, NUR 6111 Advanced Practice Nursing I Final Exam - Actual Questions
with Revised Answers, 100% Verified - William Paterson University
Question 1
A 73-year-old woman presents with a newly formed painless, pearly, ulcerated nodule with
rolled edges and overlying telangiectasia on the upper lip. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Melanoma
D) Actinic keratosis
E) Seborrheic keratosis
Answer: B) Basal cell carcinoma
Rationale: Basal cell carcinoma (BCC) commonly presents as a pearly nodule with rolled borders
and telangiectasia, especially on sun-exposed areas such as the face and lips. BCC grows slowly
and rarely metastasizes .
Question 2
A 75-year-old man reports 72 hours of low-grade fever, headache, and burning pain on one side
of his back with a unilateral vesicular rash that does not cross the midline. What is the
appropriate treatment plan?
A) Oral acyclovir 800 mg five times daily for 7-10 days
B) Oral prednisone for 2 weeks
C) Topical corticosteroids only
D) No treatment necessary, it resolves spontaneously
E) Oral doxycycline
Answer: A) Oral acyclovir 800 mg five times daily for 7-10 days
Rationale: These symptoms are classic for herpes zoster (shingles). Early antiviral treatment
with oral acyclovir reduces duration and severity .
Question 3
,A patient presents with red and scaly lesions on the scalp, with hairs appearing discolored,
lusterless, and brittle. Hairs break off a few millimeters above the scalp. What statements are
true regarding management? (Select all that apply)
A) Woods lamp examination can be helpful in diagnosis
B) Use of 1% or 2.5% selenium sulfide shampoo (Selsun) is recommended
C) A negative culture after treatment is necessary for follow-up evaluation
D) This condition does not require antifungal treatment
E) Oral corticosteroids are first-line therapy
Answer: A, B, C
Rationale: This presentation is consistent with tinea capitis, characterized by scaly papules
around hair shafts and broken hairs near the scalp surface ("black dot" sign). Woods lamp
examination can assist diagnosis by highlighting some dermatophytes. Selenium sulfide
shampoo is effective adjunct therapy to reduce fungal burden. Oral antifungals, not
corticosteroids, are required as first-line therapy .
Question 4
A 60-year-old female who works in an animal shelter presents with erythematous, ring-like
lesions with raised, scaly borders and a paler center on her buttocks and abdomen. Which test
would initially help confirm the diagnosis?
A) Bacterial culture
B) Wood's lamp examination
C) Potassium hydroxide (KOH) scraping
D) Skin biopsy
E) Patch testing
Answer: C) Potassium hydroxide (KOH) scraping
Rationale: Erythematous, ring-like lesions with scaling and central clearing are classic for tinea
corporis, a superficial dermatophyte infection. KOH scraping revealing fungal hyphae is the
simplest and quickest diagnostic approach .
Question 5
Which feature helps distinguish atopic dermatitis from contact dermatitis, drug reactions,
scabies, and tinea?
, A) Pruritus
B) Distribution on flexural areas
C) Personal history of asthma and hay fever
D) Presence of vesicles
E) Positive KOH test
Answer: C) Personal history of asthma and hay fever
Rationale: Atopic dermatitis is frequently associated with atopic triad conditions: asthma,
allergic rhinitis (hay fever), and eczema. A personal history of asthma and hay fever is more
specific for atopic dermatitis .
Question 6
The most important aspect of skin care for individuals with atopic dermatitis is:
A) Frequent bathing with soap
B) Use of topical corticosteroids only during flares
C) Application of lubricants and emollients regularly
D) Application of antifungal creams prophylactically
E) Avoidance of all heat and exercise
Answer: C) Application of lubricants and emollients regularly
Rationale: The cornerstone of atopic dermatitis management is maintaining skin hydration and
barrier function through regular application of lubricants and emollients. Frequent bathing with
soap can exacerbate dryness .
Question 7
Which statement is true regarding Actinic Keratosis?
A) They are benign and do not require treatment
B) They are considered premalignant cells and precursors to squamous cell carcinoma
C) They commonly regress without intervention
D) They are caused by fungal infections
E) They only occur on mucous membranes
Answer: B) They are considered premalignant cells and precursors to squamous cell
carcinoma
with Revised Answers, 100% Verified - William Paterson University
Question 1
A 73-year-old woman presents with a newly formed painless, pearly, ulcerated nodule with
rolled edges and overlying telangiectasia on the upper lip. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Melanoma
D) Actinic keratosis
E) Seborrheic keratosis
Answer: B) Basal cell carcinoma
Rationale: Basal cell carcinoma (BCC) commonly presents as a pearly nodule with rolled borders
and telangiectasia, especially on sun-exposed areas such as the face and lips. BCC grows slowly
and rarely metastasizes .
Question 2
A 75-year-old man reports 72 hours of low-grade fever, headache, and burning pain on one side
of his back with a unilateral vesicular rash that does not cross the midline. What is the
appropriate treatment plan?
A) Oral acyclovir 800 mg five times daily for 7-10 days
B) Oral prednisone for 2 weeks
C) Topical corticosteroids only
D) No treatment necessary, it resolves spontaneously
E) Oral doxycycline
Answer: A) Oral acyclovir 800 mg five times daily for 7-10 days
Rationale: These symptoms are classic for herpes zoster (shingles). Early antiviral treatment
with oral acyclovir reduces duration and severity .
Question 3
,A patient presents with red and scaly lesions on the scalp, with hairs appearing discolored,
lusterless, and brittle. Hairs break off a few millimeters above the scalp. What statements are
true regarding management? (Select all that apply)
A) Woods lamp examination can be helpful in diagnosis
B) Use of 1% or 2.5% selenium sulfide shampoo (Selsun) is recommended
C) A negative culture after treatment is necessary for follow-up evaluation
D) This condition does not require antifungal treatment
E) Oral corticosteroids are first-line therapy
Answer: A, B, C
Rationale: This presentation is consistent with tinea capitis, characterized by scaly papules
around hair shafts and broken hairs near the scalp surface ("black dot" sign). Woods lamp
examination can assist diagnosis by highlighting some dermatophytes. Selenium sulfide
shampoo is effective adjunct therapy to reduce fungal burden. Oral antifungals, not
corticosteroids, are required as first-line therapy .
Question 4
A 60-year-old female who works in an animal shelter presents with erythematous, ring-like
lesions with raised, scaly borders and a paler center on her buttocks and abdomen. Which test
would initially help confirm the diagnosis?
A) Bacterial culture
B) Wood's lamp examination
C) Potassium hydroxide (KOH) scraping
D) Skin biopsy
E) Patch testing
Answer: C) Potassium hydroxide (KOH) scraping
Rationale: Erythematous, ring-like lesions with scaling and central clearing are classic for tinea
corporis, a superficial dermatophyte infection. KOH scraping revealing fungal hyphae is the
simplest and quickest diagnostic approach .
Question 5
Which feature helps distinguish atopic dermatitis from contact dermatitis, drug reactions,
scabies, and tinea?
, A) Pruritus
B) Distribution on flexural areas
C) Personal history of asthma and hay fever
D) Presence of vesicles
E) Positive KOH test
Answer: C) Personal history of asthma and hay fever
Rationale: Atopic dermatitis is frequently associated with atopic triad conditions: asthma,
allergic rhinitis (hay fever), and eczema. A personal history of asthma and hay fever is more
specific for atopic dermatitis .
Question 6
The most important aspect of skin care for individuals with atopic dermatitis is:
A) Frequent bathing with soap
B) Use of topical corticosteroids only during flares
C) Application of lubricants and emollients regularly
D) Application of antifungal creams prophylactically
E) Avoidance of all heat and exercise
Answer: C) Application of lubricants and emollients regularly
Rationale: The cornerstone of atopic dermatitis management is maintaining skin hydration and
barrier function through regular application of lubricants and emollients. Frequent bathing with
soap can exacerbate dryness .
Question 7
Which statement is true regarding Actinic Keratosis?
A) They are benign and do not require treatment
B) They are considered premalignant cells and precursors to squamous cell carcinoma
C) They commonly regress without intervention
D) They are caused by fungal infections
E) They only occur on mucous membranes
Answer: B) They are considered premalignant cells and precursors to squamous cell
carcinoma
