ASSESSMENT ACTUAL EXAM
2025/2026 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
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WALDEN UNIVERSITY
1. Which is NOT a risk factor for breast cancer? - ANSWER ✔ -History of
maternal breast cancer
-1st pregnancy after age 35
-asymmetric breast development
-late menopause after 54
2. Which description is most characteristic of breast cancer? - ANSWER ✔
Single, firm, nontender, ill-defined breast lump
3. You are assessing a neonate and note breast engorgement. You document
this as an abnormality. True or false - ANSWER ✔ FALSE
4. With which of the following clients having a breast lump are you alerted to
the possibility of a fibroadenoma? - ANSWER ✔ 25 yo woman with a single
firm rubbery lump
5. When performing a clinical breast exam, you take special care to examine
the upper outer quadrants and axilla because - ANSWER ✔ Most frequent
location of breast cancer
,6. Which statement is true regarding the internal structures of the breast? -
ANSWER ✔ The breast is composed of fibrous, glandular, and adipose
tissue
7. In an older man, gynecomastia may be secondary to: - ANSWER ✔ A
change in testosterone
8. Which statement is most suggestive of a fibrocystic breast condition? -
ANSWER ✔ I feel a lump in my breast before my periods
9. Which statement is the best way to promote breast self-examination? -
ANSWER ✔ "breast self-examination on a monthly basis will help you to
become familiar with your breast tissue and its normal variations"
10.a 34 yo woman noted that she had nipple discharge for two months.
Pregnancy test was negative.. ... ... .. Which of the following characteristics
of the discharge would be most concerning? - ANSWER ✔ Bloody
11.52 yo F palpable breast lump. Fine needle aspiration does not bring any
fluid. .. .. .. What is the next step? - ANSWER ✔ Refer for biopsy
12.What is choasma? - ANSWER ✔ Also called melasma - dark discolored
patches. A "mask of pregnancy."
13.When should the fontanels close? - ANSWER ✔ Posterior - 1-2 months
Anterior - 9-18 months
14.Your newborn patient presents with a neural tube defect where there are
protrusions of the brain and membranes through openings in the skull. What
is this? - ANSWER ✔ Encephalocele
15.What is craniosynostosis? - ANSWER ✔ Premature closing of cranial
sutures before the brain growth is complete.
16.What is Macewen sign? What is it indicative of? - ANSWER ✔ When you
percuss the skull with one finger and hear stronger resonant sounds.
, Indicative of hydrocephalus or a brain abscess
17.What are the layers of the skin? - ANSWER ✔ epidermis, dermis,
hypodermis
18.What is the outermost layer of the skin? - ANSWER ✔ Epidermis
19.What are the layers of the epidermis? And what do they do? - ANSWER ✔
1) Stratum Corneum = protects and restricts water loss
2) Cellular Stratum = synthesizes keratin cells
20.Epidermis vs. dermis - which is vascular? - ANSWER ✔ Dermis is richly
vascular, epidermis is avascular and depends on dermis for its nutrients
21.What are the major components of the dermis? - ANSWER ✔ Elastin,
collagen, reticulin
Sensory nerve fibers
Autonomic motor nerves
22.What layer of the skin generates heat, provides insulation, shock absorption,
and calorie reserve? - ANSWER ✔ Hypodermis
23.What is the difference between eccrine and apocrine sweat glands? -
ANSWER ✔ Eccrine are on the surface, most parts of the body, and regulate
temperature through secretion
24.Apocrine are larger, deeper, found in the axilla, anogenital, ears, etc, and
secrete protein and carb rich fluid
25.What is body odor caused by? - ANSWER ✔ Bacterial decomposition of the
apocrine sweat
26.What are the types of hair on the human body? - ANSWER ✔ Vellus =
short, soft, non pigmented hair
, Terminal = coarse, thicker, pigmented hair
27.What are hair cells formed by? - ANSWER ✔ Epidermal cells which
invaginate into the dermal layers
28.What is the nail formed by? - ANSWER ✔ Epidermal cells get converted to
hard plates of keratin
29.What systemic problems do you want to ask about when interviewing a
patient with a skin/hair/nails complaint? - ANSWER ✔ Thyroid of liver
disorder
Autoimmune diseases
Malnutrition
Skin disorders
Congenital anomalies
30.What do you want to know about a patient's family who presents with a
skin/hair/nail problem? - ANSWER ✔ Dermatologic diseases
Allergic diseases like asthma
Hair loss of coloration patterns
31.What eight components must be observed and documented when you are
performing a skin exam? - ANSWER ✔ 1. color
2. vascularity
3. temperature
4. texture
5. turgor
6. mobility
7. moisture
8. lesions
32.What is the Woods Lamp used for? - ANSWER ✔ It uses fluorescent light
to detect bacterial or fungal skin infections, detect pigment disorders, or
determine corneal abrasion
33.How do you determine turgor and mobility during your skin exam? -
ANSWER ✔ Pinch resilient skin