ATI Quiz #1

A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention? "Does your skin condition keep you awake at night?" "Have you had any changes in your diet?" "How do you handle stress?" "How does your skin condition make you feel?"

"How do you handle stress?"

A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who isunable to move independently. The nurse should monitor for which of the following complications of immobility? A reddened area over the sacrum Stiffness in the lower extremities Difficulty moving the upper extremities Difficulty hearing some types of sounds

A reddened area over the sacrum

A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?

A small, translucent papule with rolled borders

During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and fresh-colored with pearly white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer.

Basal cell carcinoma

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition? Firmly attached white particles on the hair Itching and scratching of the head Patchy areas of hair loss Thick yellow crusted lesion on a red base

Firmly attached white particles on the hair

A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma? Female gender Age of 19 to 30 Dark hair History of chronic skin irritation

History of chronic skin irritation

A nurse is assessing a client who presents to the provider's office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy? Irregular borders Purulent drainage Uniform pigmentation Intense pruritus

Irregular borders

A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer? Exposed bone Blood filled blisters Partial-thickness skin loss. Necrotic subcutaneous tissue

Necrotic subcutaneous tissue

A school nurse is performing a routine health assessment for a school age child. Which of the following findings indicates the nurse should investigate for pediculosis capitis?

Pruritus of the scalp

A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following Instructions should the nurse give the children's parents?

Seal nonwashable items in airtight plastic bags

A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures is the most reliable indicator of pain?

Self-report of pain

A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in the client? pinnae of the ears dorsal surface of the hand conjunctivae dorsal surface of the foot

conjunctivae

A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion? Pain Pruritus Purplish in color Purulent drainage

purplish in color

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following? Serous Purulent Sanguineous Serosanguineous

Serosanguineous

A nurse in an outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?

Silvery, white scales