Advanced Health Assessment Practice Exam

Which configuration should a client examine when assessing herpes simplex lesions?

1. Linear

2. Clustered

3. Scattered

4. Diffuse

The correct answer is: Clustered

When assessing herpes simplex lesions, the configuration that should be noted is clustered. Herpes simplex virus typically manifests as grouped vesicles on an erythematous base. These vesicles arrange in clusters and can eventually rupture, leading to the formation of painful ulcers. The clustering of lesions is a characteristic feature that helps differentiate herpes simplex from other skin conditions. In contrast, lesions that are linear tend to be indicative of conditions like contact dermatitis or other linear arrangements often seen with specific dermatoses. Scattered lesions may suggest a different pathology, often more generalized such as in the case of viral exanthems or urticaria. Diffuse lesions are even broader and could be representative of a systemic condition affecting much of the skin surface without the defined boundaries seen in herpes simplex. Clustered lesions, therefore, provide the most specific indication of herpes simplex infection, aiding in proper diagnosis and treatment planning.