ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS RATED A+
A 65-year-old man with emphysema and bronchitis has come to
the clinic for a follow-up appointment. On assessment, the nurse
might expect to see which finding?
a. Anasarca
b. Scleroderma
c. Pedal erythema
d. Clubbing of the nails Correct Answer d. Clubbing of the nails
A newborn infant has Down syndrome. During the skin
assessment, the nurse notices a transient mottling in the trunk
and extremities in response to the cool temperature in the
examination room. The infant's mother also notices the mottling
and asks what it is. The nurse knows that this mottling is called:
a. Café au lait.
b. Carotenemia.
c... Acrocyanosis.
d. Cutis marmorata. Correct Answer d. Cutis marmorata.
,A 35-year-old pregnant woman comes to the clinic for a monthly
appointment. During the assessment, the nurse notices that she
has a brown patch of hyperpigmentation on her face. The nurse
continues the skin assessment aware that another finding may
be:
a. Keratoses.
b. Xerosis.
c. Chloasma.
d. Acrochordons. Correct Answer c. Chloasma.
A man has come in to the clinic for a skin assessment because he
is worried he might have skin cancer. During the skin assessment
the nurse notices several areas of pigmentation that look greasy,
dark, and "stuck on" his skin. Which is the best prediction?
a. Senile lentigines, which do not become cancerous
b. Actinic keratoses, which are precursors to basal cell carcinoma
c. Acrochordons, which are precursors to squamous cell
carcinoma
d. Seborrheic keratoses, which do not become cancerous Correct
Answer d. Seborrheic keratoses, which do not become cancerous
A 70-year-old woman who loves to garden has small, flat, brown
macules over her arms and hands. She asks, "What causes these
liver spots?" The nurse tells her, "They are:
a. "Signs of decreased hematocrit related to anemia."
,b. "Due to the destruction of melanin in your skin from exposure
to the sun."
c. "Clusters of melanocytes that appear after extensive sun
exposure."
d. "Areas of hyperpigmentation related to decreased perfusion
and vasoconstriction." Correct Answer c. "Clusters of melanocytes
that appear after extensive sun exposure."
The nurse notices that a patient has a solid, elevated,
circumscribed lesion that is less than 1 cm in diameter. When
documenting this finding, the nurse reports this as a:
a. Bulla.
b. Wheal.
c. Nodule.
d. Papule. Correct Answer d. Papule.
The nurse just noted from the medical record that the patient has
a lesion that is confluent in nature. On examination, the nurse
expects to find:
a. Lesions that run together.
b. Annular lesions that have grown together.
c. Lesions arranged in a line along a nerve route.
d. Lesions that are grouped or clustered together. Correct Answer
a. Lesions that run together.
, A patient has had a "terrible itch" for several months that he has
been continuously scratching. On examination, the nurse might
expect to find:
a. A keloid.
b. A fissure.
c. Keratosis.
d. Lichenification. Correct Answer d. Lichenification.
A physician has diagnosed a patient with purpura. After leaving
the room, a nursing student asks the nurse what the physician
saw that led to that diagnosis. The nurse should say, "The
physician is referring to the:
a. "Blue dilation of blood vessels in a star-shaped linear pattern
on the legs."
b. "Fiery red, star-shaped marking on the cheek that has a solid
circular center."
c. "Confluent and extensive patch of petechiae and ecchymoses
on the feet."
d. "Tiny areas of hemorrhage that are less than 2 mm, round,
discrete, and dark red in color." Correct Answer c. "Confluent and
extensive patch of petechiae and ecchymoses on the feet."
A mother has noticed that her son, who has been to a new
babysitter, has some blisters and scabs on his face and buttocks.