NURSE PRACTITIONER
CERTIFICATION EXAM QUESTIONS
AND ANSWERS 2026 VERIFIED.
Primary lesion - ANS lesion that develops on previously unaltered skin
lesion - ANS a region in an organ or tissue that has suffered damage thru injury or disease
secondary lesion - ANS lesion that either changes impression over time or occurs when a
primary lesion is scratched it may be infected
macule - ANS circumscribed flat area; different color and texture from surrounding tissue,
<1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)
patch - ANS a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot
papule - ANS Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)
plaque - ANS elevation of skin; >1cm; example psoriasis lesion
,pustule - ANS a visible accumulation of purulent fluid under skin; <1cm; examples acne and
impetigo
vesicle - ANS a circumscribed elevation of skin contains "SEROUS FLUID: <1cm; examples,
herpes simples, varicella, shingles
nodule - ANS solid mass of skin, is elevated or palpated >1cm; often extends deeper into
dermis: examples xanthoma and fibroma
bulla - ANS blister, circumscribed elevation containing fluid >1cm , extends only into
epidermis, examples burns, superficial blister, contact dermatitis
wheal - ANS 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
cyst - ANS any closed cavity or sac; contains fluid or semisolid material, normal or abnormal
epithelium. example sebaceous cyst
Abscess - ANS a localized collection of purulent fluid in a cavity formed by disintegration or
necrosis of tissues >1cm
tumor - ANS "MASS: > few cm in diameter; firm or soft; benign or malignant
configuration: annular - ANS circular, begins in center and spreads to periphery
configuration: confluent - ANS lesions run together
configuration: grouped - ANS lesion cluster
, configuration: gyrate - ANS twisted, coiled, spiral and snake like
configuration: linear - ANS scratch, streak, line stripe
configuration: polycyclic - ANS annular lesions merge
configuration: solitary or discrete - ANS individual and distinct lesions that remain separate
configuration: target (iris) - ANS resembles iris of eye; lesion with concentric rings of color
configuration: zosteriform - ANS linear arrangement along nerve route
comedones - ANS open are called black heads (openings capped with a blackened skin
debris); and closed are called white head (obstructed)
acne - ANS can be comedones, pustules, papules (pimples and zits), cysts, nodules and
scaring
nonpharmacological management of acne - ANS wash several times daily with soap and
water; avoid topical oil based; use oil free cleansers and moisterizers
pharmacological management of acne - ANS comedolytic agents: benzoyl peroxice, salicylic
acid, topical antibiotics (clindamycin, erythromycin, tetracycline and metronidazole for rosacea).
May consider oral antibiotics and oral contraceptives
folliculitis - ANS inflammation of hair follicle; common cause staphylococci
furuncle - ANS "boil" localized infection in hair follicle, caused by staph
CERTIFICATION EXAM QUESTIONS
AND ANSWERS 2026 VERIFIED.
Primary lesion - ANS lesion that develops on previously unaltered skin
lesion - ANS a region in an organ or tissue that has suffered damage thru injury or disease
secondary lesion - ANS lesion that either changes impression over time or occurs when a
primary lesion is scratched it may be infected
macule - ANS circumscribed flat area; different color and texture from surrounding tissue,
<1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)
patch - ANS a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot
papule - ANS Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)
plaque - ANS elevation of skin; >1cm; example psoriasis lesion
,pustule - ANS a visible accumulation of purulent fluid under skin; <1cm; examples acne and
impetigo
vesicle - ANS a circumscribed elevation of skin contains "SEROUS FLUID: <1cm; examples,
herpes simples, varicella, shingles
nodule - ANS solid mass of skin, is elevated or palpated >1cm; often extends deeper into
dermis: examples xanthoma and fibroma
bulla - ANS blister, circumscribed elevation containing fluid >1cm , extends only into
epidermis, examples burns, superficial blister, contact dermatitis
wheal - ANS 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
cyst - ANS any closed cavity or sac; contains fluid or semisolid material, normal or abnormal
epithelium. example sebaceous cyst
Abscess - ANS a localized collection of purulent fluid in a cavity formed by disintegration or
necrosis of tissues >1cm
tumor - ANS "MASS: > few cm in diameter; firm or soft; benign or malignant
configuration: annular - ANS circular, begins in center and spreads to periphery
configuration: confluent - ANS lesions run together
configuration: grouped - ANS lesion cluster
, configuration: gyrate - ANS twisted, coiled, spiral and snake like
configuration: linear - ANS scratch, streak, line stripe
configuration: polycyclic - ANS annular lesions merge
configuration: solitary or discrete - ANS individual and distinct lesions that remain separate
configuration: target (iris) - ANS resembles iris of eye; lesion with concentric rings of color
configuration: zosteriform - ANS linear arrangement along nerve route
comedones - ANS open are called black heads (openings capped with a blackened skin
debris); and closed are called white head (obstructed)
acne - ANS can be comedones, pustules, papules (pimples and zits), cysts, nodules and
scaring
nonpharmacological management of acne - ANS wash several times daily with soap and
water; avoid topical oil based; use oil free cleansers and moisterizers
pharmacological management of acne - ANS comedolytic agents: benzoyl peroxice, salicylic
acid, topical antibiotics (clindamycin, erythromycin, tetracycline and metronidazole for rosacea).
May consider oral antibiotics and oral contraceptives
folliculitis - ANS inflammation of hair follicle; common cause staphylococci
furuncle - ANS "boil" localized infection in hair follicle, caused by staph
