ADVANCE PRACTICE NURSING NUR 6111 EXAM 1 | WITH COMPLETE QUESTIONS
AND ANSWERS | 2025/2026 LATEST UPDATED | 100 % RATED AND VERIFIED
SOLUTIONS | GET AN A+
1. A patient presents with red and scaly lesions in the scalp, and the hairs appear discolored,
lusterless, and brittle. The lesions started as small erythematous papule around a hair shaft on the scalp. The hairs
break off a few millimeters above the scalp skin surface. The lesion has
spread, forming numerous papules in a circular form. The NP knows that in considering the
management for this patient, the statements below are true(multiple answer)-
: woods lamp, 1%
or 2.5%(selsun)
patient should follow up negative culture after treatment
2. 60 year-old female, who works in an animal shelter, comes to your clinic with complaints of a
rash on her buttocks and abdomen for the last week. She has not changed her detergents or
soap. Upon examination you see erythematous, ring-like lesions with raised, scaly border that
appears paler in center. Which test would initially help you make your diagnosis: KOH scraping
3. The differential diagnoses for atopic dermatitis include: contact dermatitis, drug reaction,
scabies, and tinea. A feature that can distinguish atopic dermatitis from the other diagnosis
include: Personal history of asthma and hay fever
4. The most important aspect of skin care for individuals with atopic dermatitis is: application of lubricants
emollients
5. Which of the following statement is true regarding Actinic Keratosis: are considered pre-
malignant cells and precursors to squamous cell ca
,6. All of the following describe characteristics of benign skin lesions except: variation in color
7. A 73 year-old woman presents with a newly formed, painless, pearly, ulcerated nodule with
rolled edges and an overlying telangiectasis on the upper lip. Based on the description, what is
the most likely diagnosis?: Basal cell Ca
8. Which statement is true regarding Basal Cell Carcinoma:: mostly found on head, neck and
nose is a common spot
9. A 75 year-old man comes to the office with complaints over the last 72 hrs of low-grade fever,
headache & burning pain on one side of his back. He states he felt burning and tingling
sensation on his trunk a few days ago, then noticed a rash. Upon examination there is a unilateral maculopapular and
vesicular lesion on the right side of the trunk. The rash does not
cross the midline of the body. Based on the most likely diagnosis, what is your treatment plan?: Acyclovir 800mg PO 5
times a days for 7-10 days
10. Mr. Johnson is a 45 year old patient with DM type 2 and is homeless presents with nodules
on his skin around his beard. It started off as pustules on the hair shaft but has coalesced and
presents as nodules win pus. They are red and tender. Your diagnosis is: carbuncle 11. Mr. Johnson is a 45 year old patient
with DM type 2 and is homeless presents with nodules
on his skin around his beard. It started off as pustules on the hair shaft but has coalesced and
presents as nodules win pus. They are red and tender. According to the guidelines, what is the
initial and best management for this patient?: incision and drainage
12. A 72 year old grandfather is seen by the nurse practitioner. He reports that upon waking up,
he noticed pain in his left eye and profuse tearing. He noticed crusty small round vesicular rash on the left side of
his forehead and tip of the nose, that felt uncomfortable. Which or the
following condition Is likely: herpes zoster with ophthalmic involvement
13. A 68 year old Caucasian female complains of a crusty and non-healing lesion on her lower
, lip. She notices that it bleeds. There is also a rough textured reddish/browncolored irregular lesion on her right cheek.
Which of the following would be the best
intervention for this patient?: referral to a dermatologist
14. The following skin lesions are found more commonly in the elderly except: candidiasis
15. A 25 year old man with no medical history presents with redness on his right arm for a few
days. It started as a scratch while he was hiking. He is concerned because they have become reddened. On inspection, the
right upper arm has an area that is red and warm. The skin does not have any ulceration, us, drainage, or bleeding. He has
no other symptoms. According to the
guidelines, the appropriate initial treatment for this is: Keflex 500mg q12h for minimum of
5
days
16. A 21 year old woman presents with pruritic maculopapular with few vesicular rash on inner
antecubital area. The nurse practitioner considers using the Working Party diagnostic criteria.
which include: multiple answers: Hx of asthma or allergic rhinitis. Hx of flexural involvement, hx of general dry
skin
17. Which of the following statement regarding shingles vaccination is false?: -
Zostavax can be given
to anyone over 21
18. What is the most common bacteria that causes skin infection?: Staph aureus 19. Mr. Smith is 78 year old male
who presents with tan/brown wart-like plaques on his back
with a stuck-on appearance. You recognize this as a dermatologic condition common in the
elderly: Seborrheic Keratosis
20. If a patient has cellulitis and MRSA is suspected, the best treatment of choice would be: Clindamycin 300mg q6
for 14 days
AND ANSWERS | 2025/2026 LATEST UPDATED | 100 % RATED AND VERIFIED
SOLUTIONS | GET AN A+
1. A patient presents with red and scaly lesions in the scalp, and the hairs appear discolored,
lusterless, and brittle. The lesions started as small erythematous papule around a hair shaft on the scalp. The hairs
break off a few millimeters above the scalp skin surface. The lesion has
spread, forming numerous papules in a circular form. The NP knows that in considering the
management for this patient, the statements below are true(multiple answer)-
: woods lamp, 1%
or 2.5%(selsun)
patient should follow up negative culture after treatment
2. 60 year-old female, who works in an animal shelter, comes to your clinic with complaints of a
rash on her buttocks and abdomen for the last week. She has not changed her detergents or
soap. Upon examination you see erythematous, ring-like lesions with raised, scaly border that
appears paler in center. Which test would initially help you make your diagnosis: KOH scraping
3. The differential diagnoses for atopic dermatitis include: contact dermatitis, drug reaction,
scabies, and tinea. A feature that can distinguish atopic dermatitis from the other diagnosis
include: Personal history of asthma and hay fever
4. The most important aspect of skin care for individuals with atopic dermatitis is: application of lubricants
emollients
5. Which of the following statement is true regarding Actinic Keratosis: are considered pre-
malignant cells and precursors to squamous cell ca
,6. All of the following describe characteristics of benign skin lesions except: variation in color
7. A 73 year-old woman presents with a newly formed, painless, pearly, ulcerated nodule with
rolled edges and an overlying telangiectasis on the upper lip. Based on the description, what is
the most likely diagnosis?: Basal cell Ca
8. Which statement is true regarding Basal Cell Carcinoma:: mostly found on head, neck and
nose is a common spot
9. A 75 year-old man comes to the office with complaints over the last 72 hrs of low-grade fever,
headache & burning pain on one side of his back. He states he felt burning and tingling
sensation on his trunk a few days ago, then noticed a rash. Upon examination there is a unilateral maculopapular and
vesicular lesion on the right side of the trunk. The rash does not
cross the midline of the body. Based on the most likely diagnosis, what is your treatment plan?: Acyclovir 800mg PO 5
times a days for 7-10 days
10. Mr. Johnson is a 45 year old patient with DM type 2 and is homeless presents with nodules
on his skin around his beard. It started off as pustules on the hair shaft but has coalesced and
presents as nodules win pus. They are red and tender. Your diagnosis is: carbuncle 11. Mr. Johnson is a 45 year old patient
with DM type 2 and is homeless presents with nodules
on his skin around his beard. It started off as pustules on the hair shaft but has coalesced and
presents as nodules win pus. They are red and tender. According to the guidelines, what is the
initial and best management for this patient?: incision and drainage
12. A 72 year old grandfather is seen by the nurse practitioner. He reports that upon waking up,
he noticed pain in his left eye and profuse tearing. He noticed crusty small round vesicular rash on the left side of
his forehead and tip of the nose, that felt uncomfortable. Which or the
following condition Is likely: herpes zoster with ophthalmic involvement
13. A 68 year old Caucasian female complains of a crusty and non-healing lesion on her lower
, lip. She notices that it bleeds. There is also a rough textured reddish/browncolored irregular lesion on her right cheek.
Which of the following would be the best
intervention for this patient?: referral to a dermatologist
14. The following skin lesions are found more commonly in the elderly except: candidiasis
15. A 25 year old man with no medical history presents with redness on his right arm for a few
days. It started as a scratch while he was hiking. He is concerned because they have become reddened. On inspection, the
right upper arm has an area that is red and warm. The skin does not have any ulceration, us, drainage, or bleeding. He has
no other symptoms. According to the
guidelines, the appropriate initial treatment for this is: Keflex 500mg q12h for minimum of
5
days
16. A 21 year old woman presents with pruritic maculopapular with few vesicular rash on inner
antecubital area. The nurse practitioner considers using the Working Party diagnostic criteria.
which include: multiple answers: Hx of asthma or allergic rhinitis. Hx of flexural involvement, hx of general dry
skin
17. Which of the following statement regarding shingles vaccination is false?: -
Zostavax can be given
to anyone over 21
18. What is the most common bacteria that causes skin infection?: Staph aureus 19. Mr. Smith is 78 year old male
who presents with tan/brown wart-like plaques on his back
with a stuck-on appearance. You recognize this as a dermatologic condition common in the
elderly: Seborrheic Keratosis
20. If a patient has cellulitis and MRSA is suspected, the best treatment of choice would be: Clindamycin 300mg q6
for 14 days
