The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:

Lesions that run together.

Annular lesions that have grown together.

Lesions arranged in a line along a nerve route.

Lesions that are grouped or clustered together.

Answer and Explanation

The Correct Answer is A

A.   Confluent lesions merge into each other, forming a larger area of affected skin.
B.   Annular lesions are ring-shaped, not confluent, so this option does not match the description.
C.   This describes a linear arrangement, such as with shingles, not confluent lesions.
D.   Grouped or clustered lesions are not confluent but are typically close together, such as in herpes simplex infections.

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Correct Answer is ["A","D","E","G"]

Explanation

A. Client's blood pressure is relevant as it can help correlate the murmur with potential cardiac conditions.
B. Client's weight is not directly related to documenting a heart murmur.
C. Client's respiratory rate is also not relevant to the murmur documentation unless respiratory symptoms are present.
D. Intensity of the murmur is important to document, as it helps assess the severity.
E. Location of the murmur is important for identifying which valve or area of the heart is involved.
F. Client's temperature is not directly related to documenting a heart murmur.
G. Timing of the murmur helps in identifying whether it occurs during systole or diastole, aiding in diagnosis.

A. It is tender. B. It is hard and fixed to the surrounding structures. C. It disappears when the patient smiles. D. It is mobile and soft.

Correct Answer is D

Explanation

A. A tender thyroid nodule is more likely to be benign and associated with inflammation or thyroiditis, not cancer.
B. This is more concerning for a malignant nodule, as cancerous nodules are often firm and immobile.
C. A thyroid nodule typically does not change or disappear with facial movements, which is more characteristic of a different type of mass, such as a lymph node.
D. These characteristics are more consistent with a benign nodule, which is often movable and less likely to be cancerous.

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The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is auscultating heart sounds and hears a murmur. What should be included in the nurse's documentation? Select all that apply.

Correct Answer is ["A","D","E","G"]

Explanation

A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger. During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule?

Correct Answer is D

Explanation

During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation?

A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following findings should the nurse expect to find because of the long- term inadequate tissue perfusion?

The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should the nurse assess?

The RN is explaining to an elderly client why the skin folds and sags as part of the normal aging process. What is the correct mechanism for this?

Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

A nurse in a provider's office is preparing to auscultate and percuss a client’s thorax as part of a comprehensive physical examination. Which of the following are considered normal findings? Select all that apply