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what is the difference between a vesicle and a bulla?
A. a bulla is smaller (<0.5cm) and a vesicle is larger (>0.5)
B. a vesicle has symmetrical edges and a bulla does not
C. a vesicle is smaller (<0.5cm) & a bulla is larger (>0.5cm)
D. a bulla typically appears in clusters while a vesicle is a single lesion - ANSWERS-C.
a vesicle is smaller (<0.5cm) & a bulla is larger (>0.5cm)
which of the following is not a component of the nose assessment that should be
documented?
A. symmetry and septal alignment
B. color and tenderness
C. moisture and movability
D. turbinate swelling - ANSWERS-C. moisture and movability
which health promotion strategy is most important in preventing skin cancer? -
ANSWERS-use of sunscreen
,You are evaluating treatment after administering IV fluids and antiemetics to a patient
with gastroenteritis (stomach flu). Which of the following findings indicate that the goals
of treatment were appropriately achieved?
A. BP 90/50, mucous membranes dry and pale
B. Skin cool and pale with lower extremity edema
C. BP 118/78, skin moist & cool with adequate turgor
D. Skin cool and dry with tenting - ANSWERS-C. BP 118/78, skin moist & cool with
adequate turgor
you are assessing a patient who presented to the clinic with ringing in his ears and
difficulty with balance. which of the following sensory deficits is he most likely to
experience?
A. loss of taste
B. vision loss
C. hearing loss
D. neuropathy - ANSWERS-C. hearing loss
your patient reports a history of eczema. which of the following should you expect to find
upon assessment?
A. itchy, scaly, silver plaques on the extremities
B. tender erythematous patches on the face and back
C. itchy erythematous patches in the antecubital spaces
D. painful blisters on the trunk and extremities - ANSWERS-C. itchy erythematous
patches in the antecubital spaces
which priority action should you take if your patient reports dyspnea with sudden
anxiety?
A. call the doctor
B. initiate oxygen via nasal cannula
, C. assess pain
D. vital signs and respiratory assessment - ANSWERS-D. vital signs and respiratory
assessment
You are assigned a newly admitted patient with sensory impairment, incontinence,
dentures, and is wheelchair-bound. What is the priority nursing assessment upon
admission to the unit?
A. Head, eyes, ears, nose, & throat assessment
B. Psychosocial & spiritual needs assessment
C. Pressure injury assessment
D. Complete neurological assessment - ANSWERS-C. Pressure injury assessment
which of the following is most concerning?
A. pulse ox 95%
B. COPD patient with clubbing and barrel chest
C. bronchovesicular sounds in mid-sternal region
D. crackles in all lobes - ANSWERS-D. crackles in all lobes
What is the ABCDE mnemonic and what is it used to evaluate? - ANSWERS-A-
asymmetry, B- border irregularity, C- color variation, D- diameter (>6mm), E-
evolving/changing
Used to evaluate abnormal findings in nevi (moles) that would be suspicious for
melanoma
You are assessing an older adult female in the clinic. Which of the following abnormal
skin, hair, and nail findings may be commonly seen in this population? Select all that
apply.
A. Hair thinning on scalp
B. Onychomycosis
C. Splinter hemorrhages
D. Hirsutism
E. Discoloration on the lower legs - ANSWERS-A: Hair thinning on scalp