Nurs 6531 Final Exam 2026 With All 256 Questions And Correct
Answers Already Graded A+ Walden University/ Nurs 6531 Practice
Care Of Adults Latest Final Exam (Brand New!!)
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,Dermatology
Question 1: A patient has a pruritic eczematous dermatitis which has been present
for 1 week and reports similar symptoms in other family members. What will the
practitioner look for to help determine a diagnosis of scabies?
a. Bullous lesions on the soles of the feet and palms of the hands
b. Intraepidermal burrows on the interdigital spaces of the hands
c. Nits and small bugs along the scalp line at the back of the neck
d. Pustular lesions in clusters on the trunk and extremities
Correct Answer: B
Rationale: The scabies mite typically burrows no deeper than the stratum
,corneum, and burrows may be found in the interdigital spaces of the hands,
among other places. Bullous lesions may occur with impetigo. Nits and small bugs
are characteristic findings with pediculosis. Pustular lesions represent superficial
skin infections.
Question 2: A patient has actinic keratosis, and the provider elects to use
cryosurgery to remove the lesions. How will the provider administer this
procedure?
a. Applying one or two freeze-thaw cycles to each lesion
b. Applying two or more freeze-thaw cycles to each lesion
c. Applying until the freeze spreads laterally 1 mm from the lesion edges
d. Applying until the freeze spreads laterally 4 mm from the lesion edges
Correct Answer: A
Rationale: For actinic keratosis, one to two freeze-thaw cycles are usually enough.
Two or more freeze-thaw cycles are generally required for thicker seborrheic
keratosis lesions. The freeze should spread laterally 3 to 4 mm from the edge of
the lesions.
Question 3: What is the primary symptom causing discomfort in patients with
atopic dermatitis (AD)?
a. Dryness
b. Erythema
c. Lichenification
d. Pruritis
Correct Answer: D
Rationale: Itching (pruritus) is incessant, and patients usually develop other signs
at the site of itching. None of the other options are associated with AD as the
primary discomfort.
, Question 4: A patient diagnosed with psoriasis develops lesions on the
intertriginous areas of the skin. Which treatment is recommended?
a. High-potency topical steroids
b. Oral corticosteroid injections
c. Topical steroids with vitamin D
d. Topical, low-potency steroids
Correct Answer: D
Rationale: Patients with intertriginous psoriasis should be treated with low-
potency topical steroids. High-potency steroids usually produce maximum benefit
in 2 to 3 weeks, and research suggests combining high-potency steroids with
vitamin D analog is best for other areas. Oral corticosteroids are used for
recalcitrant symptoms.
Question 5: A patient has a pressure ulcer that has been treated with topical
medications. During a follow-up visit, the provider notes an area of red bumps in
the lesion. What does this indicate?
a. Healing tissue
b. Poor perfusion
c. Secondary infection
d. Tunneling lesions
Correct Answer: A
Rationale: Wounds that are healing or have the potential to heal will demonstrate
pink or red tissue and the absence of exudate, infection, or debris and will have
bumpy granulation tissue. Perfusion is assessed by pulse assessment and
localized capillary refill. Secondary infection is characterized by exudate and
cellular debris. Tunneling is a secondary wound.
Otolaryngology (Ears, Nose, Throat)
Question 6: A patient reports ear pain after being hit in the head with a baseball.
The provider notes a perforated tympanic membrane. What is the recommended