NURS 612 ADVANCED HEALTH ASSESSMENT EXAM
2 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+ 2024.
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults correct answers 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 correct answers 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 correct answers a. Macule
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 correct answers 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 correct answers 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 correct answers 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 correct answers c. Pregnant women
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 correct answers 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 correct answers 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 correct answers 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 correct answers a. Communicable disease
and bacterial infection
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 correct answers 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 correct answers 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 correct answers 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 correct answers 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
b. May be an indication of a congenital heart defect
c. Is common among individuals with Down syndrome
d. Is considered a normal finding correct answers d. Is considered a normal finding
A patient with diabetes presents to the clinic complaining of an infected foot. Upon removing the
patient's sock, the examiner notes an odor that resembles rotting apples. This finding is
consistent with what type of infection?
a. Pseudomonas aeruginosa
b. Proteus
c. Viridans streptococci
d. Clostridium perfringens correct answers d. Clostridium perfringens
Which finding is consistent with a physical abuse injury in a toddler?
a. Burn to the skin with a splash pattern
b. Bruising of the skin over soft tissue
c. Bruising of the skin over a bony prominence
d. Café au lait patches correct answers b. Bruising of the skin over soft tissue
Which of the following techniques helps the examiner determine whether a palpable skin mass is
filled with fluid?
a. Using a wood's lamp
b. Palpating
c. Transilluminating
d. Noting the odor of the lesion correct answers c. Transilluminating
Which of the following findings suggests that a patient has a fungal infection of the nail beds?
a. The nail bed is wide and thick
b. The nail plate has a central depression, causing a spoon appearance
c. Superficial white spots are present in the nail plate
, d. The nail plate is yellow and crumbling correct answers d. The nail plate is yellow and
crumbling
During an examination, which of the following questions would be most appropriate for the
examiner to ask a patient to elicit information about the lymph system?
a. Are you aware of any lumps?
b. Have you had a change in appetite?
c. Do your lymph nodes hurt?
d. Where are your largest lymph nodes? correct answers a. Are you aware of any lumps?
While palpating lymph nodes on an adult, the examiner should remember that
a. Tubercular nodes are hot and firm to the touch
b. Nodes that are fixed and palpable are a normal finding
c. Heavy pressure is required to locate and identify nodes
d. Easily palpable nodes are generally not found in healthy adults correct answers d. Easily
palpable nodes are generally not found in healthy adults
In comparison with those of a young adult, the lymph nodes of an older adult will be
a. Large and soft
b. Small and fatty
c. Hard and irregular
d. Large and hard correct answers b. Small and fatty
A 19-year-old man has a severe infection involving the fifth digit of his right hand. Where
should the examiner expect to palpate enlarged and tender lymph nodes?
a. Radial aspect of the right wrist
b. Palmar aspect of the right hand
c. Lateral aspect of the right forearm
d. Medial aspect of the right elbow correct answers d. Medial aspect of the right elbow
Which of the following examination findings is cause for concern in an adult?
a. A palpable fluctuant lymph node moveable under the examiner's fingers
b. A palpable hard lymph node fixed in its setting
c. A palpable soft lymph node approximately 2 mm in size
d. Absence of any palpable lymph nodes correct answers b. A palpable hard lymph node fixed in
its setting
The most common causes of acute suppurative lymphadenitis are which organisms?
a. Pseudomonas and Clostridium spp.
b. Streptococcus and Staphylococcus spp.
c. Candida and Chlamydia spp.
d. Aspergillus and Escherichia spp. correct answers b. Streptococcus and Staphylococcus spp.
The examiner typically assesses the lymph system using which of the following methods?
a. Assesses the entire lymph system as a unit, exploring all areas of accessible nodes
b. Assesses both the superficial and deep nodes using palpation and a doppler study
2 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+ 2024.
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults correct answers 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 correct answers 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 correct answers a. Macule
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 correct answers 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 correct answers 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 correct answers 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 correct answers c. Pregnant women
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 correct answers 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 correct answers 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 correct answers 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 correct answers a. Communicable disease
and bacterial infection
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 correct answers 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 correct answers 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 correct answers 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 correct answers 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
b. May be an indication of a congenital heart defect
c. Is common among individuals with Down syndrome
d. Is considered a normal finding correct answers d. Is considered a normal finding
A patient with diabetes presents to the clinic complaining of an infected foot. Upon removing the
patient's sock, the examiner notes an odor that resembles rotting apples. This finding is
consistent with what type of infection?
a. Pseudomonas aeruginosa
b. Proteus
c. Viridans streptococci
d. Clostridium perfringens correct answers d. Clostridium perfringens
Which finding is consistent with a physical abuse injury in a toddler?
a. Burn to the skin with a splash pattern
b. Bruising of the skin over soft tissue
c. Bruising of the skin over a bony prominence
d. Café au lait patches correct answers b. Bruising of the skin over soft tissue
Which of the following techniques helps the examiner determine whether a palpable skin mass is
filled with fluid?
a. Using a wood's lamp
b. Palpating
c. Transilluminating
d. Noting the odor of the lesion correct answers c. Transilluminating
Which of the following findings suggests that a patient has a fungal infection of the nail beds?
a. The nail bed is wide and thick
b. The nail plate has a central depression, causing a spoon appearance
c. Superficial white spots are present in the nail plate
, d. The nail plate is yellow and crumbling correct answers d. The nail plate is yellow and
crumbling
During an examination, which of the following questions would be most appropriate for the
examiner to ask a patient to elicit information about the lymph system?
a. Are you aware of any lumps?
b. Have you had a change in appetite?
c. Do your lymph nodes hurt?
d. Where are your largest lymph nodes? correct answers a. Are you aware of any lumps?
While palpating lymph nodes on an adult, the examiner should remember that
a. Tubercular nodes are hot and firm to the touch
b. Nodes that are fixed and palpable are a normal finding
c. Heavy pressure is required to locate and identify nodes
d. Easily palpable nodes are generally not found in healthy adults correct answers d. Easily
palpable nodes are generally not found in healthy adults
In comparison with those of a young adult, the lymph nodes of an older adult will be
a. Large and soft
b. Small and fatty
c. Hard and irregular
d. Large and hard correct answers b. Small and fatty
A 19-year-old man has a severe infection involving the fifth digit of his right hand. Where
should the examiner expect to palpate enlarged and tender lymph nodes?
a. Radial aspect of the right wrist
b. Palmar aspect of the right hand
c. Lateral aspect of the right forearm
d. Medial aspect of the right elbow correct answers d. Medial aspect of the right elbow
Which of the following examination findings is cause for concern in an adult?
a. A palpable fluctuant lymph node moveable under the examiner's fingers
b. A palpable hard lymph node fixed in its setting
c. A palpable soft lymph node approximately 2 mm in size
d. Absence of any palpable lymph nodes correct answers b. A palpable hard lymph node fixed in
its setting
The most common causes of acute suppurative lymphadenitis are which organisms?
a. Pseudomonas and Clostridium spp.
b. Streptococcus and Staphylococcus spp.
c. Candida and Chlamydia spp.
d. Aspergillus and Escherichia spp. correct answers b. Streptococcus and Staphylococcus spp.
The examiner typically assesses the lymph system using which of the following methods?
a. Assesses the entire lymph system as a unit, exploring all areas of accessible nodes
b. Assesses both the superficial and deep nodes using palpation and a doppler study
