NSG 500 Advanced Health Assessment Exam
3 Questions & Answers Wilkes University
1. Which non-controllable risk factors does Britta have for
abnormal cell growth?
(Select 4 that apply)
a) Blonde hair
b) Blue eyes
c) Family history of cancer
d) Scandinavian heritage
e) Fair skin with freckles
Correct Answers: a) Blonde hair; c) Family history of cancer; d)
Scandinavian heritage; e) Fair skin with freckles
🩺 Explanation:
Non-controllable (genetic) risk factors are inherited or biologically
determined characteristics that increase cancer risk. Britta’s light
features—blonde hair, fair skin with freckles, and Scandinavian
heritage—are all linked with a higher risk of skin cancer due to lower
melanin protection. A family history of cancer also increases
susceptibility due to potential genetic mutations.
2. Which lifestyle decisions increase Britta’s risk for abnormal
cell growth?
,(Select 4 that apply)
a) Metropolitan living
b) Vacations on the beach
c) Chemical exposure
d) Cigarette smoke
e) Mole removal
Correct Answers: a) Metropolitan living; b) Vacations on the beach; c
Chemical exposure; d) Cigarette smoke
🩺 Explanation:
Lifestyle factors influence environmental exposure to carcinogens.
Metropolitan living may involve higher pollution levels. Frequent
sun exposure during beach vacations increases UV risk. Chemical
exposure and cigarette smoke contain carcinogens known to
damage DNA. Mole removal, however, is not a risk factor—it is often a
preventive measure.
3. Match the assessment descriptions of a skin lesion to the
correct definitions.
Assessment
Definition
Term
Shape and/or pattern of the
1. Asymmetry
lesion
2. Border Outline of the lesion
3. Color Shade or variation of color
, Assessment
Definition
Term
4. Diameter Size or width of the lesion
5. Evolving Changes over time
Correct Matching:
2 → Outline of the lesion
1 → Shape and/or pattern of the lesion
5 → Changes over time
3 → Shade of darkness
4 → Size
🩺 Explanation:
These correspond to the ABCDE assessment used to identify suspiciou
moles:
Asymmetry
Border irregularity
Color variation
Diameter >6 mm
Evolving (changes in shape, size, or color)
4. How should the nurse document Britta’s lesion?
1. Term used to describe the shape/pattern: Asymmetrical
2. Size of the lesion: 10 mm
3. Description of the lesion: Varying shades of light to dark brown
, 4. Client history related to the lesion: Client states it has grown ove
the last few months
Correct Answers Listed Above
🩺 Explanation:
Proper documentation includes objective assessment (appearance,
size, color) and subjective findings (client-reported changes). The
ABCDE method guides nurses in accurate lesion documentation.
5. Which observations of Britta’s mole would alert the nurse
that it could be cancerous?
(Select 3 that apply)
a) Itchy
b) Varying shades of light and dark brown
c) 3.3 mm in diameter
d) Irregular border
e) Regular symmetry
Correct Answers: a) Itchy; b) Varying shades of light and dark brown
d) Irregular border
🩺 Explanation:
Warning signs of melanoma include itching or irritation, color
variation, and irregular borders. Although diameter >6 mm is often
concerning, other features can also indicate malignancy. Regular
symmetry and small size are typically benign traits.
3 Questions & Answers Wilkes University
1. Which non-controllable risk factors does Britta have for
abnormal cell growth?
(Select 4 that apply)
a) Blonde hair
b) Blue eyes
c) Family history of cancer
d) Scandinavian heritage
e) Fair skin with freckles
Correct Answers: a) Blonde hair; c) Family history of cancer; d)
Scandinavian heritage; e) Fair skin with freckles
🩺 Explanation:
Non-controllable (genetic) risk factors are inherited or biologically
determined characteristics that increase cancer risk. Britta’s light
features—blonde hair, fair skin with freckles, and Scandinavian
heritage—are all linked with a higher risk of skin cancer due to lower
melanin protection. A family history of cancer also increases
susceptibility due to potential genetic mutations.
2. Which lifestyle decisions increase Britta’s risk for abnormal
cell growth?
,(Select 4 that apply)
a) Metropolitan living
b) Vacations on the beach
c) Chemical exposure
d) Cigarette smoke
e) Mole removal
Correct Answers: a) Metropolitan living; b) Vacations on the beach; c
Chemical exposure; d) Cigarette smoke
🩺 Explanation:
Lifestyle factors influence environmental exposure to carcinogens.
Metropolitan living may involve higher pollution levels. Frequent
sun exposure during beach vacations increases UV risk. Chemical
exposure and cigarette smoke contain carcinogens known to
damage DNA. Mole removal, however, is not a risk factor—it is often a
preventive measure.
3. Match the assessment descriptions of a skin lesion to the
correct definitions.
Assessment
Definition
Term
Shape and/or pattern of the
1. Asymmetry
lesion
2. Border Outline of the lesion
3. Color Shade or variation of color
, Assessment
Definition
Term
4. Diameter Size or width of the lesion
5. Evolving Changes over time
Correct Matching:
2 → Outline of the lesion
1 → Shape and/or pattern of the lesion
5 → Changes over time
3 → Shade of darkness
4 → Size
🩺 Explanation:
These correspond to the ABCDE assessment used to identify suspiciou
moles:
Asymmetry
Border irregularity
Color variation
Diameter >6 mm
Evolving (changes in shape, size, or color)
4. How should the nurse document Britta’s lesion?
1. Term used to describe the shape/pattern: Asymmetrical
2. Size of the lesion: 10 mm
3. Description of the lesion: Varying shades of light to dark brown
, 4. Client history related to the lesion: Client states it has grown ove
the last few months
Correct Answers Listed Above
🩺 Explanation:
Proper documentation includes objective assessment (appearance,
size, color) and subjective findings (client-reported changes). The
ABCDE method guides nurses in accurate lesion documentation.
5. Which observations of Britta’s mole would alert the nurse
that it could be cancerous?
(Select 3 that apply)
a) Itchy
b) Varying shades of light and dark brown
c) 3.3 mm in diameter
d) Irregular border
e) Regular symmetry
Correct Answers: a) Itchy; b) Varying shades of light and dark brown
d) Irregular border
🩺 Explanation:
Warning signs of melanoma include itching or irritation, color
variation, and irregular borders. Although diameter >6 mm is often
concerning, other features can also indicate malignancy. Regular
symmetry and small size are typically benign traits.
