NURS 6531 ADVANCED PRACTICE
CARE EXAM 1 (CORRECT Q & A)
SATISFACTION GUARANTEED
1. A 45-year-old patient presents with a ‘herald patch’ followed by a Christmas tree
distribution of smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Guttate Psoriasis
D. Secondary Syphilis
Answer: B
Conceptual Explanation: Pityriasis Rosea typically begins with a herald patch followed by
a generalized exanthem in a Christmas tree pattern along skin cleavage lines.
2. Which of the following findings is most characteristic of a Basal Cell Carcinoma (BCC)?
A. A pearly papule with telangiectasia and central ulceration
B. A scaly, erythematous plaque with irregular borders
C. A dark, asymmetrical lesion with color variegation
D. A firm, hyperkeratotic nodule that bleeds easily
,Answer: A
Conceptual Explanation: BCC often presents as a pearly, waxy papule with telangiectatic
vessels and a ‘rodent ulcer’ central depression.
3. A patient with a history of COPD presents with worsening dyspnea and increased sputum
purulence. Which organism is the most common cause of bacterial exacerbation in these
patients?
A. Mycoplasma pneumoniae
B. Haemophilus influenzae
C. Streptococcus pneumoniae
D. Staphylococcus aureus
Answer: B
Conceptual Explanation: Haemophilus influenzae is a leading cause of bacterial
exacerbations in patients with chronic obstructive pulmonary disease (COPD).
4. According to JNC 8 guidelines, what is the blood pressure goal for a 65-year-old patient
without diabetes or chronic kidney disease?
A. < 130/80 mmHg
B. < 140/90 mmHg
C. < 120/70 mmHg
D. < 150/90 mmHg
, Answer: D
Conceptual Explanation: JNC 8 suggests a higher target of < 150/90 for adults aged 60
and older who do not have DM or CKD, though other guidelines like ACC/AHA advocate for
lower targets.
5. Which physical exam maneuver is most specific for diagnosing acute cholecystitis?
A. Murphy’s sign
B. McBurney’s point tenderness
C. Rovsing’s sign
D. Psoas sign
Answer: A
Conceptual Explanation: Murphy’s sign (inspiratory arrest during palpation of the RUQ)
is highly suggestive of gallbladder inflammation.
6. A 30-year-old female presents with fatigue and cold intolerance. Her TSH is 8.5 mIU/L and
her Free T4 is within the normal range. What is the most likely diagnosis?
A. Primary Hypothyroidism
B. Euthyroid Sick Syndrome
C. Central Hypothyroidism
D. Subclinical Hypothyroidism
Answer: D
CARE EXAM 1 (CORRECT Q & A)
SATISFACTION GUARANTEED
1. A 45-year-old patient presents with a ‘herald patch’ followed by a Christmas tree
distribution of smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Guttate Psoriasis
D. Secondary Syphilis
Answer: B
Conceptual Explanation: Pityriasis Rosea typically begins with a herald patch followed by
a generalized exanthem in a Christmas tree pattern along skin cleavage lines.
2. Which of the following findings is most characteristic of a Basal Cell Carcinoma (BCC)?
A. A pearly papule with telangiectasia and central ulceration
B. A scaly, erythematous plaque with irregular borders
C. A dark, asymmetrical lesion with color variegation
D. A firm, hyperkeratotic nodule that bleeds easily
,Answer: A
Conceptual Explanation: BCC often presents as a pearly, waxy papule with telangiectatic
vessels and a ‘rodent ulcer’ central depression.
3. A patient with a history of COPD presents with worsening dyspnea and increased sputum
purulence. Which organism is the most common cause of bacterial exacerbation in these
patients?
A. Mycoplasma pneumoniae
B. Haemophilus influenzae
C. Streptococcus pneumoniae
D. Staphylococcus aureus
Answer: B
Conceptual Explanation: Haemophilus influenzae is a leading cause of bacterial
exacerbations in patients with chronic obstructive pulmonary disease (COPD).
4. According to JNC 8 guidelines, what is the blood pressure goal for a 65-year-old patient
without diabetes or chronic kidney disease?
A. < 130/80 mmHg
B. < 140/90 mmHg
C. < 120/70 mmHg
D. < 150/90 mmHg
, Answer: D
Conceptual Explanation: JNC 8 suggests a higher target of < 150/90 for adults aged 60
and older who do not have DM or CKD, though other guidelines like ACC/AHA advocate for
lower targets.
5. Which physical exam maneuver is most specific for diagnosing acute cholecystitis?
A. Murphy’s sign
B. McBurney’s point tenderness
C. Rovsing’s sign
D. Psoas sign
Answer: A
Conceptual Explanation: Murphy’s sign (inspiratory arrest during palpation of the RUQ)
is highly suggestive of gallbladder inflammation.
6. A 30-year-old female presents with fatigue and cold intolerance. Her TSH is 8.5 mIU/L and
her Free T4 is within the normal range. What is the most likely diagnosis?
A. Primary Hypothyroidism
B. Euthyroid Sick Syndrome
C. Central Hypothyroidism
D. Subclinical Hypothyroidism
Answer: D
