1. A nurse is performing a skin assessment for a client who expresses concern about

skin cancer. Which of the following findings should the nurse identify as a potential

indication of a skin malignancy?

a. 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.

b. 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.

c. A mole with asymmetrical appearance

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

d. 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.

2. A nurse is assessing a client who reports pain following physical therapy. Which of

the following questions should the nurse as when assessing the quality of the client’s

pain?

a. “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.

b. “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.

c. “Does the pain radiate?”

Asking the client whether the pain radiates determines the pain’s location.