APEA 3P ACTUAL NURSING EXAM
CERTIFICATION EVALUATION SET 2026
PRACTICE SOLUTION EXPERT CHECKED
◉ Tick repellant skin use. Answer: DEET
◉ Tick repellant clothing use. Answer: Permethrin
◉ Brown Recluse Spider Bite: SX. Answer: • 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. Answer: 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. Answer: primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
,◉ Macule. Answer: 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. Answer: elevated, raised lesion filled with serous fluid
(herpetic lesions)
◉ Papule. Answer: palpable solid lesion (acne, moles)
◉ primary skin lesions >1cm in size. Answer: Nodule
Plaque
Bullae (Blister)
Pustule
Wheal
◉ Nodule. Answer: raised solid lesion (BCC)
◉ Plaque. Answer: solid raised lesion with flat top (psoriasis)
◉ Bulla/Bullae. Answer: elevated superficial blister filled with
serous fluid (2nd degree burn, impetigo)
,◉ Pustule. Answer: circumscribed elevated lesion containing pus
(acne pustules)
◉ Secondary Skin Lesions-Lichenification. Answer: thickening of the
epidermis with exaggeration of normal skin due to chronic skin
itching (eczema)
◉ Secondary skin lesions- Scale. Answer: flaking skin (psoriasis)
◉ Secondary skin condition-crust. Answer: dried exudate (impetigo)
◉ Secondary skin condition-ulceration. Answer: eroding of
epidermis and dermis (if deep can involve subcutaneous tissue)
◉ Secondary skin condition-scar. Answer: permanent fibrotic
change following damage to dermis (surgical scars)
◉ Secondary skin condition-keloids/hypertrophic scars. Answer:
overgrowth of scar tissue (more common in Black and Asian
descent)
◉ Rule of 9's. Answer: Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 9% each
, Front trunk = 18%
Back trunk = 18%
◉ Rule of 9's =-child leg. Answer: Chlid one leg=13.5%
One leg adult =18%
◉ Rule of 9's =child head. Answer: Child head- 18% (half of adult %)
◉ First degree (superficial):. Answer: Red to bright red skin and
tenderness/pain
◉ second-degree (partial-thickness) burns. Answer: Painful red
skin, bullae (blisters), reddened/weepy skin
--> BLISTERS START AT SECOND DEGREE
◉ third-degree (full-thickness) burns. Answer: Pain sensation
absent. Pale/white color, charred skin, leather-like texture
◉ Criteria for Burn Center Referral:. Answer: Face, hands, feet,
genitals, major joints
Electrical burns, lightning burns
Partial thickness burns >10% of total body surface area
Third degree burns in any age group
CERTIFICATION EVALUATION SET 2026
PRACTICE SOLUTION EXPERT CHECKED
◉ Tick repellant skin use. Answer: DEET
◉ Tick repellant clothing use. Answer: Permethrin
◉ Brown Recluse Spider Bite: SX. Answer: • 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. Answer: 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. Answer: primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
,◉ Macule. Answer: 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. Answer: elevated, raised lesion filled with serous fluid
(herpetic lesions)
◉ Papule. Answer: palpable solid lesion (acne, moles)
◉ primary skin lesions >1cm in size. Answer: Nodule
Plaque
Bullae (Blister)
Pustule
Wheal
◉ Nodule. Answer: raised solid lesion (BCC)
◉ Plaque. Answer: solid raised lesion with flat top (psoriasis)
◉ Bulla/Bullae. Answer: elevated superficial blister filled with
serous fluid (2nd degree burn, impetigo)
,◉ Pustule. Answer: circumscribed elevated lesion containing pus
(acne pustules)
◉ Secondary Skin Lesions-Lichenification. Answer: thickening of the
epidermis with exaggeration of normal skin due to chronic skin
itching (eczema)
◉ Secondary skin lesions- Scale. Answer: flaking skin (psoriasis)
◉ Secondary skin condition-crust. Answer: dried exudate (impetigo)
◉ Secondary skin condition-ulceration. Answer: eroding of
epidermis and dermis (if deep can involve subcutaneous tissue)
◉ Secondary skin condition-scar. Answer: permanent fibrotic
change following damage to dermis (surgical scars)
◉ Secondary skin condition-keloids/hypertrophic scars. Answer:
overgrowth of scar tissue (more common in Black and Asian
descent)
◉ Rule of 9's. Answer: Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 9% each
, Front trunk = 18%
Back trunk = 18%
◉ Rule of 9's =-child leg. Answer: Chlid one leg=13.5%
One leg adult =18%
◉ Rule of 9's =child head. Answer: Child head- 18% (half of adult %)
◉ First degree (superficial):. Answer: Red to bright red skin and
tenderness/pain
◉ second-degree (partial-thickness) burns. Answer: Painful red
skin, bullae (blisters), reddened/weepy skin
--> BLISTERS START AT SECOND DEGREE
◉ third-degree (full-thickness) burns. Answer: Pain sensation
absent. Pale/white color, charred skin, leather-like texture
◉ Criteria for Burn Center Referral:. Answer: Face, hands, feet,
genitals, major joints
Electrical burns, lightning burns
Partial thickness burns >10% of total body surface area
Third degree burns in any age group
