NURS 6512 WEEK 4 ADVANCED
ASSESSMENT (SKIN, HEENT, AND
LYMPHATICS) QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. When assessing a patient with a suspected malignant melanoma, which ‘ABCDE’ criterion is
most indicative of the ‘E’ category?
A. Erythema surrounding the lesion
B. Enlargement of the lesion over time
C. Elevation above the skin surface
D. Edges that are notched or blurred
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, ‘E’ stands for Evolution
or Evolving, which refers to any change in size, shape, color, or new symptoms like
bleeding.
2. A 45-year-old patient presents with a hard, non-tender, fixed node in the left
supraclavicular fossae. This finding is most clinicaly significant for:
A. Thoracic or abdominal malignancy
,B. Mononucleosis
C. Acute pharyngitis
D. Toxoplasmosis
Answer: A
Conceptual Explanation: A hard, fixed, non-tender node in the left supraclavicular area is
known as Virchow’s node (or Troisier’s sign) and is often the first sign of an occult
abdominal or thoracic malignancy.
3. Which physical exam finding is most characteristic of Graves’ disease?
A. Periorbital edema and dry skin
B. Exophthalmos and lid lag
C. Macroglossia and hoarse voice
D. Thinning of the lateral third of the eyebrows
Answer: B
Conceptual Explanation: Graves’ disease, a form of hyperthyroidism, typically presents
with exophthalmos (bulging eyes) and lid lag due to sympathetic overstimulation and
retro-orbital tissue changes.
4. During a funduscopic exam, you observe an absence of the red reflex in a 2-year-old child.
This is an urgent finding that may suggest:
A. Retinoblastoma
, B. Strabismus
C. Astigmatism
D. Myopia
Answer: A
Conceptual Explanation: The absence of a red reflex (leukocoria) in a child is a critical
finding that must be investigated for retinoblastoma or congenital cataracts.
5. A patient complains of a ‘curtain closing’ over their vision in one eye. This symptom is most
closely associated with:
A. Glaucoma
B. Macular degeneration
C. Retinal detachment
D. Cataracts
Answer: C
Conceptual Explanation: Retinal detachment classically presents as a sudden, painless
loss of vision described as a curtain or shadow being pulled across the visual field.
6. A flat, non-palpable lesion greater than 1 cm in diameter is classified as a:
A. Macule
B. Plaque
ASSESSMENT (SKIN, HEENT, AND
LYMPHATICS) QUESTIONS AND
VERIFIED ANSWERS | 100% CORRECT |
GRADE A+
1. When assessing a patient with a suspected malignant melanoma, which ‘ABCDE’ criterion is
most indicative of the ‘E’ category?
A. Erythema surrounding the lesion
B. Enlargement of the lesion over time
C. Elevation above the skin surface
D. Edges that are notched or blurred
Answer: B
Conceptual Explanation: In the ABCDE mnemonic for melanoma, ‘E’ stands for Evolution
or Evolving, which refers to any change in size, shape, color, or new symptoms like
bleeding.
2. A 45-year-old patient presents with a hard, non-tender, fixed node in the left
supraclavicular fossae. This finding is most clinicaly significant for:
A. Thoracic or abdominal malignancy
,B. Mononucleosis
C. Acute pharyngitis
D. Toxoplasmosis
Answer: A
Conceptual Explanation: A hard, fixed, non-tender node in the left supraclavicular area is
known as Virchow’s node (or Troisier’s sign) and is often the first sign of an occult
abdominal or thoracic malignancy.
3. Which physical exam finding is most characteristic of Graves’ disease?
A. Periorbital edema and dry skin
B. Exophthalmos and lid lag
C. Macroglossia and hoarse voice
D. Thinning of the lateral third of the eyebrows
Answer: B
Conceptual Explanation: Graves’ disease, a form of hyperthyroidism, typically presents
with exophthalmos (bulging eyes) and lid lag due to sympathetic overstimulation and
retro-orbital tissue changes.
4. During a funduscopic exam, you observe an absence of the red reflex in a 2-year-old child.
This is an urgent finding that may suggest:
A. Retinoblastoma
, B. Strabismus
C. Astigmatism
D. Myopia
Answer: A
Conceptual Explanation: The absence of a red reflex (leukocoria) in a child is a critical
finding that must be investigated for retinoblastoma or congenital cataracts.
5. A patient complains of a ‘curtain closing’ over their vision in one eye. This symptom is most
closely associated with:
A. Glaucoma
B. Macular degeneration
C. Retinal detachment
D. Cataracts
Answer: C
Conceptual Explanation: Retinal detachment classically presents as a sudden, painless
loss of vision described as a curtain or shadow being pulled across the visual field.
6. A flat, non-palpable lesion greater than 1 cm in diameter is classified as a:
A. Macule
B. Plaque
