Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?
A. Site of the lesions
Site of the lesions: The site of the lesions is addressed by the "S" in some mnemonics, but in PQRST, it refers to severity.
B. Severity of the symptoms
Severity of the symptoms: In the PQRST mnemonic for pain assessment, "S" stands for severity, referring to how intense or bothersome the symptoms are.
C. Surface area of the lesions
Surface area of the lesions: Surface area is not typically included in the PQRST mnemonic but may be relevant for other assessments.
D. Symptomatology of the lesions
Symptomatology of the lesions: Symptomatology encompasses the overall symptoms but is not specifically what "S" represents in PQRST.
This question is an excerpt from Nurse Dive's nursing test bank - Lpn fundamentals exam evolve ( Illinois college) proctored exam. Take the full exam now
Full Explanation
A. Site of the lesions: The site of the lesions is addressed by the "S" in some mnemonics, but in PQRST, it refers to severity.
B. Severity of the symptoms: In the PQRST mnemonic for pain assessment, "S" stands for severity, referring to how intense or bothersome the symptoms are.
C. Surface area of the lesions: Surface area is not typically included in the PQRST mnemonic but may be relevant for other assessments.
D. Symptomatology of the lesions: Symptomatology encompasses the overall symptoms but is not specifically what "S" represents in PQRST.
Similar Questions
The nurse arrives to the scene of a house fire. A victim is running out of the house, with flames on the arms. Which is the nurse's first action?
A. Transport victim to hospital.
Transport victim to hospital: While transport to the hospital is necessary, it is not the immediate priority when the victim is still on fire.
B. Stop, drop, and roll.
Stop, drop, and roll: The first action for someone whose clothing is on fire is to stop, drop, and roll to extinguish the flames and prevent further burns.
C. Cover victim with clean cloth or sheet.
Cover victim with clean cloth or sheet: Covering with a clean cloth is important after the flames have been extinguished but not the first step when the victim is still burning.
D. Remove all nonadherent clothing and jewelry.
Remove all nonadherent clothing and jewelry: Removing clothing and jewelry should be done after the flames are extinguished and initial care has been administered.
Full Explanation
A. Transport victim to hospital: While transport to the hospital is necessary, it is not the immediate priority when the victim is still on fire.
B. Stop, drop, and roll: The first action for someone whose clothing is on fire is to stop, drop, and roll to extinguish the flames and prevent further burns.
C. Cover victim with clean cloth or sheet: Covering with a clean cloth is important after the flames have been extinguished but not the first step when the victim is still burning.
D. Remove all nonadherent clothing and jewelry: Removing clothing and jewelry should be done after the flames are extinguished and initial care has been administered.
A nine-year-old patient is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. The nurse assists with planning care with which fact about impetigo contagiosa in mind?
A. is present in all age-groups, but especially older adults
is present in all age-groups, but especially older adults : Impetigo is more common in children and not especially prevalent in older adults.
B. Usually presents with a rash on the patient's back
Usually presents with a rash on the patient's back: Impetigo typically presents on exposed areas such as the face, arms, and legs, not usually the back.
C. Is a highly contagious inflammatory disorder
Is a highly contagious inflammatory disorder: Impetigo is highly contagious and characterized by inflammatory skin lesions.
D. is a viral skin infection
is a viral skin infection: Impetigo is caused by bacterial infection (usually Staphylococcus aureus or Streptococcus pyogenes), not a virus.
Full Explanation
A. is present in all age-groups, but especially older adults : Impetigo is more common in children and not especially prevalent in older adults.
B. Usually presents with a rash on the patient's back: Impetigo typically presents on exposed areas such as the face, arms, and legs, not usually the back.
C. Is a highly contagious inflammatory disorder: Impetigo is highly contagious and characterized by inflammatory skin lesions.
D. is a viral skin infection: Impetigo is caused by bacterial infection (usually Staphylococcus aureus or Streptococcus pyogenes), not a virus.
A patient who has sustained a burn injury will undergo wound debridement. The nurse includes which explanation when explaining the purpose of burn wound debridement?
A. Prevention of infection and promote healing.
Prevention of infection and promote healing. Debridement helps remove dead tissue, which prevents infection and promotes healing.
B. Promoting movement in the affected area.
Promoting movement in the affected area: While movement is important, debridement is primarily for removing necrotic tissue to prevent infection.
C. To increase the effectiveness of the skin graft.
To increase the effectiveness of the skin graft: Debridement does help prepare the wound bed for grafting, but its main purpose is infection control and healing.
D. Promoting suppuration of the wound.
Promoting suppuration of the wound: Suppuration is not a goal of debridement; it is about cleaning the wound and preventing infection.
Full Explanation
A. Prevention of infection and promote healing. Debridement helps remove dead tissue, which prevents infection and promotes healing.
B. Promoting movement in the affected area: While movement is important, debridement is primarily for removing necrotic tissue to prevent infection.
C. To increase the effectiveness of the skin graft: Debridement does help prepare the wound bed for grafting, but its main purpose is infection control and healing.
D. Promoting suppuration of the wound: Suppuration is not a goal of debridement; it is about cleaning the wound and preventing infection.