, NUR 6111 Advanced Practice Nursing I Exam 1 -
Actual Questions with Revised Answers, 100%
Verified - William Paterson University
Question 1
A 73-year-old woman presents with a newly formed painless, pearly, ulcerated nodule with
rolled edges and overlying telangiectasia on the upper lip. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Melanoma
D) Actinic keratosis
E) Seborrheic keratosis
Answer: B) Basal cell carcinoma
Rationale: Basal cell carcinoma (BCC) commonly presents as a pearly nodule with rolled borders
and telangiectasia, especially on sun-exposed areas such as the face and lips . BCC grows slowly
and rarely metastasizes .
Question 2
Which statement is true regarding Basal Cell Carcinoma?
A) Mostly found on the palms and soles
B) Commonly occurs on head, neck, and nose
C) It rapidly metastasizes
D) It is caused by viral infection
E) It always presents as pigmented lesions
Answer: B) Commonly occurs on head, neck, and nose
Rationale: BCC primarily occurs on sun-exposed areas such as the head, neck, and nose. It
grows slowly and rarely metastasizes .
Question 3
, A 75-year-old man reports 72 hours of low-grade fever, headache, and burning pain on one side
of his back with a unilateral vesicular rash that does not cross the midline. What is the
appropriate treatment plan?
A) Oral acyclovir 800 mg five times daily for 7-10 days
B) Oral prednisone for 2 weeks
C) Topical corticosteroids only
D) No treatment necessary, it resolves spontaneously
E) Oral doxycycline
Answer: A) Oral acyclovir 800 mg five times daily for 7-10 days
Rationale: These symptoms are classic for herpes zoster (shingles). Early antiviral treatment
with oral acyclovir reduces duration and severity .
Question 4
A test that confirms herpes zoster is:
A) Wood's lamp examination
B) Tzanck test
C) Skin biopsy
D) PCR testing
E) KOH preparation
Answer: B) Tzanck test
Rationale: The Tzanck test is used to confirm herpes zoster by identifying multinucleated giant
cells in vesicular fluid .
Question 5
A patient with onychomycosis is being treated with Efinaconazole daily. How long is the duration
of treatment?
A) 4 weeks
B) 12 weeks
C) 24 weeks
D) 48 weeks
E) 52 weeks
Actual Questions with Revised Answers, 100%
Verified - William Paterson University
Question 1
A 73-year-old woman presents with a newly formed painless, pearly, ulcerated nodule with
rolled edges and overlying telangiectasia on the upper lip. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Melanoma
D) Actinic keratosis
E) Seborrheic keratosis
Answer: B) Basal cell carcinoma
Rationale: Basal cell carcinoma (BCC) commonly presents as a pearly nodule with rolled borders
and telangiectasia, especially on sun-exposed areas such as the face and lips . BCC grows slowly
and rarely metastasizes .
Question 2
Which statement is true regarding Basal Cell Carcinoma?
A) Mostly found on the palms and soles
B) Commonly occurs on head, neck, and nose
C) It rapidly metastasizes
D) It is caused by viral infection
E) It always presents as pigmented lesions
Answer: B) Commonly occurs on head, neck, and nose
Rationale: BCC primarily occurs on sun-exposed areas such as the head, neck, and nose. It
grows slowly and rarely metastasizes .
Question 3
, A 75-year-old man reports 72 hours of low-grade fever, headache, and burning pain on one side
of his back with a unilateral vesicular rash that does not cross the midline. What is the
appropriate treatment plan?
A) Oral acyclovir 800 mg five times daily for 7-10 days
B) Oral prednisone for 2 weeks
C) Topical corticosteroids only
D) No treatment necessary, it resolves spontaneously
E) Oral doxycycline
Answer: A) Oral acyclovir 800 mg five times daily for 7-10 days
Rationale: These symptoms are classic for herpes zoster (shingles). Early antiviral treatment
with oral acyclovir reduces duration and severity .
Question 4
A test that confirms herpes zoster is:
A) Wood's lamp examination
B) Tzanck test
C) Skin biopsy
D) PCR testing
E) KOH preparation
Answer: B) Tzanck test
Rationale: The Tzanck test is used to confirm herpes zoster by identifying multinucleated giant
cells in vesicular fluid .
Question 5
A patient with onychomycosis is being treated with Efinaconazole daily. How long is the duration
of treatment?
A) 4 weeks
B) 12 weeks
C) 24 weeks
D) 48 weeks
E) 52 weeks
