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ADVANCED HEALTH ASSESSMENT FINAL EXAM
COMPREHENSIVE STUDY GUIDE EXAM TEST
BANK WITH QUESTIONS AND VERIFIED
ANSWERS ALREADY GRADED A in 2025
A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is best
described as - CORRECT ANSWER>>Bulla
The history and physical of a client indicates paste occurrences of lichenification. The NP
identifies this as: - CORRECT ANSWER>>Rough, thickened epidermis, accentuated skin
markings
On examination of a client's skin, the nurse practitioner finds a lesion that is about 0.75 cm
in diameter, brown, and circumscribed. Correct term for this lesion is: - CORRECT
ANSWER>>Macule
In performing a skin assessment, the NP understands that the following characteristic of a
mole would need intervention: - CORRECT ANSWER>>A new 2mm mole that is brown with a
red, irregular border, and occasionally pruritic
The NP describes an annular skin lesion as usually arranged in - CORRECT ANSWER>>A circle
or ring shape
An NP educating patients realizes that risk factors for skin cancer include all except: -
CORRECT ANSWER>>Dark eyes
Which of the following in a client's history would place the patient most at risk for
melanoma? - CORRECT ANSWER>>Intense, intermittent sun exposure
An elderly retired farmer presents with a rolled border, pearly, firm nodule with
telangiectasia on his nose. This is: - CORRECT ANSWER>>Basal cell carcinoma
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An adult female presents with an irregular, variegated nevus on her left lower back that has
doubled in size the past ?. The NP should: - CORRECT ANSWER>>Refer immediately to a
dermatologist
The ABCDs of melanoma identification include all of the following EXCEPT: - CORRECT
ANSWER>>B (bridging): connection across sides
Your patient is 2 weeks old. During your assessment, you note that she has pinhead sized,
smooth, white, raised areas. You document this as: - CORRECT ANSWER>>Milia
Which skin lesions are directly related to chronic sun exposure and photo damage? -
CORRECT ANSWER>>Actinic keratosis
In your assessment you note Ms. Angel has white nail syndrome, you order: - CORRECT
ANSWER>>BUN & Creatinine
Mary D. an 84 y.o F has multiple solar lentils <1 cm. These are not uncommon for her age.
You would describe these as: - CORRECT ANSWER>>Macules
Lou, a 50 yo homeless man is diagnosed with tinea capitis. You realize this is cause by a(n): -
CORRECT ANSWER>>Dermatophyte
Ron R presents with dependent edema. You assess he has a >1 inch indentation up to
mid tibia bilaterally. You document this as: - CORRECT ANSWER>>+4 edema
The most common type of melanoma is the: - CORRECT ANSWER>>Superficial
You are assessing Arlene C's skin complaint. You get a +Auspitz sign. This aides you in the
diagnosis of: - CORRECT ANSWER>>Psoriasis
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As you gather you history from a patient with atopic dermatitis what other items in the
, personal or family history would you expect with this patient? - CORRECT
ANSWER>>Asthma
Which of the following statements best describes squamous cell carcinoma? - CORRECT
ANSWER>>Often has a keratinous horn
You are assessing a newborn and note the baby is jaundiced. He is 3 days old. You realize
that for this to be a normal finding it must be gone within: - CORRECT ANSWER>>1 week
What are the major components to be documented for a skin lesion? - CORRECT
ANSWER>>-Distribution
-Configuration
-Palpable features
-Pattern
-All of the above
Which of the following presentations suggests a diagnosis of a malignant melanoma? -
CORRECT ANSWER>>Lesion with border irregularity
All of the following statements concerning basal cell carcinoma are true EXCEPT? - CORRECT
ANSWER>>It is most often found on abdomen or trunk
The NP denotes a bruit above and to the left of the umbilicus. This finding is consistent with:
- CORRECT ANSWER>>History of HTN
As you palpate the abdomen, + rebound tenderness at McBurney's point would alert you to:
- CORRECT ANSWER>>Appendicitis
Which of the following is true regarding colorectal cancer? - CORRECT ANSWER>>Later
disease presentation often includes iron deficiency anemia
4|Page
You assess for Cullen sign in Dan, age 62, after surgery. Cullen sign may indicate: - CORRECT
ANSWER>>Intra-abdominal bleeding
When percussing the abdomen, you document hyper-resonance. This most likely represents:
- CORRECT ANSWER>>Gaseous distention
A positive fluid wave test may occur with all of the following conditions EXCEPT - CORRECT
ANSWER>>Inflammation of the spleen
Harold Williams abdominal exam includes a liver span of 3.0 MCL. Your assessment reveals: -
CORRECT ANSWER>>Liver atrophy
To test for a positive obturator sign in a client with abdominal pain, the NP: - CORRECT
ANSWER>>Passively rotates the right hip from the 90 degree hip/knee flexion position
A middle-aged woman who is overweight had RUQ pain that radiates to her R subscapular
area. If there is a positive ______, the patient has _____ - CORRECT ANSWER>>Murphy's
sign, cholecystitis
A clients complains of extreme pain in his abdomen and points to the RLQ. In examining the
acute abdomen, the NP would: - CORRECT ANSWER>>Palpate the left side of the abdomen,
then the right side, noting guarding and tenderness
The most important goal of assessing a client with abdominal pain is - CORRECT
ANSWER>>Rule out emergent conditions
While examining the abdomen of a post-op patient, you note that the bowel sounds are
noted within 20 seconds. You. document that this is: - CORRECT ANSWER>>a normal finding
During your abdominal assessment you note purple striae. Your next step would be to: -
CORRECT ANSWER>>Ask about cold/heat intolerance
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Ruay Smith is a 27 yo M diagnosed with ulcerative colitis at age 18. He needs a colonoscopy
by age - CORRECT ANSWER>>30
When palpating the abdomen of an infant, the NP realizes that the spleen is easily palpable:
- CORRECT ANSWER>>True
In your examination of Gordon, age 29, you elicit L costa-vertebral angle tenderness. What
ADVANCED HEALTH ASSESSMENT FINAL EXAM
COMPREHENSIVE STUDY GUIDE EXAM TEST
BANK WITH QUESTIONS AND VERIFIED
ANSWERS ALREADY GRADED A in 2025
A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is best
described as - CORRECT ANSWER>>Bulla
The history and physical of a client indicates paste occurrences of lichenification. The NP
identifies this as: - CORRECT ANSWER>>Rough, thickened epidermis, accentuated skin
markings
On examination of a client's skin, the nurse practitioner finds a lesion that is about 0.75 cm
in diameter, brown, and circumscribed. Correct term for this lesion is: - CORRECT
ANSWER>>Macule
In performing a skin assessment, the NP understands that the following characteristic of a
mole would need intervention: - CORRECT ANSWER>>A new 2mm mole that is brown with a
red, irregular border, and occasionally pruritic
The NP describes an annular skin lesion as usually arranged in - CORRECT ANSWER>>A circle
or ring shape
An NP educating patients realizes that risk factors for skin cancer include all except: -
CORRECT ANSWER>>Dark eyes
Which of the following in a client's history would place the patient most at risk for
melanoma? - CORRECT ANSWER>>Intense, intermittent sun exposure
An elderly retired farmer presents with a rolled border, pearly, firm nodule with
telangiectasia on his nose. This is: - CORRECT ANSWER>>Basal cell carcinoma
2|Page
An adult female presents with an irregular, variegated nevus on her left lower back that has
doubled in size the past ?. The NP should: - CORRECT ANSWER>>Refer immediately to a
dermatologist
The ABCDs of melanoma identification include all of the following EXCEPT: - CORRECT
ANSWER>>B (bridging): connection across sides
Your patient is 2 weeks old. During your assessment, you note that she has pinhead sized,
smooth, white, raised areas. You document this as: - CORRECT ANSWER>>Milia
Which skin lesions are directly related to chronic sun exposure and photo damage? -
CORRECT ANSWER>>Actinic keratosis
In your assessment you note Ms. Angel has white nail syndrome, you order: - CORRECT
ANSWER>>BUN & Creatinine
Mary D. an 84 y.o F has multiple solar lentils <1 cm. These are not uncommon for her age.
You would describe these as: - CORRECT ANSWER>>Macules
Lou, a 50 yo homeless man is diagnosed with tinea capitis. You realize this is cause by a(n): -
CORRECT ANSWER>>Dermatophyte
Ron R presents with dependent edema. You assess he has a >1 inch indentation up to
mid tibia bilaterally. You document this as: - CORRECT ANSWER>>+4 edema
The most common type of melanoma is the: - CORRECT ANSWER>>Superficial
You are assessing Arlene C's skin complaint. You get a +Auspitz sign. This aides you in the
diagnosis of: - CORRECT ANSWER>>Psoriasis
3|Page
As you gather you history from a patient with atopic dermatitis what other items in the
, personal or family history would you expect with this patient? - CORRECT
ANSWER>>Asthma
Which of the following statements best describes squamous cell carcinoma? - CORRECT
ANSWER>>Often has a keratinous horn
You are assessing a newborn and note the baby is jaundiced. He is 3 days old. You realize
that for this to be a normal finding it must be gone within: - CORRECT ANSWER>>1 week
What are the major components to be documented for a skin lesion? - CORRECT
ANSWER>>-Distribution
-Configuration
-Palpable features
-Pattern
-All of the above
Which of the following presentations suggests a diagnosis of a malignant melanoma? -
CORRECT ANSWER>>Lesion with border irregularity
All of the following statements concerning basal cell carcinoma are true EXCEPT? - CORRECT
ANSWER>>It is most often found on abdomen or trunk
The NP denotes a bruit above and to the left of the umbilicus. This finding is consistent with:
- CORRECT ANSWER>>History of HTN
As you palpate the abdomen, + rebound tenderness at McBurney's point would alert you to:
- CORRECT ANSWER>>Appendicitis
Which of the following is true regarding colorectal cancer? - CORRECT ANSWER>>Later
disease presentation often includes iron deficiency anemia
4|Page
You assess for Cullen sign in Dan, age 62, after surgery. Cullen sign may indicate: - CORRECT
ANSWER>>Intra-abdominal bleeding
When percussing the abdomen, you document hyper-resonance. This most likely represents:
- CORRECT ANSWER>>Gaseous distention
A positive fluid wave test may occur with all of the following conditions EXCEPT - CORRECT
ANSWER>>Inflammation of the spleen
Harold Williams abdominal exam includes a liver span of 3.0 MCL. Your assessment reveals: -
CORRECT ANSWER>>Liver atrophy
To test for a positive obturator sign in a client with abdominal pain, the NP: - CORRECT
ANSWER>>Passively rotates the right hip from the 90 degree hip/knee flexion position
A middle-aged woman who is overweight had RUQ pain that radiates to her R subscapular
area. If there is a positive ______, the patient has _____ - CORRECT ANSWER>>Murphy's
sign, cholecystitis
A clients complains of extreme pain in his abdomen and points to the RLQ. In examining the
acute abdomen, the NP would: - CORRECT ANSWER>>Palpate the left side of the abdomen,
then the right side, noting guarding and tenderness
The most important goal of assessing a client with abdominal pain is - CORRECT
ANSWER>>Rule out emergent conditions
While examining the abdomen of a post-op patient, you note that the bowel sounds are
noted within 20 seconds. You. document that this is: - CORRECT ANSWER>>a normal finding
During your abdominal assessment you note purple striae. Your next step would be to: -
CORRECT ANSWER>>Ask about cold/heat intolerance
5|Page
Ruay Smith is a 27 yo M diagnosed with ulcerative colitis at age 18. He needs a colonoscopy
by age - CORRECT ANSWER>>30
When palpating the abdomen of an infant, the NP realizes that the spleen is easily palpable:
- CORRECT ANSWER>>True
In your examination of Gordon, age 29, you elicit L costa-vertebral angle tenderness. What
