All Answered Correct 2025.
A nurse is preparing to assess the skin turgor of a client who has manifestations of dehydration.
In which of the following locations should the nurse perform the assessment? - Answer
Inferior to the collar bone
A nurse is inspecting the fingernails of an older adult client. Which of the following findings
should the nurse report to the provider? - Answer Spongy nail base
A nurse is providing teaching to a client who reports extremely dry skin. Which of the following
interventions should the nurse recommend? - Answer Apply alcohol-free lotion
A nurse is teaching a young adult about risk factors for developing melanoma. Which of the
following client statements indicates an understanding of the teaching? - Answer The
blistering sunburns I had as a child increase my risk for melanoma as an adult.
A nurse is caring for a client who has a stage 1 pressure injury. Which of the following
information should the nurse include when documenting the characteristics of the wound?
(Select all that apply) - Answer - Location of the pressure injury
- Size of the injury in centimeters
- Integrity of the skin surrounding the wound
A nurse is evaluating assessment findings of a client's skin. The nurse should identify that which
of the following findings is associated with a possible infection? - Answer Vesicles
A nurse is examining the texture of an older adult client's skin. Which of the following findings
should the nurse report to the provider? - Answer Velvety Skin
A nurse is performing a skin assessment on a client. Which of the following findings should the
nurse report to the provider? - Answer Yellow discoloration of the palms
A nurse is collecting data from a client about their skin and nails. Which of the following
statements by the client should the nurse identify as needing further assessment? - Answer "I
notice that my fingernails have changed recently"