NSG 300 HEALTH ASSESSMENT EXAM 2
ADVANCED PRACTICE QUESTIONS
WITH VERIFIED ANSWERS
1. When assessing a patient with dark skin for cyanosis, which area is the most reliable to
inspect for clinical evidence?
A. The nail beds
B. The skin of the dorsal hand
C. The earlobes
D. The conjunctiva and oral mucosa
Answer: D
Conceptual Explanation: In dark-skinned individuals, cyanosis is best observed in areas
of least pigmentation, such as the conjunctiva, oral mucosa, and tongue, rather than the nail
beds which can be affected by callus or pigment.
2. During a skin assessment, the nurse notes a lesion that is flat, non-palpable, and 0.8 cm in
diameter. How should this be documented?
A. Papule
B. Patch
,C. Plaque
D. Macule
Answer: D
Conceptual Explanation: A macule is a flat, circumscribed area of color change that is less
than 1 cm. A patch is larger than 1 cm, and a papule is elevated.
3. A patient has a pressure injury where the bone and tendon are visible. According to the
NPUAP, what stage is this?
A. Stage 2
B. Stage 3
C. Unstageable
D. Stage 4
Answer: D
Conceptual Explanation: Stage 4 pressure injuries involve full-thickness skin and tissue
loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone.
4. Which assessment finding is a hallmark sign of chronic hypoxia in a patient with COPD?
A. Clubbing of the fingernails
B. Pitting edema
C. Senile lentigines
, D. Petechiae
Answer: A
Conceptual Explanation: Clubbing involves a change in the angle of the nail bed (greater
than 180 degrees) and is a common clinical sign of chronic hypoxia found in respiratory
and cardiovascular diseases.
5. The nurse uses the ABCDE mnemonic to assess a mole. What does the ‘E’ stand for in this
screening tool?
A. Evolution
B. Erythema
C. Elevation
D. Exudate
Answer: A
Conceptual Explanation: In the ABCDE mnemonic for melanoma, E stands for Evolution
or Enlargement, referring to any change in the lesion’s size, shape, or color over time.
6. When assessing for peripheral edema, the nurse notes a deep pitting that remains for a
short time and the leg looks swollen. How is this graded?
A. 3+
B. 2+
C. 1+
ADVANCED PRACTICE QUESTIONS
WITH VERIFIED ANSWERS
1. When assessing a patient with dark skin for cyanosis, which area is the most reliable to
inspect for clinical evidence?
A. The nail beds
B. The skin of the dorsal hand
C. The earlobes
D. The conjunctiva and oral mucosa
Answer: D
Conceptual Explanation: In dark-skinned individuals, cyanosis is best observed in areas
of least pigmentation, such as the conjunctiva, oral mucosa, and tongue, rather than the nail
beds which can be affected by callus or pigment.
2. During a skin assessment, the nurse notes a lesion that is flat, non-palpable, and 0.8 cm in
diameter. How should this be documented?
A. Papule
B. Patch
,C. Plaque
D. Macule
Answer: D
Conceptual Explanation: A macule is a flat, circumscribed area of color change that is less
than 1 cm. A patch is larger than 1 cm, and a papule is elevated.
3. A patient has a pressure injury where the bone and tendon are visible. According to the
NPUAP, what stage is this?
A. Stage 2
B. Stage 3
C. Unstageable
D. Stage 4
Answer: D
Conceptual Explanation: Stage 4 pressure injuries involve full-thickness skin and tissue
loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone.
4. Which assessment finding is a hallmark sign of chronic hypoxia in a patient with COPD?
A. Clubbing of the fingernails
B. Pitting edema
C. Senile lentigines
, D. Petechiae
Answer: A
Conceptual Explanation: Clubbing involves a change in the angle of the nail bed (greater
than 180 degrees) and is a common clinical sign of chronic hypoxia found in respiratory
and cardiovascular diseases.
5. The nurse uses the ABCDE mnemonic to assess a mole. What does the ‘E’ stand for in this
screening tool?
A. Evolution
B. Erythema
C. Elevation
D. Exudate
Answer: A
Conceptual Explanation: In the ABCDE mnemonic for melanoma, E stands for Evolution
or Enlargement, referring to any change in the lesion’s size, shape, or color over time.
6. When assessing for peripheral edema, the nurse notes a deep pitting that remains for a
short time and the leg looks swollen. How is this graded?
A. 3+
B. 2+
C. 1+
