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

Nodule

Papule

Wheal

Macule

Answer and Explanation

The Correct Answer is D

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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Correct Answer is C

Explanation

A. Increased intraocular pressure causes glaucoma, not diabetic retinopathy.
B. Clouding of the lens is related to cataracts, not diabetic retinopathy.
C. Seeing spots or floaters is a common symptom of diabetic retinopathy.
D. Diabetic retinopathy requires more frequent eye exams (typically annually) for early detection.

A. Check the client's visual acuity using a Snellen chart. B. Observe for facial symmetry while the client smiles. C. Have the client identify specific smells. D. Whisper in one of the client's ears while occluding the other.

Correct Answer is B

Explanation

A. Check the client's visual acuity using a Snellen chart: This assesses cranial nerve II (optic), not cranial nerve VII.
B. Observe for facial symmetry while the client smiles: This is the correct method to assess cranial nerve VII (facial nerve), which controls facial muscles, including those responsible for smiling.
C. Have the client identify specific smells: This tests cranial nerve I (olfactory), not cranial nerve VII.

D. Whisper in one of the client's ears while occluding the other: This assesses cranial nerve VIII (vestibulocochlear), not cranial nerve VII.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

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?

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve IlI?

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments?

When performing an otoscope examination for a 2-year-old child, which of the following techniques is correct?

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

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

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