When assessing a lesion on the skin, which of the following findings are concerning? Select all that apply.

Asymmetry of the lesions

Red and black coloration

Flat

8 mm in diameter

Round edges

Answer and Explanation

Correct Answer : A,B,D

A.   A lesion that is asymmetrical is concerning, as melanoma and other skin cancers tend to be irregular in shape. This is an important warning sign.
B.   Red and black coloration in a lesion is concerning because it can indicate changes in blood flow or necrosis, both of which are suspicious for malignancy.
C.   A flat lesion does not automatically indicate a problem, as many benign lesions, like moles, can be flat. The texture or elevation of the lesion is not always a concern unless there are other risk factors.
D.   A lesion larger than 6 mm is concerning, especially if it is changing in size or shape. Larger lesions should be evaluated by a healthcare provider for potential malignancy.
E.   Round edges are typically a characteristic of benign lesions, so this is not as concerning unless there are other warning signs present.

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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. Tilting the patient's head forward before inserting the speculum B. Pulling the pinna up and back before inserting the speculum C. Once the speculum is in the ear, release the pinna D. Pulling the pinna down before inserting the speculum

Correct Answer is D

Explanation

A. Tilting the head forward is not necessary for the otoscope exam.
B. Pulling the pinna up and back is used for older children and adults.
C. Releasing the pinna after inserting the speculum is unnecessary.
D. For young children under 3 years, the pinna should be pulled down and back to straighten the ear canal.

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When assessing a lesion on the skin, which of the following findings are concerning? Select all that apply.

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

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

Correct Answer is D

Explanation

A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?

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A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

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Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

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