NUR631-Advanced Health Assessment Test 1 /2026 ( Q&A)
1.You are speaking to an 8th grade class about health prevention and are preparing to discuss the
ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E =
evolution
B) ABCDE
2.You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited
that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that
she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
D) dry and rough
3.A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large
patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of
erythematous papules and macules on the cleavage lines of the back. Based on this description, what is
the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
,a) pityriasis rosea
one large patch that erupted into many lesions
"Christmas tree pattern"
4.A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his
back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat
more than before because being outdoors is part of his job. On physical examination, you note dark tan
patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around
the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what
is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
B) tinea versicolor
fungal infection so sweating and increased moisture led to this
5.A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal
area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on
this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
A) actinic keratosis
6.For which of the following patients would a comprehensive health history be appropriate?
,A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand"
c) a new patient with the CC of "I am here to establish care"
7.The patient is new to the provider, so a comprehensive health history is needed
The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
B) thorax and lungs
these are part of the physical examination
Is the following information subjective or objective?
8.Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
relieved by rest.
A) Subjective
B) Objective
A) subjective
this is information given by the patient
Is the following information subjective or objective?
, 9.Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
B) objective
this is information obtained by the examiner
10.The following information is recorded in the health history: "The patient has had abdominal pain for
1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1
to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
B) Present illness
HPI
11.The following information is recorded in the health history: "The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
1.You are speaking to an 8th grade class about health prevention and are preparing to discuss the
ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E = evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E =
evolution
B) ABCDE
2.You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited
that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that
she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
D) dry and rough
3.A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large
patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of
erythematous papules and macules on the cleavage lines of the back. Based on this description, what is
the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
,a) pityriasis rosea
one large patch that erupted into many lesions
"Christmas tree pattern"
4.A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his
back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat
more than before because being outdoors is part of his job. On physical examination, you note dark tan
patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around
the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what
is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
B) tinea versicolor
fungal infection so sweating and increased moisture led to this
5.A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal
area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on
this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
A) actinic keratosis
6.For which of the following patients would a comprehensive health history be appropriate?
,A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand"
c) a new patient with the CC of "I am here to establish care"
7.The patient is new to the provider, so a comprehensive health history is needed
The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
B) thorax and lungs
these are part of the physical examination
Is the following information subjective or objective?
8.Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
relieved by rest.
A) Subjective
B) Objective
A) subjective
this is information given by the patient
Is the following information subjective or objective?
, 9.Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
B) objective
this is information obtained by the examiner
10.The following information is recorded in the health history: "The patient has had abdominal pain for
1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1
to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
B) Present illness
HPI
11.The following information is recorded in the health history: "The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
