NURS 612 Advanced Health Assessment - Week 3 Quiz 2026
|Maryville
1. When performing a skin assessment on a patient with dark skin, where is the
most reliable place to assess for cyanosis?
A. The nail beds
B. The palms of the hands
C. The skin over the cheekbones
D. The conjunctiva and oral mucosa
Answer: D
Rationale: In individuals with dark skin, cyanosis is best observed in the areas where the
skin is least pigmented, such as the conjunctiva, oral mucosa, and lips.
2. Which of the following describes a ‘Stage II’ pressure injury?
A. Non-blanchable erythema of intact skin
B. Partial-thickness loss of dermis presenting as a shallow open ulcer
C. Full-thickness tissue loss where subcutaneous fat may be visible
D. Full-thickness tissue loss with exposed bone or tendon
Answer: B
Rationale: Stage II pressure injuries involve partial-thickness loss of the dermis, often
appearing as a shallow open ulcer or a ruptured/intact serum-filled blister.
,3. The ‘E’ in the ABCDE mnemonic for evaluating skin lesions for melanoma
stands for:
A. Erythema
B. Exudate
C. Elevation
D. Evolution
Answer: D
Rationale: ABCDE stands for Asymmetry, Border irregularity, Color variation, Diameter
>6mm, and Evolution (change in size, shape, or color over time).
4. A patient presents with a linear arrangement of vesicles following a
dermatome. This is characteristic of:
A. Contact dermatitis
B. Herpes zoster
C. Varicella
D. Tinea corporis
Answer: B
Rationale: Herpes zoster (shingles) typically presents as a painful, vesicular rash that
follows a specific dermatomal distribution.
5. What is the significance of Virchow’s node (supraclavicular node)?
A. It indicates a localized infection of the scalp
B. It is a common finding in healthy infants
C. It may suggest an underlying malignancy in the thorax or abdomen
D. It is the primary drainage site for the upper extremities
Answer: C
Rationale: A palpable left supraclavicular node (Virchow’s node) is clinically significant as
it often suggests metastasis from a thoracic or abdominal malignancy.
, 6. When assessing for clubbing of the nails, the angle between the nail base and
the nail should be:
A. 160 degrees or less
B. Greater than 180 degrees
C. Exactly 180 degrees
D. 120 degrees
Answer: B
Rationale: Early clubbing is indicated when the angle of the nail base exceeds 180 degrees.
Normal nails have an angle of approximately 160 degrees.
7. Which type of primary skin lesion is defined as a flat, non-palpable area of
skin discoloration larger than 1 cm?
A. Macule
B. Patch
C. Plaque
D. Papule
Answer: B
Rationale: A macule is a flat lesion less than 1 cm; a patch is a flat, non-palpable lesion
larger than 1 cm.
8. In a spiritual assessment using the FICA tool, the ‘C’ stands for:
A. Culture
B. Community
C. Coping
D. Care
Answer: B
Rationale: The FICA spiritual history tool stands for Faith/Belief, Importance/Influence,
Community, and Address/Action in Care.
|Maryville
1. When performing a skin assessment on a patient with dark skin, where is the
most reliable place to assess for cyanosis?
A. The nail beds
B. The palms of the hands
C. The skin over the cheekbones
D. The conjunctiva and oral mucosa
Answer: D
Rationale: In individuals with dark skin, cyanosis is best observed in the areas where the
skin is least pigmented, such as the conjunctiva, oral mucosa, and lips.
2. Which of the following describes a ‘Stage II’ pressure injury?
A. Non-blanchable erythema of intact skin
B. Partial-thickness loss of dermis presenting as a shallow open ulcer
C. Full-thickness tissue loss where subcutaneous fat may be visible
D. Full-thickness tissue loss with exposed bone or tendon
Answer: B
Rationale: Stage II pressure injuries involve partial-thickness loss of the dermis, often
appearing as a shallow open ulcer or a ruptured/intact serum-filled blister.
,3. The ‘E’ in the ABCDE mnemonic for evaluating skin lesions for melanoma
stands for:
A. Erythema
B. Exudate
C. Elevation
D. Evolution
Answer: D
Rationale: ABCDE stands for Asymmetry, Border irregularity, Color variation, Diameter
>6mm, and Evolution (change in size, shape, or color over time).
4. A patient presents with a linear arrangement of vesicles following a
dermatome. This is characteristic of:
A. Contact dermatitis
B. Herpes zoster
C. Varicella
D. Tinea corporis
Answer: B
Rationale: Herpes zoster (shingles) typically presents as a painful, vesicular rash that
follows a specific dermatomal distribution.
5. What is the significance of Virchow’s node (supraclavicular node)?
A. It indicates a localized infection of the scalp
B. It is a common finding in healthy infants
C. It may suggest an underlying malignancy in the thorax or abdomen
D. It is the primary drainage site for the upper extremities
Answer: C
Rationale: A palpable left supraclavicular node (Virchow’s node) is clinically significant as
it often suggests metastasis from a thoracic or abdominal malignancy.
, 6. When assessing for clubbing of the nails, the angle between the nail base and
the nail should be:
A. 160 degrees or less
B. Greater than 180 degrees
C. Exactly 180 degrees
D. 120 degrees
Answer: B
Rationale: Early clubbing is indicated when the angle of the nail base exceeds 180 degrees.
Normal nails have an angle of approximately 160 degrees.
7. Which type of primary skin lesion is defined as a flat, non-palpable area of
skin discoloration larger than 1 cm?
A. Macule
B. Patch
C. Plaque
D. Papule
Answer: B
Rationale: A macule is a flat lesion less than 1 cm; a patch is a flat, non-palpable lesion
larger than 1 cm.
8. In a spiritual assessment using the FICA tool, the ‘C’ stands for:
A. Culture
B. Community
C. Coping
D. Care
Answer: B
Rationale: The FICA spiritual history tool stands for Faith/Belief, Importance/Influence,
Community, and Address/Action in Care.
