NUR 634 APEA 3P EXAM TEST BANK NEWEST ACTUAL EXAM
COMPLETE ALL 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
NUR 634 APEA 3P EXAM
1. Most common type of skin cancer in USA: Skin cancer
2. Most common type of skin cancer: basal cell carcinoma
3. Basal cell carcinoma symptoms: Appearance varies; smooth, shiny bump, pink to
pearly white
4. Basal cell carcinoma common locations: cheeks, nose, face, neck, arms, back
5. Basal cell carcinoma diagnosis gold standard: biopsy. If not an option, refer to
Derm
6. Actinic keratosis: Precursor to squamous cell carcinoma
Numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
7. Actinic keratosis diagnosis gold standard: Biopsy.
If not an option, refer to derm
8. Actinic keratosis treatment gold standard: small- cryotherapy large- number 5-FU
(5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab and be red
**5-flouracil/ efudex-wear sunscreen!!**
9. Squamous cell cancer: chronic red scaly rough textured lesion w/ irregular borders
, .
Crusting or bleeding may be present
10. Squamous cell carcinoma common locations: rims of ears, lips, nose, face and top
of hands
11. Precursor lesion to squamous cell cancer: actinic keratosis
12. Squamous cell carcinoma diagnosis by?: biopsy gold standard. If biopsy is not an
option, refer to dermatology .
13. Risk factors for skin cancer(melanoma and both non-melanoma): Blistering
sunburn as a child, history of sunburns, light skin, chronic exposure to UV light
(sunlight/tanning beds), moles, family hx for skin cancer
14. Melanoma symptoms (ABCDE): asymmetry (shape/uneven texture) border
(irregular/notched/blurred)
Color (variegated colors from black, blue, dark to light
brown) diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape) may be itchy
15. Acral lengtiginous melanoma: Most common type of melanoma in dark skinned
individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. A changing spot or
mole in the palms, or the soles of the feet
16 seborrheic keratosis: soft, round, wart-like growth that is light tan to black and looks
pasted on asymptomatic &benign
17. Bacterial Meningitis Bacteria: Streptococcus pneumoniae- most common
Strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
, .
*others
18. Bacterial meningitis symptoms (Classic Triad): High fever Nuchal rigidity
Rapid change in mental status w/ headache
Triad=neck up
Erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (purpura)
which are non-blanchable
19. Is bacterial meningitis a reportable disease: yes!
20. Treatment for Bacterial meningitis-patient: IV Abx ASAP, resp/droplet iso for
first 24-48 hrs, hydrate (low maintenance after initial fluid correction), Maintain
ventilation and reduce increased intra cranial pressure if present (dexamethosone(to
reduce inflammation, mannitol to diurese the brain), low stim environment, tx
complications that may arrive and support family
21. Treatment for bacterial meningitis-close encounter: Close contacts should be
treated w/ rifampin 600 mg q 12 hours x 2 days
**Rifampin changes urine color to reddish orange and can stain contacts
**AVOID RIFAMPIN IN PREGNANCY
22. Brudzinkski sign (meningeal irritation): Tests for meningeal irritation
Patient supine, raise BACK of head and flex chin towards chest
+ result if pt automatically beds both hips
--Brudzinski and back of head start with B as well as bends--
23. Kernig's sign: Tests for meningeal irritation patient supine. Flex patients hips and
knees in a right angle, then slowly straighten/extend the legs up
+ result if when the patient complains of pain during extension of leg
24. MCV4 (meningococcal vaccine) Age 11-19: Give one dose of menactra or menveo
Primary dose given age 12 or younger give a booster at age 16-18
, .
25. MCV4 (meningococcal vaccine) Age 19-21: Give one dose of menactra or menveo
if never had either
26 Rocky mountain spotted fever (RMSF) symptoms: Fever chills
N/V myalgia arthralgia
2-5 days later develop petechial rash on forearms, ankles, and wrists that spreads towards
trunk and becomes generalised. Sometimes rash develops on palms and soles
**RASH DEVELOPS INWARDS**
27. RMSF pneumonic (RMSF): R-Rash
M-Muscle aches (myalgia)
S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
28. Rocky Mountain Spotted Fever (RMSF): Located:: •Think "Rocky"- North
Carolina, Oklahoma, Arkansas, Tennessee, Missouri
Spring to Fall (April to September)
29. Rocky Mountain Spotted Fever (RMSF): DX: PCR assay by indirect
immunofluorescence antibody (IFA) assay for immunoglobulin G (igg) for
Rickettsia Rickettsii
30. Rocky Mountain Spotted Fever (RMSF): tx: Doxycycline is always first line for
all ages
100 mg every 12 hours x 7-10 days
Can be fatal if not treated within the first 5 days
31. Erythema Migrans (early Lyme disease): Symptoms: Usually appears in 7-14
days after being bitten by a deer tick; range 3-30 days
Target bull's-eye Rash is hot to touch with rough texture. Expanding red rash with central
clearing • Common locations are belt line, axillary area, behind the knees, and groin area
