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Exam (elaborations)

ANCC AGACNP

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Exam of 63 pages for the course ANCC AGACNP at ANCC AGACNP (ANCC AGACNP)

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ANCC AGACNP

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ANCC AGACNP & Barkley Assessment Exam Prep 2025/2026 –
Adult-Gerontology Acute Care, ADHD Evaluation, and Practice
Questions Test Bank
An eczematous skin reaction may result from


A. penicillin.
B. allopurinol (Zyloprim).
C. an oral contraceptive.
D. phenytoin (Dilantin). - ANSWER-Answer: A


Penicillin, neomycin, phenothiazines, and local anesthetics may
cause an eczematous type of skin reaction. Allopurinol
(Zyloprim) and sulfonamides may cause exfoliative dermatitis,
oral contraceptives
may cause erythema nodosum, and phenytoin (Dilantin) and
procainamide (Pronestyl) may cause drug-related systemic
lupus erythematosus


Which structure of the skin is responsible for storing melanin?


A. Epidermis
B. Dermis
C. Sebaceous glands
D. Eccrine sweat glands - ANSWER-Answer: A

,2|Page




The epidermis stores melanin, which protects tissues from the
harmful effects of ultraviolet radiation in sunlight. The dermis is
the second layer of the skin. Its fibrous connective tissue gives
the skin its
strength and elasticity. The sebaceous glands are sebum-
producing glands that assist in retarding evaporation and water
loss from the epidermal cells. The eccrine sweat glands open
directly onto the
skin's surface and are widely distributed throughout the body in
the subcutaneous tissue.


All of the following medications may cause alopecia except


A. warfarin (Coumadin).
B. minoxidil (Rogaine).
C. levonorgestrel (Norplant).
D. acetylsalicylic acid (aspirin). - ANSWER-Answer: B


Minoxidil (Rogaine) is a vasodilator and may stimulate vertex
hair growth. Anticoagulants (e.g., warfarin as well as some
Factor Xa inhibitors), oral/hormonal contraceptives, and
salicylates (aspirin)
may cause alopecia. Other drugs that may cause alopecia include
antithyroid drugs, allopurinol, propranolol, amphetamines, and
levodopa.

,3|Page




The total loss of hair on all parts of the body is referred to as


A. female pattern alopecia.
B. alopecia areata.
C. alopecia totalis.
D. alopecia universalis - ANSWER-Answer: D


Alopecia universalis is the loss of hair on all parts of the body.
Female pattern alopecia is progressive thinning and loss of hair
over the central part of the scalp. Male pattern baldness is a
pattern of receding hairline and hair thinning on the crown.
Alopecia
areata appears as round or oval bald patches on the scalp and
other hairy parts of the body. Alopecia totalis is the loss of all
hair on the scalp.


The viral exanthem of Koplik's spots is present in


A. rubeola.
B. rubella.
C. fifth disease.
D. varicella. - ANSWER-Answer: A

, 4|Page


The viral exanthem of Koplik's spots is present in rubeola
(measles). Koplik's spots are observed on the buccal mucosa
before the rash appears. In rubella (German measles), there are
variable erythematous macules on the soft palate, and in fi fth
disease
(erythema infectiosum), there is no exanthem. In varicella
(chickenpox), there may be sparse lesions on the mucosal
surfaces, especially the hard palate.


Silas, age 82, comes to your office with a fairly new colostomy.
Around the stoma, he has a papular rash with satellite lesions.
What does this indicate?


A. A fungal infection, usually Candida albicans
B. An allergic reaction to the appliance
C. A normal reaction to fecal drainage
D. Contact dermatitis - ANSWER-Answer: A


A papular rash with satellite lesions around a stoma indicates a
fungal infection. It may be a consequence of persistent skin
moisture or an
adverse effect of antibiotic therapy. If Silas were having an
allergic reaction to the appliance, he would have an
erythematous vesicular rash limited to the site of the faceplate
of the appliance. If the appliance fi ts properly, fecal drainage
should not come in contact with the skin. Contact dermatitis may

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