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Wilson Clinical Reasoning Questions: Specialized questions to sharpen critical thinking skills.
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Expert Review: Content verified by nursing professionals for accuracy.
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Preparation Guide: Structured to help you master the Nurse 1145 Final Exam.
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Updated for 2025: Aligned with the latest Nurse 1145 exam standards.
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Success-Focused: Helps nursing students achieve top performance.
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1. A patient has edema and redness of the skin surrounding the nail on his right
index finger. Which data elected from his history best explains this condition?
A. He has a family history of liver disease.
B. There has been a scabies outbreak among his family members.
C. He has a new full-time position as a dishwasher at a local restaurant.
D. He had several warts removed from his hand two years ago.
Correct answer: C. He has a new full-time position as a dishwasher at a local
restaurant.
Rationale: Working as a dishwasher involves frequent exposure to water and cleaning
agents, which can irritate the skin and cause inflammation around the nails, possibly
leading to conditions like paronychia (infection of the nail fold), which could explain the
edema and redness.
2. When examining a 16-year-old male patient, the nurse notes multiple pustules
and comedones on the face. The nurse recognizes that increased activity of which
cells or glands produced these manifestations?
A. Epidermal cells
B. Eccrine glands
C. Apocrine glands
D. Sebaceous glands
Correct answer: D. Sebaceous glands
Rationale: Sebaceous glands are responsible for producing sebum, an oily substance
that, when overproduced or blocked, can result in acne, characterized by pustules (pus
f
illed lesions) and comedones (blackheads and whiteheads), especially common
during adolescence.
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