When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

Scale

Pustule

Macule

Papule

Answer and Explanation

The Correct Answer is B

A.   Scale refers to flakes of dead skin cells and is not typically used to describe acne lesions.
B.   Pustules are small, inflamed, pus-filled lesions, which are characteristic of acne.

C.   A macule is a flat, discolored spot on the skin and does not apply to the raised, pus-filled lesions seen in acne.
D.   A papule is a small, solid, raised lesion, but it is not filled with pus like a pustule. Acne lesions are often described as pustules when they contain pus.

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Correct Answer is D

Explanation

A. A nodule is a solid, raised lesion that is typically larger than 1 cm in diameter and extends deeper into the skin.
B. A papule is a small, raised, solid lesion, less than 1 cm, but not typically used for documenting freckles.
C. A wheal is a raised, erythematous area, often a result of an allergic reaction, not a freckle.
D. A macule is a flat, pigmented area of skin, less than 1 cm in diameter, which accurately describes freckles.

A. Testing visual acuity B. Eliciting the gag reflex C. Observing for facial symmetry D. Checking the pupillary response to light

Correct Answer is D

Explanation

A. Testing visual acuity: This assesses cranial nerve II (optic), not cranial nerve III.
B. Eliciting the gag reflex: This assesses cranial nerve IX and X (glossopharyngeal and vagus), not cranial nerve III.
C. Observing for facial symmetry: This assesses cranial nerve VII (facial nerve), not cranial nerve III.
D. Checking the pupillary response to light: Cranial nerve III (oculomotor) is responsible for controlling pupil constriction in response to light, making this the correct method to assess cranial nerve III.

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When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a client's skin, the nurse finds freckles. How would the nurse document the lesions?

Correct Answer is D

Explanation

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve IlI?

Correct Answer is D

Explanation

A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments?

A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

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A nurse is caring for a client. Exhibits

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A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer? (Select all that apply.)