NURS 6512 ADVANCED HEALTH
ASSESSMENT EXAM 2 QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. During a physical examination of the skin, a provider notices a lesion that is flat, non-
palpable, and measures 0.8 cm in diameter. Which term best describes this finding?
A. Papule
B. Plaque
C. Macule
D. Patch
Answer: C
Conceptual Explanation: A macule is a flat, circumscribed area of color change that is less
than 1 cm in diameter. A patch is larger than 1 cm.
2. When assessing for malignant melanoma, the provider uses the ABCDE mnemonic. What
does the ‘E’ represent?
A. Elevated surface
B. Evolving or changing
,C. Erythematous border
D. Exudate present
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, E stands for Evolving,
referring to any change in size, shape, color, or new symptoms like bleeding or itching.
3. A patient presents with a suspicious skin lesion. Which characteristic is most suggestive of
basal cell carcinoma?
A. A firm, red nodule that crusts and bleeds
B. A rough, scaly patch on a sun-exposed area
C. A dark, asymmetrical lesion with irregular borders
D. A pearly, translucent papule with telangiectasia
Answer: D
Conceptual Explanation: Basal cell carcinoma typically presents as a slow-growing, pearly
or waxy papule, often with visible telangiectasia (small blood vessels).
4. Palpation of a supraclavicular node on the left side (Virchow’s node) is most significant for
which of the following?
A. An inflammatory process in the neck
B. Thoracic duct obstruction
C. Malignancy originating in the abdomen or thorax
, D. Chronic lymphocytic leukemia
Answer: C
Conceptual Explanation: Virchow’s node is a firm, enlarged left supraclavicular node that
is often a sign of metastatic cancer from the abdomen or thorax.
5. In an adult patient, which finding during the examination of the lymphatic system would
be considered abnormal and require further investigation?
A. Small, mobile, non-tender inguinal nodes less than 1 cm
B. A firm, fixed, non-tender node in the axilla
C. Shotty cervical nodes following a viral URI
D. Soft, discrete submandibular nodes
Answer: B
Conceptual Explanation: Nodes that are firm, fixed to underlying tissue, and non-tender
are highly suggestive of malignancy.
6. During an eye exam, the provider notes that the patient’s pupils constrict when focusing on
a near object after looking at a distant one. This is known as:
A. Direct light reflex
B. Accommodation
C. Consensual light reflex
D. Mydriasis
ASSESSMENT EXAM 2 QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. During a physical examination of the skin, a provider notices a lesion that is flat, non-
palpable, and measures 0.8 cm in diameter. Which term best describes this finding?
A. Papule
B. Plaque
C. Macule
D. Patch
Answer: C
Conceptual Explanation: A macule is a flat, circumscribed area of color change that is less
than 1 cm in diameter. A patch is larger than 1 cm.
2. When assessing for malignant melanoma, the provider uses the ABCDE mnemonic. What
does the ‘E’ represent?
A. Elevated surface
B. Evolving or changing
,C. Erythematous border
D. Exudate present
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, E stands for Evolving,
referring to any change in size, shape, color, or new symptoms like bleeding or itching.
3. A patient presents with a suspicious skin lesion. Which characteristic is most suggestive of
basal cell carcinoma?
A. A firm, red nodule that crusts and bleeds
B. A rough, scaly patch on a sun-exposed area
C. A dark, asymmetrical lesion with irregular borders
D. A pearly, translucent papule with telangiectasia
Answer: D
Conceptual Explanation: Basal cell carcinoma typically presents as a slow-growing, pearly
or waxy papule, often with visible telangiectasia (small blood vessels).
4. Palpation of a supraclavicular node on the left side (Virchow’s node) is most significant for
which of the following?
A. An inflammatory process in the neck
B. Thoracic duct obstruction
C. Malignancy originating in the abdomen or thorax
, D. Chronic lymphocytic leukemia
Answer: C
Conceptual Explanation: Virchow’s node is a firm, enlarged left supraclavicular node that
is often a sign of metastatic cancer from the abdomen or thorax.
5. In an adult patient, which finding during the examination of the lymphatic system would
be considered abnormal and require further investigation?
A. Small, mobile, non-tender inguinal nodes less than 1 cm
B. A firm, fixed, non-tender node in the axilla
C. Shotty cervical nodes following a viral URI
D. Soft, discrete submandibular nodes
Answer: B
Conceptual Explanation: Nodes that are firm, fixed to underlying tissue, and non-tender
are highly suggestive of malignancy.
6. During an eye exam, the provider notes that the patient’s pupils constrict when focusing on
a near object after looking at a distant one. This is known as:
A. Direct light reflex
B. Accommodation
C. Consensual light reflex
D. Mydriasis
