03 Feb nature. On examination,

Question 1 A patient presents with excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that lasts about 1/2 to 2 hours, occurring once or twice each day. The nurse should suspect: hypertension. cluster headaches. tension headaches. migraine headaches. Question 2 The nurse is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale, gray, and swollen. What would be the most appropriate question to ask the patient? “Are you aware of having any allergies?” “Do you have an elevated temperature?” “Have you had any symptoms of a cold?” “Have you been having frequent nose bleeds?” Question 3 The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse would report this as a: Bulla Wheal Nodule Papule Question 4 The nurse is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what would the nurse say? “We will need to get a biopsy and see what the cause is.” “This is an overgrowth of hair and will go away in a few days.” “This is a fungal infection caused by all the antibiotics you received.” “This is probably caused by the same bacteria that you had in your lungs.” Question 5 During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. Acutely infected lymph nodes would be: clumped unilateral firm, but freely movable firm and non-tender Question 6 A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding? color variation. border regularity symmetry of lesion. diameter less than 6mm. Question 7 The nurse just noted from a patient’s medical record that the patient has a lesion that is confluent in nature. On examination, the nurse would expect to find: lesions that run together. annular lesions that have grown together. lesions arranged in a line along a nerve route. lesions that are grouped or clustered together. Question 8 During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition? Rickets. Dehydration. Increased intracranial pressure. Decreased intellectual ability. Unsaved change Moving to the next question prevents changes to this answer. Question 9 Discuss the signs and symptoms of osteoarthritis and rheumatoid arthritis. How are they similar and how are they different? Based on these signs and symptoms, what are the considerations for nursing care? Question 10 A patient has been admitted to a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area. The nurse examines the pressure ulcer and determines that it is a stage II ulcer. Which of these findings are characteristic of a stage II pressure ulcer? Select all that apply. intact skin that is not broken. Partial thickness skin erosion with loss of epidermis or dermis. Localized redness in light skin will blanch with fingertip pressure. Open blisters have a red-pink wound bed. Patches of eschar cover parts of the wound. Ulcer extends into the subcutaneous tissue.

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