NUR 6111 SHADOW HEALTH FELIPE
BARBOSA – SICK VISIT:
INTEGUMENTARY | QUESTION 1-200 AND
ANSWERS UPDATED 2026/2027 | 100%
Introduction
This practice question bank is designed to help students prepare for a NUR 6111
Shadow Health–style sick visit involving Felipe Barbosa and an integumentary
assessment. It focuses on clinical interviewing, focused skin examination, differential
diagnosis, documentation, treatment planning, patient education, and reflection. The
questions use original educational scenarios rather than verified questions from an
official examination.
The practice material emphasizes a systematic approach to common skin complaints,
including rashes, itching, lesions, infections, inflammatory conditions, and potentially
concerning changes in skin appearance. It also reviews how to gather a relevant
history, recognize red flags, select appropriate diagnostic steps, document findings
objectively in a SOAP note, and develop safe, evidence-informed management plans.
Use the questions to strengthen clinical reasoning rather than memorize isolated
answers. In actual clinical practice, assessment findings must be interpreted in the
context of the patient's history, medications, allergies, comorbidities, and examination.
Treatment decisions should follow current clinical guidance, local prescribing
requirements, and the supervising clinician's expectations.
Core content domains
Focused integumentary history and physical examination
Skin anatomy, lesion morphology, and descriptive terminology
Differential diagnosis and clinical decision-making
, Diagnostic testing and interpretation
SOAP documentation and clinical reasoning
Treatment, medication safety, and patient education
Red flags, infection prevention, follow-up, and reflection
Questions 1–100: Advanced Practice Questions
and Answers
Question 1
A patient presents with an itchy, red rash on both forearms. Which question is most
important to ask first when investigating a possible contact dermatitis?
A. “Do you exercise every day?”
B. “Have you recently used any new soaps, detergents, lotions, or cleaning products?”
C. “How many hours do you sleep each night?”
D. “Do you usually eat spicy foods?”
Rationale: B is correct because identifying new topical exposures helps establish
whether irritant or allergic contact dermatitis is likely. A may help assess general
health but is less directly relevant. C does not identify likely skin triggers. D is not a
typical first-line question for localized contact dermatitis.
Question 2
During an integumentary examination, the clinician observes a flat, discolored lesion
measuring 0.5 cm. Which term best describes this lesion?
A. Papule
B. Plaque
,C. Macule
D. Nodule
Rationale: C is correct because a macule is a flat, circumscribed area of color change,
generally 1 cm or less. A papule is raised and small. B describes a raised, relatively
broad lesion. D is a deeper, solid lesion that is generally larger than a papule.
Question 3
A patient reports a rapidly spreading red area of skin that is warm, painful, and
swollen. Which diagnosis should be considered?
A. Vitiligo
B. Seborrheic keratosis
C. Cellulitis
D. Stable post-inflammatory hyperpigmentation
Rationale: C is correct because spreading erythema, warmth, tenderness, and swelling
are characteristic of cellulitis. A causes depigmented patches without acute warmth or
pain. B typically produces benign, waxy lesions. D is a pigmentary change that does
not usually cause acute inflammation.
Question 4
Which finding during a skin assessment warrants the greatest concern for possible
melanoma?
A. A uniformly colored, symmetrical mole that has remained unchanged for years
B. A small skin tag in the axilla
C. A pigmented lesion with asymmetry, irregular borders, multiple colors, and recent
enlargement
D. A stable, flesh-colored papule
Rationale: C is correct because asymmetry, border irregularity, color variation,
diameter or evolution, and particularly recent change can indicate melanoma. A is less
concerning, although any changing lesion deserves assessment. B is commonly
benign. D lacks the described warning features but still requires clinical context.
Question 5
A patient reports intense itching that is worse at night. Small papules and burrows are
visible between the fingers. Which condition is most likely?
, A. Psoriasis
B. Scabies
C. Vitiligo
D. Rosacea
Rationale: B is correct because nocturnal itching, interdigital papules, and burrows
strongly suggest scabies infestation. A typically produces well-demarcated plaques
with scale. C causes loss of pigmentation rather than itchy burrows. D mainly affects
central facial skin.
Question 6
Which action best supports accurate documentation of a skin lesion?
A. Record that the lesion looks “bad.”
B. Document only the patient's suspected diagnosis.
C. Describe the lesion as “normal” if the patient is not concerned.
D. Document location, size, color, morphology, distribution, and relevant associated
findings.
Rationale: D is correct because objective, reproducible descriptions support clinical
reasoning and follow-up. A is subjective and vague. B substitutes a conclusion for
observed findings. C dismisses potentially important evidence based on the patient's
level of concern.
Question 7
A patient presents with sharply demarcated erythematous plaques covered by silvery
scale on the elbows and knees. Which diagnosis is most consistent with these findings?
A. Tinea corporis
B. Cellulitis
C. Plaque psoriasis
D. Scabies
Rationale: C is correct because psoriasis commonly causes sharply defined plaques
with silvery scale on extensor surfaces. A often produces annular lesions with an
active, scaly border. B typically causes spreading warmth, tenderness, and swelling. D
usually causes marked itching and may show burrows.
BARBOSA – SICK VISIT:
INTEGUMENTARY | QUESTION 1-200 AND
ANSWERS UPDATED 2026/2027 | 100%
Introduction
This practice question bank is designed to help students prepare for a NUR 6111
Shadow Health–style sick visit involving Felipe Barbosa and an integumentary
assessment. It focuses on clinical interviewing, focused skin examination, differential
diagnosis, documentation, treatment planning, patient education, and reflection. The
questions use original educational scenarios rather than verified questions from an
official examination.
The practice material emphasizes a systematic approach to common skin complaints,
including rashes, itching, lesions, infections, inflammatory conditions, and potentially
concerning changes in skin appearance. It also reviews how to gather a relevant
history, recognize red flags, select appropriate diagnostic steps, document findings
objectively in a SOAP note, and develop safe, evidence-informed management plans.
Use the questions to strengthen clinical reasoning rather than memorize isolated
answers. In actual clinical practice, assessment findings must be interpreted in the
context of the patient's history, medications, allergies, comorbidities, and examination.
Treatment decisions should follow current clinical guidance, local prescribing
requirements, and the supervising clinician's expectations.
Core content domains
Focused integumentary history and physical examination
Skin anatomy, lesion morphology, and descriptive terminology
Differential diagnosis and clinical decision-making
, Diagnostic testing and interpretation
SOAP documentation and clinical reasoning
Treatment, medication safety, and patient education
Red flags, infection prevention, follow-up, and reflection
Questions 1–100: Advanced Practice Questions
and Answers
Question 1
A patient presents with an itchy, red rash on both forearms. Which question is most
important to ask first when investigating a possible contact dermatitis?
A. “Do you exercise every day?”
B. “Have you recently used any new soaps, detergents, lotions, or cleaning products?”
C. “How many hours do you sleep each night?”
D. “Do you usually eat spicy foods?”
Rationale: B is correct because identifying new topical exposures helps establish
whether irritant or allergic contact dermatitis is likely. A may help assess general
health but is less directly relevant. C does not identify likely skin triggers. D is not a
typical first-line question for localized contact dermatitis.
Question 2
During an integumentary examination, the clinician observes a flat, discolored lesion
measuring 0.5 cm. Which term best describes this lesion?
A. Papule
B. Plaque
,C. Macule
D. Nodule
Rationale: C is correct because a macule is a flat, circumscribed area of color change,
generally 1 cm or less. A papule is raised and small. B describes a raised, relatively
broad lesion. D is a deeper, solid lesion that is generally larger than a papule.
Question 3
A patient reports a rapidly spreading red area of skin that is warm, painful, and
swollen. Which diagnosis should be considered?
A. Vitiligo
B. Seborrheic keratosis
C. Cellulitis
D. Stable post-inflammatory hyperpigmentation
Rationale: C is correct because spreading erythema, warmth, tenderness, and swelling
are characteristic of cellulitis. A causes depigmented patches without acute warmth or
pain. B typically produces benign, waxy lesions. D is a pigmentary change that does
not usually cause acute inflammation.
Question 4
Which finding during a skin assessment warrants the greatest concern for possible
melanoma?
A. A uniformly colored, symmetrical mole that has remained unchanged for years
B. A small skin tag in the axilla
C. A pigmented lesion with asymmetry, irregular borders, multiple colors, and recent
enlargement
D. A stable, flesh-colored papule
Rationale: C is correct because asymmetry, border irregularity, color variation,
diameter or evolution, and particularly recent change can indicate melanoma. A is less
concerning, although any changing lesion deserves assessment. B is commonly
benign. D lacks the described warning features but still requires clinical context.
Question 5
A patient reports intense itching that is worse at night. Small papules and burrows are
visible between the fingers. Which condition is most likely?
, A. Psoriasis
B. Scabies
C. Vitiligo
D. Rosacea
Rationale: B is correct because nocturnal itching, interdigital papules, and burrows
strongly suggest scabies infestation. A typically produces well-demarcated plaques
with scale. C causes loss of pigmentation rather than itchy burrows. D mainly affects
central facial skin.
Question 6
Which action best supports accurate documentation of a skin lesion?
A. Record that the lesion looks “bad.”
B. Document only the patient's suspected diagnosis.
C. Describe the lesion as “normal” if the patient is not concerned.
D. Document location, size, color, morphology, distribution, and relevant associated
findings.
Rationale: D is correct because objective, reproducible descriptions support clinical
reasoning and follow-up. A is subjective and vague. B substitutes a conclusion for
observed findings. C dismisses potentially important evidence based on the patient's
level of concern.
Question 7
A patient presents with sharply demarcated erythematous plaques covered by silvery
scale on the elbows and knees. Which diagnosis is most consistent with these findings?
A. Tinea corporis
B. Cellulitis
C. Plaque psoriasis
D. Scabies
Rationale: C is correct because psoriasis commonly causes sharply defined plaques
with silvery scale on extensor surfaces. A often produces annular lesions with an
active, scaly border. B typically causes spreading warmth, tenderness, and swelling. D
usually causes marked itching and may show burrows.
