A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest

Possible skin cancer

That there is nothing to be concerned about.

Normal Wound heating.

A secondary lesion

Answer and Explanation

The Correct Answer is A

A.   Changes in size, color, and shape of a mole or spot, especially with the development of a bump, could be indicative of skin cancer, particularly melanoma.
B.   That there is nothing to be concerned about. Given the changes in the spot's appearance, this is a concerning sign and requires further investigation, so this choice is not correct.
C.   Wounds typically heal without such significant color and shape changes, so this is unlikely to be a normal healing process.
D.   A secondary lesion is caused by trauma or infection, but the described changes are more concerning for a potential primary skin malignancy, such as melanoma.

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Correct Answer is C

Explanation

A. Hormonal changes can occur, but they typically do not cause significant vasodilation or hypotension in the elderly.
B. Atrophy of the muscles causing venous insufficiency. While venous insufficiency can occur in aging, muscle atrophy is not the primary factor in this issue.
C. Peripheral blood vessels become more rigid producing a rise in systolic blood pressure. This is a common and expected finding in the elderly due to arteriosclerosis, leading to increased systolic blood pressure.
D. The inferior vena cava does not typically narrow with age, and varicosities are more likely due to vein elasticity changes, not narrowing.

A. Alcohol consumption, obesity, diabetes, stress, and high cholesterol B. Personality type, high cholesterol, diabetes, and smoking C. Smoking hypertension, obesity, diabetes, and high cholesterol D. Family history, hypertension, stress, and age

Correct Answer is C

Explanation

A. While alcohol consumption and stress are risk factors, they are not as directly correlated to heart disease as smoking, hypertension, obesity, diabetes, and high cholesterol.
B. Although personality type is being explored as a risk factor, it is not as directly linked to heart disease risk as the factors listed in option C.
C. Smoking, hypertension, obesity, diabetes, and high cholesterol. These are well-established major risk factors for heart disease, directly impacting cardiovascular health.
D. Family history, hypertension, stress, and age. Family history, stress, and age can be risk factors, but the factors listed in option C are more direct and actionable in terms of management.

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A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest

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Naxlex Comprehensive Predictor Exams

During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

Correct Answer is C

Explanation

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Correct Answer is C

Explanation

The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

The movement of the leg laterally then medially, with knee straight is referred to as:

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?

To enhance muscle relaxation prior to an abdominal examination the nurse would