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 D

Explanation

A. Dry mouth (xerostomia) may occur after a stroke, but it is not the most likely symptom when there is facial drooping, which suggests more significant swallowing and motor function issues.
B. Rhinorrhea (runny nose) is not directly associated with a stroke and would not typically be expected in this scenario.
C. Dysphagia (difficulty swallowing) is a common finding in patients who have suffered a stroke, particularly when there is facial drooping or difficulty with facial muscle control.
D. Nosebleeds are not directly linked to stroke symptoms and are unlikely to be caused by the facial drooping.

A. Herniated nucleus pulposus. B. Meniscus tear. C. Scoliosis D. Spasm of paravertebral muscles

Correct Answer is A

Explanation

A. A herniated disc can cause pain that radiates down the leg (sciatica) when the leg is raised, along with lateral tilting of the spine as the patient attempts to relieve pressure.
B. A meniscus tear is usually associated with knee pain rather than back or leg pain.
C. Scoliosis refers to a lateral curvature of the spine but does not cause radiating leg pain as described in this case.
D. While muscle spasms can cause back pain, they are not typically associated with radiating leg pain or lateral spinal tilting.

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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

A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?

Correct Answer is D

Explanation

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:

Correct Answer is A

Explanation

While conducting a cultural health assessment a nurse should include which of the following?

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

A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors?

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

The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? (Select All that Apply)

The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?

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

A nurse needs to obtain anthropometric measures of an 80-year-old client. Which of the following statements is true regarding this situation?