Drexel NUR 550 Final UPDATED
ACTUAL Exam Questions and CORRECT
ANSWERS
Which of the following is NOT considered a risk factor for the developing of melanoma?
a). Light hair and eyes
b). Female gender
c). Severe sunburns in childhood
d). 1-4 dysplasyic moles - CORRECT ANSWER- ✔✔b). Female gender
When using the otoscope to inspect the inside of the nose, which of the following structures
is not visible?
a). Inferior turbinate
b). Middle turbinate
c). Superior turbinate
d). All of the above - CORRECT ANSWER- ✔✔c). Superior turbinate
When palpating the thyroid, which of the following is true?
a). Flex the neck slightly backward
b). Place the index fingers just above the cricoid cartilage
c). The thyroid isthmus may not be palpable
d). A bruit auscultated over the lateral lobe is expected - CORRECT ANSWER- ✔✔b). Place
the index fingers just above the cricoid cartilage
During the palpation of a patient's thyroid gland you note a multinodular gland. Which of the
following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process - CORRECT ANSWER- ✔✔d). A metabolic process
,You are evaluating a 4 year-old male patient with ear pain. You note the patient has a
temperature of 102.4F. While performing your exam, you note the patient is pulling at his left
ear. What is our most likely differential diagnosis?
a).Otitis externa
b). Otitis media
c). Tinnitus
d). Ottorhea - CORRECT ANSWER- ✔✔b). Otitis media
You are using a Snellen chart to evaluate a patient's visual acuity, which of the following is
true? Select all that apply:
a). Have the patient stand back 20 ft. from the chart
b). Have the patient use their hand to cover one eye
c). You are evaluating cranial nerve II
d). Evaluate visual acuity with both eyes open - CORRECT ANSWER- ✔✔a). Have the
patient stand back 20 ft. from the chart
&
c). You are evaluating cranial nerve II
Within 48-72 hours after the birth, a neonate has bilateral copious purulent drainage from the
eyes. You most likelu differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis - CORRECT ANSWER- ✔✔a). Gonococcal conjunctivitis
Which of the following are normal findings during the ophthalmoscope examination? Select
all that apply:
a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance - CORRECT ANSWER- ✔✔b). the area of
the macula is absent of blood vessels
, &
d). The optic disc should be orange in appearance
You are beginning the examination of the skin on a 25-year-old teacher. You have previously
elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You
strongly suspect that she has hypothyroidism. What is the expected moisture and texture of
the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough - CORRECT ANSWER- ✔✔d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the
ventilator for 3 weeks. You are completing your initial assessment and are evaluating her skin
condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with
damage to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this
as a pressure ulcer. What is the stage of this ulcer?
a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4 - CORRECT ANSWER- ✔✔a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right
temporal area of the forehead, you see a flattened papule the same color as his skin, covered
by a dry scale that is round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma - CORRECT ANSWER- ✔✔a). Actinic keratosis
ACTUAL Exam Questions and CORRECT
ANSWERS
Which of the following is NOT considered a risk factor for the developing of melanoma?
a). Light hair and eyes
b). Female gender
c). Severe sunburns in childhood
d). 1-4 dysplasyic moles - CORRECT ANSWER- ✔✔b). Female gender
When using the otoscope to inspect the inside of the nose, which of the following structures
is not visible?
a). Inferior turbinate
b). Middle turbinate
c). Superior turbinate
d). All of the above - CORRECT ANSWER- ✔✔c). Superior turbinate
When palpating the thyroid, which of the following is true?
a). Flex the neck slightly backward
b). Place the index fingers just above the cricoid cartilage
c). The thyroid isthmus may not be palpable
d). A bruit auscultated over the lateral lobe is expected - CORRECT ANSWER- ✔✔b). Place
the index fingers just above the cricoid cartilage
During the palpation of a patient's thyroid gland you note a multinodular gland. Which of the
following is the first on your list of differential diagnoses?
a). Thyroid cancer
b). Hashimoto's thyroiditis
c). Grave's disease
d). A metabolic process - CORRECT ANSWER- ✔✔d). A metabolic process
,You are evaluating a 4 year-old male patient with ear pain. You note the patient has a
temperature of 102.4F. While performing your exam, you note the patient is pulling at his left
ear. What is our most likely differential diagnosis?
a).Otitis externa
b). Otitis media
c). Tinnitus
d). Ottorhea - CORRECT ANSWER- ✔✔b). Otitis media
You are using a Snellen chart to evaluate a patient's visual acuity, which of the following is
true? Select all that apply:
a). Have the patient stand back 20 ft. from the chart
b). Have the patient use their hand to cover one eye
c). You are evaluating cranial nerve II
d). Evaluate visual acuity with both eyes open - CORRECT ANSWER- ✔✔a). Have the
patient stand back 20 ft. from the chart
&
c). You are evaluating cranial nerve II
Within 48-72 hours after the birth, a neonate has bilateral copious purulent drainage from the
eyes. You most likelu differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis - CORRECT ANSWER- ✔✔a). Gonococcal conjunctivitis
Which of the following are normal findings during the ophthalmoscope examination? Select
all that apply:
a). The physiologic cup is 70% of the optic disc
b). the area of the macula is absent of blood vessels
c). The optic rim is fuzzy in appearance
d). The optic disc should be orange in appearance - CORRECT ANSWER- ✔✔b). the area of
the macula is absent of blood vessels
, &
d). The optic disc should be orange in appearance
You are beginning the examination of the skin on a 25-year-old teacher. You have previously
elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You
strongly suspect that she has hypothyroidism. What is the expected moisture and texture of
the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough - CORRECT ANSWER- ✔✔d). Dry and rough
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the
hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to be on the
ventilator for 3 weeks. You are completing your initial assessment and are evaluating her skin
condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with
damage to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this
as a pressure ulcer. What is the stage of this ulcer?
a). Stage 3
b). Stage 1
c). Stage 2
d). Stage 4 - CORRECT ANSWER- ✔✔a). Stage 3
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right
temporal area of the forehead, you see a flattened papule the same color as his skin, covered
by a dry scale that is round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most likely diagnosis?
a). Actinic keratosis
b). Seborrheic keratosis
c). Squamous cell carcinoma
d). Basel cell carcinoma - CORRECT ANSWER- ✔✔a). Actinic keratosis
