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

Asymmetry of the lesions

Red and black coloration

Flat

8 mm in diameter

Round edges

Answer and Explanation

Correct Answer : A,B,D

A.   A lesion that is asymmetrical is concerning, as melanoma and other skin cancers tend to be irregular in shape. This is an important warning sign.
B.   Red and black coloration in a lesion is concerning because it can indicate changes in blood flow or necrosis, both of which are suspicious for malignancy.
C.   A flat lesion does not automatically indicate a problem, as many benign lesions, like moles, can be flat. The texture or elevation of the lesion is not always a concern unless there are other risk factors.
D.   A lesion larger than 6 mm is concerning, especially if it is changing in size or shape. Larger lesions should be evaluated by a healthcare provider for potential malignancy.
E.   Round edges are typically a characteristic of benign lesions, so this is not as concerning unless there are other warning signs present.

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Correct Answer is B

Explanation

A. This refers to the ability to hear words whispered in the whisper test, which assesses hearing, not stereognosis.
B. Stereognosis is the ability to identify objects through touch alone, with the eyes closed.
C. This refers to graphesthesia, the ability to recognize writing on the skin, not stereognosis.
D. This refers to the Rinne and Weber tests, which assess hearing function, not tactile sensation.

A. Partial-thickness skin loss with red tissue in wound bed B. Full thickness skin loss with visible adipose tissue. C. Full thickness skin loss with visible bone D. Intact skin with localized erythema

Correct Answer is D

Explanation

A. Partial-thickness skin loss with red tissue in wound bed: This is a characteristic of stage 2 pressure injuries, not stage 1.
B. Full thickness skin loss with visible adipose tissue: This is a characteristic of stage 3 pressure injuries.
C. Full thickness skin loss with visible bone: This is a characteristic of stage 4 pressure injuries.

D. Intact skin with localized erythema: This is the characteristic of stage 1 pressure injuries, which present as non-blanching erythema (redness) of intact skin.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is stereognosis?

Correct Answer is B

Explanation

A nurse is assessing a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client. Exhibits

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

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?

A nurse is caring for a client who has reported experiencing abuse at home. Which of the following actions should be a priority for the nurse?

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

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?