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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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.

A. Document what the child’s physician tells the nurse B. Use the exact words the child has said to describe how the injury occurred C. Document mainly what the parent has said about how the injury occurred D. Focus only on photographs of the child’s injuries

Correct Answer is B

Explanation

Choice A reason: Documenting only the physician’s statements is incomplete, as it omits direct observations and the child’s account. In suspected abuse, the nurse must record objective findings and the child’s narrative to ensure accurate reporting, making this inadequate.

Choice B reason: Using the child’s exact words ensures an objective, unbiased record of their account, critical in suspected abuse cases. This preserves the integrity of the child’s description for legal and medical evaluation, making it the most appropriate documentation method.

Choice C reason: Relying primarily on the parent’s account risks bias, especially in suspected abuse, as it may not reflect the true cause. The child’s narrative and objective findings are prioritized to ensure accurate reporting, making this an unreliable choice.

Choice D reason: Focusing only on photographs omits critical narrative and clinical details, such as the child’s account or physical findings. Comprehensive documentation, including the child’s words and observations, is essential in abuse cases, making this incomplete and incorrect.

View Question and Answer

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

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse uses the whispered voice test to assess a patient’s hearing. The nurse is assessing which cranial nerve?

Correct Answer is C

Explanation

A nurse suspects abuse when a 6-year-old child is taken to the emergency center for a traumatic injury. How should the nurse document the assessment findings?

Correct Answer is B

Explanation

During a visit to the clinic, a patient complains that her legs feel heavy in the calf. The nurse assesses that the patient has dilated, tortuous veins apparent in her lower legs. Which condition is reflected by these findings?

The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds?

The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. How should the nurse document this finding?

The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?

As a mandatory reporter of elder abuse, which of these statements must be present before a nurse notifies the authorities?

What is the best time for the nurse to measure a patient's respirations?

Which valves of the heart create the S2 heart sound?

Young women should have their first Pap smear examination at which age?