Page 1 of 54
HEALTH ASSESSMENT I EXAM 2
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 54
HEALTH ASSESSMENT - EXAM 2 PRACTICE QUESTIONS
When performing a skin assessment of an adult patient, the nurse expects
what finding?
a. Reddened area does not blanch when gentle pressure is applied
b. Indentation of the finger remains in the skin after palpation
c. Flaking or scaling of the skin
d. Return of skin to its original position when pinched up slightly
ANS: D
Feedback A This is an indication of a stage I pressure ulcer.
B This is a description of edema.
C This may be an indication of dry skin, systemic disease, or nutritional deficiency.
D This is an assessment of skin turgor; skin should return to its original position.
. A nurse notices a patient's nails are thin and depressed with the edges
turned up. What additional abnormal data should the nurse expect to find on
this patient?
a. Pale conjunctiva
b. Jaundice
c. Ecchymosis
d. Rashes
ANS: A
Feedback A The abnormal nail finding was koilonychia, which occurs in patients with
anemia who frequently have pale conjunctiva.
B Jaundice is due to increased serum bilirubin, indicating liver or gallbladder
disease, and does not create changes in nail structure.
C Ecchymosis occurs after trauma to the blood vessel resulting in bleeding under the
tissue and does not cause changes in nail structure.
D Rashes indicate an inflammation or allergic reaction that does cause changes in
the nails.
What findings does a nurse expect when inspecting and palpating a patient's
nails?
a. A nail base angle of not more than 90 degrees
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b. Whitish to clear nails in darker-skinned patients
c. Nail surface is smooth and rounded
d. Transverse depression running across the nails
ANS: C
Feedback A The expected angle of the nail base is 160 degrees. B Patients with
darker-pigmented skin typically have nails that are yellow or brown, and vertical
banded lines may appear. C Nail surface that is smooth and rounded is an expected
finding. D This is a description of Beau lines.
A nurse notices that the angle of the patient's proximal nail fold and the nail
plate are almost a flat line; about 160 degrees. How does the nurse interpret
this finding?
a. This patient has chronic pulmonary disease.
b. This is an expected finding.
c. This is due to stress to the nails.
d. This is associated with anemia.
ANS: B
Feedback A This patient has chronic pulmonary disease, which causes clubbing
(when the angle of the nail base exceeds 180 degrees). B The expected angle of the
nail base is 160 degrees. C This answer describes Beau lines, which appear as a
groove or transverse depression running across the nail. It results from a stressor
that temporarily impairs nail formation. D This is associated with anemia, which
causes koilonychia, a thin, depressed nail with the lateral edges turned upward
As a nurse is inspecting the nails of a patient with chronic hypoxemia and
notices enlargements of the ends of the fingers and angles of the nail base
greater than a straight line (exceeding 180 degrees). How does the nurse
document these findings?
a. An expected finding
b. Koilonychia (spoon nail)
c. Clubbing
d. Leukonychia
ANS: C
Feedback A This is clubbing, which is not an expected finding. B Koilonychia is a
thin, depressed nail with the lateral edges turned upward and is associated with
anemia. C Clubbing is present when the angle of the nail base exceeds 180
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degrees. It is caused by proliferation of the connective tissue resulting in an
enlargement of the distal fingers and is most commonly associated with chronic
respiratory or cardiovascular disease. D Leukonychia appears as white spots on the
nail plate, usually caused by minor trauma or manipulation of the cuticle.
While giving a history, a patient reports itching arms, legs, and chest after
using a new soap. What manifestations does the nurse expect to find on the
arms, legs, and chest when inspecting this patient's skin?
a. Elevated irregularly shaped areas of edema of variable diameter
b. Elevated, firm, and rough lesions with flat surface greater than 1 cm in
diameter
c. Elevated circumscribed superficial lesions less than 1 cm in diameter filled
with serous fluid
d. Elevated, firm circumscribed areas less than 1 cm in diameter
ANS: A
Feedback A This is a description of wheals, which occur as a result of allergic
reactions. B This is a description of plaque. C This is a description of a vesicle. D
This is a description of a papule.
While inspecting the skin, a nurse notices a lesion on the patient's upper right
arm. What is the best way to document the size of this lesion?
a. Compare its size to the size of a coin.
b. Estimate its size to the nearest inch.
c. Use a centimeter ruler to measure the lesion.
d. Trace the lesion onto a piece of paper.
ANS: C
Feedback A Comparing its size to the size of a coin can be done if no measurement
tool is available, but the best way is to measure the lesion. B Estimating size to the
nearest inch is not recommended due to inaccuracy. C A centimeter ruler to
measure the size of lesions may be helpful. The lesion is documented based on its
characteristics, including location, distribution, color, pattern, edges, flat or raised,
and size. D Tracing the lesion onto a piece of paper can be done if no measurement
tool is available, but the best way is to measure the lesion.
During shift report, a nurse learns that a patient has a macular rash. As the
nurse inspects the patient's skin, what finding will confirm the rash?
a. Elevated, firm, well-defined lesions less than 1 cm in diameter
HEALTH ASSESSMENT I EXAM 2
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 54
HEALTH ASSESSMENT - EXAM 2 PRACTICE QUESTIONS
When performing a skin assessment of an adult patient, the nurse expects
what finding?
a. Reddened area does not blanch when gentle pressure is applied
b. Indentation of the finger remains in the skin after palpation
c. Flaking or scaling of the skin
d. Return of skin to its original position when pinched up slightly
ANS: D
Feedback A This is an indication of a stage I pressure ulcer.
B This is a description of edema.
C This may be an indication of dry skin, systemic disease, or nutritional deficiency.
D This is an assessment of skin turgor; skin should return to its original position.
. A nurse notices a patient's nails are thin and depressed with the edges
turned up. What additional abnormal data should the nurse expect to find on
this patient?
a. Pale conjunctiva
b. Jaundice
c. Ecchymosis
d. Rashes
ANS: A
Feedback A The abnormal nail finding was koilonychia, which occurs in patients with
anemia who frequently have pale conjunctiva.
B Jaundice is due to increased serum bilirubin, indicating liver or gallbladder
disease, and does not create changes in nail structure.
C Ecchymosis occurs after trauma to the blood vessel resulting in bleeding under the
tissue and does not cause changes in nail structure.
D Rashes indicate an inflammation or allergic reaction that does cause changes in
the nails.
What findings does a nurse expect when inspecting and palpating a patient's
nails?
a. A nail base angle of not more than 90 degrees
, Page 3 of 54
b. Whitish to clear nails in darker-skinned patients
c. Nail surface is smooth and rounded
d. Transverse depression running across the nails
ANS: C
Feedback A The expected angle of the nail base is 160 degrees. B Patients with
darker-pigmented skin typically have nails that are yellow or brown, and vertical
banded lines may appear. C Nail surface that is smooth and rounded is an expected
finding. D This is a description of Beau lines.
A nurse notices that the angle of the patient's proximal nail fold and the nail
plate are almost a flat line; about 160 degrees. How does the nurse interpret
this finding?
a. This patient has chronic pulmonary disease.
b. This is an expected finding.
c. This is due to stress to the nails.
d. This is associated with anemia.
ANS: B
Feedback A This patient has chronic pulmonary disease, which causes clubbing
(when the angle of the nail base exceeds 180 degrees). B The expected angle of the
nail base is 160 degrees. C This answer describes Beau lines, which appear as a
groove or transverse depression running across the nail. It results from a stressor
that temporarily impairs nail formation. D This is associated with anemia, which
causes koilonychia, a thin, depressed nail with the lateral edges turned upward
As a nurse is inspecting the nails of a patient with chronic hypoxemia and
notices enlargements of the ends of the fingers and angles of the nail base
greater than a straight line (exceeding 180 degrees). How does the nurse
document these findings?
a. An expected finding
b. Koilonychia (spoon nail)
c. Clubbing
d. Leukonychia
ANS: C
Feedback A This is clubbing, which is not an expected finding. B Koilonychia is a
thin, depressed nail with the lateral edges turned upward and is associated with
anemia. C Clubbing is present when the angle of the nail base exceeds 180
, Page 4 of 54
degrees. It is caused by proliferation of the connective tissue resulting in an
enlargement of the distal fingers and is most commonly associated with chronic
respiratory or cardiovascular disease. D Leukonychia appears as white spots on the
nail plate, usually caused by minor trauma or manipulation of the cuticle.
While giving a history, a patient reports itching arms, legs, and chest after
using a new soap. What manifestations does the nurse expect to find on the
arms, legs, and chest when inspecting this patient's skin?
a. Elevated irregularly shaped areas of edema of variable diameter
b. Elevated, firm, and rough lesions with flat surface greater than 1 cm in
diameter
c. Elevated circumscribed superficial lesions less than 1 cm in diameter filled
with serous fluid
d. Elevated, firm circumscribed areas less than 1 cm in diameter
ANS: A
Feedback A This is a description of wheals, which occur as a result of allergic
reactions. B This is a description of plaque. C This is a description of a vesicle. D
This is a description of a papule.
While inspecting the skin, a nurse notices a lesion on the patient's upper right
arm. What is the best way to document the size of this lesion?
a. Compare its size to the size of a coin.
b. Estimate its size to the nearest inch.
c. Use a centimeter ruler to measure the lesion.
d. Trace the lesion onto a piece of paper.
ANS: C
Feedback A Comparing its size to the size of a coin can be done if no measurement
tool is available, but the best way is to measure the lesion. B Estimating size to the
nearest inch is not recommended due to inaccuracy. C A centimeter ruler to
measure the size of lesions may be helpful. The lesion is documented based on its
characteristics, including location, distribution, color, pattern, edges, flat or raised,
and size. D Tracing the lesion onto a piece of paper can be done if no measurement
tool is available, but the best way is to measure the lesion.
During shift report, a nurse learns that a patient has a macular rash. As the
nurse inspects the patient's skin, what finding will confirm the rash?
a. Elevated, firm, well-defined lesions less than 1 cm in diameter
