RN FUNDAMENTALS ONLINE
PRACTICE 2019 A FOR BETTER
GRADES
, !
"#
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A lesion with uniform pigmentation
Variations in pigmentation are a possible indication of a skin malignancy. A lesion
with uniform pigmentation is not an expected indication of a skin malignancy.
! New appearance of petechiae
Petechiae are capillaries that have burst under the skin and appear as small spots on
the skin. Although they can be indications of other conditions, petechiae are not an
expected indication of a skin malignancy.
#
An uneven or asymmetrical shape is a potential indication of a skin malignancy. This
is manifested when part of a lesion or mole looks different from the other part
The presence of a papule
Papules are solid elevations that are palpable in the skin and are less than 1 cm (0.39
in) in size. They are not an expected indication of a skin malignancy.
##"
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“Is your pain constant or intermittent?”
Asking the client whether the pain is constant or intermittent determines the onset,
duration, and pattern of the pain.
! “What would you rate your pain on a scale of 0 to 10?”
Asking the client to rate the pain using the pain scale determines the intensity of the
pain.
“Does the pain radiate?”
Asking the client whether the pain radiates determines the pain’s location.
'(#$)
1|Page
, Asking the client whether the pain is sharp or dull, crushing, throbbing, aching,
burning, electric- like, or shooting helps determine the quality of the pain.
* "
$
Verify the client’s name on their identification bracelet with the medication
administration record.
The nurse should verify the client’s name on their identification bracelet when
administering medication; however, this action is not a part of performing medication
reconciliation.
! Call the pharmacy to determine whether the client’s medications are available.
The nurse should call the pharmacy if the client’s medications are not available to
administer at the appropriate time; however this action is not a part of performing
medication reconciliation
+&,&
The nurse should compare the client’s home medications with the provider’s
prescriptions when performing medication reconciliation.
Place the client’s home medication bottles in a secure location.
The nurse should place the client's home medications in a secure location to ensure
safe handling of prescribed medications; however, this action is not a part of
performing medication reconciliation.
- .
/
##!0+!
1
Crackles
Unlike these breath sounds, crackles (also called rales) are discontinuous sounds
heard primarily during inhalation and resulting from air bubbling through fluid or
mucus in the airways.
! Rhonchi
2|Page
, Rhonchi are dry, low-pitched, snore-like noises produced in the throat or bronchial
tube due to a partial obstruction, such as by secretions.
Friction rub
Friction rub is a scratching sound that persists throughout the respiratory cycle.
!
These are normal bronchovesicular breath sounds, characteristically of moderate
intensity and sounding like blowing as air moves through the larger airways on
inspiration and expiration.
2 !#"
$
-2
The nurse should insert the needle at 45o to 90omangle for a subcutaneous injection.
! Administer the medication into the client’s nondominant arm.
The nurse should administer enoxaparin into the abdomen, at least 5cm (2 inches)
from the umbilicus.
Pull the client’s skin laterally or downward prior to administration.
The Z-track technique involves displacing the skin laterally or downward prior to
administration of an IM injection.
Massage the injection site after the administration.
The nurse should not massage the injection following the injection of an
anticoagulant due to the risk for bruising.
3 %&#
"$
Place the client in a side-lying position.
! Instill 15 mL of irrigation fluid into the catheter with each flush.
4!&
Perform the irrigation using a 20-mL syringe.
3|Page
PRACTICE 2019 A FOR BETTER
GRADES
, !
"#
#$
A lesion with uniform pigmentation
Variations in pigmentation are a possible indication of a skin malignancy. A lesion
with uniform pigmentation is not an expected indication of a skin malignancy.
! New appearance of petechiae
Petechiae are capillaries that have burst under the skin and appear as small spots on
the skin. Although they can be indications of other conditions, petechiae are not an
expected indication of a skin malignancy.
#
An uneven or asymmetrical shape is a potential indication of a skin malignancy. This
is manifested when part of a lesion or mole looks different from the other part
The presence of a papule
Papules are solid elevations that are palpable in the skin and are less than 1 cm (0.39
in) in size. They are not an expected indication of a skin malignancy.
##"
%%#&
$
“Is your pain constant or intermittent?”
Asking the client whether the pain is constant or intermittent determines the onset,
duration, and pattern of the pain.
! “What would you rate your pain on a scale of 0 to 10?”
Asking the client to rate the pain using the pain scale determines the intensity of the
pain.
“Does the pain radiate?”
Asking the client whether the pain radiates determines the pain’s location.
'(#$)
1|Page
, Asking the client whether the pain is sharp or dull, crushing, throbbing, aching,
burning, electric- like, or shooting helps determine the quality of the pain.
* "
$
Verify the client’s name on their identification bracelet with the medication
administration record.
The nurse should verify the client’s name on their identification bracelet when
administering medication; however, this action is not a part of performing medication
reconciliation.
! Call the pharmacy to determine whether the client’s medications are available.
The nurse should call the pharmacy if the client’s medications are not available to
administer at the appropriate time; however this action is not a part of performing
medication reconciliation
+&,&
The nurse should compare the client’s home medications with the provider’s
prescriptions when performing medication reconciliation.
Place the client’s home medication bottles in a secure location.
The nurse should place the client's home medications in a secure location to ensure
safe handling of prescribed medications; however, this action is not a part of
performing medication reconciliation.
- .
/
##!0+!
1
Crackles
Unlike these breath sounds, crackles (also called rales) are discontinuous sounds
heard primarily during inhalation and resulting from air bubbling through fluid or
mucus in the airways.
! Rhonchi
2|Page
, Rhonchi are dry, low-pitched, snore-like noises produced in the throat or bronchial
tube due to a partial obstruction, such as by secretions.
Friction rub
Friction rub is a scratching sound that persists throughout the respiratory cycle.
!
These are normal bronchovesicular breath sounds, characteristically of moderate
intensity and sounding like blowing as air moves through the larger airways on
inspiration and expiration.
2 !#"
$
-2
The nurse should insert the needle at 45o to 90omangle for a subcutaneous injection.
! Administer the medication into the client’s nondominant arm.
The nurse should administer enoxaparin into the abdomen, at least 5cm (2 inches)
from the umbilicus.
Pull the client’s skin laterally or downward prior to administration.
The Z-track technique involves displacing the skin laterally or downward prior to
administration of an IM injection.
Massage the injection site after the administration.
The nurse should not massage the injection following the injection of an
anticoagulant due to the risk for bruising.
3 %&#
"$
Place the client in a side-lying position.
! Instill 15 mL of irrigation fluid into the catheter with each flush.
4!&
Perform the irrigation using a 20-mL syringe.
3|Page
