Drexel NUR 550 Final Exam; Cumulative
Study Guide Review Questions with
Certified Solutions 2024-2025:
Which of the following are normal findings during the ophthalmoscope
examination? Select all that apply:
a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance
b). the area of the macula is absent of blood vessels
&
d). The optic disc should be orange in appearance
1|Page
,You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the
expected moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after
being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure
and had to be on the ventilator for 3 weeks. You are completing your initial
assessment and are evaluating her skin condition. On her sacrum there is full-
thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous
tissue. The underlying muscle is not affected. You diagnose this as a pressure
ulcer. What is the stage of this ulcer?
a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4
a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion.
On the right temporal area of the forehead, you see a flattened papule the same
2|Page
,color as his skin, covered by a dry scale that is round and feels hard. He has
several more of these scattered on the forehead, arms, and legs. Based on this
description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma
a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
d). It is likely to be related to her lupus
d). It is likely to be related to her lupus
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over
his scapula. It has been there for about a year and is getting larger. He says his
wife has been able to squeeze out a cheesy-textured substance on occasion. He
worries this may be cancer. When gently pinched from the side, a prominent
dimple forms in the middle of the mass. What is most likely?
a). A malignant lesion
b). An enlarged lymph node
3|Page
, c). An actinic keratosis
d). A sebaceous cyst
d). A sebaceous cyst
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale
of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to
light; she has had headaches like this in the past, usually less than one per week,
but not as severe. She does not know of any inciting factors. There has been no
change in the frequency of her headaches. She usually takes an over-the-counter
analgesic and this results in resolution of the headache. Based on this description,
what is the most likely diagnosis of the type of headache?
a). Cluster
b). Tension
c). Migraine
d). Analgesic rebound
c). Migraine
Which of the following is a "red flag" regarding patients presenting with
headache?
a). Unilateral headache
b). Pain over the sinuses
c). Age over 50
d). Photophobia and phonophobia
c). Age over 50
4|Page
Study Guide Review Questions with
Certified Solutions 2024-2025:
Which of the following are normal findings during the ophthalmoscope
examination? Select all that apply:
a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance
b). the area of the macula is absent of blood vessels
&
d). The optic disc should be orange in appearance
1|Page
,You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the
expected moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after
being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure
and had to be on the ventilator for 3 weeks. You are completing your initial
assessment and are evaluating her skin condition. On her sacrum there is full-
thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous
tissue. The underlying muscle is not affected. You diagnose this as a pressure
ulcer. What is the stage of this ulcer?
a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4
a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion.
On the right temporal area of the forehead, you see a flattened papule the same
2|Page
,color as his skin, covered by a dry scale that is round and feels hard. He has
several more of these scattered on the forehead, arms, and legs. Based on this
description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma
a). Actinic keratosis
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
a). It is likely to be related to an exposure to a chemical.
b). It should not cause any problems
c). It is likely to be related to an allergic reaction
d). It is likely to be related to her lupus
d). It is likely to be related to her lupus
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over
his scapula. It has been there for about a year and is getting larger. He says his
wife has been able to squeeze out a cheesy-textured substance on occasion. He
worries this may be cancer. When gently pinched from the side, a prominent
dimple forms in the middle of the mass. What is most likely?
a). A malignant lesion
b). An enlarged lymph node
3|Page
, c). An actinic keratosis
d). A sebaceous cyst
d). A sebaceous cyst
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale
of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to
light; she has had headaches like this in the past, usually less than one per week,
but not as severe. She does not know of any inciting factors. There has been no
change in the frequency of her headaches. She usually takes an over-the-counter
analgesic and this results in resolution of the headache. Based on this description,
what is the most likely diagnosis of the type of headache?
a). Cluster
b). Tension
c). Migraine
d). Analgesic rebound
c). Migraine
Which of the following is a "red flag" regarding patients presenting with
headache?
a). Unilateral headache
b). Pain over the sinuses
c). Age over 50
d). Photophobia and phonophobia
c). Age over 50
4|Page
