Which finding, obtained during a skin assessment, should the school nurse report to the healthcare provider?

Multiple maculopapular pustules over forehead and chin on an adolescent.

Bilateral patellar abrasions with eschar formation on a preschool-aged child.

Red, swollen, painful nodule located on upper back on a school-aged boy.

Small, white flecks on the hair shafts throughout scalp on a school-aged girl.

Answer and Explanation

The Correct Answer is A

A.   Multiple maculopapular pustules over the forehead and chin are suggestive of acne vulgaris or possibly another dermatologic condition that may require medical intervention. If the pustules are widespread or persistent, it should be reported for further evaluation.
B.   Bilateral patellar abrasions with eschar formation are common in children and are usually non- threatening unless there are signs of infection. This finding may not require immediate reporting unless the condition worsens.
C.   A red, swollen, painful nodule on the upper back is likely a boil or abscess, but it’s important to consider the overall presentation and if there is a risk for systemic infection. This may not need immediate reporting unless symptoms worsen.
D.   Small, white flecks on the hair shafts indicate possible head lice, which, while needing treatment,
doesn’t require immediate reporting unless there is a larger health concern associated with it.

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Correct Answer is A

Explanation

A. Icterus, or yellowing of the sclera, is a key sign of jaundice, which occurs when there is an excess of bilirubin in the blood.
B. Serum bilirubin levels are important for diagnosis but are not an immediate physical assessment.
C. Dark urine can suggest liver or bile duct issues but is not definitive for jaundice.
D. Pallor of the conjunctiva indicates anemia, not jaundice.

A. A lifestyle with minimal physical activity. B. Works more than 12 hours in a day. C. History of type 2 diabetes mellitus. D. A phosphodiesterase inhibitor on the medication list.

Correct Answer is C

Explanation

A. A lifestyle with minimal physical activity may contribute to general health issues, but it is not as directly linked to erectile dysfunction as conditions like diabetes.
B. Working long hours can cause stress or fatigue, which may indirectly affect sexual function, but it is not a direct cause of erectile dysfunction.
C. Type 2 diabetes mellitus is a well-known risk factor for erectile dysfunction due to its impact on blood flow and nerve function, both of which are essential for normal erectile function.
D. A phosphodiesterase inhibitor is often used to treat erectile dysfunction, but its presence on the medication list is more likely a treatment rather than a cause.

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Which finding, obtained during a skin assessment, should the school nurse report to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with gallstones for jaundice. Which action should the nurse perform to confirm this information?

Correct Answer is A

Explanation

When the nurse is obtaining health history during an annual physical examination, the client reports having difficulty with erections for the past 8 months. Which information in the client's history should the nurse consider as a potential reason for erectile dysfunction?

Correct Answer is C

Explanation

The school nurse is interviewing a 13-year-old girl who wants to go home from school because of "back pain." Which question should the nurse ask the adolescent first?

The nurse detects a possible extra heart sound while assessing an adult client. To verify this finding, which action should the nurse take?

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The nurse is assessing a client who has a history of kidney stones and returns to the clinic with flank pain. Which intervention should the nurse implement first?

When preparing a female client for an abdominal examination, the nurse should provide her with which instruction?

When assessing the left foot planter reflex of an adult client, the nurse observes an extension of the great toe and fanning of other toes. Which interpretation of this finding is accurate?

The nurse observes that a client who is intoxicated has an ataxic gait. Which finding does the nurse expect to be positive upon further assessment of the client?