,COMPREHENSIVE NURS 6531 CERTIFICATION
QUESTIONS AND ANSWERS GRADED A+
LATEST 2026/2027
◉ An adult patient has been diagnosed with atopic dermatitis and
seborrheic dermatitis with lesions on the forehead and along the
scalp line. Which is correct when prescribing a corticosteroid
medication to treat this condition? p. 238
a. Initiate treatment with 0.1% triamcinolone acetonide.
b. Monitor the patient closely for systemic adverse effects during
use.
c. Place an occlusive dressing over the medication after application.
d. Prescribe 0.05% fluocinonide to apply liberally.
Treatment with 0.1% triamcinolone acetonide is appropriate in this
case, because it is a class 4
corticosteroid and may be used on the face and is suggested for use
for these conditions. Systemic side effects are rare when topical
corticosteroids are used appropriately. Occlusive dressings increase
the risk of adverse effects and are not recommended. 0.05%
fluocinonide is a class III corticosteroid and should not be used on
the face.
◉ During a total body skin examination for skin cancer, the provider
notes a raised, shiny, slightly pigmented lesion on the patient's nose.
What will the provider do?
,a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma.
This lesion is characteristic of basal cell carcinoma, which is treated
with electrodessication and curettage. Melanoma lesions are usually
asymmetric lesions with irregular borders, variable coloration, >6
mm diameter, which are elevated; these should be referred
immediately. All suspicious lesions should be biopsied; until the
results are known, the provider should not reassure the patient that
the lesion is benign. Squamous cell carcinoma is roughened, scaling,
and bleeds easily.
◉ What is the initial approach when obtaining a biopsy of a
potential malignant melanoma lesion?
a. Excisional biopsy
b. Punch biopsy
c. Shave biopsy
d. Wide excision.
A suspected malignant melanoma lesion should be biopsied with
excisional biopsy; if diagnosed, a wide excision should follow. Punch
and shave biopsy procedures are appropriate for diagnostic
evaluation of NMSC lesions.
, ◉ A patient has acne and the provider notes lesions on half of the
face, some nodules, and two scarred areas. Which treatment will be
prescribed?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin.
This patient has moderate acne, based on symptoms of lesions on
half of the face with nodules and a few scars. A combination of
topical benzoyl peroxide and clindamycin is recommended. Oral
antibiotics are reserved for severe cases. Oral isotretinoin is used
only for recalcitrant cases which are severe and have not responded
to other treatments. Topical antibiotics should be used as
monotherapy.
◉ A provider is considering an oral contraceptive medication to
treat acne in an adolescent female. Which is an important
consideration when prescribing this drug? p. 246
a. A progesterone-only contraceptive is most beneficial for
treating acne.
b. Combined oral contraceptives are effective for non-
inflammatory acne only.
c. Oral contraceptives are effective because of their androgen
enhancing effects.
d. Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne
treatment.
QUESTIONS AND ANSWERS GRADED A+
LATEST 2026/2027
◉ An adult patient has been diagnosed with atopic dermatitis and
seborrheic dermatitis with lesions on the forehead and along the
scalp line. Which is correct when prescribing a corticosteroid
medication to treat this condition? p. 238
a. Initiate treatment with 0.1% triamcinolone acetonide.
b. Monitor the patient closely for systemic adverse effects during
use.
c. Place an occlusive dressing over the medication after application.
d. Prescribe 0.05% fluocinonide to apply liberally.
Treatment with 0.1% triamcinolone acetonide is appropriate in this
case, because it is a class 4
corticosteroid and may be used on the face and is suggested for use
for these conditions. Systemic side effects are rare when topical
corticosteroids are used appropriately. Occlusive dressings increase
the risk of adverse effects and are not recommended. 0.05%
fluocinonide is a class III corticosteroid and should not be used on
the face.
◉ During a total body skin examination for skin cancer, the provider
notes a raised, shiny, slightly pigmented lesion on the patient's nose.
What will the provider do?
,a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma.
This lesion is characteristic of basal cell carcinoma, which is treated
with electrodessication and curettage. Melanoma lesions are usually
asymmetric lesions with irregular borders, variable coloration, >6
mm diameter, which are elevated; these should be referred
immediately. All suspicious lesions should be biopsied; until the
results are known, the provider should not reassure the patient that
the lesion is benign. Squamous cell carcinoma is roughened, scaling,
and bleeds easily.
◉ What is the initial approach when obtaining a biopsy of a
potential malignant melanoma lesion?
a. Excisional biopsy
b. Punch biopsy
c. Shave biopsy
d. Wide excision.
A suspected malignant melanoma lesion should be biopsied with
excisional biopsy; if diagnosed, a wide excision should follow. Punch
and shave biopsy procedures are appropriate for diagnostic
evaluation of NMSC lesions.
, ◉ A patient has acne and the provider notes lesions on half of the
face, some nodules, and two scarred areas. Which treatment will be
prescribed?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin.
This patient has moderate acne, based on symptoms of lesions on
half of the face with nodules and a few scars. A combination of
topical benzoyl peroxide and clindamycin is recommended. Oral
antibiotics are reserved for severe cases. Oral isotretinoin is used
only for recalcitrant cases which are severe and have not responded
to other treatments. Topical antibiotics should be used as
monotherapy.
◉ A provider is considering an oral contraceptive medication to
treat acne in an adolescent female. Which is an important
consideration when prescribing this drug? p. 246
a. A progesterone-only contraceptive is most beneficial for
treating acne.
b. Combined oral contraceptives are effective for non-
inflammatory acne only.
c. Oral contraceptives are effective because of their androgen
enhancing effects.
d. Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne
treatment.
