NURS 612 Advanced Health Assessment Exam 2
Questions With Complete Solutions
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct
answer: 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 correct answer: 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 correct answer: 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 correct
answer: 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 correct answer: 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 correct answer: a. Café au lait patches
Which lesion is an expected finding on the skin of healthy older
adults?
a. Acne vulgaris
Questions With Complete Solutions
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct
answer: 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 correct answer: 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 correct answer: 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 correct
answer: 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 correct answer: 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 correct answer: a. Café au lait patches
Which lesion is an expected finding on the skin of healthy older
adults?
a. Acne vulgaris
