ADVANCED HEALTH ASSESSMENT
FINAL QUESTIONS AND CORRECT
ANSWERS
AA2circumscribed,A2elevatedA2lesion,A2>1A2cmA2IA2diameterA2andA2containingA2clearA2sero
usA2fluidA2isA2bestA2describedA2asA2-A2Ans--Bulla
TheA2historyA2andA2physicalA2ofA2aA2clientA2indicatesA2pasteA2occurrencesA2ofA2lichenificat
ion.A2TheA2NPA2identifiesA2thisA2as:A2-A2Ans--
Rough,A2thickenedA2epidermis,A2accentuatedA2skinA2markings
OnA2examinationA2ofA2aA2client'sA2skin,A2theA2nurseA2practitionerA2findsA2aA2lesionA2thatA2is
A2aboutA20.75A2cmA2inA2diameter,A2brown,A2andA2circumscribed.A2CorrectA2termA2forA2thisA
2lesionA2is:A2-A2Ans--Macule
InA2performingA2aA2skinA2assessment,A2theA2NPA2understandsA2thatA2theA2followingA2char
acteristicA2ofA2aA2moleA2wouldA2needA2intervention:A2-A2Ans--
AA2newA22mmA2moleA2thatA2isA2brownA2withA2aA2red,A2irregularA2border,A2andA2occasionall
yA2pruritic
TheA2NPA2describesA2anA2annularA2skinA2lesionA2asA2usuallyA2arrangedA2inA2-A2Ans--
AA2circleA2orA2ringA2shape
AnA2NPA2educatingA2patientsA2realizesA2thatA2riskA2factorsA2forA2skinA2cancerA2includeA2all
A2except:A2-A2Ans--DarkA2eyes
WhichA2ofA2theA2followingA2inA2aA2client'sA2historyA2wouldA2placeA2theA2patientA2mostA2atA2r
iskA2forA2melanoma?A2-A2Ans--Intense,A2intermittentA2sunA2exposure
AnA2elderlyA2retiredA2farmerA2presentsA2withA2aA2rolledA2border,A2pearly,A2firmA2noduleA2wi
thA2telangiectasiaA2onA2hisA2nose.A2ThisA2is:A2-A2Ans--BasalA2cellA2carcinoma
AnA2adultA2femaleA2presentsA2withA2anA2irregular,A2variegatedA2nevusA2onA2herA2leftA2lowe
rA2backA2thatA2hasA2doubledA2inA2sizeA2theA2pastA2?.A2TheA2NPA2should:A2-A2Ans--
ReferA2immediatelyA2toA2aA2dermatologist
TheA2ABCDsA2ofA2melanomaA2identificationA2includeA2allA2ofA2theA2followingA2EXCEPT:A2-
A2Ans--BA2(bridging):A2connectionA2acrossA2sides
YourA2patientA2isA22A2weeksA2old.A2DuringA2yourA2assessment,A2youA2noteA2thatA2sheA2ha
sA2pinheadA2sized,A2smooth,A2white,A2raisedA2areas.A2YouA2documentA2thisA2as:A2-A2Ans--
Milia
, WhichA2skinA2lesionsA2areA2directlyA2relatedA2toA2chronicA2sunA2exposureA2andA2photoA2da
mage?A2-A2Ans--ActinicA2keratosis
InA2yourA2assessmentA2youA2noteA2Ms.A2AngelA2hasA2whiteA2nailA2syndrome,A2youA2order:
A2-A2Ans--BUNA2&A2Creatinine
MaryA2D.A2anA284A2y.oA2FA2hasA2multipleA2solarA2lentilsA2<1A2cm.A2TheseA2areA2notA2unco
mmonA2forA2herA2age.A2YouA2wouldA2describeA2theseA2as:A2-A2Ans--Macules
Lou,A2aA250A2yoA2homelessA2manA2isA2diagnosedA2withA2tineaA2capitis.A2YouA2realizeA2this
A2isA2causeA2byA2a(n):A2-A2Ans--Dermatophyte
RonA2RA2presentsA2withA2dependentA2edema.A2YouA2assessA2heA2hasA2aA2>1A2inchA2inde
ntationA2upA2toA2mid-tibiaA2bilaterally.A2YouA2documentA2thisA2as:A2-A2Ans--+4A2edema
TheA2mostA2commonA2typeA2ofA2melanomaA2isA2the:A2-A2Ans--Superficial
YouA2areA2assessingA2ArleneA2C'sA2skinA2complaint.A2YouA2getA2aA2+AuspitzA2sign.A2ThisA
2aidesA2youA2inA2theA2diagnosisA2of:A2-A2Ans--Psoriasis
AsA2youA2gatherA2youA2historyA2fromA2aA2patientA2withA2atopicA2dermatitisA2whatA2otherA2it
emsA2inA2theA2personalA2orA2familyA2historyA2wouldA2youA2expectA2withA2thisA2patient?A2-
A2Ans--Asthma
WhichA2ofA2theA2followingA2statementsA2bestA2describesA2squamousA2cellA2carcinoma?A2-
A2Ans--OftenA2hasA2aA2keratinousA2horn
YouA2areA2assessingA2aA2newbornA2andA2noteA2theA2babyA2isA2jaundiced.A2HeA2isA23A2day
sA2old.A2YouA2realizeA2thatA2forA2thisA2toA2beA2aA2normalA2findingA2itA2mustA2beA2goneA2with
in:A2-A2Ans--1A2week
WhatA2areA2theA2majorA2componentsA2toA2beA2documentedA2forA2aA2skinA2lesion?A2-
A2Ans---Distribution
-Configuration
-PalpableA2features
-Pattern
-AllA2ofA2theA2above
WhichA2ofA2theA2followingA2presentationsA2suggestsA2aA2diagnosisA2ofA2aA2malignantA2mel
anoma?A2-A2Ans--LesionA2withA2borderA2irregularity
AllA2ofA2theA2followingA2statementsA2concerningA2basalA2cellA2carcinomaA2areA2trueA2EXC
EPT?A2-A2Ans--ItA2isA2mostA2oftenA2foundA2onA2abdomenA2orA2trunk
TheA2NPA2denotesA2aA2bruitA2aboveA2andA2toA2theA2leftA2ofA2theA2umbilicus.A2ThisA2finding
A2isA2consistentA2with:A2-A2Ans--HistoryA2ofA2HTN
FINAL QUESTIONS AND CORRECT
ANSWERS
AA2circumscribed,A2elevatedA2lesion,A2>1A2cmA2IA2diameterA2andA2containingA2clearA2sero
usA2fluidA2isA2bestA2describedA2asA2-A2Ans--Bulla
TheA2historyA2andA2physicalA2ofA2aA2clientA2indicatesA2pasteA2occurrencesA2ofA2lichenificat
ion.A2TheA2NPA2identifiesA2thisA2as:A2-A2Ans--
Rough,A2thickenedA2epidermis,A2accentuatedA2skinA2markings
OnA2examinationA2ofA2aA2client'sA2skin,A2theA2nurseA2practitionerA2findsA2aA2lesionA2thatA2is
A2aboutA20.75A2cmA2inA2diameter,A2brown,A2andA2circumscribed.A2CorrectA2termA2forA2thisA
2lesionA2is:A2-A2Ans--Macule
InA2performingA2aA2skinA2assessment,A2theA2NPA2understandsA2thatA2theA2followingA2char
acteristicA2ofA2aA2moleA2wouldA2needA2intervention:A2-A2Ans--
AA2newA22mmA2moleA2thatA2isA2brownA2withA2aA2red,A2irregularA2border,A2andA2occasionall
yA2pruritic
TheA2NPA2describesA2anA2annularA2skinA2lesionA2asA2usuallyA2arrangedA2inA2-A2Ans--
AA2circleA2orA2ringA2shape
AnA2NPA2educatingA2patientsA2realizesA2thatA2riskA2factorsA2forA2skinA2cancerA2includeA2all
A2except:A2-A2Ans--DarkA2eyes
WhichA2ofA2theA2followingA2inA2aA2client'sA2historyA2wouldA2placeA2theA2patientA2mostA2atA2r
iskA2forA2melanoma?A2-A2Ans--Intense,A2intermittentA2sunA2exposure
AnA2elderlyA2retiredA2farmerA2presentsA2withA2aA2rolledA2border,A2pearly,A2firmA2noduleA2wi
thA2telangiectasiaA2onA2hisA2nose.A2ThisA2is:A2-A2Ans--BasalA2cellA2carcinoma
AnA2adultA2femaleA2presentsA2withA2anA2irregular,A2variegatedA2nevusA2onA2herA2leftA2lowe
rA2backA2thatA2hasA2doubledA2inA2sizeA2theA2pastA2?.A2TheA2NPA2should:A2-A2Ans--
ReferA2immediatelyA2toA2aA2dermatologist
TheA2ABCDsA2ofA2melanomaA2identificationA2includeA2allA2ofA2theA2followingA2EXCEPT:A2-
A2Ans--BA2(bridging):A2connectionA2acrossA2sides
YourA2patientA2isA22A2weeksA2old.A2DuringA2yourA2assessment,A2youA2noteA2thatA2sheA2ha
sA2pinheadA2sized,A2smooth,A2white,A2raisedA2areas.A2YouA2documentA2thisA2as:A2-A2Ans--
Milia
, WhichA2skinA2lesionsA2areA2directlyA2relatedA2toA2chronicA2sunA2exposureA2andA2photoA2da
mage?A2-A2Ans--ActinicA2keratosis
InA2yourA2assessmentA2youA2noteA2Ms.A2AngelA2hasA2whiteA2nailA2syndrome,A2youA2order:
A2-A2Ans--BUNA2&A2Creatinine
MaryA2D.A2anA284A2y.oA2FA2hasA2multipleA2solarA2lentilsA2<1A2cm.A2TheseA2areA2notA2unco
mmonA2forA2herA2age.A2YouA2wouldA2describeA2theseA2as:A2-A2Ans--Macules
Lou,A2aA250A2yoA2homelessA2manA2isA2diagnosedA2withA2tineaA2capitis.A2YouA2realizeA2this
A2isA2causeA2byA2a(n):A2-A2Ans--Dermatophyte
RonA2RA2presentsA2withA2dependentA2edema.A2YouA2assessA2heA2hasA2aA2>1A2inchA2inde
ntationA2upA2toA2mid-tibiaA2bilaterally.A2YouA2documentA2thisA2as:A2-A2Ans--+4A2edema
TheA2mostA2commonA2typeA2ofA2melanomaA2isA2the:A2-A2Ans--Superficial
YouA2areA2assessingA2ArleneA2C'sA2skinA2complaint.A2YouA2getA2aA2+AuspitzA2sign.A2ThisA
2aidesA2youA2inA2theA2diagnosisA2of:A2-A2Ans--Psoriasis
AsA2youA2gatherA2youA2historyA2fromA2aA2patientA2withA2atopicA2dermatitisA2whatA2otherA2it
emsA2inA2theA2personalA2orA2familyA2historyA2wouldA2youA2expectA2withA2thisA2patient?A2-
A2Ans--Asthma
WhichA2ofA2theA2followingA2statementsA2bestA2describesA2squamousA2cellA2carcinoma?A2-
A2Ans--OftenA2hasA2aA2keratinousA2horn
YouA2areA2assessingA2aA2newbornA2andA2noteA2theA2babyA2isA2jaundiced.A2HeA2isA23A2day
sA2old.A2YouA2realizeA2thatA2forA2thisA2toA2beA2aA2normalA2findingA2itA2mustA2beA2goneA2with
in:A2-A2Ans--1A2week
WhatA2areA2theA2majorA2componentsA2toA2beA2documentedA2forA2aA2skinA2lesion?A2-
A2Ans---Distribution
-Configuration
-PalpableA2features
-Pattern
-AllA2ofA2theA2above
WhichA2ofA2theA2followingA2presentationsA2suggestsA2aA2diagnosisA2ofA2aA2malignantA2mel
anoma?A2-A2Ans--LesionA2withA2borderA2irregularity
AllA2ofA2theA2followingA2statementsA2concerningA2basalA2cellA2carcinomaA2areA2trueA2EXC
EPT?A2-A2Ans--ItA2isA2mostA2oftenA2foundA2onA2abdomenA2orA2trunk
TheA2NPA2denotesA2aA2bruitA2aboveA2andA2toA2theA2leftA2ofA2theA2umbilicus.A2ThisA2finding
A2isA2consistentA2with:A2-A2Ans--HistoryA2ofA2HTN