NUR 6111 SHADOW HEALTH FELIPE
BARBOSA – SICK VISIT:
INTEGUMENTARY | PRACTICE QUESTIONS
1–100 AND ANSWERS | 2026/2027
UPDATED | DETAILED RATIONALES
Introduction
This practice question bank supports students preparing for the NUR 6111 Shadow
Health Felipe Barbosa sick-visit scenario, focusing on the integumentary system. It
reviews clinical assessment, focused history-taking, physical examination, differential
diagnosis, SOAP documentation, treatment planning, patient education, and clinical
reflection. The material is intended for advanced nursing students developing clinical
reasoning and documentation skills in a simulated patient encounter.
The case-specific assessment should be guided by the symptoms and findings actually
presented in the assigned Shadow Health activity. Because those findings and the
course rubric are not provided here, the questions below cover common principles of
integumentary assessment and outpatient clinical decision-making rather than
claiming to reproduce the simulation’s exact findings or official answers. Use the
practice items alongside your course instructions and current clinical guidance. In
particular, distinguish observed findings from patient-reported symptoms, avoid
documenting assessments that were not performed, and ensure that diagnostic and
treatment decisions account for allergies, medication risks, red flags, and appropriate
follow-up.
Core domains tested
1.
Subjective history: Presenting concern, symptom chronology, associated
symptoms, exposures, and relevant medical history.
2.
3.
Integumentary examination: Lesion morphology, distribution, color, size,
borders, temperature, tenderness, and surrounding tissue.
4.
5.
, Clinical reasoning: Prioritizing differential diagnoses and identifying findings
that require urgent evaluation.
6.
7.
SOAP documentation: Separating subjective information, objective findings,
assessment, and plan.
8.
9.
Diagnosis and management: Selecting appropriate investigations and
evidence-informed treatment options.
10.
11.
Medication safety: Allergies, contraindications, interactions, administration,
and patient counseling.
12.
13.
Patient education and prevention: Skin care, hygiene, wound care, and
recognition of worsening symptoms.
14.
15.
Professional reflection: Clinical reasoning, communication, documentation
quality, and areas for improvement.
16.
QUESTIONS 1–100
Domain 1: Subjective History and Focused Assessment
Q1: During Felipe Barbosa’s sick visit, a patient reports a new skin eruption. Which
question provides the most useful initial information for narrowing the differential
diagnosis?
A) “Which skin-care products do you prefer?” B) “When did the eruption begin, how
has it changed, and what symptoms accompany it?” C) “Have you ever purchased
prescription skin medication?” D) “How frequently do you visit a dermatologist?”
, Rationale: B is correct because onset, progression, and associated symptoms help
distinguish acute infection, allergic reactions, inflammatory disorders, and other
causes. A may reveal exposures but does not establish the timeline. C may identify
prior treatment but is too narrow as an opening question. D provides background
information but has limited immediate diagnostic value.
Q2: Felipe reports itching after starting a new laundry detergent. Which follow-up
question best evaluates a possible contact reaction?
A) “Does anyone in your family have high blood pressure?” B) “How many hours do
you sleep each night?” C) “Did the rash appear where clothing contacts your skin, and
does it improve when you avoid the detergent?” D) “Have you recently changed your
exercise routine?”
Rationale: C is correct because the distribution of lesions and improvement after
removing an exposure support evaluation for contact dermatitis. A and B are
generally unrelated to the suspected trigger. D may be relevant if exercise involves
new clothing or products, but it does not directly assess the detergent association.
Q3: A patient with a skin lesion reports fever and rapidly increasing pain. What
should the nurse practitioner prioritize?
A) Assess the patient promptly for systemic infection and urgent complications. B)
Recommend a routine dermatology appointment several months later. C) Begin
cosmetic treatment before completing the assessment. D) Reassure the patient that
fever commonly accompanies every benign rash.
Rationale: A is correct because fever with rapidly worsening pain can indicate a
serious infection or another urgent process. B risks delaying needed care. C prioritizes
appearance over safety. D is inaccurate because fever is not an expected feature of
every benign rash.
Q4: Which question most directly assesses medication-related causes of a new skin
eruption?
A) “What is your usual breakfast?” B) “How many people live in your home?” C)
“What is your preferred pharmacy?” D) “Have you started, stopped, or changed any
prescription, over-the-counter, or supplement product recently?”
Rationale: D is correct because medication changes can precede drug eruptions,
although timing and morphology must be evaluated carefully. A and B usually have
little direct relevance. C may become useful for coordinating care but does not
identify a potential medication trigger.
Q5: A patient describes intermittent hives but has no visible lesions during the visit.
What is the most useful next step?
A) Document that the patient has no skin symptoms. B) Ask about episode duration,
triggers, associated swelling or breathing symptoms, and request photographs if
BARBOSA – SICK VISIT:
INTEGUMENTARY | PRACTICE QUESTIONS
1–100 AND ANSWERS | 2026/2027
UPDATED | DETAILED RATIONALES
Introduction
This practice question bank supports students preparing for the NUR 6111 Shadow
Health Felipe Barbosa sick-visit scenario, focusing on the integumentary system. It
reviews clinical assessment, focused history-taking, physical examination, differential
diagnosis, SOAP documentation, treatment planning, patient education, and clinical
reflection. The material is intended for advanced nursing students developing clinical
reasoning and documentation skills in a simulated patient encounter.
The case-specific assessment should be guided by the symptoms and findings actually
presented in the assigned Shadow Health activity. Because those findings and the
course rubric are not provided here, the questions below cover common principles of
integumentary assessment and outpatient clinical decision-making rather than
claiming to reproduce the simulation’s exact findings or official answers. Use the
practice items alongside your course instructions and current clinical guidance. In
particular, distinguish observed findings from patient-reported symptoms, avoid
documenting assessments that were not performed, and ensure that diagnostic and
treatment decisions account for allergies, medication risks, red flags, and appropriate
follow-up.
Core domains tested
1.
Subjective history: Presenting concern, symptom chronology, associated
symptoms, exposures, and relevant medical history.
2.
3.
Integumentary examination: Lesion morphology, distribution, color, size,
borders, temperature, tenderness, and surrounding tissue.
4.
5.
, Clinical reasoning: Prioritizing differential diagnoses and identifying findings
that require urgent evaluation.
6.
7.
SOAP documentation: Separating subjective information, objective findings,
assessment, and plan.
8.
9.
Diagnosis and management: Selecting appropriate investigations and
evidence-informed treatment options.
10.
11.
Medication safety: Allergies, contraindications, interactions, administration,
and patient counseling.
12.
13.
Patient education and prevention: Skin care, hygiene, wound care, and
recognition of worsening symptoms.
14.
15.
Professional reflection: Clinical reasoning, communication, documentation
quality, and areas for improvement.
16.
QUESTIONS 1–100
Domain 1: Subjective History and Focused Assessment
Q1: During Felipe Barbosa’s sick visit, a patient reports a new skin eruption. Which
question provides the most useful initial information for narrowing the differential
diagnosis?
A) “Which skin-care products do you prefer?” B) “When did the eruption begin, how
has it changed, and what symptoms accompany it?” C) “Have you ever purchased
prescription skin medication?” D) “How frequently do you visit a dermatologist?”
, Rationale: B is correct because onset, progression, and associated symptoms help
distinguish acute infection, allergic reactions, inflammatory disorders, and other
causes. A may reveal exposures but does not establish the timeline. C may identify
prior treatment but is too narrow as an opening question. D provides background
information but has limited immediate diagnostic value.
Q2: Felipe reports itching after starting a new laundry detergent. Which follow-up
question best evaluates a possible contact reaction?
A) “Does anyone in your family have high blood pressure?” B) “How many hours do
you sleep each night?” C) “Did the rash appear where clothing contacts your skin, and
does it improve when you avoid the detergent?” D) “Have you recently changed your
exercise routine?”
Rationale: C is correct because the distribution of lesions and improvement after
removing an exposure support evaluation for contact dermatitis. A and B are
generally unrelated to the suspected trigger. D may be relevant if exercise involves
new clothing or products, but it does not directly assess the detergent association.
Q3: A patient with a skin lesion reports fever and rapidly increasing pain. What
should the nurse practitioner prioritize?
A) Assess the patient promptly for systemic infection and urgent complications. B)
Recommend a routine dermatology appointment several months later. C) Begin
cosmetic treatment before completing the assessment. D) Reassure the patient that
fever commonly accompanies every benign rash.
Rationale: A is correct because fever with rapidly worsening pain can indicate a
serious infection or another urgent process. B risks delaying needed care. C prioritizes
appearance over safety. D is inaccurate because fever is not an expected feature of
every benign rash.
Q4: Which question most directly assesses medication-related causes of a new skin
eruption?
A) “What is your usual breakfast?” B) “How many people live in your home?” C)
“What is your preferred pharmacy?” D) “Have you started, stopped, or changed any
prescription, over-the-counter, or supplement product recently?”
Rationale: D is correct because medication changes can precede drug eruptions,
although timing and morphology must be evaluated carefully. A and B usually have
little direct relevance. C may become useful for coordinating care but does not
identify a potential medication trigger.
Q5: A patient describes intermittent hives but has no visible lesions during the visit.
What is the most useful next step?
A) Document that the patient has no skin symptoms. B) Ask about episode duration,
triggers, associated swelling or breathing symptoms, and request photographs if
