APEA 3P ACTUAL EXAM 2026-2027 REAL
EXAM 230 QUESTIONS AND VERIFIED ANS,
Exams of Nursing
Most common type of skin cancer in USA - - ANS✔️--Skin cancer
Most common type of skin cancer - - ANS✔️--basal cell carcinoma
basal cell carcinoma symptoms - - ANS✔️--Appearance varies; smooth, shiny bump, pink to
pearly white
Basal cell carcinoma common locations - - ANS✔️--cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard - - ANS✔️--biopsy. if not an option, refer to derm
Actinic keratosis - - ANS✔️--Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
,Actinic keratosis diagnosis gold standard - - ANS✔️--Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard - - ANS✔️--small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab
and be red
**5-flouracil/ efudex-wear sunscreen!!**
squamous cell cancer - - ANS✔️--chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - - ANS✔️--rims of ears, lips, nose, face and top of
hands
precursor lesion to squamous cell cancer - - ANS✔️--actinic keratosis
squamous cell carcinoma diagnosis by? - - ANS✔️--biopsy gold standard. if biopsy is not an
option, refer to dermatology .
,Risk factors for skin cancer(melanoma and both non-melanoma) - - ANS✔️--Blistering sunburn
as a child, history of sunburns, light skin, chronic exposure to UV light (sunlight/tanning beds),
moles, family hx for skin cancer
Melanoma symptoms (ABCDE) - - ANS✔️--asymmetry (shape/uneven texture)
border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma - - ANS✔️--Most common type of melanoma in dark skinned
individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in the
palms, or the soles of the feet
Tick repellant skin use - - ANS✔️--DEET
Tick repellant clothing use - - ANS✔️--Permethrin
Brown Recluse Spider Bite: SX - - ANS✔️--• Fever, chills • Nausea and Vomiting • Located in
the arms, upper legs, or the trunk • Bitten area becomes swollen, red, and tender, or can be
painless • Blisters appear within 24-48 hours • Necrotic in center, which kills the tissue
, **can be painless
Brown Recluse Spider Bite treatment - - ANS✔️--Treatment: • Ice packs to wound as the cold
inactivates the toxin • Treat like cellulitis of the skin • Antibiotic ointment at first and watch
Skin lesions - - ANS✔️--primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
Macule - - ANS✔️--Flat, nonpalpable, but visually distinct areas on the skin surface with color
different from the person's normal skin; less than 1 cm
FRECKLE
Vesicle - - ANS✔️--elevated, raised lesion filled with serous fluid (herpetic lesions)
Papule - - ANS✔️--palpable solid lesion (acne, moles)
primary skin lesions >1cm in size - - ANS✔️--Nodule
Plaque
Bullae (Blister)
Pustule
Wheal
EXAM 230 QUESTIONS AND VERIFIED ANS,
Exams of Nursing
Most common type of skin cancer in USA - - ANS✔️--Skin cancer
Most common type of skin cancer - - ANS✔️--basal cell carcinoma
basal cell carcinoma symptoms - - ANS✔️--Appearance varies; smooth, shiny bump, pink to
pearly white
Basal cell carcinoma common locations - - ANS✔️--cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard - - ANS✔️--biopsy. if not an option, refer to derm
Actinic keratosis - - ANS✔️--Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
,Actinic keratosis diagnosis gold standard - - ANS✔️--Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard - - ANS✔️--small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab
and be red
**5-flouracil/ efudex-wear sunscreen!!**
squamous cell cancer - - ANS✔️--chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - - ANS✔️--rims of ears, lips, nose, face and top of
hands
precursor lesion to squamous cell cancer - - ANS✔️--actinic keratosis
squamous cell carcinoma diagnosis by? - - ANS✔️--biopsy gold standard. if biopsy is not an
option, refer to dermatology .
,Risk factors for skin cancer(melanoma and both non-melanoma) - - ANS✔️--Blistering sunburn
as a child, history of sunburns, light skin, chronic exposure to UV light (sunlight/tanning beds),
moles, family hx for skin cancer
Melanoma symptoms (ABCDE) - - ANS✔️--asymmetry (shape/uneven texture)
border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma - - ANS✔️--Most common type of melanoma in dark skinned
individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in the
palms, or the soles of the feet
Tick repellant skin use - - ANS✔️--DEET
Tick repellant clothing use - - ANS✔️--Permethrin
Brown Recluse Spider Bite: SX - - ANS✔️--• Fever, chills • Nausea and Vomiting • Located in
the arms, upper legs, or the trunk • Bitten area becomes swollen, red, and tender, or can be
painless • Blisters appear within 24-48 hours • Necrotic in center, which kills the tissue
, **can be painless
Brown Recluse Spider Bite treatment - - ANS✔️--Treatment: • Ice packs to wound as the cold
inactivates the toxin • Treat like cellulitis of the skin • Antibiotic ointment at first and watch
Skin lesions - - ANS✔️--primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
Macule - - ANS✔️--Flat, nonpalpable, but visually distinct areas on the skin surface with color
different from the person's normal skin; less than 1 cm
FRECKLE
Vesicle - - ANS✔️--elevated, raised lesion filled with serous fluid (herpetic lesions)
Papule - - ANS✔️--palpable solid lesion (acne, moles)
primary skin lesions >1cm in size - - ANS✔️--Nodule
Plaque
Bullae (Blister)
Pustule
Wheal
