A nurse is providing discharge instructions to a client who is postoperative following 

surgical excision of a basal cell carcinoma. Which of the following findings should the 

nurse include as an indication of a mole's potential malignancy?

A. Ulceration

B. Blanching of surrounding skin

C. Dimpling

D. Fading of color

A. Ulceration

Ulceration, bleeding, and exudation are indications of a mole's potential malignancy. 

Increasing size is also a warning sign. The nurse should emphasize the importance of 

lifetime follow-up evaluations and the proper techniques for self-examination of the 

skin every month.

A nurse is caring for a client who experienced a traumatic head injury and has an 

intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should 

monitor the client for which of the following complications related to the 

ventriculostomy?

a. Headache

b. Infection

c. Aphasia

d. Hypertension

b. Infection

Monitor for infection and use strict asepsis to avoid life-threatening meningitis.

A nurse is providing education to a client who is to undergo an EEG the next day. 

Which of the following info should the nurse include in the teaching?

a. "Do not wash your hair the morning of the procedure."

b. "Try and stay awake most of the night prior to the procedure."

c. "The procedure will take approximately 15 mins."

d. "You will need to lie flat for 4 hours after the procedure."

b. "Try and stay awake most of the night prior to the procedure."

Tell the client to remain awake to provide cranial stress and increase the possibility of 

abnormal electrical activity

A nurse is caring for a client who is postprocedural following a lumbar puncture and 

reports a throbbing headache when sitting upright. Which of the following actions 

should the nurse take? SATA.

a. Use the GCS scale to assess the client

b. Assist the client into a supine position

c. Administer an opioid analgesic

d. Encourage the client to increase PO fluid intake

e. Instruct the client to perform coughing and deep breathing

B, D

A nurse is caring for a client who has continuous bladder irrigation following a 

transurethral resection of the prostate (TURP). Which of the following findings should 

the nurse report to the provider?

a Output equal to the instilled irrigate

b. Client reports bladder spasms

c. Viscous urinary output with clots

d. Reports of strong urge to urinate

c. Viscous urinary output with clots

Urine that is bright red with clots is an indication of arterial bleeding.

A nurse is monitoring the ECG of a client who has hypocalcemia. Which of the 

following findings should the nurse expect?

a. Flattened T waves

b. Prolonged QT intervals

c. Shortened QT intervals

d Widened QRS complexes

b. Prolonged QT intervals

Manifestations of hypocalcemia include tingling, numbness, tetany, seizures, 

prolonged QT intervals, and laryngospasm.

A nurse is preparing a client who has a brain tumor for a CT scan. Which of the 

following factors affects the manner in which the nurse will prepare the client for the 

scan?

a. No food or fluids consumed for 4 hours

b. Difficulty recalling recent events

c. Development of hives while eating shrimp

d. Paresthesia in both hands

c. Development of hives while eating shrimp

Shellfish allergy is contraindication of use of contrast media during a CT scan.

A nurse is preparing an in-service program about the stages of acute kidney injury. 

Which of the following pieces of info should the nurse include about prerenal 

azotemia?

a. Prerenal azotemia begins prior to the onset of symptoms

b. Interference with renal perfusion causes renal azotemia

c. Prerenal azotemia is irreversible, even in early stages

d. Infections and tumors cause prerenal azotemia

b. Interference with renal perfusion causes prerenal azotemia.

Prerenal = interference with renal perfusion, such as from heart failure or hypovolemic 

shock.