When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

Scale

Pustule

Macule

Papule

Answer and Explanation

The Correct Answer is B

A.   Scale refers to flakes of dead skin cells and is not typically used to describe acne lesions.
B.   Pustules are small, inflamed, pus-filled lesions, which are characteristic of acne.

C.   A macule is a flat, discolored spot on the skin and does not apply to the raised, pus-filled lesions seen in acne.
D.   A papule is a small, solid, raised lesion, but it is not filled with pus like a pustule. Acne lesions are often described as pustules when they contain pus.

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Correct Answer is C

Explanation

A. Exposed bone refers to a stage 4 pressure ulcer, which involves full-thickness tissue loss with bone, muscle, or tendon exposure.
B. Blood-filled blisters are more indicative of a stage 2 ulcer, which involves partial-thickness skin loss with blister formation.

C. A stage 3 ulcer is characterized by full-thickness skin loss, with damage extending into subcutaneous tissue, where necrosis may occur.
D. Partial-thickness skin loss is a characteristic of a stage 2 pressure ulcer, not stage 3.

A. Nodule B. Papule C. Wheal D. Macule

Correct Answer is D

Explanation

A. A nodule is a solid, raised lesion that is typically larger than 1 cm in diameter and extends deeper into the skin.
B. A papule is a small, raised, solid lesion, less than 1 cm, but not typically used for documenting freckles.
C. A wheal is a raised, erythematous area, often a result of an allergic reaction, not a freckle.
D. A macule is a flat, pigmented area of skin, less than 1 cm in diameter, which accurately describes freckles.

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When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?

Correct Answer is C

Explanation

When assessing a client's skin, the nurse finds freckles. How would the nurse document the lesions?

Correct Answer is D

Explanation

A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?

A nurse is assessing a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

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