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