NURS 6512 WEEK 3: ADVANCED
HEALTH ASSESSMENT OF THE
INTEGUMENTARY AND LYMPHATIC
SYSTEMS QUESTIONS AND VERIFIED
ANSWERS | 100% CORRECT | GRADE A+
1. When assessing a patient for suspected malignant melanoma, which of the following
‘ABCDE’ criteria refers to the variation in color within the lesion?
A. Asymmetry
B. Color variegation
C. Border irregularity
D. Diameter greater than 6mm
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, ‘C’ stands for color
variegation, which indicates that the lesion has multiple colors or shades, a common red
flag for malignancy.
2. A clinician notes a 1.5 cm fluid-filled, elevated lesion on a patient’s forearm. Which term
correctly describes this primary skin lesion?
A. Bulla
,B. Vesicle
C. Pustule
D. Cyst
Answer: A
Conceptual Explanation: A bulla is defined as a circumscribed, elevated, fluid-filled lesion
that is greater than 1.0 cm in diameter. A vesicle is less than 1.0 cm.
3. Which layer of the epidermis is responsible for the continuous production of new
keratinocytes?
A. Stratum basale
B. Stratum lucidum
C. Stratum granulosum
D. Stratum corneum
Answer: A
Conceptual Explanation: The stratum basale (or germinativum) is the deepest layer of the
epidermis where cell division occurs to replace the cells shed from the surface.
4. During an assessment, the nurse practitioner observes a linear, crack-like sore extending
into the dermis of the patient’s heel. This is documented as a:
A. Ulcer
B. Erosion
, C. Fissure
D. Excoriation
Answer: C
Conceptual Explanation: A fissure is a linear crack in the skin that extends into the
dermis, often caused by excessive dryness or thickened skin.
5. A patient presents with a ‘herald patch’ followed by a ‘Christmas tree’ distribution of
smaller maculopapular lesions. What is the most likely diagnosis?
A. Tinea corporis
B. Pityriasis rosea
C. Secondary syphilis
D. Psoriasis
Answer: B
Conceptual Explanation: Pityriasis rosea typically begins with a single herald patch,
followed by a generalized eruption in a Christmas tree pattern along the skin’s cleavage
lines.
6. A hard, fixed, non-tender, and enlarged left supraclavicular lymph node is specifically
referred to as:
A. Stenson’s node
B. Virchow’s node
HEALTH ASSESSMENT OF THE
INTEGUMENTARY AND LYMPHATIC
SYSTEMS QUESTIONS AND VERIFIED
ANSWERS | 100% CORRECT | GRADE A+
1. When assessing a patient for suspected malignant melanoma, which of the following
‘ABCDE’ criteria refers to the variation in color within the lesion?
A. Asymmetry
B. Color variegation
C. Border irregularity
D. Diameter greater than 6mm
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, ‘C’ stands for color
variegation, which indicates that the lesion has multiple colors or shades, a common red
flag for malignancy.
2. A clinician notes a 1.5 cm fluid-filled, elevated lesion on a patient’s forearm. Which term
correctly describes this primary skin lesion?
A. Bulla
,B. Vesicle
C. Pustule
D. Cyst
Answer: A
Conceptual Explanation: A bulla is defined as a circumscribed, elevated, fluid-filled lesion
that is greater than 1.0 cm in diameter. A vesicle is less than 1.0 cm.
3. Which layer of the epidermis is responsible for the continuous production of new
keratinocytes?
A. Stratum basale
B. Stratum lucidum
C. Stratum granulosum
D. Stratum corneum
Answer: A
Conceptual Explanation: The stratum basale (or germinativum) is the deepest layer of the
epidermis where cell division occurs to replace the cells shed from the surface.
4. During an assessment, the nurse practitioner observes a linear, crack-like sore extending
into the dermis of the patient’s heel. This is documented as a:
A. Ulcer
B. Erosion
, C. Fissure
D. Excoriation
Answer: C
Conceptual Explanation: A fissure is a linear crack in the skin that extends into the
dermis, often caused by excessive dryness or thickened skin.
5. A patient presents with a ‘herald patch’ followed by a ‘Christmas tree’ distribution of
smaller maculopapular lesions. What is the most likely diagnosis?
A. Tinea corporis
B. Pityriasis rosea
C. Secondary syphilis
D. Psoriasis
Answer: B
Conceptual Explanation: Pityriasis rosea typically begins with a single herald patch,
followed by a generalized eruption in a Christmas tree pattern along the skin’s cleavage
lines.
6. A hard, fixed, non-tender, and enlarged left supraclavicular lymph node is specifically
referred to as:
A. Stenson’s node
B. Virchow’s node
