NUR 6111 Advanced Practice Nursing 1 Exam
Testbank: 200 Verified Questions with Detailed
Rationales for William Paterson University, Latest
Update 2026/2027
EXAM 1: Dermatologic, EENT, GI & Respiratory
Disorders
Dermatology
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
☑VERIFIED 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. It grows slowly and rarely
metastasizes.
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
☑VERIFIED 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.
,3. A patient presents with an erythematous, ring-
like lesion with scaling and central clearing on the
forearm. Which test would initially help confirm
the diagnosis?
A) Bacterial culture
B) Wood's lamp examination
C) Potassium hydroxide (KOH) scraping
D) Skin biopsy
E) Patch testing
☑VERIFIED ANSWER: C) Potassium hydroxide
(KOH) scraping
Rationale: Erythematous, ring-like lesions with
scaling and central clearing are classic for tinea
corporis, a superficial dermatophyte infection. KOH
scraping revealing fungal hyphae is the simplest and
quickest diagnostic approach.
, 4. A patient with onychomycosis is being treated
with Efinaconazole daily. How long should
treatment typically continue?
A) 2 weeks
B) 4 weeks
C) 6-12 months
D) Until symptoms resolve
☑VERIFIED ANSWER: C) 6-12 months
Rationale: Onychomycosis requires prolonged
treatment due to slow nail growth. Topical
antifungals like efinaconazole are typically
continued for 6-12 months to ensure complete
clearance of the infection.
5. Which feature helps distinguish atopic
dermatitis from contact dermatitis, drug reactions,
scabies, and tinea?
A) Pruritus
B) Distribution on flexural areas
Testbank: 200 Verified Questions with Detailed
Rationales for William Paterson University, Latest
Update 2026/2027
EXAM 1: Dermatologic, EENT, GI & Respiratory
Disorders
Dermatology
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
☑VERIFIED 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. It grows slowly and rarely
metastasizes.
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
☑VERIFIED 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.
,3. A patient presents with an erythematous, ring-
like lesion with scaling and central clearing on the
forearm. Which test would initially help confirm
the diagnosis?
A) Bacterial culture
B) Wood's lamp examination
C) Potassium hydroxide (KOH) scraping
D) Skin biopsy
E) Patch testing
☑VERIFIED ANSWER: C) Potassium hydroxide
(KOH) scraping
Rationale: Erythematous, ring-like lesions with
scaling and central clearing are classic for tinea
corporis, a superficial dermatophyte infection. KOH
scraping revealing fungal hyphae is the simplest and
quickest diagnostic approach.
, 4. A patient with onychomycosis is being treated
with Efinaconazole daily. How long should
treatment typically continue?
A) 2 weeks
B) 4 weeks
C) 6-12 months
D) Until symptoms resolve
☑VERIFIED ANSWER: C) 6-12 months
Rationale: Onychomycosis requires prolonged
treatment due to slow nail growth. Topical
antifungals like efinaconazole are typically
continued for 6-12 months to ensure complete
clearance of the infection.
5. Which feature helps distinguish atopic
dermatitis from contact dermatitis, drug reactions,
scabies, and tinea?
A) Pruritus
B) Distribution on flexural areas
