Advanced Health Assessment Final
Exam Questions with Correct Answers
A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is
best described as - Answer-Bulla
The history and physical of a client indicates paste occurrences of lichenification. The
NP identifies this as: - 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: - Answer-
Macule
In performing a skin assessment, the NP understands that the following characteristic of
a mole would need intervention: - 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 - Answer-A circle or ring
shape
An NP educating patients realizes that risk factors for skin cancer include all except: -
Answer-Dark eyes
Which of the following in a client's history would place the patient most at risk for
melanoma? - Answer-Intense, intermittent sun exposure
An elderly retired farmer presents with a rolled border, pearly, firm nodule with
telangiectasia on his nose. This is: - Answer-Basal cell carcinoma
An adult female presents with an irregular, variegated nevus on her left lower back that
has doubled in size the past ?. The NP should: - Answer-Refer immediately to a
dermatologist
The ABCDs of melanoma identification include all of the following EXCEPT: - 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: - Answer-Milia
Which skin lesions are directly related to chronic sun exposure and photo damage? -
Answer-Actinic keratosis
In your assessment you note Ms. Angel has white nail syndrome, you order: - 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: - Answer-Macules
Lou, a 50 yo homeless man is diagnosed with tinea capitis. You realize this is cause by
a(n): - 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: - Answer-+4 edema
The most common type of melanoma is the: - Answer-Superficial
You are assessing Arlene C's skin complaint. You get a +Auspitz sign. This aides you in
the diagnosis of: - Answer-Psoriasis
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? - Answer-Asthma
Which of the following statements best describes squamous cell carcinoma? - 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: - Answer-1 week
What are the major components to be documented for a skin lesion? - Answer--
Distribution
-Configuration
-Palpable features
-Pattern
-All of the above
Which of the following presentations suggests a diagnosis of a malignant melanoma? -
Answer-Lesion with border irregularity
All of the following statements concerning basal cell carcinoma are true EXCEPT? -
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: - Answer-History of HTN
As you palpate the abdomen, + rebound tenderness at McBurney's point would alert
you to: - Answer-Appendicitis
Which of the following is true regarding colorectal cancer? - Answer-Later disease
presentation often includes iron deficiency anemia
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