NURS 612 Advanced Health Exam 2025
Questions and Answers
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults - ANS A. newborns
An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following
would indicate a need for further medical investigation?
a. Reddish-brown color of the lesion
b. Presence on his chin for 20 years
c. Bleeds easily when it is touched
d. Slightly raised and circumscribed - ANS c. Bleeds easily when it is touched
A 6-year-old girl has freckles over her nose and cheeks. Freckles are a type of
a. Macule
b. Papule
c. Nodule
d. Petechiae - ANS a. Macule
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,What grade should be assigned to a pressure ulcer over the coccyx that is open and shallow,
showing a red-pink wound bed?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV - ANS b. Stage II
Why do some infants develop a yellowish skin tone on the third or fourth day of life?
a. Increased formation of subcutaneous tissues causes a yellow hue
b. Capillaries broken during the birth process turn the skin yellow as bruises heal
c. Yellowish color results from increased fat metabolism and heat production
d. Red blood cells that hemolyze after birth may cause a yellow skin hue - ANS d. Red blood
cells that hemolyze after birth may cause a yellow skin hue
An adolescent patient asks the examiner why teens have more problems with acne than
children. Which of the following would be an appropriate response?
a. Children have better hygiene habits than adolescents because of parental guidance
b. Adolescents have reduced blood flow to the epidermal layer of the skin, making them more
susceptible to infections
c. At puberty, adolescents begin to secrete more oil from their sebaceous glands
d. Children have very little skin mass, which prevents development of acne - ANS c. At
puberty, adolescents begin to secrete more oil from their sebaceous glands
Chloasma is an expected finding in which of the following?
a. Newborns
b. Adolescents
c. Pregnant women
d. Older adults - ANS c. Pregnant women
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,White examining the skin of an 87-year-old woman, the examiner observes significant tenting.
Which of the following age-associated changes best explains this finding?
a. Small skin tags form on the neck and back
b. The skin becomes thin and takes on a parchment-like appearance
c. The skin becomes dry, with significant flaking
d. There is loss of adipose tissue and loss of elasticity - ANS d. There is loss of adipose tissue
and loss of elasticity
When assessing for the presence of clubbing, the examiner specifically examines the
a. Width of the nail base
b. Angle of the nail base
c. Thickness of the nail
d. Color of the nail - ANS b. Angle of the nail base
Which type of lesion sometimes grows out of an already present nevus?
a. Malignant melanoma
b. Squamous cell carcinoma
c. Basal cell carcinoma
d. Kaposi sarcoma - ANS a. Malignant melanoma
In young and school-age children, the most common skin lesions are caused by
a. Communicable disease and bacterial infection
b. Changes in skin color and skin tone, which accompany puberty
c. Maturation of melanocytes, aging changes in skin color
d. Skin inflammation from sebaceous gland activity - ANS a. Communicable disease and
bacterial infection
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, The examiner notes a large blue-black spot on the buttock of a 4-week-old black neonate. The
mother states that the infant was born with it. The examiner should recognize that this
a. Is a common finding
b. May indicate child abuse
c. Is related to birth trauma
d. Suggest a congenital defect - ANS a. Is a common finding
Which of the following may be associated with neurofibromatosis or pulmonary stenosis?
a. Café au lait patches
b. Nevus vasculosus
c. Port-wine limb stain
d. Spider angioma - ANS a. Café au lait patches
Which lesion is an expected finding on the skin of healthy older adults?
a. Acne vulgaris
b. Cherry angioma
c. Miliaria
d. Trichotillomania - ANS b. Cherry angioma
When palpating skin surfaces for temperature, the examiner should use the
a. Palmar aspect of the hand
b. Fingertips of the dominant hand
c. Dorsal aspect of the hands or fingers
d. Ulnar surface of the hand - ANS c. Dorsal aspect of the hands or fingers
Hyperkeratosis is noted on a patient's palms and soles. The examiner recognizes that this
a. May be a sign of systemic disorder
Pg. 4 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Questions and Answers
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults - ANS A. newborns
An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following
would indicate a need for further medical investigation?
a. Reddish-brown color of the lesion
b. Presence on his chin for 20 years
c. Bleeds easily when it is touched
d. Slightly raised and circumscribed - ANS c. Bleeds easily when it is touched
A 6-year-old girl has freckles over her nose and cheeks. Freckles are a type of
a. Macule
b. Papule
c. Nodule
d. Petechiae - ANS a. Macule
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,What grade should be assigned to a pressure ulcer over the coccyx that is open and shallow,
showing a red-pink wound bed?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV - ANS b. Stage II
Why do some infants develop a yellowish skin tone on the third or fourth day of life?
a. Increased formation of subcutaneous tissues causes a yellow hue
b. Capillaries broken during the birth process turn the skin yellow as bruises heal
c. Yellowish color results from increased fat metabolism and heat production
d. Red blood cells that hemolyze after birth may cause a yellow skin hue - ANS d. Red blood
cells that hemolyze after birth may cause a yellow skin hue
An adolescent patient asks the examiner why teens have more problems with acne than
children. Which of the following would be an appropriate response?
a. Children have better hygiene habits than adolescents because of parental guidance
b. Adolescents have reduced blood flow to the epidermal layer of the skin, making them more
susceptible to infections
c. At puberty, adolescents begin to secrete more oil from their sebaceous glands
d. Children have very little skin mass, which prevents development of acne - ANS c. At
puberty, adolescents begin to secrete more oil from their sebaceous glands
Chloasma is an expected finding in which of the following?
a. Newborns
b. Adolescents
c. Pregnant women
d. Older adults - ANS c. Pregnant women
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,White examining the skin of an 87-year-old woman, the examiner observes significant tenting.
Which of the following age-associated changes best explains this finding?
a. Small skin tags form on the neck and back
b. The skin becomes thin and takes on a parchment-like appearance
c. The skin becomes dry, with significant flaking
d. There is loss of adipose tissue and loss of elasticity - ANS d. There is loss of adipose tissue
and loss of elasticity
When assessing for the presence of clubbing, the examiner specifically examines the
a. Width of the nail base
b. Angle of the nail base
c. Thickness of the nail
d. Color of the nail - ANS b. Angle of the nail base
Which type of lesion sometimes grows out of an already present nevus?
a. Malignant melanoma
b. Squamous cell carcinoma
c. Basal cell carcinoma
d. Kaposi sarcoma - ANS a. Malignant melanoma
In young and school-age children, the most common skin lesions are caused by
a. Communicable disease and bacterial infection
b. Changes in skin color and skin tone, which accompany puberty
c. Maturation of melanocytes, aging changes in skin color
d. Skin inflammation from sebaceous gland activity - ANS a. Communicable disease and
bacterial infection
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, The examiner notes a large blue-black spot on the buttock of a 4-week-old black neonate. The
mother states that the infant was born with it. The examiner should recognize that this
a. Is a common finding
b. May indicate child abuse
c. Is related to birth trauma
d. Suggest a congenital defect - ANS a. Is a common finding
Which of the following may be associated with neurofibromatosis or pulmonary stenosis?
a. Café au lait patches
b. Nevus vasculosus
c. Port-wine limb stain
d. Spider angioma - ANS a. Café au lait patches
Which lesion is an expected finding on the skin of healthy older adults?
a. Acne vulgaris
b. Cherry angioma
c. Miliaria
d. Trichotillomania - ANS b. Cherry angioma
When palpating skin surfaces for temperature, the examiner should use the
a. Palmar aspect of the hand
b. Fingertips of the dominant hand
c. Dorsal aspect of the hands or fingers
d. Ulnar surface of the hand - ANS c. Dorsal aspect of the hands or fingers
Hyperkeratosis is noted on a patient's palms and soles. The examiner recognizes that this
a. May be a sign of systemic disorder
Pg. 4 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
