Nokea
Which may indicate a malignant melanoma in a nevus on a patient's arm?
- A. Even coloring of the mole
- B. Decrease in size of the mole
- C. Irregular border of the mole
- D. Symmetry of the mole
Correct Answer: C
Rationale: Any change in color, size, or texture and any bleeding or pruritus of a nevus deserves investigation. A malignant melanoma is a cancerous neoplasm in which pigment cells or melanocytes invade the epidermis, dermis, and sometimes the subcutaneous tissue.
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The school nurse recognizes the signs of scabies when a child displays which symptom?
- A. small fluid-filled blisters that sting when scratched.
- B. dry scaly patches in body creases that itch.
- C. wavy threadlike lines on the body and pruritus.
- D. cluster of papular lesions with pruritus.
Correct Answer: C
Rationale: Scabies is manifested by brown threadlike lines on the body, especially the hands, anus, and body folds. Pruritus is severe. Scabies is not characterized by blisters, dry patches or popular lesions.
A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed nasal hairs. The nurse needs to assess this patient frequently for which condition?
- A. Decreased activity
- B. Bradycardia
- C. Respiratory complications
- D. Hypertension
Correct Answer: C
Rationale: Signs and symptoms of inhalation injury include singed nasal hairs. Breathing difficulties may take several hours to occur.
What is the last intervention for a hospitalized severely burned victim during the emergent phase?
- A. Tetanus prophylaxis.
- B. Insert Foley catheter.
- C. Insert nasogastric tube.
- D. Establish airway.
- E. Administer analgesics.
- F. Initiate fluid therapy.
Correct Answer: A,
Rationale: The priority of care should proceed from the establishment of an airway,initiation of fluid therapy,insertion of Foley and NG tube administration of analgesics and tetanus prophylaxis."
Which will a patient be assessed for upon the diagnosis of genital herpes?
- A. Hepatitis B
- B. Syphilis
- C. Human immunodeficiency virus (HIV).
- D. Cirrhosis
Correct Answer: C
Rationale: Persons with genital herpes should be assessed for HIV because the therapy for herpes is suppressive; persons with HIV are not candidates for suppressant therapy. Hepatitis B, syphilis and cirrhosis are not associated with genital herpes.
Which will the nurse examine when assessing a patient for tinea corporis?
- A. Soles of the feet
- B. Scalp
- C. Groin
- D. Abdomen
Correct Answer: D
Rationale: Tinea corporis is known as ringworm of the body. It occurs on parts of the body with little or no hair. Tinea pedis is a fungal infection of the feet. Tinea capitus is a fungal infection of the scalp. Tinea cruris is a fungal infection of the groin area.