NU 673 HEALTH ASSESSMENT MIDTERM
EXAM 2025-2026 QUESTIONS AND ANSWERS
GRADED A+
A retired farmer is evaluated by the APRN for a skin lesion. On the right temporal area of the forehead,
the APRN observes a flattened papule that is skin-colored by a dry scale. The APRN notices several more
of these lesions scattered on the forehead, arms and legs. What is the most likely diagnosis?
Actinic keratosis
A patient presents with a pruritic rash over the knees and elbows which has come and gone for several
years. It seems to be worse in the winter and improves with sun exposure. On exam, the APRN notes
erythematous well-circumscribed plaques with some silvery scale. What skin condition does the APRN
suspect?
Psoriasis
P. 192
A patient presents to the office for evaluation of a new lesion on the upper chest. The lesion appears to
be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a rough, wart-like
texture on palpation. What is the most likely diagnosis?
Seborrheic keratosis
, A middle-aged man comes in because he noticed a small, fiery-red lesion on his anterior chest. It is not
painful and he has not noticed any bleeding or bruising. On exam, there is a 1 cm red, slightly-raised
lesion with a central body and radiating legs. What is the most likely diagnosis?
Spider angioma
P. 205
A 68-year-old male presents to the office for evaluation of swelling in his legs. He is a smoker and is on
anti-hypertensive medication. The APRN is concerned about his risk for peripheral vascular disease.
Which test would be appropriate to order for INITIAL evaluation for this condition?
Ankle-brachial index
P. 519-520
What are the ABCDEs of screening for melanoma?
Asymmetry, Border irregularity, Color variation, Diameter > 6mm, Evolution
P. 178-179
A 45-year-old female presents with respiratory distress, and the APRN intends to draw an ABG. Prior to
drawing the ABG, the APRN will perform which test to ensure the patency of the ulnar artery prior to
puncturing the radial artery?
Allen test
EXAM 2025-2026 QUESTIONS AND ANSWERS
GRADED A+
A retired farmer is evaluated by the APRN for a skin lesion. On the right temporal area of the forehead,
the APRN observes a flattened papule that is skin-colored by a dry scale. The APRN notices several more
of these lesions scattered on the forehead, arms and legs. What is the most likely diagnosis?
Actinic keratosis
A patient presents with a pruritic rash over the knees and elbows which has come and gone for several
years. It seems to be worse in the winter and improves with sun exposure. On exam, the APRN notes
erythematous well-circumscribed plaques with some silvery scale. What skin condition does the APRN
suspect?
Psoriasis
P. 192
A patient presents to the office for evaluation of a new lesion on the upper chest. The lesion appears to
be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a rough, wart-like
texture on palpation. What is the most likely diagnosis?
Seborrheic keratosis
, A middle-aged man comes in because he noticed a small, fiery-red lesion on his anterior chest. It is not
painful and he has not noticed any bleeding or bruising. On exam, there is a 1 cm red, slightly-raised
lesion with a central body and radiating legs. What is the most likely diagnosis?
Spider angioma
P. 205
A 68-year-old male presents to the office for evaluation of swelling in his legs. He is a smoker and is on
anti-hypertensive medication. The APRN is concerned about his risk for peripheral vascular disease.
Which test would be appropriate to order for INITIAL evaluation for this condition?
Ankle-brachial index
P. 519-520
What are the ABCDEs of screening for melanoma?
Asymmetry, Border irregularity, Color variation, Diameter > 6mm, Evolution
P. 178-179
A 45-year-old female presents with respiratory distress, and the APRN intends to draw an ABG. Prior to
drawing the ABG, the APRN will perform which test to ensure the patency of the ulnar artery prior to
puncturing the radial artery?
Allen test
