NUR 6111 Advanced Practice Nursing Exam II Mastery Pack | Full-Length Study Notes, Practice Exams & Rationalized Review Questions (2026/2027)

2026/2027


Advanced Practice Nursing Exam II for
NUR 6111 Full-Length Study Notes,
Practice Exams, and Review Questions
2026/2027

Question 1:
Which layer of the epidermis is primarily found in the skin of the hands and feet?
A. Stratum corneum
B. Stratum lucidum
C. Stratum granulosum
D. Stratum germinativum
Correct Answer: B. Stratum lucidum

Rationale: The stratum lucidum is a clear layer present only in thick skin such as the
palms and soles. The stratum corneum (A) is found everywhere on the skin surface,
while the stratum granulosum (C) and stratum germinativum (D) are deeper layers
present in all skin types.


Question 2:
Most hair follicles originate in which layer of the skin?
A. Epidermis
B. Subcutaneous layer
C. Adipose layer
D. Dermis
Correct Answer: D. Dermis

Rationale: Hair follicles develop within the dermis where blood supply supports
growth. The epidermis (A) is the outer layer and does not house follicles, while the
subcutaneous (B) and adipose layers (C) lie deeper and are not the origin point.


Question 3:
A skin condition described as “confluent” refers to which characteristic?
A. Morphology
B. Structure
C. Distribution
D. Turgor
Correct Answer: C. Distribution

Rationale: “Confluent” describes how lesions merge together, which relates to
distribution. Morphology (A) refers to shape, structure (B) to anatomy, and turgor (D)
to skin elasticity.

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Question 4:
A patient presents with red papules, plaques, and scaling. What is the most likely
diagnosis?
A. Psoriasis
B. Eczema
C. Acne
D. Discoid lupus
Correct Answer: A. Psoriasis

Rationale: Psoriasis is characterized by plaques with silvery scales. Eczema (B)
typically presents with itching and inflammation, acne (C) involves comedones, and
lupus (D) presents with different lesion patterns.


Question 5:
How can a physician confirm a dermatophyte infection?
A. Observing red papules
B. Testing sweat glands
C. Scraping the skin with a blade
D. Pushing down the lesion
Correct Answer: C. Scraping the skin with a blade

Rationale: Skin scraping allows microscopic identification of fungal elements.
Observation alone (A) is not confirmatory, sweat testing (B) is unrelated, and pressing
lesions (D) does not diagnose infection.


Question 6:
Smooth skin lacking normal surface features is most likely:
A. Psoriasis
B. Hypokeratinization
C. A scar
D. A skin tag
Correct Answer: C. A scar

Rationale: Scar tissue lacks normal skin structures like pores and hair. Psoriasis (A)
shows scaling, hypokeratinization (B) is uncommon, and skin tags (D) are raised
growths.


Question 7:
Greasy scales on the scalp and face are typical of which condition?
A. Allergic dermatitis
B. Seborrheic dermatitis
C. Stasis dermatitis
D. Atopic dermatitis
Correct Answer: B. Seborrheic dermatitis

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Rationale: Seborrheic dermatitis presents with oily scales on scalp and face. Allergic
(A) and atopic dermatitis (D) are more inflammatory, while stasis dermatitis (C)
affects the lower legs.


Question 8:
Which condition commonly appears on the face or head?
A. Verruca
B. Dermatofibroma
C. Actinic keratosis
D. Neurofibroma
Correct Answer: D. Neurofibroma

Rationale: Neurofibromas commonly occur on the head and face. Verruca (A) are
warts, dermatofibromas (B) appear on limbs, and actinic keratosis (C) occurs in sun-
exposed areas but differs in presentation.


Question 9:
Which condition is considered premalignant?
A. Actinic keratosis
B. Paget’s disease
C. Lipoma
D. Granuloma annulare
Correct Answer: A. Actinic keratosis

Rationale: Actinic keratosis can progress to skin cancer. Paget’s disease (B) is
malignant, lipomas (C) are benign, and granuloma annulare (D) is noncancerous.


Question 10:
What does a Wood’s lamp examination help determine?
A. Exact diagnosis
B. Cause of infection
C. Internal vs external cause
D. Depth of skin involvement
Correct Answer: D. Depth of skin involvement

Rationale: Wood’s lamp helps assess whether lesions are superficial or deeper. It does
not give exact diagnoses (A), causes (B), or origin (C).


Question 11:
Which is the least common itching condition in pregnancy?
A. PUPPP
B. Pemphigoid gestationis
C. Prurigo gravidarum
D. ICP
Correct Answer: B. Pemphigoid gestationis