not the priority finding.
Choice D reason: Consistent color is benign; variegated colors suggest malignancy. Irregular edges with burning/bleeding are more alarming, so consistent color is incorrect for the concerning finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Costovertebral angle tenderness is a classic sign of pyelonephritis, indicating kidney infection or inflammation. Percussing this area elicits pain in renal conditions, making it the correct condition to assess for tenderness.
Choice B reason: Cholecystitis causes pain in the right upper quadrant, not the costovertebral angle. Kidney-related pyelonephritis is linked to this tenderness, so this is incorrect for the assessment focus.
Choice C reason: Gastric ulcers cause epigastric pain, not costovertebral tenderness, which is renal-specific. Pyelonephritis is the condition associated with this sign, so this is incorrect for the suspected condition.
Choice D reason: Pancreatitis presents with abdominal pain, not costovertebral angle tenderness, which indicates kidney issues. Pyelonephritis is the relevant condition, so this is incorrect for the assessment.
Correct Answer is C
Explanation
Choice A reason: Cranial Nerve V (trigeminal) controls facial sensation and chewing muscles. It has no role in hearing, which is tested by the whispered voice test, making this an incorrect choice for assessing auditory function.
Choice B reason: Cranial Nerve II (optic) is responsible for vision, not hearing. The whispered voice test evaluates auditory acuity, which is unrelated to visual function, making this an incorrect cranial nerve for the assessment.
Choice C reason: Cranial Nerve VIII (vestibulocochlear) mediates hearing and balance. The whispered voice test assesses the cochlear branch’s ability to transmit sound, making this the correct cranial nerve evaluated by this hearing test.
Choice D reason: Cranial Nerve IV (trochlear) controls the superior oblique eye muscle, affecting eye movement. It is unrelated to hearing, which the whispered voice test assesses, making this an incorrect choice for the described evaluation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.