NUR 569: FNP 1 EXAM 1 ( Chapters 1-17)
QUESTIONS AND CORRECT ANSWERS
Question 1
A client has a nonpalpable skin lesion that is causing a change in skin color greater
than 1 cm in diameter. The nurse would document this finding as being a(n):
Correct Answer
Patch.
A patch is a localized change in skin color of greater than 1cm in diameter.
Question 2
A client is experiencing a circular lesion with an advancing, red, scaly border on the
abdomen. The nurse recognizes this lesion as being:
1 tinea capitis.
2 tinea corporis.
3 tinea cruris.
4 tinea pedis.
Correct Answer
2. tinea corporis
Tinea corporis is a fungal infection that involves the face, trunk, and limbs.
Page 1 of 86
,Question 3
A patient began experiencing manifestations of a stroke at 0800 hours. By which time
should thrombolytic medications be provided to reverse stroke symptoms?
a. 0900 hours
b. 1250 hours
c. 1400 hours
d. 1660 hours
Correct Answer
b. 1250 hours
If a patient experiencing ischemic stroke symptoms receives treatment within 4.5
hours of symptom onset, medication can be provided to resolve the deficits.
Question 4
A nurse decides to pursue a career in community-based nursing. Which of the
following statements represents the environment in which the nurse will be working?
Correct Answer
C) Care in the community is cost-effective.
Feedback: Care in the community is cost-effective and often more acceptable to the
client because itcauses less disruption in life. It takes place in a wide variety of
settings and involves the nurse
entering into a collaborative relationship with clients.
Question 5
After assessing a female patient, the nurse notices flesh-colored, soft, pointed, moist,
papules in a cauliflower-like patch around her introitus. This finding is most likely:
a. Urethral caruncle.
b. Syphilitic chancre.
c. Herpes simplex virus.
d. Human papillomavirus
Correct Answer
d. Human papillomavirus
Human papillomavirus appears in a flesh-colored, soft, moist, cauliflower-like patch
of papules
Page 2 of 86
,Question 6
Which of the following should the nurse instruct a client who is prescribed a topical
medication for a skin condition?
1 Apply directly to broken or irritated skin.
2 Apply before bathing.
3 Apply after bathing.
4 Cover the area with an occlusive dressing.
Correct Answer
3 Apply after bathing.
The client should be instructed to apply the medication to the skin after bathing
since hydration of the area will increase absorption of the medication. The
medication should not be applied directly to broken or irritated skin.
Question 7
The patient is diagnosed with a cerebral vascular accident that has the slowest rate of
recovery and the highest probability of causing extensive neurological deficits. For
which type of stroke should the nurse plan care for this patient?
a. Thrombotic stroke
b. Cerebral aneurysm
c. Subarachnoid hemorrhage (SAH)
d. Reversible ischemic neurological deficit (RIND)
Correct Answer
c. Subarachnoid hemorrhage (SAH)
Question 8
The most common precancerous skin lesion found in Caucasians is:
a. A skin tag
b. Actinic keratosis
c. A melanoma
d. A basal cell lesion
Correct Answer
b. Actinic keratosis
Page 3 of 86
, Question 9
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing?
a. CN V
b. CN VII
c. CN IX
d. CN X
Correct Answer
a. CN V
Question 10
Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this is
necessary. You tell him:
a. "L-dopa is neuroprotective."
b. "The primary goal of therapy is to replace depleted stores of dopamine."
c. "This is the only drug that can provide symptomatic benefit."
d. "This is the initial monotherapy drug."
Correct Answer
b. "The primary goal of therapy is to replace depleted stores of dopamine."
Question 11
A middle-aged construction worker has a raised lesion with a pearly border on his
arm that bleeds easily. The nurse realizes that this client most likely is experiencing
a(n):
1. actinic keratosis
2. basal cell carcinoma
3. malignant melanoma
4. melanoma in situ
Correct Answer
2. basal cell carcinoma
Basal cell carcinoma in its nodular form appears as a pearly, translucent bump that
bleeds easily.
Page 4 of 86
QUESTIONS AND CORRECT ANSWERS
Question 1
A client has a nonpalpable skin lesion that is causing a change in skin color greater
than 1 cm in diameter. The nurse would document this finding as being a(n):
Correct Answer
Patch.
A patch is a localized change in skin color of greater than 1cm in diameter.
Question 2
A client is experiencing a circular lesion with an advancing, red, scaly border on the
abdomen. The nurse recognizes this lesion as being:
1 tinea capitis.
2 tinea corporis.
3 tinea cruris.
4 tinea pedis.
Correct Answer
2. tinea corporis
Tinea corporis is a fungal infection that involves the face, trunk, and limbs.
Page 1 of 86
,Question 3
A patient began experiencing manifestations of a stroke at 0800 hours. By which time
should thrombolytic medications be provided to reverse stroke symptoms?
a. 0900 hours
b. 1250 hours
c. 1400 hours
d. 1660 hours
Correct Answer
b. 1250 hours
If a patient experiencing ischemic stroke symptoms receives treatment within 4.5
hours of symptom onset, medication can be provided to resolve the deficits.
Question 4
A nurse decides to pursue a career in community-based nursing. Which of the
following statements represents the environment in which the nurse will be working?
Correct Answer
C) Care in the community is cost-effective.
Feedback: Care in the community is cost-effective and often more acceptable to the
client because itcauses less disruption in life. It takes place in a wide variety of
settings and involves the nurse
entering into a collaborative relationship with clients.
Question 5
After assessing a female patient, the nurse notices flesh-colored, soft, pointed, moist,
papules in a cauliflower-like patch around her introitus. This finding is most likely:
a. Urethral caruncle.
b. Syphilitic chancre.
c. Herpes simplex virus.
d. Human papillomavirus
Correct Answer
d. Human papillomavirus
Human papillomavirus appears in a flesh-colored, soft, moist, cauliflower-like patch
of papules
Page 2 of 86
,Question 6
Which of the following should the nurse instruct a client who is prescribed a topical
medication for a skin condition?
1 Apply directly to broken or irritated skin.
2 Apply before bathing.
3 Apply after bathing.
4 Cover the area with an occlusive dressing.
Correct Answer
3 Apply after bathing.
The client should be instructed to apply the medication to the skin after bathing
since hydration of the area will increase absorption of the medication. The
medication should not be applied directly to broken or irritated skin.
Question 7
The patient is diagnosed with a cerebral vascular accident that has the slowest rate of
recovery and the highest probability of causing extensive neurological deficits. For
which type of stroke should the nurse plan care for this patient?
a. Thrombotic stroke
b. Cerebral aneurysm
c. Subarachnoid hemorrhage (SAH)
d. Reversible ischemic neurological deficit (RIND)
Correct Answer
c. Subarachnoid hemorrhage (SAH)
Question 8
The most common precancerous skin lesion found in Caucasians is:
a. A skin tag
b. Actinic keratosis
c. A melanoma
d. A basal cell lesion
Correct Answer
b. Actinic keratosis
Page 3 of 86
, Question 9
Which cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing?
a. CN V
b. CN VII
c. CN IX
d. CN X
Correct Answer
a. CN V
Question 10
Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this is
necessary. You tell him:
a. "L-dopa is neuroprotective."
b. "The primary goal of therapy is to replace depleted stores of dopamine."
c. "This is the only drug that can provide symptomatic benefit."
d. "This is the initial monotherapy drug."
Correct Answer
b. "The primary goal of therapy is to replace depleted stores of dopamine."
Question 11
A middle-aged construction worker has a raised lesion with a pearly border on his
arm that bleeds easily. The nurse realizes that this client most likely is experiencing
a(n):
1. actinic keratosis
2. basal cell carcinoma
3. malignant melanoma
4. melanoma in situ
Correct Answer
2. basal cell carcinoma
Basal cell carcinoma in its nodular form appears as a pearly, translucent bump that
bleeds easily.
Page 4 of 86
