NR 509 Week 2 Quiz| Chamberlain University|
Actual Exam Questions and Correct Answers
A 35-year-old archaeologist comes to your office for a regular skin check-up. She has just
returned from her annual dig site in Greece. She has fair skin and reddish-blond hair. She has
many freckles scattered across her skin. From this description, which of the following is not a
risk factor for melanoma in this patient?
A) Fair skin
B) Reddish-blond hair
C) Many freckles
D) Occupation as an archaeologist
Correct Answer: D) Occupation as an archaeologist
Explanation: Fair skin, reddish-blond hair, and many freckles are established risk factors for
melanoma due to increased UV sensitivity and skin pigmentation patterns. While sun exposure in
Greece could increase risk, the occupation itself is not a direct risk factor.
The following information is best placed in which category? The patient has had three cesarean
sections:
A) Social history
B) Past medical history
C) Obstetric history
D) Family history
Correct Answer: C) Obstetric history
Explanation: Cesarean sections are recorded under obstetric history, which includes details of
pregnancies and deliveries. Past medical history covers general conditions, social history
includes lifestyle, and family history involves relatives’ health.
Which of the following skin lesions is the least likely to metastasize?
A) Melanoma
B) Squamous cell carcinoma
, C) Basal cell carcinoma
D) Merkel cell carcinoma
Correct Answer: C) Basal cell carcinoma
Explanation: Basal cell carcinoma rarely metastasizes, typically growing locally. Melanoma,
squamous cell carcinoma, and Merkel cell carcinoma have higher metastatic potential.
Which of the following brief screening measures is useful in assessing memory?
A) Mini-Mental State Examination (MMSE)
B) Clock Drawing Test
C) Montreal Cognitive Assessment (MoCA)
D) All of the above
Correct Answer: D) All of the above
Explanation: MMSE, Clock Drawing Test, and MoCA are all validated tools for assessing
memory and cognitive function. They screen for deficits seen in conditions like dementia.
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 25.9
kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel
for the patient during the visit?
A) Recommend immediate weight loss surgery
B) Advise a balanced diet and regular exercise to achieve a healthy weight
C) Reassure him that his weight is normal and no action is needed
D) Prescribe a weight loss medication
Correct Answer: B) Advise a balanced diet and regular exercise to achieve a healthy weight
Explanation: A BMI of 25.9 is overweight (25–29.9). Counseling on diet and exercise is
appropriate for gradual weight management. Surgery or medication is premature, and his weight
is not normal.
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a previous
visit for treatment of contact dermatitis, her blood pressure was elevated. She does not have prior
elevated readings and her family history is negative for hypertension. You measure her blood
pressure in your office today. Which of the following factors can result in a false high reading?
Actual Exam Questions and Correct Answers
A 35-year-old archaeologist comes to your office for a regular skin check-up. She has just
returned from her annual dig site in Greece. She has fair skin and reddish-blond hair. She has
many freckles scattered across her skin. From this description, which of the following is not a
risk factor for melanoma in this patient?
A) Fair skin
B) Reddish-blond hair
C) Many freckles
D) Occupation as an archaeologist
Correct Answer: D) Occupation as an archaeologist
Explanation: Fair skin, reddish-blond hair, and many freckles are established risk factors for
melanoma due to increased UV sensitivity and skin pigmentation patterns. While sun exposure in
Greece could increase risk, the occupation itself is not a direct risk factor.
The following information is best placed in which category? The patient has had three cesarean
sections:
A) Social history
B) Past medical history
C) Obstetric history
D) Family history
Correct Answer: C) Obstetric history
Explanation: Cesarean sections are recorded under obstetric history, which includes details of
pregnancies and deliveries. Past medical history covers general conditions, social history
includes lifestyle, and family history involves relatives’ health.
Which of the following skin lesions is the least likely to metastasize?
A) Melanoma
B) Squamous cell carcinoma
, C) Basal cell carcinoma
D) Merkel cell carcinoma
Correct Answer: C) Basal cell carcinoma
Explanation: Basal cell carcinoma rarely metastasizes, typically growing locally. Melanoma,
squamous cell carcinoma, and Merkel cell carcinoma have higher metastatic potential.
Which of the following brief screening measures is useful in assessing memory?
A) Mini-Mental State Examination (MMSE)
B) Clock Drawing Test
C) Montreal Cognitive Assessment (MoCA)
D) All of the above
Correct Answer: D) All of the above
Explanation: MMSE, Clock Drawing Test, and MoCA are all validated tools for assessing
memory and cognitive function. They screen for deficits seen in conditions like dementia.
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 25.9
kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel
for the patient during the visit?
A) Recommend immediate weight loss surgery
B) Advise a balanced diet and regular exercise to achieve a healthy weight
C) Reassure him that his weight is normal and no action is needed
D) Prescribe a weight loss medication
Correct Answer: B) Advise a balanced diet and regular exercise to achieve a healthy weight
Explanation: A BMI of 25.9 is overweight (25–29.9). Counseling on diet and exercise is
appropriate for gradual weight management. Surgery or medication is premature, and his weight
is not normal.
A 55-year-old bookkeeper comes to your office for a routine visit. You note that on a previous
visit for treatment of contact dermatitis, her blood pressure was elevated. She does not have prior
elevated readings and her family history is negative for hypertension. You measure her blood
pressure in your office today. Which of the following factors can result in a false high reading?
