NU 518 EXAM 3 – ADVANCED PRACTICE NURSING 300 QUESTIONS
WITH CORRECT ANSWERS | PATHOPHYSIOLOGY, PHARMACOLOGY
& CLINICAL DECISION-MAKING COVERING THE MOST TESTED
QUESTIONS GRADED A+
NU 518 EXAM 3 FOCUSES ON INTEGRATED NURSING KNOWLEDGE
NEEDED FOR ADVANCED CLINICAL PRACTICE, INCLUDING
PHARMACOLOGICAL INTERVENTIONS, CHRONIC DISEASE
MANAGEMENT, AND EVIDENCE-BASED DECISION-MAKING. THIS
RESOURCE IS CRUCIAL FOR STUDENTS PREPARING FOR CLINICAL
ROTATIONS, GRADUATE COURSE EXAMS, OR CERTIFICATION AS A
NURSE PRACTITIONER.
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin
check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-
blonde hair. She has a family history of melanoma. She has many freckles scattered across her skin.
From this description, which of the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure -CORRECT ANSWER-A
You are speaking to an 8th grade class about health prevention and are preparing to discuss the
ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E
= evolution -CORRECT ANSWER-B
,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) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough -CORRECT ANSWER-D
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large
patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree and that there are a
variety of erythematous papules and macules on the cleavage lines of the back. Based on this
description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema -CORRECT ANSWER-A
A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his
back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat
more than before because being outdoors is part of his job. On physical examination, you note dark
tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently
around the upper back, chest, neck, and upper arms as well as under the arms. Based on this
description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema -CORRECT ANSWER-B
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) Basal cell carcinoma
D) Squamous cell carcinoma -CORRECT ANSWER-A
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest. The
lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a
rough, wartlike texture on palpation. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma -CORRECT ANSWER-B
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 1
B) Stage 2
C) Stage 3
D) Stage 4 -CORRECT ANSWER-C
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting
her hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On
physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling
or inflammation. There are no hair shafts visible. Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia -CORRECT ANSWER-A
A mother brings her 11 month old to you because her mother-in-law and others have told her that
her baby is jaundiced. She is eating and growing well and performing the developmental milestones
she should for her age. On examination you indeed notice a yellow tone to her skin from head to
toe. Her sclerae are white. To which area should your next questions be related?
, A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child -CORRECT ANSWER-A
A new mother is concerned that her child occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does not remember the child's lips turning blue. She
is otherwise eating and growing well. What would you do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story -CORRECT ANSWER-A
You are examining an unconscious patient from another region and notice Beau's lines, a transverse
groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3 months
ago.
D) Ask about dietary intake. -CORRECT ANSWER-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill
people or other agents in the environment. He has a slight fever in the office. The rash consists of
small, bright red marks. When they are pressed, the red color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. -CORRECT ANSWER-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She
has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What
would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
WITH CORRECT ANSWERS | PATHOPHYSIOLOGY, PHARMACOLOGY
& CLINICAL DECISION-MAKING COVERING THE MOST TESTED
QUESTIONS GRADED A+
NU 518 EXAM 3 FOCUSES ON INTEGRATED NURSING KNOWLEDGE
NEEDED FOR ADVANCED CLINICAL PRACTICE, INCLUDING
PHARMACOLOGICAL INTERVENTIONS, CHRONIC DISEASE
MANAGEMENT, AND EVIDENCE-BASED DECISION-MAKING. THIS
RESOURCE IS CRUCIAL FOR STUDENTS PREPARING FOR CLINICAL
ROTATIONS, GRADUATE COURSE EXAMS, OR CERTIFICATION AS A
NURSE PRACTITIONER.
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin
check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-
blonde hair. She has a family history of melanoma. She has many freckles scattered across her skin.
From this description, which of the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure -CORRECT ANSWER-A
You are speaking to an 8th grade class about health prevention and are preparing to discuss the
ABCDEs of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E
= evolution -CORRECT ANSWER-B
,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) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough -CORRECT ANSWER-D
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large
patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree and that there are a
variety of erythematous papules and macules on the cleavage lines of the back. Based on this
description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema -CORRECT ANSWER-A
A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his
back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat
more than before because being outdoors is part of his job. On physical examination, you note dark
tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently
around the upper back, chest, neck, and upper arms as well as under the arms. Based on this
description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema -CORRECT ANSWER-B
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) Basal cell carcinoma
D) Squamous cell carcinoma -CORRECT ANSWER-A
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest. The
lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a
rough, wartlike texture on palpation. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma -CORRECT ANSWER-B
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 1
B) Stage 2
C) Stage 3
D) Stage 4 -CORRECT ANSWER-C
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting
her hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On
physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling
or inflammation. There are no hair shafts visible. Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia -CORRECT ANSWER-A
A mother brings her 11 month old to you because her mother-in-law and others have told her that
her baby is jaundiced. She is eating and growing well and performing the developmental milestones
she should for her age. On examination you indeed notice a yellow tone to her skin from head to
toe. Her sclerae are white. To which area should your next questions be related?
, A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child -CORRECT ANSWER-A
A new mother is concerned that her child occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does not remember the child's lips turning blue. She
is otherwise eating and growing well. What would you do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story -CORRECT ANSWER-A
You are examining an unconscious patient from another region and notice Beau's lines, a transverse
groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3 months
ago.
D) Ask about dietary intake. -CORRECT ANSWER-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill
people or other agents in the environment. He has a slight fever in the office. The rash consists of
small, bright red marks. When they are pressed, the red color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. -CORRECT ANSWER-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She
has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What
would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
