EXAM 3 NUR 504 | COMPREHENSIVE NURSING STUDY GUIDE, PRACTICE
QUESTIONS & ANSWERS 2026/2027
Which layer of epidermis is mostly found in the skin on hands and feet?
a. Stratum corneum
b. Stratum lucidum
c. Stratum granulosum
d. Stratum germinativum - ANS ✔✔b. Stratum lucidum
Most hair follicles originate in which level of the skin?
a. Epidermis
b. Subcutaneous layer
c. Adipose layer
d. Dermis - ANS ✔✔d. Dermis
A patient's chart mentions that their particular skin ailment is "confluent." What does this describe?
a. Morphology
b. Structure
c. Distribution
d. Turgor - ANS ✔✔c. Distribution
A patient presents with red papules and areas of plaque on her skin and irregular formations of
exfoliated, keratinized cells. What is the most likely ailment?
a. Psoriasis
b. Eczema
c. Acne
d. Discoid lupus - ANS ✔✔a. Psoriasis
The physician has determined that plaque on a patient's skin is less likely granuloma annulare and more
likely a dermatophyte. How did she make this determination?
a. Noticed the red papules
b. Tested the apocrine secretions
c. Scraped the skin with a #15 blade
d. Pared the surface - ANS ✔✔c. Scraped the skin with a #15 blade
1. An area of the patient's arm has very smooth skin and lacks any apparent superficial features. This is
likely what?
a. Psoriasis
b. Hypokeratinization
c. A scar
d. A skin tag - ANS ✔✔c. a scar
A patient with greasy, adherent scales on coalescing macules along the brow and scalp most likely has
what form of dermatitis?
a. Allergic contact
b. Seborrheic
, c. Stasis
d. Atopic - ANS ✔✔b. Seborrheic
Which of the following typically appears on the head or face ?
a. Verruca
b. Dermatofibroma
c. Actinic keratosis
d. Neurofibroma - ANS ✔✔d. Neurofibroma
Which of the following is a premalignant disease?
a. Actinic keratosis
b. Paget's disease
c. Lipoma
d. Granuloma annulare - ANS ✔✔a. Actinic keratosis
The physician has used the Wood's light exam to look more closely at a patient's skin. What did this tell
the physician?
a. Whether the disease is M. canis or M. distortum
b. The exact pathology of a skin finding
c. Whether the disease was contact-related or internal
d. Whether the disorder lies in the epidermis or dermis - ANS ✔✔d. Whether the disorder lies in the
epidermis or dermis
Which of the following is the least common pruritic condition of pregnancy?
a. PUPP
b. Pemphigoid gestationis
c. Prurigo gravidarum
d. ICP - ANS ✔✔b. Pemphigoid gestationis
A patient is suspected to have allergic or contact dermatitis. Which of the following diagnostic tests
should be used?
a. Patch testing
b. Biopsy
c. Serum total IgE
d. KOH scraping - ANS ✔✔c. Serum total IgE
Eccrine glands originate in the dermis and open directly to the surface of the skin - ANS ✔✔True
"Histologic evaluation" is another term for biopsy - ANS ✔✔True
Keratinization is an inherited skin disorder linked to the father's side of the family. - ANS ✔✔False
Hirsutism is a medical condition related to females rather than males. - ANS ✔✔True
Seborrheic keratosis, moles, and hemangiomas can generally appear anywhere on a person's body. - ANS
✔✔False
Shave biopsies, punch biopsies, and excisional biopsies require suturing for closure - ANS ✔✔False
QUESTIONS & ANSWERS 2026/2027
Which layer of epidermis is mostly found in the skin on hands and feet?
a. Stratum corneum
b. Stratum lucidum
c. Stratum granulosum
d. Stratum germinativum - ANS ✔✔b. Stratum lucidum
Most hair follicles originate in which level of the skin?
a. Epidermis
b. Subcutaneous layer
c. Adipose layer
d. Dermis - ANS ✔✔d. Dermis
A patient's chart mentions that their particular skin ailment is "confluent." What does this describe?
a. Morphology
b. Structure
c. Distribution
d. Turgor - ANS ✔✔c. Distribution
A patient presents with red papules and areas of plaque on her skin and irregular formations of
exfoliated, keratinized cells. What is the most likely ailment?
a. Psoriasis
b. Eczema
c. Acne
d. Discoid lupus - ANS ✔✔a. Psoriasis
The physician has determined that plaque on a patient's skin is less likely granuloma annulare and more
likely a dermatophyte. How did she make this determination?
a. Noticed the red papules
b. Tested the apocrine secretions
c. Scraped the skin with a #15 blade
d. Pared the surface - ANS ✔✔c. Scraped the skin with a #15 blade
1. An area of the patient's arm has very smooth skin and lacks any apparent superficial features. This is
likely what?
a. Psoriasis
b. Hypokeratinization
c. A scar
d. A skin tag - ANS ✔✔c. a scar
A patient with greasy, adherent scales on coalescing macules along the brow and scalp most likely has
what form of dermatitis?
a. Allergic contact
b. Seborrheic
, c. Stasis
d. Atopic - ANS ✔✔b. Seborrheic
Which of the following typically appears on the head or face ?
a. Verruca
b. Dermatofibroma
c. Actinic keratosis
d. Neurofibroma - ANS ✔✔d. Neurofibroma
Which of the following is a premalignant disease?
a. Actinic keratosis
b. Paget's disease
c. Lipoma
d. Granuloma annulare - ANS ✔✔a. Actinic keratosis
The physician has used the Wood's light exam to look more closely at a patient's skin. What did this tell
the physician?
a. Whether the disease is M. canis or M. distortum
b. The exact pathology of a skin finding
c. Whether the disease was contact-related or internal
d. Whether the disorder lies in the epidermis or dermis - ANS ✔✔d. Whether the disorder lies in the
epidermis or dermis
Which of the following is the least common pruritic condition of pregnancy?
a. PUPP
b. Pemphigoid gestationis
c. Prurigo gravidarum
d. ICP - ANS ✔✔b. Pemphigoid gestationis
A patient is suspected to have allergic or contact dermatitis. Which of the following diagnostic tests
should be used?
a. Patch testing
b. Biopsy
c. Serum total IgE
d. KOH scraping - ANS ✔✔c. Serum total IgE
Eccrine glands originate in the dermis and open directly to the surface of the skin - ANS ✔✔True
"Histologic evaluation" is another term for biopsy - ANS ✔✔True
Keratinization is an inherited skin disorder linked to the father's side of the family. - ANS ✔✔False
Hirsutism is a medical condition related to females rather than males. - ANS ✔✔True
Seborrheic keratosis, moles, and hemangiomas can generally appear anywhere on a person's body. - ANS
✔✔False
Shave biopsies, punch biopsies, and excisional biopsies require suturing for closure - ANS ✔✔False
