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NUR 265 Exam 4 (2025 Update) – Complete Solutions & Verified Medical-Surgical Nursing Review

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Prepare for NUR 265 Exam 4 (2025 Update) with this comprehensive Medical-Surgical Nursing study resource. This guide includes accurately written exam-style questions, complete step-by-step solutions, and verified rationales aligned with NCLEX and nursing program standards. Ideal for nursing students seeking a reliable Adult Health / Med-Surg Exam 4 review covering cardiovascular, respiratory, renal, endocrine, shock, fluid and electrolyte, and acid–base concepts for academic success.

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NURSE PRACTITIONER
CERTIFICATION EXAM 2025/2026
WELL DETAILED



1. primary lesion - correct answer <<<<<💕💕💕✔✔lesion that develops on previously
unaltered skin



2. lesion - correct answer <<<<<💕💕💕✔✔a region in an organ or tissue that has suffered
damage thru injury or disease



3. secondary lesion - correct answer <<<<<💕💕💕✔✔lesion that either changes impression
over time or occurs when a primary lesion is scratched it may be infected



4. macule - correct answer <<<<<💕💕💕✔✔circumscribed flat area; different color and
texture from surrounding tissue, <1cm
5. ex.) ephelides (freckles), petechia, flat nevi (moles)



6. patch - correct answer <<<<<💕💕💕✔✔a large macule; >1cm

ex.) mongolian spot, Cafe, au lair spot



7. papule - correct answer <<<<<💕💕💕✔✔Small solid elevated lesion; <1cm

ex.) bug bite, elevated nevus (mole) or verruca (wart)



8. plaque - correct answer <<<<<💕💕💕✔✔elevation of skin; >1cm; example psoriasis lesion



9. pustule - correct answer <<<<<💕💕💕✔✔a visible accumulation of purulent fluid under
skin; <1cm; examples acne and impetigo

,10. vesicle - correct answer <<<<<💕💕💕✔✔a circumscribed elevation of skin contains
"SEROUS FLUID: <1cm; examples, herpes simples, varicella, shingles



11. nodule - correct answer <<<<<💕💕💕✔✔solid mass of skin, is elevated or palpated >1cm;
often extends deeper into dermis: examples xanthoma and fibroma



12. bulla - correct answer <<<<<💕💕💕✔✔blister, circumscribed elevation containing fluid
>1cm , extends only into epidermis, examples burns, superficial blister, contact dermatitis



13. wheal - correct answer <<<<<💕💕💕✔✔elevated white or pink compressible papule or
plaque, a red, axon-mediated flare often surround it, commonly associated with allergic
reaction, examples PPD test and mosquito bites



14. cyst - correct answer <<<<<💕💕💕✔✔any closed cavity or sac; contains fluid or semisolid
material, normal or abnormal epithelium. example sebaceous cyst



15. Abscess - correct answer <<<<<💕💕💕✔✔a localized collection of purulent fluid in a
cavity formed by disintegration or necrosis of tissues >1cm



16. tumor - correct answer <<<<<💕💕💕✔✔"MASS: > few cm in diameter; firm or soft;
benign or malignant



17. configuration: annular - correct answer <<<<<💕💕💕✔✔circular, begins in center and
spreads to periphery



18. configuration: confluent - correct answer <<<<<💕💕💕✔✔lesions run together



19. configuration: grouped - correct answer <<<<<💕💕💕✔✔lesion cluster



20. configuration: gyrate - correct answer <<<<<💕💕💕✔✔twisted, coiled, spiral and snake
like

, 21. configuration: linear - correct answer <<<<<💕💕💕✔✔scratch, streak, line stripe



22. configuration: polycyclic - correct answer <<<<<💕💕💕✔✔annular lesions merge



23. configuration: solitary or discrete - correct answer <<<<<💕💕💕✔✔individual and distinct
lesions that remain separate



24. configuration: target (iris) - correct answer <<<<<💕💕💕✔✔resembles iris of eye; lesion
with concentric rings of color



25. configuration: zosteriform - correct answer <<<<<💕💕💕✔✔linear arrangement along
nerve route



26. comedones - correct answer <<<<<💕💕💕✔✔open are called black heads (openings
capped with a blackened skin debris); and closed are called white head (obstructed)



27. acne - correct answer <<<<<💕💕💕✔✔can be comedones, pustules, papules (pimples and
zits), cysts, nodules and scaring



28. nonpharmacological management of acne - correct answer <<<<<💕💕💕✔✔wash several
times daily with soap and water; avoid topical oil based; use oil free cleansers and moisterizers



29. pharmacological management of acne - correct answer <<<<<💕💕💕✔✔comedolytic
agents: benzoyl peroxice, salicylic acid, topical antibiotics (clindamycin, erythromycin,
tetracycline and metronidazole for rosacea). May consider oral antibiotics and oral
contraceptives



30. folliculitis - correct answer <<<<<💕💕💕✔✔inflammation of hair follicle; common cause
staphylococci

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