During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly, white borders.

The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?

Basal cell carcinoma.

Actinic keratosis.

Squamous cell carcinoma.

Malignant melanoma.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Basal cell carcinoma often appears as a raised, flesh-colored lesion with pearly, white borders. It is the most common type of skin cancer.
Choice B rationale:
Actinic keratosis is a precancerous skin condition that can lead to squamous cell carcinoma if left untreated. It typically presents as dry, scaly patches or spots.
Choice C rationale:
Squamous cell carcinoma often appears as a firm, red nodule or a flat lesion with a scaly, crusted surface.
Choice D rationale:
Malignant melanoma is a more serious type of skin cancer that can develop anywhere on the body. It often appears as a new, irregular, or changing mole.

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Correct Answer is C

Explanation

Choice A rationale:
Having a loss of peripheral vision is not a typical symptom of cataracts. This symptom is more associated with conditions like glaucoma.
Choice B rationale:
Loss of central vision is not a typical symptom of cataracts. This symptom is more associated with conditions like macular degeneration.
Choice C rationale:
Having a decreased ability to perceive colors is a common symptom of cataracts. Cataracts can cause vision to become cloudy or yellowed, affecting color perception.
Choice D rationale:
Seeing bright flashes of light and floaters are not typical symptoms of cataracts. These symptoms are more commonly associated with conditions like retinal detachment.

A. "This test will tell your doctor how your kidneys are functioning.”. B. "This test will tell if you have severe renal impairment or a disease.”. C. "We'll find out if any medications, such as steroids, are interfering with your kidney function.”. D. "You'll have to ask your doctor.”.

Correct Answer is A

Explanation

Choice A rationale:
Serum creatinine level is a reliable indicator of kidney function.
Choice B rationale:
While it can indicate severe renal impairment, it doesn’t diagnose specific diseases.
Choice C rationale:
It doesn’t specifically test for medication interference.
Choice D rationale:
It’s the nurse’s role to provide this information, not defer to the doctor.

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During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly, white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report:

Correct Answer is C

Explanation

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly, white borders.

The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?