ADVANCED HEALTH ASSESSMENT AND
CLINICAL DIAGNOSIS IN PRIMARY CARE
7TH EDITION FULL SOLUTION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ The history and physical of a client indicates paste occurrences of
lichenification. The NP identifies this as: Answer: Rough, thickened
epidermis, accentuated skin markings
⩥ On examination of a client's skin, the nurse practitioner finds a lesion
that is about 0.75 cm in diameter, brown, and circumscribed. Correct
term for this lesion is: Answer: Macule
⩥ In performing a skin assessment, the NP understands that the
following characteristic of a mole would need intervention: Answer: A
new 2mm mole that is brown with a red, irregular border, and
occasionally pruritic
⩥ The NP describes an annular skin lesion as usually arranged in
Answer: A circle or ring shape
⩥ An NP educating patients realizes that risk factors for skin cancer
include all except: Answer: Dark eyes
,⩥ Which of the following in a client's history would place the patient
most at risk for melanoma? Answer: Intense, intermittent sun exposure
⩥ An elderly retired farmer presents with a rolled border, pearly, firm
nodule with telangiectasia on his nose. This is: Answer: Basal cell
carcinoma
⩥ An adult female presents with an irregular, variegated nevus on her
left lower back that has doubled in size the past ?. The NP should:
Answer: Refer immediately to a dermatologist
⩥ The ABCDs of melanoma identification include all of the following
EXCEPT: Answer: B (bridging): connection across sides
⩥ Your patient is 2 weeks old. During your assessment, you note that she
has pinhead sized, smooth, white, raised areas. You document this as:
Answer: Milia
⩥ Which skin lesions are directly related to chronic sun exposure and
photo damage? Answer: Actinic keratosis
⩥ In your assessment you note Ms. Angel has white nail syndrome, you
order: Answer: BUN & Creatinine
, ⩥ Mary D. an 84 y.o F has multiple solar lentils <1 cm. These are not
uncommon for her age. You would describe these as: Answer: Macules
⩥ Lou, a 50 yo homeless man is diagnosed with tinea capitis. You
realize this is cause by a(n): Answer: Dermatophyte
⩥ Ron R presents with dependent edema. You assess he has a >1 inch
indentation up to mid-tibia bilaterally. You document this as: Answer: +4
edema
⩥ The most common type of melanoma is the: Answer: Superficial
⩥ You are assessing Arlene C's skin complaint. You get a +Auspitz sign.
This aides you in the diagnosis of: Answer: Psoriasis
⩥ As you gather you history from a patient with atopic dermatitis what
other items in the personal or family history would you expect with this
patient? Answer: Asthma
⩥ Which of the following statements best describes squamous cell
carcinoma? Answer: Often has a keratinous horn
⩥ You are assessing a newborn and note the baby is jaundiced. He is 3
days old. You realize that for this to be a normal finding it must be gone
within: Answer: 1 week
CLINICAL DIAGNOSIS IN PRIMARY CARE
7TH EDITION FULL SOLUTION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ The history and physical of a client indicates paste occurrences of
lichenification. The NP identifies this as: Answer: Rough, thickened
epidermis, accentuated skin markings
⩥ On examination of a client's skin, the nurse practitioner finds a lesion
that is about 0.75 cm in diameter, brown, and circumscribed. Correct
term for this lesion is: Answer: Macule
⩥ In performing a skin assessment, the NP understands that the
following characteristic of a mole would need intervention: Answer: A
new 2mm mole that is brown with a red, irregular border, and
occasionally pruritic
⩥ The NP describes an annular skin lesion as usually arranged in
Answer: A circle or ring shape
⩥ An NP educating patients realizes that risk factors for skin cancer
include all except: Answer: Dark eyes
,⩥ Which of the following in a client's history would place the patient
most at risk for melanoma? Answer: Intense, intermittent sun exposure
⩥ An elderly retired farmer presents with a rolled border, pearly, firm
nodule with telangiectasia on his nose. This is: Answer: Basal cell
carcinoma
⩥ An adult female presents with an irregular, variegated nevus on her
left lower back that has doubled in size the past ?. The NP should:
Answer: Refer immediately to a dermatologist
⩥ The ABCDs of melanoma identification include all of the following
EXCEPT: Answer: B (bridging): connection across sides
⩥ Your patient is 2 weeks old. During your assessment, you note that she
has pinhead sized, smooth, white, raised areas. You document this as:
Answer: Milia
⩥ Which skin lesions are directly related to chronic sun exposure and
photo damage? Answer: Actinic keratosis
⩥ In your assessment you note Ms. Angel has white nail syndrome, you
order: Answer: BUN & Creatinine
, ⩥ Mary D. an 84 y.o F has multiple solar lentils <1 cm. These are not
uncommon for her age. You would describe these as: Answer: Macules
⩥ Lou, a 50 yo homeless man is diagnosed with tinea capitis. You
realize this is cause by a(n): Answer: Dermatophyte
⩥ Ron R presents with dependent edema. You assess he has a >1 inch
indentation up to mid-tibia bilaterally. You document this as: Answer: +4
edema
⩥ The most common type of melanoma is the: Answer: Superficial
⩥ You are assessing Arlene C's skin complaint. You get a +Auspitz sign.
This aides you in the diagnosis of: Answer: Psoriasis
⩥ As you gather you history from a patient with atopic dermatitis what
other items in the personal or family history would you expect with this
patient? Answer: Asthma
⩥ Which of the following statements best describes squamous cell
carcinoma? Answer: Often has a keratinous horn
⩥ You are assessing a newborn and note the baby is jaundiced. He is 3
days old. You realize that for this to be a normal finding it must be gone
within: Answer: 1 week
