Hesi RN Health Assessment Exam 2024 version. (Questions with revised and correct answers already graded with A+ solutions). The nurse inspects the client's fingernails. Which differentiating characteristics are observed in this assessment finding? A. Longitudinal pigmented bands and red brown linear streaks of recent onset. B. Thinned depressed nails with lateral edges tilting up to form a concave profile and proximal subungual fungal infection. C. Transverse furrows and nail plate white spots that move forward with nail growth. D. A nail base angle greater than 180 degrees and nail plate loosened at the distal-lateral edge, progressing proximally. Explanation Correct Answer: D Longitudinal pigmented bands and red-brown linear streaks of recent onset. This description is more indicative of longitudinal melanonychia, which presents as pigmented bands along the length of the nail plate. It's not typically associated with finger clubbing. Thinned, depressed nails with lateral edges tilting up to form a concave profile and proximal subungual fungal infection. This description suggests koilonychia, also known as spoon nails, which are characterized by thin, depressed nails with lateral edges tilting up. The mention of a fungal infection points to a different condition. It doesn't align with finger clubbing. Transverse furrows and nail plate white