NUR 631 Advanced Health
Assessment TEST 1 STUDY GUIDE
2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Integumentary System - ANSWER ✔ · The skin is the heaviest single organ
of the body accounting for aprox 16% of body weight.
· Composed of three layers: epidermis, dermis and the subcutaneous
tissues.
· Hair, nails, sebaceous and sweat glands are appendages of the skin
2. Functions of the Skin - ANSWER ✔ · Major function is to keep the body in
homeostasis.
· Provides protection from microorganisms, harmful substances &
radiation
· Thermoregulation
· Maintains fluid balance
· Immunity
· Absorption
· Excretion
· Synthesis of Vitamin D
· Sensation/communication with the external environment
3. Epidermis - ANSWER ✔ · Most superficial layer of skin
, · Thin avascular, relies on the underlying vascularized dermis for
nutrition
· Composed of stratified squamous epithelium (flat, dead cells filled
with keratin, helps make our skin waterproof)
· Composed of two layers: stratum corneum & stratum basale/stratum
spinosum
• The Stratum corneum is the outer horny layer composed of
dead keratinized cells.
• The inner cellular layer, is the stratum basale and the stratum
spinosum, also known as the malpighian layer, where both
melanin and keratin are formed. Migration from the inner to
the outer layer takes approximately 1 month."
4. Dermis - ANSWER ✔ · 2nd layer, made up of richly vascularized
connective tissue
· Contains blood vessels, hair follicles and sensory nerves
· Supports and separates the epidermis from the subcutaneous layer
· Dermal blood nourishes the epidermis
· Merges with adipose
· If you cut yourself and you notice that you are bleeding ten you have
got into the dermis layer
5. Subcutaneous tissue - ANSWER ✔ · Hypodermis
· Composed of loose connective tissue filled with subcutaneous
(adipose cells, fatty cells)
· Functions: 1. connects the dermis to underlying organs 2. generates
heat and provides insulation 3. protective cushion 4. provides (reserve
for) calories
6. Special Ear Considerations Neonatal - ANSWER ✔ · Neonatal problems
stem from in utero issues (smoking, viral exposure, maternal DM and others)
,7. Special Ear Considerations Pediatric - ANSWER ✔ · Pediatric patient -
Oitis Media accounts for 42% abx use in kids sometimes it can be viral and
It can be treated with Tylenol and fluids
· Game during exam (Kids)
· Frightened - play with equipment, sit on lap, invasive tests last
8. Special Ear Considerations Elderly · - ANSWER ✔ Elderly - presbycusis
common cause of hearing loss gradual hearing loss is presbycusis
· Vertigo and tinnitus incidence increases with age
· Cerumen impaction also common reason for hearing loss
9. one of the most common trigger agents for contact dermatitis is:
a. exposure to nickel
b. use of fabric softener
c. bathing with liquid body wash
d. eating spicy foods - ANSWER ✔ a. exposure to nickel
10.a common site for atopic dermatitis in an adult is on the:
a. dorsum of the hand
b. face
c. neck
d. flexor surfaces - ANSWER ✔ d. flexor surfaces
11.a 78 year old resident of a long term care facility complains of generalized
itchiness at night that disturbs her sleep. Her examination is consistent with
scabies. Which of the following do you expect to find on examination?
a. excoriated papule on the interdigital area
, b. annular lesions over the buttocks
c. vesicular lesions in a linear pattern
d. honey-colored crusted lesions that began as vesicles -
ANSWER ✔ a. excoriated (from itching) papule on the
interdigital area
12.You examine a patient with psoriasis vulgaris and expect to find the
following lesions:
A. lichenified areas in flexor areas
B. well-demarcated plaques on the knees
C. greasy lesions throughout the scalp
D. vesicular lesions over the upper thorax - ANSWER
✔ b. well-demarcated plaques on the knees
13.which of the following best describes seborrheic dermatitis lesions?
a. flaking lesions in the AC and popliteal spaces
b. greasy, scaling lesions in the nasolabial folds
c. intensely itchy lesions in the groin folds
d. silvery lesions on the elbows and knees - ANSWER ✔ b.
greasy, scaling lesions in the nasolabia folds
think sebaceous glands so *greasy, oily*
14.a 49 year old man presents with a skin lesion suspicious for malignant
melanoma. you describe the lesion as having:
a. deep, black-brown coloring throughout
b. sharp borders
c. a diameter of 3 mm or less
Assessment TEST 1 STUDY GUIDE
2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Integumentary System - ANSWER ✔ · The skin is the heaviest single organ
of the body accounting for aprox 16% of body weight.
· Composed of three layers: epidermis, dermis and the subcutaneous
tissues.
· Hair, nails, sebaceous and sweat glands are appendages of the skin
2. Functions of the Skin - ANSWER ✔ · Major function is to keep the body in
homeostasis.
· Provides protection from microorganisms, harmful substances &
radiation
· Thermoregulation
· Maintains fluid balance
· Immunity
· Absorption
· Excretion
· Synthesis of Vitamin D
· Sensation/communication with the external environment
3. Epidermis - ANSWER ✔ · Most superficial layer of skin
, · Thin avascular, relies on the underlying vascularized dermis for
nutrition
· Composed of stratified squamous epithelium (flat, dead cells filled
with keratin, helps make our skin waterproof)
· Composed of two layers: stratum corneum & stratum basale/stratum
spinosum
• The Stratum corneum is the outer horny layer composed of
dead keratinized cells.
• The inner cellular layer, is the stratum basale and the stratum
spinosum, also known as the malpighian layer, where both
melanin and keratin are formed. Migration from the inner to
the outer layer takes approximately 1 month."
4. Dermis - ANSWER ✔ · 2nd layer, made up of richly vascularized
connective tissue
· Contains blood vessels, hair follicles and sensory nerves
· Supports and separates the epidermis from the subcutaneous layer
· Dermal blood nourishes the epidermis
· Merges with adipose
· If you cut yourself and you notice that you are bleeding ten you have
got into the dermis layer
5. Subcutaneous tissue - ANSWER ✔ · Hypodermis
· Composed of loose connective tissue filled with subcutaneous
(adipose cells, fatty cells)
· Functions: 1. connects the dermis to underlying organs 2. generates
heat and provides insulation 3. protective cushion 4. provides (reserve
for) calories
6. Special Ear Considerations Neonatal - ANSWER ✔ · Neonatal problems
stem from in utero issues (smoking, viral exposure, maternal DM and others)
,7. Special Ear Considerations Pediatric - ANSWER ✔ · Pediatric patient -
Oitis Media accounts for 42% abx use in kids sometimes it can be viral and
It can be treated with Tylenol and fluids
· Game during exam (Kids)
· Frightened - play with equipment, sit on lap, invasive tests last
8. Special Ear Considerations Elderly · - ANSWER ✔ Elderly - presbycusis
common cause of hearing loss gradual hearing loss is presbycusis
· Vertigo and tinnitus incidence increases with age
· Cerumen impaction also common reason for hearing loss
9. one of the most common trigger agents for contact dermatitis is:
a. exposure to nickel
b. use of fabric softener
c. bathing with liquid body wash
d. eating spicy foods - ANSWER ✔ a. exposure to nickel
10.a common site for atopic dermatitis in an adult is on the:
a. dorsum of the hand
b. face
c. neck
d. flexor surfaces - ANSWER ✔ d. flexor surfaces
11.a 78 year old resident of a long term care facility complains of generalized
itchiness at night that disturbs her sleep. Her examination is consistent with
scabies. Which of the following do you expect to find on examination?
a. excoriated papule on the interdigital area
, b. annular lesions over the buttocks
c. vesicular lesions in a linear pattern
d. honey-colored crusted lesions that began as vesicles -
ANSWER ✔ a. excoriated (from itching) papule on the
interdigital area
12.You examine a patient with psoriasis vulgaris and expect to find the
following lesions:
A. lichenified areas in flexor areas
B. well-demarcated plaques on the knees
C. greasy lesions throughout the scalp
D. vesicular lesions over the upper thorax - ANSWER
✔ b. well-demarcated plaques on the knees
13.which of the following best describes seborrheic dermatitis lesions?
a. flaking lesions in the AC and popliteal spaces
b. greasy, scaling lesions in the nasolabial folds
c. intensely itchy lesions in the groin folds
d. silvery lesions on the elbows and knees - ANSWER ✔ b.
greasy, scaling lesions in the nasolabia folds
think sebaceous glands so *greasy, oily*
14.a 49 year old man presents with a skin lesion suspicious for malignant
melanoma. you describe the lesion as having:
a. deep, black-brown coloring throughout
b. sharp borders
c. a diameter of 3 mm or less
