A man has come into the clinic for a skin assessment because he is afraid he
might have skin cancer. During the skin assessment the nurse notices several
areas of pigmentation that look greasy, dark, and "stuck on" his skin. Which is
the best prediction? He probably has:
A) Senile lentigines, which do not become cancerous
B) Actinic keratoses, which are precursors to basal cell carcinoma
C) Acrochordons, which are precursors to squamous cell carcinoma
D) Seborrheic keratoses, which do not become cancerous - ANSWER-D
A patient tells the nurse that he has noticed that one of his moles has started to
burn and bleed. The nurse would be concerned with which additional finding?
A) Border regularity
B) Color variation
C) Symmetry of lesions
D) Diameter less than 6 mm - ANSWER-B
An elderly woman is brought to the emergency department after being found
lying on the kitchen floor 2 days, and she is extremely dehydrated. What would
the nurse expect to see upon examination?
A) White patches on the mucous membranes
B) Pale mucous membranes
C) Smooth mucous membranes and lips
D) Dry mucous membranes and cracked lips - ANSWER-D
A 65-year-old man with emphysema and bronchitis has come to the clinic for a
follow-up appointment. On assessment, the nurse might expect to see which
assessment finding?
A) Clubbing of the nails
B) Pedal erythema
, C) Scleroderma
D) Anasarca - ANSWER-A
The nurse is assessing a patient who has liver disease for jaundice. Which of
these assessment findings is indicative of true jaundice?
A) Yellow patches in the outer sclera
B) Yellow color of the sclera that extends up to the iris
C) Skin that appears yellow when examined under low light
D) Yellow deposits on the palms and soles of the feet where jaundice first
appears - ANSWER-B
A patient complains that while studying for an examination he began to notice a
severe headache in the temporal area of his head that is throbbing and is
somewhat relieved when he lies down. He tells the nurse that his mother also had
these headaches. The nurse suspects that he may be suffering from:
A) migraine headaches
B) tension headaches.
C) hypertension.
D) cluster headaches. - ANSWER-A
During an examination of a female patient, the nurse notes lymphadenopathy and
suspects an acute infection. Acutely infected lymph nodes would be:
A) clumped.
B) unilateral.
C) firm and nontender.
D) rubbery and freely movable. - ANSWER-D
During an assessment of an infant, the nurse notes that the fontanels are
depressed and sunken. The nurse suspects which condition?
A) Rickets
B) Dehydration
C) Mental retardation
D) Increased intracranial pressure - ANSWER-B
A 35-year-old man is seen in the clinic for an infection in his left foot. Which of
these findings should the nurse expect to see during an assessment of this
patient?
A) Enlarged and tender inguinal nodes
B) Hard and fixed cervical nodes
C) Bilateral enlargement of the popliteal nodes
D) "Pellet-like" nodes in the supraclavicular region - ANSWER-A
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