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 A

Explanation

A. "Silvery, white scales": This is the classic presentation of psoriasis, a chronic skin disorder that results in the rapid turnover of skin cells, leading to thick, scaly patches, usually on the scalp, elbows, and knees.
B. Serous drainage: This is more common in conditions like infected wounds or abscesses, not psoriasis.
C. Intense pain: Psoriasis can cause discomfort, but it is typically not painful unless there are complications such as cracks or secondary infections.
D. Unilateral lesions: Psoriasis typically affects both sides of the body symmetrically, not unilaterally.

A. Ask the client to identify scented aromas. B. Listen to the client's speech. C. Ask the client to clench his teeth. D. Ask the client to read a Snellen chart.

Correct Answer is D

Explanation

A. Ask the client to identify scented aromas: This assesses cranial nerve I (olfactory), not cranial nerve II.
B. Listen to the client's speech: This assesses cranial nerve IX and X (glossopharyngeal and vagus), not cranial nerve II.
C. Ask the client to clench his teeth: This assesses cranial nerve V (trigeminal), not cranial nerve II.
D. Ask the client to read a Snellen chart: This is the correct method for assessing cranial nerve II (optic), which is responsible for vision. The Snellen chart tests visual acuity.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve Il?

Correct Answer is D

Explanation

When performing a skin assessment, which areas of the skin are at the highest risk for skin breakdown? Select all that apply.

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client?

A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nurse identify that the client exhibits Babinski's sign?

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

A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

A nurse is performing an admission assessment on a client. Which of the following findings should the nurse identify as an indication that the client is dehydrated?