NURS 5220 Module 2 Exam #1 Prep – Practice Questions &
Answers | Latest Update 2026 | Graded A+
In which age group are milia an expected finding?
A. Newborns
B. Young children
C. Adolescents
D. Older adults - correct answerA: CorrectMilia are small, whitish, discrete papules on
the face; they are commonly found during the first 2 to 3 months of life. The sebaceous
glands function in an immature fashion at this age and are easily plugged by sebum.
Answers b, c, and d are incorrect.
Mr. Babson is a 74-year-old man who presents to your office with a complaint of a
"spot" on his chin and wants to know whether it is cancerous. Which of the following
signs or symptoms indicates a need for further medical investigation?
A. The "spot" is a reddish brown color.
B. The "spot" has been on his chin for 20 years.
C. The "spot" bleeds easily when it is touched.
D. The "spot" is slightly raised and circumscribed. - correct answerC: CorrectA "spot"
that bleeds easily when it is touched may be indicative of a more serious condition like
basal cell carcinoma, the most common form of skin cancer.
A 6-year-old girl has freckles over her nose and cheeks. The examiner will recall that
freckles are a type of:
A. macule.
B. papule.
C. nodule.
D. patch. - correct answerA:correctA macule is a flat, circumscribed area that is a
change in the color of the skin usually less than 1 cm in diameter. Freckles, flat moles,
petechiae, and measles are examples of macules.
Mrs. Tomberg brings her 4-day-old infant to your office with a concern of a yellowish
skin tone. Which of the following statements best describes the rationale for the skin
tone?
A. Increased formation of subcutaneous tissue causes a yellow hue.
B. Capillaries broken during the birth process turn the skin slightly yellow as bruises
heal.
C. The yellowish color results from increased fat metabolism and heat production.
D. The infant has hyperbilirubinemia. - correct answerD:CorrectHyperbilirubinemia, or
physiologic jaundice, is present to a mild degree in many newborn infants. It usually
starts after the first day of life and disappears by the eighth to tenth day but may persist
,for as long as 3 to 4 weeks. Intense and persistent jaundice suggests liver disease, a
hemolytic process, or severe, overwhelming infection.
Mr. Russel is a 17-year-old adolescent patient who presents with a complaint of acne.
He asks the examiner why teens have more problems with acne than children. Which of
the following would be an appropriate response?
A. "Children have better hygiene habits than adolescents because of parental
guidance."
B. "Adolescents have reduced blood flow to the epidermal layer of the skin, making
them more prone to infections."
C. "At puberty, adolescents begin to secrete more oil from sebaceous glands."
D. "Children have very little skin mass, which prevents development of acne." - correct
answerC: CorrectDuring adolescence, the apocrine glands enlarge and become active,
causing increased axillary sweating and sometimes body odor. Sebaceous glands
increase sebum production in response to increased hormone levels, primarily
androgen, giving the skin an oily appearance and predisposing the individual to acne.
While examining the skin of an 87-year-old woman, the nurse observes significant
tenting. Which of the following best explains that finding?
A. Small tags of skin form on the neck.
B. The skin becomes thin and takes on a parchment-like appearance.
C. The skin becomes dry with significant flaking.
D. There is a loss of adipose tissue and elasticity. - correct answerD:CorrectTenting
occurs in the older adult as a result of loss of adipose tissue and elasticity. The skin
often appears to hang loosely on the bony frame as a result of a general loss of
elasticity, loss of underlying adipose tissue, and years of gravitational pull.
Mr. Allen is a 66-year-old man who presents to your clinic for follow-up for his chronic
obstructive pulmonary disease (COPD). When assessing for the presence of clubbing,
the examiner specifically examines:
A. the width of the nail base.
B. the angle of the nail base.
C. the thickness of the nail.
D. the color of the nail. - correct answerB:CorrectThe average nail base angle should
measure 160 degrees. In clubbing, the nail base is boggy and the angle increases and
approaches or exceeds 180 degrees. Another method of assessment is the Schamroth
technique. Clubbing is associated with a variety of respiratory and cardiovascular
diseases, cirrhosis, colitis, and thyroid disease.
,Mrs. Jones presents with a complaint of a spot on her skin. Which type of lesion can
develop in an already present nevi?
A. Malignant melanoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Kaposi sarcoma - correct answerA: CorrectMalignant melonoma is the most lethal
form of skin cancer that develops from melanocytes. Squamous cell carcinoma, basal
cell carcinoma, and Kaposi sarcoma rarely develop in an already existing nevi.
Mrs. Xavier is a 45-year-old patient who presents to your office with a complaint of a
rash. On examination, you find a herald patch (round plaque with fine superficial
scaling). Which of the following conditions identifies this finding?
A. Pityriasis rosea
B. Dermatophytosis
C. Rosacea
D. Herpes zoster - correct answerA:CorrectPityriasis rosea is a self-limiting
inflammation of unknown cause. The herald lesion is commonly missed, although the
most common sign of this condition.
The examiner notes a large blue-black spot on the buttock of a 4-week-old black
neonate. The mother states that the infant was born with it. The examiner should
recognize that this:
A. is an expected finding.
B. may indicate child abuse.
C. is related to birth trauma.
D. suggests a congenital defect. - correct answerA:CorrectThis finding is indicative of
Mongolian spots. Mongolian spots are irregular areas of deep blue pigmentation,
usually in the sacral and gluteal regions, and are seen predominantly in newborns of
African, Native American/American Indian, Asian, or Latin descent. They commonly
appear on the back, buttocks, shoulders, and legs of well babies and usually disappear
in the preschool years.
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma. - correct answerA:CorrectCafé au lait spots are flat, evenly
pigmented spots varying in color from light brown to dark brown or black on dark skin,
are larger than 5 mm in diameter, and are present at birth or shortly thereafter. They
may be associated with neurofibromatosis or miscellaneous other conditions, including
pulmonary stenosis, temporal lobe dysrhythmia, and tuberous sclerosis.
, Mr. Tucker is a 68-year-old man who comes to your office complaining of spots on his
skin. On examination, which lesion is an expected finding on the skin of healthy older
adults?
A. Acne vulgaris
B. Cherry angioma
C. Miliaria
D. Trichotillomania - correct answerB: CorrectCherry angiomas are tiny, bright ruby-red,
round papules that may become brown with time. They occur in virtually everyone older
than 30 years and increase numerically with age.
The examiner notes hyperkeratosis on a patient's palms and soles. The examiner
recognizes that this:
A. may be a sign of a systemic disorder.
B. may be an indication of a congenital heart defect.
C. is commonly found among individuals with Down syndrome.
D. is considered a normal finding. - correct answerD:CorrectHyperkeratosis or callus is
a superficial area that occurs on the weight-bearing areas of the feet and on the palmar
surface of the hands. Calluses are less well demarcated than corns and are usually not
tender.
A patient with diabetes presents to the clinic complaining of an infected foot. On
removing the patient's sock, the examiner notes an odor that resembles rotting apples.
What type of infection is this consistent with?
A. Pseudomonas infection
B. Peritonitis
C. Anaerobic infection
D. Clostridium gas gangrene - correct answerD:CorrectThe skin, like other body parts,
may have odors suggesting a variety of problems: infectious, metabolic, or neurologic.
The smell of rotting apples usually indicates Clostridium gas gangrene.
Mrs. Nieland brings her toddler in for a routine office visit. She tells you that she has a
new babysitter. Which finding is consistent with a physical abuse injury in a toddler?
A. A burn to the skin with a splash pattern
B. Bruising of the skin over soft tissue
C. Bruising of the skin over a bony prominence
D. Café au lait patches - correct answerB: CorrectPhysical findings in children who are
physically abused include bruises, burns, lacerations, scars, bony deformities, alopecia,
retinal hemorrhages, dental trauma, and head and abdominal injuries. Bruising
associated with abuse occurs over soft tissue; toddlers and older children who bruise
themselves accidentally do so over bony prominences.
Answers | Latest Update 2026 | Graded A+
In which age group are milia an expected finding?
A. Newborns
B. Young children
C. Adolescents
D. Older adults - correct answerA: CorrectMilia are small, whitish, discrete papules on
the face; they are commonly found during the first 2 to 3 months of life. The sebaceous
glands function in an immature fashion at this age and are easily plugged by sebum.
Answers b, c, and d are incorrect.
Mr. Babson is a 74-year-old man who presents to your office with a complaint of a
"spot" on his chin and wants to know whether it is cancerous. Which of the following
signs or symptoms indicates a need for further medical investigation?
A. The "spot" is a reddish brown color.
B. The "spot" has been on his chin for 20 years.
C. The "spot" bleeds easily when it is touched.
D. The "spot" is slightly raised and circumscribed. - correct answerC: CorrectA "spot"
that bleeds easily when it is touched may be indicative of a more serious condition like
basal cell carcinoma, the most common form of skin cancer.
A 6-year-old girl has freckles over her nose and cheeks. The examiner will recall that
freckles are a type of:
A. macule.
B. papule.
C. nodule.
D. patch. - correct answerA:correctA macule is a flat, circumscribed area that is a
change in the color of the skin usually less than 1 cm in diameter. Freckles, flat moles,
petechiae, and measles are examples of macules.
Mrs. Tomberg brings her 4-day-old infant to your office with a concern of a yellowish
skin tone. Which of the following statements best describes the rationale for the skin
tone?
A. Increased formation of subcutaneous tissue causes a yellow hue.
B. Capillaries broken during the birth process turn the skin slightly yellow as bruises
heal.
C. The yellowish color results from increased fat metabolism and heat production.
D. The infant has hyperbilirubinemia. - correct answerD:CorrectHyperbilirubinemia, or
physiologic jaundice, is present to a mild degree in many newborn infants. It usually
starts after the first day of life and disappears by the eighth to tenth day but may persist
,for as long as 3 to 4 weeks. Intense and persistent jaundice suggests liver disease, a
hemolytic process, or severe, overwhelming infection.
Mr. Russel is a 17-year-old adolescent patient who presents with a complaint of acne.
He asks the examiner why teens have more problems with acne than children. Which of
the following would be an appropriate response?
A. "Children have better hygiene habits than adolescents because of parental
guidance."
B. "Adolescents have reduced blood flow to the epidermal layer of the skin, making
them more prone to infections."
C. "At puberty, adolescents begin to secrete more oil from sebaceous glands."
D. "Children have very little skin mass, which prevents development of acne." - correct
answerC: CorrectDuring adolescence, the apocrine glands enlarge and become active,
causing increased axillary sweating and sometimes body odor. Sebaceous glands
increase sebum production in response to increased hormone levels, primarily
androgen, giving the skin an oily appearance and predisposing the individual to acne.
While examining the skin of an 87-year-old woman, the nurse observes significant
tenting. Which of the following best explains that finding?
A. Small tags of skin form on the neck.
B. The skin becomes thin and takes on a parchment-like appearance.
C. The skin becomes dry with significant flaking.
D. There is a loss of adipose tissue and elasticity. - correct answerD:CorrectTenting
occurs in the older adult as a result of loss of adipose tissue and elasticity. The skin
often appears to hang loosely on the bony frame as a result of a general loss of
elasticity, loss of underlying adipose tissue, and years of gravitational pull.
Mr. Allen is a 66-year-old man who presents to your clinic for follow-up for his chronic
obstructive pulmonary disease (COPD). When assessing for the presence of clubbing,
the examiner specifically examines:
A. the width of the nail base.
B. the angle of the nail base.
C. the thickness of the nail.
D. the color of the nail. - correct answerB:CorrectThe average nail base angle should
measure 160 degrees. In clubbing, the nail base is boggy and the angle increases and
approaches or exceeds 180 degrees. Another method of assessment is the Schamroth
technique. Clubbing is associated with a variety of respiratory and cardiovascular
diseases, cirrhosis, colitis, and thyroid disease.
,Mrs. Jones presents with a complaint of a spot on her skin. Which type of lesion can
develop in an already present nevi?
A. Malignant melanoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Kaposi sarcoma - correct answerA: CorrectMalignant melonoma is the most lethal
form of skin cancer that develops from melanocytes. Squamous cell carcinoma, basal
cell carcinoma, and Kaposi sarcoma rarely develop in an already existing nevi.
Mrs. Xavier is a 45-year-old patient who presents to your office with a complaint of a
rash. On examination, you find a herald patch (round plaque with fine superficial
scaling). Which of the following conditions identifies this finding?
A. Pityriasis rosea
B. Dermatophytosis
C. Rosacea
D. Herpes zoster - correct answerA:CorrectPityriasis rosea is a self-limiting
inflammation of unknown cause. The herald lesion is commonly missed, although the
most common sign of this condition.
The examiner notes a large blue-black spot on the buttock of a 4-week-old black
neonate. The mother states that the infant was born with it. The examiner should
recognize that this:
A. is an expected finding.
B. may indicate child abuse.
C. is related to birth trauma.
D. suggests a congenital defect. - correct answerA:CorrectThis finding is indicative of
Mongolian spots. Mongolian spots are irregular areas of deep blue pigmentation,
usually in the sacral and gluteal regions, and are seen predominantly in newborns of
African, Native American/American Indian, Asian, or Latin descent. They commonly
appear on the back, buttocks, shoulders, and legs of well babies and usually disappear
in the preschool years.
A skin lesion that may be associated with neurofibromatosis or pulmonary stenosis is:
A. café au lait spots.
B. nevus vasculosus.
C. port wine limb stain.
D. spider angioma. - correct answerA:CorrectCafé au lait spots are flat, evenly
pigmented spots varying in color from light brown to dark brown or black on dark skin,
are larger than 5 mm in diameter, and are present at birth or shortly thereafter. They
may be associated with neurofibromatosis or miscellaneous other conditions, including
pulmonary stenosis, temporal lobe dysrhythmia, and tuberous sclerosis.
, Mr. Tucker is a 68-year-old man who comes to your office complaining of spots on his
skin. On examination, which lesion is an expected finding on the skin of healthy older
adults?
A. Acne vulgaris
B. Cherry angioma
C. Miliaria
D. Trichotillomania - correct answerB: CorrectCherry angiomas are tiny, bright ruby-red,
round papules that may become brown with time. They occur in virtually everyone older
than 30 years and increase numerically with age.
The examiner notes hyperkeratosis on a patient's palms and soles. The examiner
recognizes that this:
A. may be a sign of a systemic disorder.
B. may be an indication of a congenital heart defect.
C. is commonly found among individuals with Down syndrome.
D. is considered a normal finding. - correct answerD:CorrectHyperkeratosis or callus is
a superficial area that occurs on the weight-bearing areas of the feet and on the palmar
surface of the hands. Calluses are less well demarcated than corns and are usually not
tender.
A patient with diabetes presents to the clinic complaining of an infected foot. On
removing the patient's sock, the examiner notes an odor that resembles rotting apples.
What type of infection is this consistent with?
A. Pseudomonas infection
B. Peritonitis
C. Anaerobic infection
D. Clostridium gas gangrene - correct answerD:CorrectThe skin, like other body parts,
may have odors suggesting a variety of problems: infectious, metabolic, or neurologic.
The smell of rotting apples usually indicates Clostridium gas gangrene.
Mrs. Nieland brings her toddler in for a routine office visit. She tells you that she has a
new babysitter. Which finding is consistent with a physical abuse injury in a toddler?
A. A burn to the skin with a splash pattern
B. Bruising of the skin over soft tissue
C. Bruising of the skin over a bony prominence
D. Café au lait patches - correct answerB: CorrectPhysical findings in children who are
physically abused include bruises, burns, lacerations, scars, bony deformities, alopecia,
retinal hemorrhages, dental trauma, and head and abdominal injuries. Bruising
associated with abuse occurs over soft tissue; toddlers and older children who bruise
themselves accidentally do so over bony prominences.
