NURS 8020C ADVANCED HEALTH ASSESSMENT FINAL EXAM
2025 | 200 Practice Questions & Detailed Answers | UC
Content | A+ Guide
1. A circumscribed, elevated lesion >1 cm in diameter containing clear serous fluid is best described as a:
A. Vesicle
B. Bulla
C. Pustule
D. Nodule
Correct Answer: B. A bulla is a circumscribed, elevated lesion greater than 1 cm in diameter that
contains clear serous fluid. A vesicle is similar but less than 1 cm. A pustule contains purulent material,
and a nodule is a solid, elevated lesion.
2. The history and physical of a client indicates past occurrences of lichenification. The NP identifies the
lesion as:
A. Thin, fragile epidermis with visible vessels
B. Rough, thickened epidermis with accentuated skin markings
C. Flat, nonpalpable, discolored area
D. Elevated, solid mass with distinct borders
Correct Answer: B. Lichenification is characterized by rough, thickened epidermis with accentuated skin
markings, often resulting from chronic scratching or rubbing.
,3. On examination of a client's skin, the NP finds a lesion that is about 0.75 cm in diameter, brown, and
nonpalpable. The correct term for this lesion is:
A. Papule
B. Nodule
C. Macule
D. Plaque
Correct Answer: C. A macule is a flat, nonpalpable, discolored lesion less than 1 cm in diameter. A
papule is elevated, a nodule is larger and deeper, and a plaque is a flat, elevated lesion.
4. In performing a skin assessment, the NP understands that the following characteristic of a mole
requires intervention:
A. A symmetric, uniform brown mole
B. A new 2mm mole that is brown with a red, irregular border and is occasionally pruritic
C. A mole that has been present since childhood
D. A mole with regular, welldefined borders
Correct Answer: B. A new mole with irregular borders, color variation, and pruritus raises concern for
melanoma and requires intervention. The ABCDEs of melanoma include Asymmetry, Border irregularity,
Color variation, Diameter >6 mm, and Evolving.
5. The NP describes an annular skin lesion as usually arranged in:
A. A linear pattern
,B. A clustered pattern
C. A circle or ring shape
D. A diffuse, widespread pattern
Correct Answer: C. Annular lesions are characterized by a circular or ringshaped configuration.
6. Risk factors for skin cancer include all of the following EXCEPT:
A. Fair skin
B. Dark eyes
C. History of sunburns
D. Family history of skin cancer
Correct Answer: B. Dark eyes are not a risk factor for skin cancer. Risk factors include fair skin, history of
sunburns, family history, and excessive UV exposure.
7. Which of the following in a client's history would place the client most at risk for melanoma?
A. Chronic, continuous sun exposure
B. Intense intermittent sun exposure
C. Indoor occupation
D. Use of sunscreen regularly
Correct Answer: B. Intense intermittent sun exposure, especially with a history of sunburns, is a
significant risk factor for melanoma.
, 8. An elderly retired farmer presents with a rolled border, pearly, firm nodule with telangiectasis on his
nose. The NP recognizes this to be:
A. Malignant melanoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Actinic keratosis
Correct Answer: C. Basal cell carcinoma typically presents as a pearly, firm nodule with a rolled border
and telangiectasias, commonly on sunexposed areas such as the nose.
9. An adult female presents with an irregular variegated nevus on her lower left back. This finding is
most suspicious for:
A. Seborrheic keratosis
B. Melanoma
C. Dermatofibroma
D. Hemangioma
Correct Answer: B. An irregular, variegated (multiple colors) nevus is suspicious for melanoma,
particularly if it is new or changing.
10. The components of a COMPLETE health assessment include:
2025 | 200 Practice Questions & Detailed Answers | UC
Content | A+ Guide
1. A circumscribed, elevated lesion >1 cm in diameter containing clear serous fluid is best described as a:
A. Vesicle
B. Bulla
C. Pustule
D. Nodule
Correct Answer: B. A bulla is a circumscribed, elevated lesion greater than 1 cm in diameter that
contains clear serous fluid. A vesicle is similar but less than 1 cm. A pustule contains purulent material,
and a nodule is a solid, elevated lesion.
2. The history and physical of a client indicates past occurrences of lichenification. The NP identifies the
lesion as:
A. Thin, fragile epidermis with visible vessels
B. Rough, thickened epidermis with accentuated skin markings
C. Flat, nonpalpable, discolored area
D. Elevated, solid mass with distinct borders
Correct Answer: B. Lichenification is characterized by rough, thickened epidermis with accentuated skin
markings, often resulting from chronic scratching or rubbing.
,3. On examination of a client's skin, the NP finds a lesion that is about 0.75 cm in diameter, brown, and
nonpalpable. The correct term for this lesion is:
A. Papule
B. Nodule
C. Macule
D. Plaque
Correct Answer: C. A macule is a flat, nonpalpable, discolored lesion less than 1 cm in diameter. A
papule is elevated, a nodule is larger and deeper, and a plaque is a flat, elevated lesion.
4. In performing a skin assessment, the NP understands that the following characteristic of a mole
requires intervention:
A. A symmetric, uniform brown mole
B. A new 2mm mole that is brown with a red, irregular border and is occasionally pruritic
C. A mole that has been present since childhood
D. A mole with regular, welldefined borders
Correct Answer: B. A new mole with irregular borders, color variation, and pruritus raises concern for
melanoma and requires intervention. The ABCDEs of melanoma include Asymmetry, Border irregularity,
Color variation, Diameter >6 mm, and Evolving.
5. The NP describes an annular skin lesion as usually arranged in:
A. A linear pattern
,B. A clustered pattern
C. A circle or ring shape
D. A diffuse, widespread pattern
Correct Answer: C. Annular lesions are characterized by a circular or ringshaped configuration.
6. Risk factors for skin cancer include all of the following EXCEPT:
A. Fair skin
B. Dark eyes
C. History of sunburns
D. Family history of skin cancer
Correct Answer: B. Dark eyes are not a risk factor for skin cancer. Risk factors include fair skin, history of
sunburns, family history, and excessive UV exposure.
7. Which of the following in a client's history would place the client most at risk for melanoma?
A. Chronic, continuous sun exposure
B. Intense intermittent sun exposure
C. Indoor occupation
D. Use of sunscreen regularly
Correct Answer: B. Intense intermittent sun exposure, especially with a history of sunburns, is a
significant risk factor for melanoma.
, 8. An elderly retired farmer presents with a rolled border, pearly, firm nodule with telangiectasis on his
nose. The NP recognizes this to be:
A. Malignant melanoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Actinic keratosis
Correct Answer: C. Basal cell carcinoma typically presents as a pearly, firm nodule with a rolled border
and telangiectasias, commonly on sunexposed areas such as the nose.
9. An adult female presents with an irregular variegated nevus on her lower left back. This finding is
most suspicious for:
A. Seborrheic keratosis
B. Melanoma
C. Dermatofibroma
D. Hemangioma
Correct Answer: B. An irregular, variegated (multiple colors) nevus is suspicious for melanoma,
particularly if it is new or changing.
10. The components of a COMPLETE health assessment include:
