NSG 5140 ADVANCED HEALTH
ASSESSMENT - WEEK 2 EXAM
QUESTIONS AND ANSWERS
1. When assessing a patient for melanoma, which of the following ‘ABCDE’ criteria indicates a
suspicious lesion?
A. Symmetry in shape
B. Border irregularity
C. Uniformity in color
D. Diameter less than 6mm
Answer: B
Conceptual Explanation: The ABCDE criteria for melanoma assessment include
Asymmetry, Border irregularity, Color variegation, Diameter greater than 6mm, and
Evolving/Elevation.
2. A practitioner notes a flat, non-palpable skin lesion that is 0.5 cm in size. How should this
be documented?
A. Macule
,B. Plaque
C. Papule
D. Patch
Answer: A
Conceptual Explanation: A macule is a flat, non-palpable lesion less than 1.0 cm. A patch
is a macule larger than 1.0 cm.
3. Which finding is most characteristic of chronic hypoxia in a patient with COPD?
A. Beau’s lines
B. Paronychia
C. Clubbing of the nails
D. Onycholysis
Answer: C
Conceptual Explanation: Clubbing involves an increase in the angle between the nail and
the nail base (over 180 degrees), often associated with chronic oxygen deprivation.
4. During a funduscopic exam, the NP observes ‘A-V nicking.’ What is this finding typically
associated with?
A. Glaucoma
B. Increased intracranial pressure
, C. Diabetic retinopathy
D. Hypertensive retinopathy
Answer: D
Conceptual Explanation: Arteriovenous (A-V) nicking occurs when a thickened retinal
artery crosses over a vein, compressing it; it is a classic sign of chronic hypertension.
5. The ‘cover-uncover’ test is primarily used to assess for which condition?
A. Strabismus
B. Nystagmus
C. Presbyopia
D. Cataracts
Answer: A
Conceptual Explanation: The cover-uncover test identifies muscle imbalance or
misalignment of the eyes (strabismus) by observing for corrective movements when one
eye is covered.
6. In a patient with conductive hearing loss in the right ear, what would be the expected
result of a Weber test?
A. Sound lateralizes to the left ear
B. Sound is not heard at all
C. Sound is heard equally in both ears
ASSESSMENT - WEEK 2 EXAM
QUESTIONS AND ANSWERS
1. When assessing a patient for melanoma, which of the following ‘ABCDE’ criteria indicates a
suspicious lesion?
A. Symmetry in shape
B. Border irregularity
C. Uniformity in color
D. Diameter less than 6mm
Answer: B
Conceptual Explanation: The ABCDE criteria for melanoma assessment include
Asymmetry, Border irregularity, Color variegation, Diameter greater than 6mm, and
Evolving/Elevation.
2. A practitioner notes a flat, non-palpable skin lesion that is 0.5 cm in size. How should this
be documented?
A. Macule
,B. Plaque
C. Papule
D. Patch
Answer: A
Conceptual Explanation: A macule is a flat, non-palpable lesion less than 1.0 cm. A patch
is a macule larger than 1.0 cm.
3. Which finding is most characteristic of chronic hypoxia in a patient with COPD?
A. Beau’s lines
B. Paronychia
C. Clubbing of the nails
D. Onycholysis
Answer: C
Conceptual Explanation: Clubbing involves an increase in the angle between the nail and
the nail base (over 180 degrees), often associated with chronic oxygen deprivation.
4. During a funduscopic exam, the NP observes ‘A-V nicking.’ What is this finding typically
associated with?
A. Glaucoma
B. Increased intracranial pressure
, C. Diabetic retinopathy
D. Hypertensive retinopathy
Answer: D
Conceptual Explanation: Arteriovenous (A-V) nicking occurs when a thickened retinal
artery crosses over a vein, compressing it; it is a classic sign of chronic hypertension.
5. The ‘cover-uncover’ test is primarily used to assess for which condition?
A. Strabismus
B. Nystagmus
C. Presbyopia
D. Cataracts
Answer: A
Conceptual Explanation: The cover-uncover test identifies muscle imbalance or
misalignment of the eyes (strabismus) by observing for corrective movements when one
eye is covered.
6. In a patient with conductive hearing loss in the right ear, what would be the expected
result of a Weber test?
A. Sound lateralizes to the left ear
B. Sound is not heard at all
C. Sound is heard equally in both ears
