Which of the following characteristics best describes a papule?
Raised, solid lesion less than 1 cm in diameter
Non-inflammatory lesion with darkened color due to oxidation
Inflamed bump on the skin that can be tender to the touch
Large, firm lesion containing purulent material
The Correct Answer is A
Rationale:
A. Raised, solid lesion less than 1 cm in diameter is correct. A papule is a small, elevated, solid lesion of the skin that is typically less than 1 centimeter in diameter. Papules can result from a variety of dermatologic conditions, including inflammatory responses, infections, or benign growths, and they are distinct from vesicles or pustules because they do not contain fluid or pus.
B. Non-inflammatory lesion with darkened color due to oxidation is incorrect. This description corresponds to a comedo, such as a blackhead, which is a type of acne lesion formed by oxidized sebum in clogged hair follicles. While comedones are common in acne, they are not considered papules because they are not solid raised lesions caused by cellular proliferation or inflammation.
C. Inflamed bump on the skin that can be tender to the touch is incorrect. While some papules may become inflamed and tender, the defining characteristic of a papule is its size and solid, raised nature, not necessarily inflammation. Inflammatory bumps that are tender and red may be better classified as pustules or nodules depending on their content and size.
D. Large, firm lesion containing purulent material is incorrect. This description defines a pustule or abscess, which contains pus composed of white blood cells, bacteria, and cellular debris. Papules do not contain fluid or pus, making this option inconsistent with the definition of a papule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. By promoting vasoconstriction, aldosterone release, and increasing blood volume is correct. The renin-angiotensin-aldosterone system (RAAS) is activated in response to low blood pressure, decreased renal perfusion, or low sodium levels. Renin, released by the juxtaglomerular cells of the kidney, converts angiotensinogen to angiotensin I, which is then converted to angiotensin II by angiotensin-converting enzyme (ACE). Angiotensin II is a potent vasoconstrictor, increasing systemic vascular resistance and blood pressure. It also stimulates aldosterone release from the adrenal cortex, which promotes sodium and water reabsorption in the distal tubules and collecting ducts of the kidney, thereby increasing blood volume and further raising blood pressure.
B. By blocking angiotensin II from binding to its receptors, reducing vasoconstriction is incorrect. This describes the action of angiotensin receptor blockers (ARBs), which lower blood pressure by preventing angiotensin II from exerting its effects. This is the opposite of the RAAS’s natural compensatory mechanism during hypotension.
C. By decreasing blood volume through promoting sodium and water excretion is incorrect. RAAS activation conserves sodium and water, increasing blood volume. Promoting excretion would lower blood volume and exacerbate hypotension, which is contrary to the system’s function.
D. By inhibiting aldosterone production and promoting sodium excretion is incorrect. RAAS stimulates aldosterone production, not inhibits it. Inhibiting aldosterone would lead to sodium and water loss, reducing blood volume and failing to restore blood pressure.
Correct Answer is D
Explanation
Rationale:
A. Producing antibodies for immune response is incorrect. Antibody production is the function of B lymphocytes (a type of white blood cell), not erythrocytes. Red blood cells do not participate in the immune response.
B. Regulating body temperature is incorrect. While blood circulation helps distribute heat throughout the body, erythrocytes themselves do not directly regulate body temperature. Thermoregulation is a systemic process involving the hypothalamus, blood vessels, and sweat glands.
C. Forming blood clots to stop bleeding is incorrect. Blood clotting is primarily the role of platelets (thrombocytes) and clotting factors in plasma. Erythrocytes do not actively participate in coagulation.
D. Transporting oxygen from the lungs to the tissues is correct. Erythrocytes contain hemoglobin, a protein that binds oxygen in the lungs and carries it to tissues throughout the body. Hemoglobin also assists in transporting a portion of carbon dioxide from the tissues back to the lungs for exhalation. This oxygen delivery function is the primary responsibility of red blood cells and is critical for maintaining cellular metabolism and energy production.
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