Prep & Practice Questions
The nurse is performing a skin assessment on a client and notes a round, elevated,
fluid-filled mass approximately 0.4 cm in size. Which term is the most appropriate for the
nurse to use when documenting this finding in the medical record
1. Vesicle
2. Macule
3. Papule
4. Tumor - correct answer1. Vesicle
The nurse is preparing to palpate the lymph nodes of the client's breast, which lymph
node would the nurse palpate? select all that apply
1.Brachial nodes
2.Supraclavicular nodes
3. Internal Mammary gland nodes
4. Inguinal nodes
5.Sub clavicular nodes - correct answer1,2,3,5
The nurse is performing a breast examination in palpating the tail of spence. Why is it
important to palpate this area of the breast during an examination?
1. Fou D'orange may occur in that area
2. It can the difference between fibrocystic disease and Fibroadenomas
3. Breast cancer occurs more frequently in the area
4. It does not contain any lymph nodes - correct answer3.
The nurse has created a plan of care for a patient with asthma, which part of the nursing
process should the nurse take on for the role of an educator?
1. Assessment
2. Planning
3. Implementation
4. Evaluation - correct answer3. Implementation
The school nurse is assessing adult females for scoliosis. Which area of the spine does
the nurse plan to assess?
1. Thoracic
2. Sacral
3. Lumbar
4. cervical - correct answer1. Thoracic
, The nurse notes an oval-shaped, elevated fluid-filled mass that is, approximately 1.5 cm
in size on a client's skin. Which term should the nurse use to document what she has
just seen?
1. Vesicle
2. Bulla
3. Tumor
4. Papule - correct answer2. Bulla
The nurse notes that the client's skin, nails, and mucous membrane are very light in
color. Which description should the nurse use to document the findings?
1. Jaundice
2. Pallor
3. Cyanosis
4. Erythema - correct answer2. Pallor
A mother of a newborn infant states " I think my baby has jaundice" . Which question
should the nurse ask the mother?
1. Does the baby skin and mucous membrane have a yellowish color
2. Does the baby has dark spots on the area above the buttocks
3. Does the baby have tiny white facial bumps
4. Does the baby have irregular patches on the back of the neck - correct answer1.
The nurse observes flat, bright red dots with tiny radiating blood vessels of various sizes
during a skin assessment of a client. Which Should the nurse document the findings as
for the client's record?
1.Hematoma
2. Spider Angioma
3.Purpura
4. Hemangioma - correct answer2. Spider Angioma
A client has a history of palpable submental lymph nodes. Which anatomical area
should the nurse assess?
1. At the base of the skull
2. Behind the war over the outer surface of the mastoid bone
3. Behind the tip of the mandible at the midline
4. At the junction of the posterior and lateral walls of the pharynx at the angle of the jaw
- correct answer3
The nurse observes involuntary facial muscle movement on client. Which cranial nerve
should the nurse evaluate?
1.Cranial nerve 6
2. Cranial nerve 7
3. Cranial nerve 4
4. Cranial Nerve 3 - correct answer2. Cranial Nerve 7