RN FUNDAMENTALS ONLINE PRACTICE A

1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy? a. A lesion with uniform pigmentation Variations in pigmentation are a possible indication of a skin malignancy. A lesion with uniform pigmentation is not an expected indication of a skin malignancy. b. New appearance of petechiae Petechiae are capillaries that have burst under the skin and appear as small spots on the skin. Although they can be indications of other conditions, petechiae are not an expected indication of a skin malignancy. c. A mole with asymmetrical appearance An uneven or asymmetrical shape is a potential indication of a skin malignancy. This is manifested when part of a lesion or mole looks different from the other part d. The presence of a papule Papules are solid elevations that are palpable in the skin and are less than 1 cm (0.39 in) in size. They are not an expected indication of a skin malignancy. 2. A nurse is assessing a client who reports pain following physical therapy. Which of the following questions should the nurse as when assessing the quality of the client’s pain? a. “Is your pain constant or intermittent?” Asking the client whether the pain is constant or intermittent determines the onset, duration, and pattern of the pain. b. “What would you rate your pain on a scale of 0 to 10?” Asking the client to rate the pain using the pain scale determines the intensity of the pain. c. “Does the pain radiate?” Asking the client whether the pain radiates determines the pain’s location. d. “Is your pain sharp or dull?” Asking the client whether the pain is sharp or dull, crushing, throbbing, aching, burning, electric- like, or shooting helps determine the quality of the pain. 3. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? a. Verify the client’s name on their identification bracelet with the medication administration record. The nurse should verify the client’s name on their identification bracelet when administering medication; however, this action is not a part of performing medication reconciliation. b. Call the pharmacy to determine whether the client’s medications are available. The nurse should call the pharmacy if the client’s medications are not available to administer at the appropriate time; however this action is not a part of performing medication reconciliation c. Compare the client’s home medications with the provider’s prescriptions. The nurse should compare the client’s home medications with the provider’s prescriptions when performing medication reconciliation. d. Place the client’s home medication bottles in a secure location. The nurse should place the client's home medications in a secure location to ensure safe handling of prescribed medications; however, this action is not a part of performing medication reconciliation. 4. A nurse is auscultating the anterior chest of a client who was admitted to a medicalsurgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (Click on the audio button to listen to the clip.)