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NURS 612 Advanced Health
Assessment Exam Questions With
Answers
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults - CORRECT ANSWER>>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 ANSWER>>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 ANSWER>>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?
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a. Stage I
b. Stage II
c. Stage III
d. Stage IV - CORRECT ANSWER>>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 ANSWER>>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 ANSWER>>c. At puberty, adolescents begin to
secrete more oil from their sebaceous glands
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Chloasma is an expected finding in which of the following?
a. Newborns
b. Adolescents
c. Pregnant women
d. Older adults - CORRECT ANSWER>>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
ANSWER>>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 ANSWER>>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 ANSWER>>a. Malignant melanoma
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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
ANSWER>>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 ANSWER>>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 ANSWER>>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 ANSWER>>b. Cherry angioma
NURS 612 Advanced Health
Assessment Exam Questions With
Answers
Milia are an expected finding in which age group?
a. Newborns
b. Young children
c. Adolescents
d. Older adults - CORRECT ANSWER>>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 ANSWER>>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 ANSWER>>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?
,2|Page
a. Stage I
b. Stage II
c. Stage III
d. Stage IV - CORRECT ANSWER>>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 ANSWER>>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 ANSWER>>c. At puberty, adolescents begin to
secrete more oil from their sebaceous glands
,3|Page
Chloasma is an expected finding in which of the following?
a. Newborns
b. Adolescents
c. Pregnant women
d. Older adults - CORRECT ANSWER>>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
ANSWER>>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 ANSWER>>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 ANSWER>>a. Malignant melanoma
, 4|Page
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
ANSWER>>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 ANSWER>>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 ANSWER>>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 ANSWER>>b. Cherry angioma
