NURS 6645 WEEK 6 MIDTERM EXAM
COMPREHENSIVE EXAMINATION TEST 2026
◉ 14. Mrs. Person, 82 years old, comes to the well clinic to see a
nurse practitioner for a bump on her ear. This growth has been there
for almost a year but has recently grown. The area around the
growth appears inflamed. Why would the nurse practitioner suggest
a biopsy? Select all that apply.
1. The growth is elevated and increasing in size.
2. The ear has high exposure to the sun.
3. There is inflammation around the growth.
4. The patient is 82 years old and reports having lived in the south of
the United States for many years.
5. There is no concern about familial tendencies.. Answer: 14.
Answer: 1, 2, 3, 4
Page: 118
Feedback
1.
Signs of malignancy include elevation; the original lesion may also
have enlarged in size.
,2.
Common locations for skin cancers are the scalp, ears, lower lip, and
dorsal side of the hands.
3.
Signs of malignancy include inflammation of the lesion.
4.
The incidence of all types of skin cancers increases with age and the
degree and intensity of sun exposure.
5.
Certain genetic predispositions can contribute to the development of
skin cancer, and there is a familial tendency to develop melanoma.
◉ 15. The nurse practitioner is making patient rounds in a long-
term care facility and is visiting Mr. Smith, 95 years old, who has a
large amount of fungus growing from his toenails. The staff nurse
asks what can be done to help alleviate this nail fungus. What does
the nurse practitioner advise? Select all that apply.
1. Wash and completely dry the feet and toes daily.
2. Keep the patient's feet cool and dry.
3. Use aluminum acetate solution (Burow's solution).
4. Have the patient wear occlusive footwear.
5. Use clotrimazole (ointment, cream, or lotion).. Answer: 15.
Answer: 1, 2, 3
,Page: 123
Feedback
1.
The key to prevention of recurrence is to keep the area dry. Use a
hairdryer to thoroughly dry the area after bathing.
2.
The key to prevention of all types is to keep the skin cool and dry.
3.
The use of aluminum acetate solution (Burow's) and the application
of antifungal or absorbent powder have all been shown to prevent
recurrence.
4.
Avoiding occlusive footwear, wearing absorbent materials, and
practicing good hygiene offer the best primary prevention.
5.
Newer agents are more likely to cure tinea pedis than the older
generation of antifungals, including clotrimazole, which is
fungistatic, whereas terbinafine is fungicidal.
◉ 1. In the assessment for peripheral vascular disorders, the
clinician should begin with which of
the following after the general history and physical examination?
, 1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing.. Answer: 1. Answer: 1
Page: 215
Feedback
1.
The clinician should begin with auscultation of the carotid arteries
bilaterally because cardiac murmurs will usually radiate into the
carotid arteries.
2.
After auscultation of the carotid and subclavian arteries, the
clinician should proceed to palpation of the brachial, radial, and
ulnar arteries.
3.
After auscultation and palpation, careful inspection should be
performed of the distal fingers and the nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are
found.
COMPREHENSIVE EXAMINATION TEST 2026
◉ 14. Mrs. Person, 82 years old, comes to the well clinic to see a
nurse practitioner for a bump on her ear. This growth has been there
for almost a year but has recently grown. The area around the
growth appears inflamed. Why would the nurse practitioner suggest
a biopsy? Select all that apply.
1. The growth is elevated and increasing in size.
2. The ear has high exposure to the sun.
3. There is inflammation around the growth.
4. The patient is 82 years old and reports having lived in the south of
the United States for many years.
5. There is no concern about familial tendencies.. Answer: 14.
Answer: 1, 2, 3, 4
Page: 118
Feedback
1.
Signs of malignancy include elevation; the original lesion may also
have enlarged in size.
,2.
Common locations for skin cancers are the scalp, ears, lower lip, and
dorsal side of the hands.
3.
Signs of malignancy include inflammation of the lesion.
4.
The incidence of all types of skin cancers increases with age and the
degree and intensity of sun exposure.
5.
Certain genetic predispositions can contribute to the development of
skin cancer, and there is a familial tendency to develop melanoma.
◉ 15. The nurse practitioner is making patient rounds in a long-
term care facility and is visiting Mr. Smith, 95 years old, who has a
large amount of fungus growing from his toenails. The staff nurse
asks what can be done to help alleviate this nail fungus. What does
the nurse practitioner advise? Select all that apply.
1. Wash and completely dry the feet and toes daily.
2. Keep the patient's feet cool and dry.
3. Use aluminum acetate solution (Burow's solution).
4. Have the patient wear occlusive footwear.
5. Use clotrimazole (ointment, cream, or lotion).. Answer: 15.
Answer: 1, 2, 3
,Page: 123
Feedback
1.
The key to prevention of recurrence is to keep the area dry. Use a
hairdryer to thoroughly dry the area after bathing.
2.
The key to prevention of all types is to keep the skin cool and dry.
3.
The use of aluminum acetate solution (Burow's) and the application
of antifungal or absorbent powder have all been shown to prevent
recurrence.
4.
Avoiding occlusive footwear, wearing absorbent materials, and
practicing good hygiene offer the best primary prevention.
5.
Newer agents are more likely to cure tinea pedis than the older
generation of antifungals, including clotrimazole, which is
fungistatic, whereas terbinafine is fungicidal.
◉ 1. In the assessment for peripheral vascular disorders, the
clinician should begin with which of
the following after the general history and physical examination?
, 1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing.. Answer: 1. Answer: 1
Page: 215
Feedback
1.
The clinician should begin with auscultation of the carotid arteries
bilaterally because cardiac murmurs will usually radiate into the
carotid arteries.
2.
After auscultation of the carotid and subclavian arteries, the
clinician should proceed to palpation of the brachial, radial, and
ulnar arteries.
3.
After auscultation and palpation, careful inspection should be
performed of the distal fingers and the nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are
found.
