NUR 612 – REAL EXAM MODULE
5 2026 UPDATED BRAND NEW
PRO QUESTIONS AND ANSWERS
Mrs. Williams is 76 years old and comes in to have a wound checked on her right
leg. She fell a month ago and the wound has not healed. She is concerned that
something is wrong. The nurse practitioner examines the wound and sees that it
has been cleaned properly and has no signs of infection. The edges are
approximated, but the skin around the wound is red and tender to touch. The best
response regarding Mrs. Williams' concern is:
1. Wound healing for older people may take up to four times longer than it does
for younger people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine that would have healed
that right up.
4. I will order an antibiotic to prevent infection.
1. Wound healing for older people may take up to four times longer than it does for
younger people.
The nurse practitioner is conducting patient rounds in a long-term care facility.
As she talks with Mrs. Jones, she notices that her arms and elbows are
excoriated and the skin is shearing. The nurse practitioner explains to the staff
that Mrs. Jones needs frequent assessment of her skin and protection provided
to prevent skin breakdown because:
1. Her lack of activity causes the skin to tear.
2. Fat has redistributed to the abdomen and thighs, leaving bony surfaces in
areas such as the face, hands, and sacrum. This can result in injury.
3. She has lost weight and is in jeopardy of falling.
4. She picks at herself and causes skin breakdown
2. Fat has redistributed to the abdomen and thighs, leaving bony surfaces in areas such
as the face, hands, and sacrum. This can result in injury.
Mr. James is 91 years old. His daughter notices that he has bruises and
lacerations on his arms and reports this to the nurse practitioner, who tells her
that older people bruise easily due to their fragile blood vessels. The skin
lacerations happen because he has thin skin. Even so, the nurse practitioner
assures the daughter that she will investigate further to ensure that he is getting
proper care. She says this because she understands that:
1. These markings on the patient's skin are part of aging skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused.
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2. Bruises and lacerations can indicate inadequate care.
The nurse practitioner assesses a patient's skin and finds an infectious lesion on
the lower leg. The lesion is considered a secondary lesion. The nurse practitioner
explains that a secondary lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging.
1. Arises from changes to a primary lesion.
Ms. Rose, 88 years old, comes to the nurse practitioner with a complaint about a
growth on her hand. She wants to have a biopsy done. The nurse practitioner
asks the following question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings?
3. Has this growth changed, bled, or is it painful?
A 60-year-old male enters the burn center for triage and treatment due to a burn
he received at a campfire. His left arm has an area that is erythematous and
painful, and another area has a blister. What does the nurse practitioner record as
the degree of burn?
1. First degree
2. Second degree
3. First and second degree
4. Second and third degree
3. First and second degree
The nurse practitioner is concerned with primary prevention strategies. How can
the nurse practitioner implement primary prevention strategies for an 80-year-old
male patient who smokes?
1. Review home fire safety protocols, including the proper use of smoke alarms,
and discuss smoking cessation.
2. Inform him that if he does not stop smoking, the nurse practitioner cannot see
him again.
3. Have a conference with his family about his smoking
.4. Plan a family meeting with the patient to discuss benefits of his smoking
cessation.
1. Review home fire safety protocols, including the proper use of smoke alarms, and
discuss smoking cessation.
The nurse practitioner is conducting a safety class with community-living older
adults. Which of the following should she include in her teaching of risks of
burns for this population? Select all that apply.
1. Thinner skin.
2. Less vascularity.
3. Diminished nerve function.
4. A weakened immune system.