NURS 612 Advanced Health Assessment Exam 2 Questions and Answers 2023

NURS 612 Advanced Health Assessment Exam 2 Questions and Answers 2023 Milia are an expected finding in which age group? a. Newborns b. Young children c. Adolescents d. Older adults A. newborns An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following would indicate a need for further medical investigation? a. Reddish-brown color of the lesion b. Presence on his chin for 20 years c. Bleeds easily when it is touched d. Slightly raised and circumscribed c. Bleeds easily when it is touched A 6-year-old girl has freckles over her nose and cheeks. Freckles are a type of a. Macule b. Papule c. Nodule d. Petechiae a. Macule What grade should be assigned to a pressure ulcer over the coccyx that is open and shallow, showing a red-pink wound bed? a. Stage I b. Stage II c. Stage III d. Stage IV b. Stage II Why do some infants develop a yellowish skin tone on the third or fourth day of life? a. Increased formation of subcutaneous tissues causes a yellow hue b. Capillaries broken during the birth process turn the skin yellow as bruises heal c. Yellowish color results from increased fat metabolism and heat production d. Red blood cells that hemolyze after birth may cause a yellow skin hue d. Red blood cells that hemolyze after birth may cause a yellow skin hue An adolescent patient 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 susceptible to infections c. At puberty, adolescents begin to secrete more oil from their sebaceous glands d. Children have very little skin mass, which prevents development of acne c. At puberty, adolescents begin to secrete more oil from their sebaceous glands Chloasma is an expected finding in which of the following? a. Newborns b. Adolescents c. Pregnant women d. Older adults c. Pregnant women White examining the skin of an 87-year-old woman, the examiner observes significant tenting. Which of the following age-associated changes best explains this finding? a. Small skin tags form on the neck and back b. The skin becomes thin and takes on a parchment-like appearance c. The skin becomes dry, with significant flaking d. There is loss of adipose tissue and loss of elasticity d. There is loss of adipose tissue and loss of elasticity When assessing for the presence of clubbing, the examiner specifically examines the a. Width of the nail base b. Angle of the nail base c. Thickness of the nail d. Color of the nail b. Angle of the nail base Which type of lesion sometimes grows out of an already present nevus? a. Malignant melanoma b. Squamous cell carcinoma c. Basal cell carcinoma d. Kaposi sarcoma a. Malignant melanoma In young and school-age children, the most common skin lesions are caused by a. Communicable disease and bacterial infection b. Changes in skin color and skin tone, which accompany puberty c. Maturation of melanocytes, aging changes in skin color d. Skin inflammation from sebaceous gland activity a. Communicable disease and bacterial infection 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 a common finding b. May indicate child abuse c. Is related to birth trauma d. Suggest a congenital defect a. Is a common finding Which of the following may be associated with neurofibromatosis or pulmonary stenosis? a. Café au lait patches b. Nevus vasculosus c. Port-wine limb stain d. Spider angioma a. Café au lait patches Which lesion is an expected finding on the skin of healthy older adults? a. Acne vulgaris b. Cherry angioma c. Miliaria d. Trichotillomania b. Cherry angioma When palpating skin surfaces for temperature, the examiner should use the a. Palmar aspect of the hand b. Fingertips of the dominant hand c. Dorsal aspect of the hands or fingers d. Ulnar surface of the hand c. Dorsal aspect of the hands or fingers Hyperkeratosis is noted on a patient's palms and soles. The examiner recognizes that this a. May be a sign of systemic disorder b. May be an indication of a congenital heart defect c. Is common among individuals with Down syndrome d. Is considered a normal finding d. Is considered a normal finding A patient with diabetes presents to the clinic complaining of an infected foot. Upon removing the patient's sock, the examiner notes an odor that resembles rotting apples. This finding is consistent with what type of infection? a. Pseudomonas aeruginosa b. Proteus c. Viridans streptococci d. Clostridium perfringens d. Clostridium perfringens Which finding is consistent with a physical abuse injury in a toddler? 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 b. Bruising of the skin over soft tissue Which of the following techniques helps the examiner determine whether a palpable skin mass is filled with fluid? a. Using a wood's lamp b. Palpating c. Transilluminating d. Noting the odor of the lesion c. Transilluminating Which of the following findings suggests that a patient has a fungal infection of the nail beds? a. The nail bed is wide and thick b. The nail plate has a central depression, causing a spoon appearance c. Superficial white spots are present in the nail plate d. The nail plate is yellow and crumbling d. The nail plate is yellow and crumbling During an examination, which of the following questions would be most appropriate for the examiner to ask a patient to elicit information about the lymph system? a. Are you aware of any lumps? b. Have you had a change in appetite? c. Do your lymph nodes hurt? d. Where are your largest lymph nodes? a. Are you aware of any lumps?