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NR 511 Midterm Exam ||Just Out!!!
The nurse practitioner (NP) tells Samantha, age 52, that she has
an acrochordon on her neck. What is the NP referring to?
1.A nevus.
2.A skin tag.
3.A lipoma.
4.A wart. - ANSWER-a skin tag
ratonale: Skin tags (acrochordons) are benign overgrowths of
skin commonly seen after middle age and usually found on the
neck, axillae, groin, upper trunk, and eyelids.
Maryann, age 28, presents to the clinic because of a rapid onset
of patchy hair loss. The skin within these oval patches of hair
loss is very smooth. Tapered hairs that resemble exclamation
points are seen at the margin of a patch of hair loss. Based on
these findings, you suspect Maryann has:
1.Alopecia areata.
2.Trichotillomania.
3.Tinea capitis.
4.Androgenetic alopecia. - ANSWER-alopecia areata
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rationale: The findings are consistent with alopecia areata, ie,
nonscarring hair loss of rapid onset, the pattern of which is
most commonly sharply defined round or oval patches.
Eric, age 52, has gout. What do you suggest?
1.Using salicylates for an acute attack.
2.Limiting consumption of purine-rich foods.
3.Testing his uric acid level every 6 months.
4.Decreasing fluid intake. - ANSWER-Limiting consumption of
purine-rich foods
rationale: For a client with gout, the consumption of purine-rich
foods, such as organ meats, should be limited to prevent uric
acid buildup
Marge, age 36, is planning to go skiing with her fiancé. He has
warned her about frostbite, and she is wondering what to do if
frostbite should occur. You know she's misunderstood the
directions when she tells you which of the following?
1."I should remove wet footwear if my feet are frostbitten."
2."I should rub the area with snow."
3"I should apply firm pressure to the area with a warm hand."
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4."I should place my hands in my axillae if my hands are
frostbitten." - ANSWER-I should rub the area with snow
rationale:Rubbing or massaging the frostbitten area, especially
with snow, may cause permanent tissue damage.
Which treatment is considered the gold standard in tissue-
conserving skin cancer removal?
1.Cryosurgery.
2.Simple excision.
3.Photodynamic therapy.
4.Mohs micrographic surgery (MMS). - ANSWER-MMS
rationale: MMS is considered the gold standard in tissue-
conserving skin cancer removal. MMS is a specialized type of
surgery consisting of the removal of the entire tumor with the
smallest possible margin of normal skin
What is the most important thing a person can do to maintain
healthy skin and hopefully reduce wrinkles?
1.Keep well hydrated.
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2.Use sunscreen with a sun protection factor (SPF) of at least
45.
3.Avoid smoking.
4.Use mild defatted or glycerin soap - ANSWER-avoid smoking
rationale: The most important thing a person can do to
maintain healthy skin is not smoke. Smokers develop more
wrinkles and have elastosis, decreased tissue perfusion and
oxygenation, and an adverse exposure to free radicals on elastic
tissue.
You suspect a platelet abnormality in a 40-year-old woman who
presents to your clinic with:
1.Red to blue macular plaques.
2.Multiple freckle-like macular lesions in sun-exposed areas.
3.Numerous small, brown, nonscaly macules that become more
prominent with sun exposure.
4.Red, flat, nonblanchable petechiae. - ANSWER-Red, flat,
nonblanchable petechiae
rationale: A client with a platelet abnormality may present with
red, flat, nonblanchable petechiae.
NR 511 Midterm Exam ||Just Out!!!
The nurse practitioner (NP) tells Samantha, age 52, that she has
an acrochordon on her neck. What is the NP referring to?
1.A nevus.
2.A skin tag.
3.A lipoma.
4.A wart. - ANSWER-a skin tag
ratonale: Skin tags (acrochordons) are benign overgrowths of
skin commonly seen after middle age and usually found on the
neck, axillae, groin, upper trunk, and eyelids.
Maryann, age 28, presents to the clinic because of a rapid onset
of patchy hair loss. The skin within these oval patches of hair
loss is very smooth. Tapered hairs that resemble exclamation
points are seen at the margin of a patch of hair loss. Based on
these findings, you suspect Maryann has:
1.Alopecia areata.
2.Trichotillomania.
3.Tinea capitis.
4.Androgenetic alopecia. - ANSWER-alopecia areata
,2|Page
rationale: The findings are consistent with alopecia areata, ie,
nonscarring hair loss of rapid onset, the pattern of which is
most commonly sharply defined round or oval patches.
Eric, age 52, has gout. What do you suggest?
1.Using salicylates for an acute attack.
2.Limiting consumption of purine-rich foods.
3.Testing his uric acid level every 6 months.
4.Decreasing fluid intake. - ANSWER-Limiting consumption of
purine-rich foods
rationale: For a client with gout, the consumption of purine-rich
foods, such as organ meats, should be limited to prevent uric
acid buildup
Marge, age 36, is planning to go skiing with her fiancé. He has
warned her about frostbite, and she is wondering what to do if
frostbite should occur. You know she's misunderstood the
directions when she tells you which of the following?
1."I should remove wet footwear if my feet are frostbitten."
2."I should rub the area with snow."
3"I should apply firm pressure to the area with a warm hand."
,3|Page
4."I should place my hands in my axillae if my hands are
frostbitten." - ANSWER-I should rub the area with snow
rationale:Rubbing or massaging the frostbitten area, especially
with snow, may cause permanent tissue damage.
Which treatment is considered the gold standard in tissue-
conserving skin cancer removal?
1.Cryosurgery.
2.Simple excision.
3.Photodynamic therapy.
4.Mohs micrographic surgery (MMS). - ANSWER-MMS
rationale: MMS is considered the gold standard in tissue-
conserving skin cancer removal. MMS is a specialized type of
surgery consisting of the removal of the entire tumor with the
smallest possible margin of normal skin
What is the most important thing a person can do to maintain
healthy skin and hopefully reduce wrinkles?
1.Keep well hydrated.
, 4|Page
2.Use sunscreen with a sun protection factor (SPF) of at least
45.
3.Avoid smoking.
4.Use mild defatted or glycerin soap - ANSWER-avoid smoking
rationale: The most important thing a person can do to
maintain healthy skin is not smoke. Smokers develop more
wrinkles and have elastosis, decreased tissue perfusion and
oxygenation, and an adverse exposure to free radicals on elastic
tissue.
You suspect a platelet abnormality in a 40-year-old woman who
presents to your clinic with:
1.Red to blue macular plaques.
2.Multiple freckle-like macular lesions in sun-exposed areas.
3.Numerous small, brown, nonscaly macules that become more
prominent with sun exposure.
4.Red, flat, nonblanchable petechiae. - ANSWER-Red, flat,
nonblanchable petechiae
rationale: A client with a platelet abnormality may present with
red, flat, nonblanchable petechiae.
