ADVANCED HEALTH ASSESSMENT FINAL EXAM
QUESTIONS AND VERIFIED
ANSWERS
A circumscribed, elevated lesion, >1 cm I diameter and
containing - CORRECT clear serous fluid is best
described ANSWER>> asBulla
The history and physical of a client indicates paste occurrences of
lichenification. - CORRECT The NP identifies this as:Rough, thickened
epidermis, ANSWER>> 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: - CORRECT
ANSWER>>Macule
In performing a skin assessment, the NP understands that
the following characteristic of - CORRECT a
mole would need ANSWER>> intervention:A new 2mm mole that is
brown with a red, irregular border, and
occasionally pruritic - CORRECT
The NP describes an annular skin lesion as usually arranged ANSWER>> inA
circle or ring shape
An NP educating patients realizes that risk factors for skin cancer include all except: -
CORRECT ANSWER>>Dark eyes
Which of the following in a client's history would place the patient
most at risk - CORRECT for
ANSWER>> melanoma?Intense, intermittent sun exposure
An elderly retired farmer presents with a rolled border, pearly, firm
nodule with - CORRECT
telangiectasia on his nose. This ANSWER>> is:Basal cell carcinoma
2|Page
An adult female presents with an irregular, variegated nevus
on her left lower back that has - CORRECT
doubled in size the past ?. The NP ANSWER>> should:Refer immediately
to a dermatologist
The ABCDs of melanoma identification include all of the following EXCEPT: - CORRECT
ANSWER>>B (bridging): connection across sides
Your patient is 2 weeks old. During your assessment, you
note that she has pinhead sized, smooth, white, - CORRECT raised areas. You
document this as:Milia ANSWER>>
Which skin lesions are directly related to chronic sun exposure and photo damage? -
CORRECT ANSWER>>Actinic keratosis
In your assessment you note Ms. Angel has white nail syndrome, you order: - CORRECT
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 - CORRECT as:Macules
Lou, a 50 yo homeless man is ANSWER>> diagnosed with tinea capitis. You realize
this is cause by a(n): -
CORRECT 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: - CORRECT ANSWER>>+4 edema The
most common type of melanoma is the: - CORRECT ANSWER>>Superficial
You are assessing Arlene C's skin complaint. You get a +Auspitz
sign. This - CORRECT aides you in the
diagnosis ANSWER>> of:Psoriasis
3|Page
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? - CORRECT
ANSWER>>Asthma
Which of the following statements best describes squamous cell carcinoma? - CORRECT
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 - CORRECT finding it
must be gone within:1 week ANSWER>>
What are the major components to be documented for a skin lesion? - CORRECT
ANSWER>>-Distribution
-Configuration
-Palpable features
-Pattern
-All of the above
Which of the following presentations suggests a diagnosis of a malignant melanoma? -
CORRECT ANSWER>>Lesion with border irregularity
All of the following statements concerning basal cell carcinoma are true EXCEPT? - CORRECT
ANSWER>>It is most often found on abdomen or trunk
The NP denotes a bruit above and to the left of the umbilicus. This
- CORRECT finding is consistent with: History of HTN
ANSWER>> As you palpate the ab domen, + rebound
- CORRECT tenderness at McBurney's point would alert
ANSWER>> you to:
Appendicitis - CORRECT
Which of the following is true regarding colorectal ANSWER>>
cancer?Later
disease presentation o ften includes iron deficiency anemia
4|Page
You assess for Cullen s ign in Dan, age 62, after surgery. Cullen sign may indicate: - CORRECT
ANSWER>>Intra-abdo minal bleeding
When percussing the abdomen, you document hyper-resonance.
- CORRECT This most likely represents: Gaseous distention
ANSWER>> A positive fluid wave test may occur with all of the following
conditions EXCEPT - CORRECT
ANSWER>>Inflammation of the spleen
QUESTIONS AND VERIFIED
ANSWERS
A circumscribed, elevated lesion, >1 cm I diameter and
containing - CORRECT clear serous fluid is best
described ANSWER>> asBulla
The history and physical of a client indicates paste occurrences of
lichenification. - CORRECT The NP identifies this as:Rough, thickened
epidermis, ANSWER>> 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: - CORRECT
ANSWER>>Macule
In performing a skin assessment, the NP understands that
the following characteristic of - CORRECT a
mole would need ANSWER>> intervention:A new 2mm mole that is
brown with a red, irregular border, and
occasionally pruritic - CORRECT
The NP describes an annular skin lesion as usually arranged ANSWER>> inA
circle or ring shape
An NP educating patients realizes that risk factors for skin cancer include all except: -
CORRECT ANSWER>>Dark eyes
Which of the following in a client's history would place the patient
most at risk - CORRECT for
ANSWER>> melanoma?Intense, intermittent sun exposure
An elderly retired farmer presents with a rolled border, pearly, firm
nodule with - CORRECT
telangiectasia on his nose. This ANSWER>> is:Basal cell carcinoma
2|Page
An adult female presents with an irregular, variegated nevus
on her left lower back that has - CORRECT
doubled in size the past ?. The NP ANSWER>> should:Refer immediately
to a dermatologist
The ABCDs of melanoma identification include all of the following EXCEPT: - CORRECT
ANSWER>>B (bridging): connection across sides
Your patient is 2 weeks old. During your assessment, you
note that she has pinhead sized, smooth, white, - CORRECT raised areas. You
document this as:Milia ANSWER>>
Which skin lesions are directly related to chronic sun exposure and photo damage? -
CORRECT ANSWER>>Actinic keratosis
In your assessment you note Ms. Angel has white nail syndrome, you order: - CORRECT
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 - CORRECT as:Macules
Lou, a 50 yo homeless man is ANSWER>> diagnosed with tinea capitis. You realize
this is cause by a(n): -
CORRECT 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: - CORRECT ANSWER>>+4 edema The
most common type of melanoma is the: - CORRECT ANSWER>>Superficial
You are assessing Arlene C's skin complaint. You get a +Auspitz
sign. This - CORRECT aides you in the
diagnosis ANSWER>> of:Psoriasis
3|Page
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? - CORRECT
ANSWER>>Asthma
Which of the following statements best describes squamous cell carcinoma? - CORRECT
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 - CORRECT finding it
must be gone within:1 week ANSWER>>
What are the major components to be documented for a skin lesion? - CORRECT
ANSWER>>-Distribution
-Configuration
-Palpable features
-Pattern
-All of the above
Which of the following presentations suggests a diagnosis of a malignant melanoma? -
CORRECT ANSWER>>Lesion with border irregularity
All of the following statements concerning basal cell carcinoma are true EXCEPT? - CORRECT
ANSWER>>It is most often found on abdomen or trunk
The NP denotes a bruit above and to the left of the umbilicus. This
- CORRECT finding is consistent with: History of HTN
ANSWER>> As you palpate the ab domen, + rebound
- CORRECT tenderness at McBurney's point would alert
ANSWER>> you to:
Appendicitis - CORRECT
Which of the following is true regarding colorectal ANSWER>>
cancer?Later
disease presentation o ften includes iron deficiency anemia
4|Page
You assess for Cullen s ign in Dan, age 62, after surgery. Cullen sign may indicate: - CORRECT
ANSWER>>Intra-abdo minal bleeding
When percussing the abdomen, you document hyper-resonance.
- CORRECT This most likely represents: Gaseous distention
ANSWER>> A positive fluid wave test may occur with all of the following
conditions EXCEPT - CORRECT
ANSWER>>Inflammation of the spleen
