NURS 612 | Advanced Health Assessment | Week 2 Quiz Questions
and Answers 2026 |Maryville
1. A 24-year-old patient presents with a flat, non-palpable area of skin
discoloration that is 0.5 cm in diameter. Which term best describes this lesion?
A. Patch
B. Macule
C. Papule
D. Plaque
Answer: B
Rationale: A macule is a flat, non-palpable skin lesion less than 1 cm in diameter. A patch is
a macule larger than 1 cm.
2. When assessing for melanoma, the ‘E’ in the ABCDE acronym stands for:
A. Evolving
B. Erythema
C. Elevation
D. Exudate
Answer: A
Rationale: In the ABCDE mnemonic for melanoma, E stands for Evolving, which refers to
any change in size, shape, color, or new symptoms like itching or bleeding.
,3. Which assessment finding is most characteristic of clubbing of the fingernails?
A. A nail base angle of 160 degrees
B. Concave ‘spoon-shaped’ nails
C. A nail base angle exceeding 180 degrees
D. Pitting on the nail surface
Answer: C
Rationale: Clubbing is characterized by a straightening of the nail angle (180 degrees or
more) and a spongy feel to the nail base, often associated with chronic hypoxia.
4. A patient with a history of chronic scratching presents with thickened,
leathery skin. This is documented as:
A. Atrophy
B. Scale
C. Keloid
D. Lichenification
Answer: D
Rationale: Lichenification is a secondary skin lesion characterized by thickening of the
epidermis and exaggeration of normal skin lines, usually caused by chronic rubbing or
scratching.
5. Which scale is commonly used to predict pressure sore risk in hospitalized
patients?
A. Glasgow Scale
B. Apgar Scale
C. Snellen Scale
D. Braden Scale
Answer: D
Rationale: The Braden Scale evaluates six risk factors: sensory perception, moisture,
activity, mobility, nutrition, and friction/shear to determine pressure ulcer risk.
, 6. A full-thickness skin loss involving damage to or necrosis of subcutaneous
tissue that may extend down to, but not through, underlying fascia is a:
A. Stage III pressure ulcer
B. Stage II pressure ulcer
C. Stage I pressure ulcer
D. Stage IV pressure ulcer
Answer: A
Rationale: Stage III pressure ulcers involve full-thickness skin loss with damage to
subcutaneous tissue, but bone, tendon, or muscle are not yet exposed.
7. To assess for jaundice in a dark-skinned patient, the nurse should inspect
which area?
A. The palms of the hands
B. The sclera and hard palate
C. The nail beds
D. The skin of the abdomen
Answer: B
Rationale: In individuals with dark skin, jaundice is best observed in the sclera (though it
may be masked by fatty deposits) and the hard palate of the mouth.
8. An annular lesion is described as:
A. Linear and following a nerve path
B. Circular or ring-shaped with a clear center
C. Grouped or clustered together
D. Irregular and spreading
Answer: B
Rationale: Annular lesions are circular, such as those found in tinea corporis (ringworm).
and Answers 2026 |Maryville
1. A 24-year-old patient presents with a flat, non-palpable area of skin
discoloration that is 0.5 cm in diameter. Which term best describes this lesion?
A. Patch
B. Macule
C. Papule
D. Plaque
Answer: B
Rationale: A macule is a flat, non-palpable skin lesion less than 1 cm in diameter. A patch is
a macule larger than 1 cm.
2. When assessing for melanoma, the ‘E’ in the ABCDE acronym stands for:
A. Evolving
B. Erythema
C. Elevation
D. Exudate
Answer: A
Rationale: In the ABCDE mnemonic for melanoma, E stands for Evolving, which refers to
any change in size, shape, color, or new symptoms like itching or bleeding.
,3. Which assessment finding is most characteristic of clubbing of the fingernails?
A. A nail base angle of 160 degrees
B. Concave ‘spoon-shaped’ nails
C. A nail base angle exceeding 180 degrees
D. Pitting on the nail surface
Answer: C
Rationale: Clubbing is characterized by a straightening of the nail angle (180 degrees or
more) and a spongy feel to the nail base, often associated with chronic hypoxia.
4. A patient with a history of chronic scratching presents with thickened,
leathery skin. This is documented as:
A. Atrophy
B. Scale
C. Keloid
D. Lichenification
Answer: D
Rationale: Lichenification is a secondary skin lesion characterized by thickening of the
epidermis and exaggeration of normal skin lines, usually caused by chronic rubbing or
scratching.
5. Which scale is commonly used to predict pressure sore risk in hospitalized
patients?
A. Glasgow Scale
B. Apgar Scale
C. Snellen Scale
D. Braden Scale
Answer: D
Rationale: The Braden Scale evaluates six risk factors: sensory perception, moisture,
activity, mobility, nutrition, and friction/shear to determine pressure ulcer risk.
, 6. A full-thickness skin loss involving damage to or necrosis of subcutaneous
tissue that may extend down to, but not through, underlying fascia is a:
A. Stage III pressure ulcer
B. Stage II pressure ulcer
C. Stage I pressure ulcer
D. Stage IV pressure ulcer
Answer: A
Rationale: Stage III pressure ulcers involve full-thickness skin loss with damage to
subcutaneous tissue, but bone, tendon, or muscle are not yet exposed.
7. To assess for jaundice in a dark-skinned patient, the nurse should inspect
which area?
A. The palms of the hands
B. The sclera and hard palate
C. The nail beds
D. The skin of the abdomen
Answer: B
Rationale: In individuals with dark skin, jaundice is best observed in the sclera (though it
may be masked by fatty deposits) and the hard palate of the mouth.
8. An annular lesion is described as:
A. Linear and following a nerve path
B. Circular or ring-shaped with a clear center
C. Grouped or clustered together
D. Irregular and spreading
Answer: B
Rationale: Annular lesions are circular, such as those found in tinea corporis (ringworm).
