NU 518 EXAM 3 2024-2025 WITH 400
QUESTIONS AND CORRECT ANSWERS/ NU
518 EXAM 3 UPDATED EXAM QUESTIONS
AND CORRECT ANSWERS (BRAND NEW!!)
You are examining an unconscious patient from another region and notice Beau's
lines, a transverse groove across all of her nails, about 1 cm from the proximal nail
fold. What would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which
occurred 3 months ago.
D) Ask about dietary intake. - ANSWER-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no
history of exposure to ill people or other agents in the environment. He has a slight
fever in the office. The rash consists of small, bright red marks. When they are
pressed, the red color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - ANSWER-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
pg. 1
,B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems. - ANSWER-A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over
his scapula. It has been there for about a year and is getting larger. He says his wife
has been able to squeeze out a cheesy-textured substance on occasion. He worries
this may be cancer. When gently pinched from the side, a prominent dimple forms
in the middle of the mass. What is most likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion - ANSWER-B
A 19-year-old construction worker presents for evaluation of a rash. He notes that
it started on his back with a multitude of spots and is also on his arms, chest, and
neck. It itches a lot. He does sweat more than before because being outdoors is part
of his job. On physical examination, you note dark tan patches with a reddish cast
that has sharp borders and fine scales, scattered more prominently around the upper
back, chest, neck, and upper arms as well as under the arms. Based on this
description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - ANSWER-B
A young man comes to you with an extremely pruritic rash over his knees and
elbows which has come and gone for several years. It seems to be worse in the
winter and improves with some sun exposure. On examination, you notice
pg. 2
,scabbing and crusting with some silvery scale, and you are observant enough to
notice small "pits" in his nails. What would account for these findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection - ANSWER-C
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads
on her chart that her cervix is softened and looks cyanotic. The nurse knows that
the woman is exhibiting sign and sign.
a Tanner; Hegar
b Hegar; Goodell
c Chadwick; Hegar
d Goodell; Chadwick - ANSWER-D
Generally, the changes normally associated with menopause occur because the
cells in the reproductive tract are:
a Aging.
b Becoming fibrous.
c Estrogen dependent.
d Able to respond to estrogen. - ANSWER-C
A 54-year-old woman who has just completed menopause is in the clinic today for
a yearly physical examination. Which of these statements should the nurse include
in patient education? A postmenopausal woman:
a Is not at any greater risk for heart disease than a younger woman.
b Should be aware that she is at increased risk for dyspareunia because of
decreased vaginal secretions.
pg. 3
, c Has only stopped menstruating; there really are no other significant changes with
which she should be concerned.
d Is likely to have difficulty with sexual pleasure as a result of drastic changes in
the female sexual response cycle. - ANSWER-B
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for
a regular skin check-up. She has just returned from her annual dig site in Greece.
She has fair skin and reddish-blonde hair. She has a family history of melanoma.
She has many freckles scattered across her skin. From this description, which of
the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - ANSWER-A
You are speaking to an 8th grade class about health prevention and are preparing to
discuss the ABCDEs of melanoma. Which of the following descriptions correctly
defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6
mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D =
diameter >6 mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E =
evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D =
diameter >6 mm; E = evolution - ANSWER-B
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
pg. 4
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