©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NNP Practice Exam #3 Questions and
Answers 100% Solved | Latest Update
Cutis aplasia is a congenital abnormality characterized by which of the
following?
Absence of some or all layers of the skin
Absence or atrophy of the nails
Bullous eruption and peeling of the epidermis - ✔✔Absence of some or all
layers of the skin
Pustular melanosis is a neonatal finding that:
Is benign
Is highly contagious
Requires antibiotic therapy - ✔✔Is benign
Collections of melanocytes located in the dermis which present at birth as
irregular, bruise-like spots are:
Café au lait spots
Mongolian spots
Pigmented nevi - ✔✔Mongolian spots
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Which of the following is a true statement about Harlequin color changes?
*They are an indication of poor or diminished perfusion and require
intervention if they do not resolve within a short period of time
*They are attributed to a temporary imbalance in the autonomic regulatory
mechanism of the cutaneous vessels
*They are more common in large for gestational age infants - ✔✔They are
attributed to a temporary imbalance in the autonomic regulatory
mechanism of the cutaneous vessels
Eosinophils which are devoid of bacteria are typically found in:
Erythema toxicum neonatorum
Miliaria
Neonatal acne - ✔✔Erythema toxicum neonatorum
White leaf macules are the earliest cutaneous manifestations of:
Addison's disease
Neurofibromatosis
Tuberous sclerosis - ✔✔Tuberous sclerosis
*White leaf macules are the earliest cutaneous manifestations of tuberous
sclerosis, an autosomal dominant syndrome. These macules vary in size
and shape but most often resemble a mountain ash leaflet. They can be
difficult to see in a newborn infant and may be more readily observed by
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
examination with a Wood lamp. The lamp enhances the contrast between
the macule and normal skin. Normal infants may occasionally have a single
lesion, but the presence of one or more of these macules in an infant with
neurological problems strongly suggests the diagnosis of tuberous
sclerosis. A skin biopsy is not diagnostic.
Indurated violet or red plaques or sharply defined subcutaneous nodules on
the buttocks, thighs, trunk, face, or arms are most likely which of the
following?
Intracutaneous hemorrhage
Sclerema
Subcutaneous fat necrosis - ✔✔Subcutaneous fat necrosis
an uncommon disorder that occurs primarily in full-term infants, has been
associated with birth trauma, shock, asphyxia, hypothermia, seizures,
hypothermia, preeclampsia, meconium aspiration, and intrapartum
medication. One or several indurated, violet or red plaques or sharply
defined subcutaneous nodules on the buttocks, thighs, trunk, face, or arms
may develop. Most areas gradually reabsorb over weeks to months if left
alone. Residual atrophy or scarring is atypical.
Which of the following is present at birth and occurs most commonly on the
face, palms of the hands, and the soles of the feet?
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Infantile acne
Neonatal pustular melanosis
Staphylococcal impetigo - ✔✔Neonatal pustular melanosis
Transient neonatal pustular melanosis is similar to miliaria but is present at
birth, usually causing the infant to be isolated unnecessarily. It most
commonly occurs on the face, the palms of the hands, and the soles of the
feet, and is most often seen in black infants. If the lesion contents are
smeared on a slide and stained, they are found to be amorphous debris.
These lesions are neither infectious nor contagious, and require no
treatment.
Which of the following must be considered in the presence of café au lait
spots?
Neurofibromatosis
Niemann-Pick disease
Tuberous sclerosis - ✔✔Neurofibromatosis
Which of the following is true about port-wine stains?
*The birthmark can be an indicator of a multisystem disorder
*The birthmark is already purple at birth in the full term infant
*The birthmark is most commonly found on the trunk and lower extremities
- ✔✔The birthmark can be an indicator of a multisystem disorder
NNP Practice Exam #3 Questions and
Answers 100% Solved | Latest Update
Cutis aplasia is a congenital abnormality characterized by which of the
following?
Absence of some or all layers of the skin
Absence or atrophy of the nails
Bullous eruption and peeling of the epidermis - ✔✔Absence of some or all
layers of the skin
Pustular melanosis is a neonatal finding that:
Is benign
Is highly contagious
Requires antibiotic therapy - ✔✔Is benign
Collections of melanocytes located in the dermis which present at birth as
irregular, bruise-like spots are:
Café au lait spots
Mongolian spots
Pigmented nevi - ✔✔Mongolian spots
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Which of the following is a true statement about Harlequin color changes?
*They are an indication of poor or diminished perfusion and require
intervention if they do not resolve within a short period of time
*They are attributed to a temporary imbalance in the autonomic regulatory
mechanism of the cutaneous vessels
*They are more common in large for gestational age infants - ✔✔They are
attributed to a temporary imbalance in the autonomic regulatory
mechanism of the cutaneous vessels
Eosinophils which are devoid of bacteria are typically found in:
Erythema toxicum neonatorum
Miliaria
Neonatal acne - ✔✔Erythema toxicum neonatorum
White leaf macules are the earliest cutaneous manifestations of:
Addison's disease
Neurofibromatosis
Tuberous sclerosis - ✔✔Tuberous sclerosis
*White leaf macules are the earliest cutaneous manifestations of tuberous
sclerosis, an autosomal dominant syndrome. These macules vary in size
and shape but most often resemble a mountain ash leaflet. They can be
difficult to see in a newborn infant and may be more readily observed by
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
examination with a Wood lamp. The lamp enhances the contrast between
the macule and normal skin. Normal infants may occasionally have a single
lesion, but the presence of one or more of these macules in an infant with
neurological problems strongly suggests the diagnosis of tuberous
sclerosis. A skin biopsy is not diagnostic.
Indurated violet or red plaques or sharply defined subcutaneous nodules on
the buttocks, thighs, trunk, face, or arms are most likely which of the
following?
Intracutaneous hemorrhage
Sclerema
Subcutaneous fat necrosis - ✔✔Subcutaneous fat necrosis
an uncommon disorder that occurs primarily in full-term infants, has been
associated with birth trauma, shock, asphyxia, hypothermia, seizures,
hypothermia, preeclampsia, meconium aspiration, and intrapartum
medication. One or several indurated, violet or red plaques or sharply
defined subcutaneous nodules on the buttocks, thighs, trunk, face, or arms
may develop. Most areas gradually reabsorb over weeks to months if left
alone. Residual atrophy or scarring is atypical.
Which of the following is present at birth and occurs most commonly on the
face, palms of the hands, and the soles of the feet?
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Infantile acne
Neonatal pustular melanosis
Staphylococcal impetigo - ✔✔Neonatal pustular melanosis
Transient neonatal pustular melanosis is similar to miliaria but is present at
birth, usually causing the infant to be isolated unnecessarily. It most
commonly occurs on the face, the palms of the hands, and the soles of the
feet, and is most often seen in black infants. If the lesion contents are
smeared on a slide and stained, they are found to be amorphous debris.
These lesions are neither infectious nor contagious, and require no
treatment.
Which of the following must be considered in the presence of café au lait
spots?
Neurofibromatosis
Niemann-Pick disease
Tuberous sclerosis - ✔✔Neurofibromatosis
Which of the following is true about port-wine stains?
*The birthmark can be an indicator of a multisystem disorder
*The birthmark is already purple at birth in the full term infant
*The birthmark is most commonly found on the trunk and lower extremities
- ✔✔The birthmark can be an indicator of a multisystem disorder
