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 C

Explanation

A. Identifying specific smells checks cranial nerve I (olfactory).
B. Checking visual acuity with a Snellen chart assesses cranial nerve II (optic).
C. Observing for the ability to turn the head side to side tests cranial nerve XI (accessory), which controls the sternocleidomastoid and trapezius muscles responsible for head movement.
D. Whispering in one ear while occluding the other tests cranial nerve VIII (vestibulocochlear).

A. Electrical cords are placed along the walls. B. Scatter rugs are present in the kitchen. C. Handrails are present in the bathroom. D. Uses a microwave for cooking.

Correct Answer is B

Explanation

A. While electrical cords along the walls may present a tripping hazard, they are not as significant a safety concern as scatter rugs, which can cause falls.
B. Scatter rugs are a significant safety risk, especially for clients with decreased vision, as they can easily cause tripping or slipping accidents. The nurse should recommend removing these rugs to prevent falls.
C. Handrails in the bathroom provide essential support and are considered a safety feature, not a risk.
D. Using a microwave for cooking is a safe practice, especially for individuals with limited vision, as it reduces the need for handling hot surfaces and cooking equipment.

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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

A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

When assessing lymph nodes on the face and neck, which of the following findings are concerning? Select all that apply.

When assessing a lesion on the skin, which of the following findings are concerning? Select all that apply.

A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?

A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?

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

Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

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

A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?