NURS 190 PHYSICAL ASSESSMENT -
WEEK 3 ADVANCED QUIZ 2026 | WCU
1. A nurse is assessing a patient with a pressure injury that presents as a partial-thickness loss
of dermis, appearing as a shallow open ulcer with a red-pink wound bed without slough. How
should this be staged?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: B
Conceptual Explanation: Stage 2 pressure injuries involve partial-thickness loss of dermis
presenting as a shallow open ulcer with a red-pink wound bed, or an intact/open serum-
filled blister.
2. When using the ABCDE mnemonic for skin cancer assessment, what does the ‘E’ represent?
A. Elevation
B. Evolving
C. Erythema
,D. Exudate
Answer: B
Conceptual Explanation: In the ABCDE assessment for melanoma, E stands for Evolving,
which refers to any change in size, shape, color, or new symptoms like bleeding or itching.
3. Upon palpating the neck, the nurse finds a lymph node that is hard, fixed, and non-tender.
This finding is most characteristic of:
A. Acute infection
B. Chronic inflammation
C. Malignancy
D. Normal findings
Answer: C
Conceptual Explanation: Malignant lymph nodes are typically hard (stony), fixed to
adjacent structures, and non-tender, whereas infected nodes are usually soft and tender.
4. Where is the most appropriate location to assess skin turgor in an elderly patient to ensure
accuracy?
A. Back of the hand
B. Beneath the clavicle
C. Abdomen
D. Forearm
, Answer: B
Conceptual Explanation: In older adults, skin on the hands and arms loses elasticity;
therefore, the subclavicular area or the sternum provides a more accurate assessment of
hydration status.
5. The nurse notes deep pitting edema that remains for a short time and the leg looks
swollen. How should this be documented?
A. 2+ Edema
B. 1+ Edema
C. 3+ Edema
D. 4+ Edema
Answer: C
Conceptual Explanation: 3+ edema is characterized by a deep pit (approx 6mm) that
remains for a short time and the extremity looks visibly swollen.
6. What is the diamond-shaped space created when the dorsal surfaces of the terminal
phalanges of corresponding fingers are pressed together?
A. Clubbing Window
B. Schamroth sign
C. Beau’s angle
D. Paronychia gap
WEEK 3 ADVANCED QUIZ 2026 | WCU
1. A nurse is assessing a patient with a pressure injury that presents as a partial-thickness loss
of dermis, appearing as a shallow open ulcer with a red-pink wound bed without slough. How
should this be staged?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: B
Conceptual Explanation: Stage 2 pressure injuries involve partial-thickness loss of dermis
presenting as a shallow open ulcer with a red-pink wound bed, or an intact/open serum-
filled blister.
2. When using the ABCDE mnemonic for skin cancer assessment, what does the ‘E’ represent?
A. Elevation
B. Evolving
C. Erythema
,D. Exudate
Answer: B
Conceptual Explanation: In the ABCDE assessment for melanoma, E stands for Evolving,
which refers to any change in size, shape, color, or new symptoms like bleeding or itching.
3. Upon palpating the neck, the nurse finds a lymph node that is hard, fixed, and non-tender.
This finding is most characteristic of:
A. Acute infection
B. Chronic inflammation
C. Malignancy
D. Normal findings
Answer: C
Conceptual Explanation: Malignant lymph nodes are typically hard (stony), fixed to
adjacent structures, and non-tender, whereas infected nodes are usually soft and tender.
4. Where is the most appropriate location to assess skin turgor in an elderly patient to ensure
accuracy?
A. Back of the hand
B. Beneath the clavicle
C. Abdomen
D. Forearm
, Answer: B
Conceptual Explanation: In older adults, skin on the hands and arms loses elasticity;
therefore, the subclavicular area or the sternum provides a more accurate assessment of
hydration status.
5. The nurse notes deep pitting edema that remains for a short time and the leg looks
swollen. How should this be documented?
A. 2+ Edema
B. 1+ Edema
C. 3+ Edema
D. 4+ Edema
Answer: C
Conceptual Explanation: 3+ edema is characterized by a deep pit (approx 6mm) that
remains for a short time and the extremity looks visibly swollen.
6. What is the diamond-shaped space created when the dorsal surfaces of the terminal
phalanges of corresponding fingers are pressed together?
A. Clubbing Window
B. Schamroth sign
C. Beau’s angle
D. Paronychia gap
