, NUR 6111 Advanced Practice Nursing I Exam 1 – 3 - Actual Questions with Revised
Answers, 100% Verified - William Paterson University
Table of contents:
NUR 6111 Exam 1: page 2
NUR 6111 Exam 2: page 25
NUR 6111 Exam 3: page 45
NUR 6111 Exam 1
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
Which statement is true regarding Basal Cell Carcinoma?
A) Mostly found on the palms and soles
B) Commonly occurs on head, neck, and nose
C) It rapidly metastasizes
D) It is caused by viral infection
E) It always presents as pigmented lesions
Answer: B) Commonly occurs on head, neck, and nose
,Rationale: BCC primarily occurs on sun-exposed areas such as the head, neck, and nose. It
grows slowly and rarely metastasizes .
Question 3
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 . The rash is unilateral and does not cross the
midline, characteristic of dermatomal distribution .
Question 4
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 is the most likely
diagnosis? (Select all that apply for management)
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. A negative culture confirms
eradication. Oral antifungals, not corticosteroids, are required as first-line therapy .
, Question 5
A 60-year-old female who works in an animal shelter presents with a rash on her buttocks and
abdomen. The rash shows erythematous, ring-like lesions with raised, scaly borders and a paler
center. 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 6
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 the atopic triad: asthma, allergic
rhinitis (hay fever), and eczema . While pruritus and vesicles can occur across many dermatoses,
a personal history of asthma and hay fever is more specific for atopic dermatitis.
Question 7
The most important aspect of skin care for individuals with atopic dermatitis is:
Answers, 100% Verified - William Paterson University
Table of contents:
NUR 6111 Exam 1: page 2
NUR 6111 Exam 2: page 25
NUR 6111 Exam 3: page 45
NUR 6111 Exam 1
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
Which statement is true regarding Basal Cell Carcinoma?
A) Mostly found on the palms and soles
B) Commonly occurs on head, neck, and nose
C) It rapidly metastasizes
D) It is caused by viral infection
E) It always presents as pigmented lesions
Answer: B) Commonly occurs on head, neck, and nose
,Rationale: BCC primarily occurs on sun-exposed areas such as the head, neck, and nose. It
grows slowly and rarely metastasizes .
Question 3
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 . The rash is unilateral and does not cross the
midline, characteristic of dermatomal distribution .
Question 4
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 is the most likely
diagnosis? (Select all that apply for management)
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. A negative culture confirms
eradication. Oral antifungals, not corticosteroids, are required as first-line therapy .
, Question 5
A 60-year-old female who works in an animal shelter presents with a rash on her buttocks and
abdomen. The rash shows erythematous, ring-like lesions with raised, scaly borders and a paler
center. 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 6
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 the atopic triad: asthma, allergic
rhinitis (hay fever), and eczema . While pruritus and vesicles can occur across many dermatoses,
a personal history of asthma and hay fever is more specific for atopic dermatitis.
Question 7
The most important aspect of skin care for individuals with atopic dermatitis is:
