PNVN 1521 UPDATED 2026 EXAM QUESTIONS AND
SOLUTIONS GRADED A+
✔✔What is the primary benefit of adding an oral antidiabetic medication vs starting the
patient on subcutaneus insulin? - ✔✔Oral meds increase cell sensitivity to insulin
✔✔Pruritic lesions with honey colored drainage around the lips and chin are most
likely? - ✔✔Impetigo
✔✔What is the biggest concern in the first 12 hours for full-thickness burn patients? -
✔✔Fluid loss
✔✔(T/F)Stage 2 pressure injury appears as a shallow open injury with a pink-red wound
bed without sloughing? - ✔✔True
✔✔Circular rash caused by a fungus with clearer skin found in the middle usually found
in areas with minimal hair? - ✔✔Tinea Corporis
✔✔What finding would indicate concern for a malignant melanoma in a nevus? -
✔✔Irregular mole borders
✔✔What patient instructions would be helpful to relief pruritis from contact dermatitis on
the hands? - ✔✔Cold (Vasoconstriction) or wet (Burows) application
✔✔(T/F)Patients with SLE (Lupus) should get plenty of direct sun exposure - ✔✔False
✔✔Pruritic brown threadlike lines on the hands, anus, and body folds is most likely? -
✔✔Scabies
✔✔To decrease the viscosity of bronchial secretions a patient should drink plenty of? -
✔✔Water
✔✔(T/F) Lispro should be drawn up first when drawing up a syringe w/ both a rapid
acting & an intermediate acting insulin? - ✔✔False
✔✔The most effective way to document a skin wound? - ✔✔2cm × 3 cm reddened area
on sacrum with open center. Does not blanch
✔✔Patient is npo and blood sugar is 50 mg/DL. What should the nurse do next? -
✔✔Give iv glucagon
, ✔✔What test measures glucose level over the past 8 to 10 weeks? - ✔✔Hemoglobin
a1c
✔✔T/F When DM2 patients are in a stressful situations and start taking insulin they will
always have to use insulin? - ✔✔False
✔✔What is the most important concept for the successful management of DM2? -
✔✔The level of self-management
✔✔What labs should be monitored outside of electrolytes if a patient is on high dose
corticosteroids? - ✔✔Blood glucose levels
✔✔T/F Pt on glucocorticoids for Crohns has facial edema, fat deposits on scapula, &
thin extremities. Steroids continued? - ✔✔True
✔✔What are salt substitutes made out of? - ✔✔Potassium chloride
✔✔T/F High dose corticosteroids for long periods of time may cause psychotic
behaviors? - ✔✔Yes
✔✔epidermis - ✔✔the outermost layer of skin on your body. It protects your body from
harm, keeps your body hydrated, produces new skin cells and contains melanin, which
determines the color of your skin
✔✔Dermis - ✔✔thick layer of living tissue below the epidermis which forms the true
skin, containing blood capillaries, nerve endings, sweat glands, hair follicles, and other
structures.
✔✔Subcutaneous - ✔✔the deepest layer of your skin. It's made up mostly of fat cells
and connective tissue
✔✔ When assessing skin lesions using the PQRST pneumonic as a guide what does
the P indicate? - ✔✔Proactive factors
✔✔Pressure Injuries are assessed using a staging system of 1-4 unless unstageable.
What defines a stage 2 pressure injury - ✔✔Red-pink wound bed w/o slough or bruising
✔✔(T/F) Pressure ulcer description should be vague and always utilize the the staging
system? - ✔✔False
✔✔Herpes ZOSTER is commonly known as what? - ✔✔Shingles or Herpes Virus Type
3
SOLUTIONS GRADED A+
✔✔What is the primary benefit of adding an oral antidiabetic medication vs starting the
patient on subcutaneus insulin? - ✔✔Oral meds increase cell sensitivity to insulin
✔✔Pruritic lesions with honey colored drainage around the lips and chin are most
likely? - ✔✔Impetigo
✔✔What is the biggest concern in the first 12 hours for full-thickness burn patients? -
✔✔Fluid loss
✔✔(T/F)Stage 2 pressure injury appears as a shallow open injury with a pink-red wound
bed without sloughing? - ✔✔True
✔✔Circular rash caused by a fungus with clearer skin found in the middle usually found
in areas with minimal hair? - ✔✔Tinea Corporis
✔✔What finding would indicate concern for a malignant melanoma in a nevus? -
✔✔Irregular mole borders
✔✔What patient instructions would be helpful to relief pruritis from contact dermatitis on
the hands? - ✔✔Cold (Vasoconstriction) or wet (Burows) application
✔✔(T/F)Patients with SLE (Lupus) should get plenty of direct sun exposure - ✔✔False
✔✔Pruritic brown threadlike lines on the hands, anus, and body folds is most likely? -
✔✔Scabies
✔✔To decrease the viscosity of bronchial secretions a patient should drink plenty of? -
✔✔Water
✔✔(T/F) Lispro should be drawn up first when drawing up a syringe w/ both a rapid
acting & an intermediate acting insulin? - ✔✔False
✔✔The most effective way to document a skin wound? - ✔✔2cm × 3 cm reddened area
on sacrum with open center. Does not blanch
✔✔Patient is npo and blood sugar is 50 mg/DL. What should the nurse do next? -
✔✔Give iv glucagon
, ✔✔What test measures glucose level over the past 8 to 10 weeks? - ✔✔Hemoglobin
a1c
✔✔T/F When DM2 patients are in a stressful situations and start taking insulin they will
always have to use insulin? - ✔✔False
✔✔What is the most important concept for the successful management of DM2? -
✔✔The level of self-management
✔✔What labs should be monitored outside of electrolytes if a patient is on high dose
corticosteroids? - ✔✔Blood glucose levels
✔✔T/F Pt on glucocorticoids for Crohns has facial edema, fat deposits on scapula, &
thin extremities. Steroids continued? - ✔✔True
✔✔What are salt substitutes made out of? - ✔✔Potassium chloride
✔✔T/F High dose corticosteroids for long periods of time may cause psychotic
behaviors? - ✔✔Yes
✔✔epidermis - ✔✔the outermost layer of skin on your body. It protects your body from
harm, keeps your body hydrated, produces new skin cells and contains melanin, which
determines the color of your skin
✔✔Dermis - ✔✔thick layer of living tissue below the epidermis which forms the true
skin, containing blood capillaries, nerve endings, sweat glands, hair follicles, and other
structures.
✔✔Subcutaneous - ✔✔the deepest layer of your skin. It's made up mostly of fat cells
and connective tissue
✔✔ When assessing skin lesions using the PQRST pneumonic as a guide what does
the P indicate? - ✔✔Proactive factors
✔✔Pressure Injuries are assessed using a staging system of 1-4 unless unstageable.
What defines a stage 2 pressure injury - ✔✔Red-pink wound bed w/o slough or bruising
✔✔(T/F) Pressure ulcer description should be vague and always utilize the the staging
system? - ✔✔False
✔✔Herpes ZOSTER is commonly known as what? - ✔✔Shingles or Herpes Virus Type
3
