Examination & Health Assessment, 7th Edition
Latest Update 2025-2026 Exam 100 Questions
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A 13-year-old girl is interested in obtaining information about the cause of her acne. The
nurse should share with her that acne:
a.
Is contagious.
b.
Has no known cause.
c.
Is caused by increased sebum production.
d.
Has been found to be related to poor hygiene. - CORRECT ANSWER: CORRECT
ANSWER: C
Approximately 90% of males and 80% of females will develop acne; causes are
increased sebum production and epithelial cells that do not desquamate normally.
A 22-year-old woman comes to the clinic because of severe sunburn and states, "I was
out in the sun for just a couple of minutes." The nurse begins a medication review with
her, paying special attention to which medication class?
a.
Nonsteroidal antiinflammatory drugs for pain
b.
Tetracyclines for acne
c.
Proton pump inhibitors for heartburn
,d.
Thyroid replacement hormone for hypothyroidism - CORRECT ANSWER: CORRECT
ANSWER: B
Drugs that may increase sunlight sensitivity and give a burn response include
sulfonamides, thiazide diuretics, oral hypoglycemic agents, and tetracycline.
A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During
the assessment, the nurse notices that she has a brown patch of hyperpigmentation on
her face. The nurse continues the skin assessment aware that another finding may be:
a.
Keratoses.
b.
Xerosis.
c.
Chloasma.
d.
Acrochordons. - CORRECT ANSWER: CORRECT ANSWER: C
In pregnancy, skin changes can include striae, linea nigra (a brownish-black line down
the midline), chloasma (brown patches of hyperpigmentation), and vascular spiders.
Keratoses are raised, thickened areas of pigmentation that look crusted, scaly, and
warty. Xerosis is dry skin. Acrochordons, or skin tags, occur more often in the aging
adult.
A 40-year-old woman reports a change in mole size, accompanied by color changes,
itching, burning, and bleeding over the past month. She has a dark complexion and has
no family history of skin cancer, but she has had many blistering sunburns in the past.
The nurse would:
a.
Tell the patient to watch the lesion and report back in 2 months.
b.
, Refer the patient because of the suggestion of melanoma on the basis of her
symptoms.
c.
Ask additional questions regarding environmental irritants that may have caused this
condition.
d.
Tell the patient that these signs suggest a compound nevus, which is very common in
young to middle-aged adults. - CORRECT ANSWER: CORRECT ANSWER: B
The ABCD danger signs of melanoma are asymmetry, border irregularity, color variation,
and diameter. In addition, individuals may report a change in size, the development of
itching, burning, and bleeding, or a new-pigmented lesion. Any one of these signs raises
the suggestion of melanoma and warrants immediate referral.
A 42-year-old woman complains that she has noticed several small, slightly raised,
bright red dots on her chest. On examination, the nurse expects that the spots are
probably:
a.
Anasarca.
b.
Scleroderma.
c.
Senile angiomas.
d.
Latent myeloma. - CORRECT ANSWER: CORRECT ANSWER: C
Cherry (senile) angiomas are small, smooth, slightly raised bright red dots that
commonly appear on the trunk of adults over 30 years old.
A 45-year-old farmer comes in for a skin evaluation and complains of hair loss on his
head. His hair seems to be breaking off in patches, and he notices some scaling on his
head. The nurse begins the examination suspecting:
a.