Advance Practice Nursing NUR 6111 Exam 1 Questions
With Complete Solutions
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 Correct Answer KOH scraping
70 yr old white man presents with rough, scaly patches on his
back. Some areas are feel like
sand paper, no visible lesions and some are wart-like in
appearance. It has enlarged and has been bleeding. You suspect
malignant melanoma and refer him to a dermatologist. You
educate
him that possible treatment options for this type of lesion which
is Correct Answer MOHS
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 Correct Answer Hx of asthma
or allergic rhinitis. Hx of flexural involvement, hx
of general dry skin
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 Correct
Answer Keflex 500mg q12h for minimum of 5
days
A 43 year old woman presents with recurrent abdominal
cramping and pain associated with
diarrhea that occurs from four to seven times per day. This has
happened in the past. The stools
are bloody with mucus and pus. The patient reports she has a
poor appetite, has lost 10 lbs. in 3
weeks and c/o fatigue. The patient denies recent travel or
outdoor camping. Which of the
following conditions is most likely Correct Answer IBS
(ulcerative colitis)
A 64-year old woman presents with a 3-month history of upper
abdominal pain. She
describes the discomfort as an intermittent, centrally located
"burning" feeling in the upper
abdomen, most often with meals and often accompanied by mild
nausea. Use of an OTC
histamine 2-blocker provides mild relief intermittently. She uses
naproxen regularly for arthritis
pain. Her clinical presentation is most consistent with Correct
Answer PUD/flastric ulcer
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