NURS 612 ADVANCED HEALTH ASSESSMENT EXAM 2 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
Which of the following questions is most appropriate to ask a female patient with a suspected thyroid
problem?
a. How much alcohol do you drink?
b. Have you noticed a change in your sleep pattern or energy level?
c. Do you have headaches?
d. Are you currently menstruating? - CORRECT ANSWERS-b. Have you noticed a change in
your sleep pattern or energy level?
An infant with an alcoholic other is admitted to the hospital with fetal alcohol syndrome. What
assessment finding is consistent with this syndrome?
a. Ear dysplasia
b. Moon face
c. Torticollis
d. Thin upper lip - CORRECT ANSWERS-d. Thin upper lip
Which of the following findings in an older patient would be considered a normal consequence of aging?
a. Narrowed palpebral fissures
b. Pulsating fontanels
c. Uneven movement of the tongue
d. Fibrosis of the thyroid gland - CORRECT ANSWERS-d. Fibrosis of the thyroid gland
Assessment of an infant's fontanels is best performed while the infant is
a. Calm and in an upright position
b. Sleeping in a lateral position
c. Supine and awake
,d. Held at a 45-degree angle - CORRECT ANSWERS-a. Calm and in an upright position
What problem is suggested by a positive Cardarelli sign?
a. Ocular migraine
b. Aortic aneurysm
c. Hasimoto disease
d. Thyroid cyst - CORRECT ANSWERS-b. Aortic aneurysm
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
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS)
Which of the following questions is most appropriate to ask a female patient with a suspected thyroid
problem?
a. How much alcohol do you drink?
b. Have you noticed a change in your sleep pattern or energy level?
c. Do you have headaches?
d. Are you currently menstruating? - CORRECT ANSWERS-b. Have you noticed a change in
your sleep pattern or energy level?
An infant with an alcoholic other is admitted to the hospital with fetal alcohol syndrome. What
assessment finding is consistent with this syndrome?
a. Ear dysplasia
b. Moon face
c. Torticollis
d. Thin upper lip - CORRECT ANSWERS-d. Thin upper lip
Which of the following findings in an older patient would be considered a normal consequence of aging?
a. Narrowed palpebral fissures
b. Pulsating fontanels
c. Uneven movement of the tongue
d. Fibrosis of the thyroid gland - CORRECT ANSWERS-d. Fibrosis of the thyroid gland
Assessment of an infant's fontanels is best performed while the infant is
a. Calm and in an upright position
b. Sleeping in a lateral position
c. Supine and awake
,d. Held at a 45-degree angle - CORRECT ANSWERS-a. Calm and in an upright position
What problem is suggested by a positive Cardarelli sign?
a. Ocular migraine
b. Aortic aneurysm
c. Hasimoto disease
d. Thyroid cyst - CORRECT ANSWERS-b. Aortic aneurysm
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
