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APEA PRE-PREDICTOR NP EXAM LATEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) GRADED A+ PASS Which of the following assessment findings most likely constitutes a secondary skin lesion? a) Psoriasis b) Facial acne c) Facial lesions associated w...

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  • 5 juli 2024
  • 28
  • 2023/2024
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Voorbeeld van de inhoud

APEA PRE-PREDICTOR NP EXAM LATEST ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) GRADED A+ PASS
2023-2024

Which of the following assessment findings most likely constitutes a secondary skin
lesion?

a) Psoriasis
b) Facial acne
c) Facial lesions associated with herpes simplex
d) Keloid formation at the site of an old incision - Keloid formation at the site of an old
incision

Explanation:
A secondary lesion emerges from an existing primary lesion, such as the keloids that
can emerge from the site of a healed wound. Acne and the lesions associated with
psoriasis and herpes do not meet this criterion.

An adult client is having his skin assessed. The client tells the nurse he has been a
heavy smoker for the last 40 years. The client has clubbing of the fingernails. What
does this finding tell the nurse?

a) The client has COPD
b) The client has melanoma
c) The client has chronic hypoxia
d) The client has asthma - The client has chronic hypoxia

Explanation:
Clubbing of the nails indicates chronic hypoxia. Clubbing is identified when the angle of
the nail to the finger is more than 160 degrees. Melanoma does not present with the
symptom of clubbing. The scenario described does not give enough information to
indicate that the client has COPD or asthma.

A group of students are reviewing the structure and function of the skin in preparation
for a test on the material. The students demonstrated understanding when they identify
which layer as the outermost layer of the epidermis?

a) Stratum granulosum
b) Stratum lucidum
c) Stratum germinativum
d) Stratum corneum - Stratum corneum

,Explanation:
The epidermis consists of four distinct layers: the stratum corneum, stratum lucidum,
stratum granulosum, and stratum germinativum, in that order.

The nurse assesses an older adult bedridden client in her home. While assessing the
client's buttocks, the nurse observes that a small area of the skin is broken and
resembles an erosion. The nurse should document the client's pressure ulcer as

a) stage IV.
b) stage I.
c) stage III.
d) stage II. - stage II.

Explanation:
Stage II pressure ulcer is a partial thickness loss of dermis presenting as a shallow
open ulcer with a red-pink wound bed, without slough. May also present as an intact or
open/ruptured, serum-filled blister. Presents as a shiny or dry shallow ulcer without
slough or bruising; bruising indicates suspected deep tissue injury. This stage should
not be used to describe skin tears, tape burns, perineal dermatitis, maceration, or
excoriation.

A nurse is teaching a group of 5th grade children about characteristics of the skin.
Which of the following should she mention? Select all that apply.

a) Helps make vitamin D in the body
b) Involved in digestion of food
c) Largest organ of the body
d) Protects against damage to the body from sunlight
e) Circulates blood throughout the body
f) Aids in maintaining body temperature - • Largest organ of the body
• Protects against damage to the body from sunlight
• Aids in maintaining body temperature

Explanation:
The skin is the largest organ of the body. The skin is a physical barrier that protects the
underlying tissues and organs from microorganisms, physical trauma, ultraviolet
radiation, and dehydration. It plays a vital role in temperature maintenance, fluid and
electrolyte balance, absorption, excretion, sensation, immunity, and vitamin D synthesis.
The heart, not the skin, circulates blood throughout the body. The digestive system, not
the skin, is involved in digestion of food

The apocrine glands are stimulated by what?

a) Physical stress
b) Temperature

, c) Overhydration
d) Emotional stress - Emotional stress

Explanation:
The eccrine glands are widely distributed, open directly onto the skin surface, and by
their sweat production help to control body temperature. In contrast, the apocrine glands
are found chiefly in the axillary and genital regions, usually open into hair follicles, and
are stimulated by emotional stress.

A young man comes to the clinic 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. Examination reveals scabbing and crusting with
some silvery scales. The nurse also notices small "pits" in the nails. What would
account for these findings?


a) Tinea infection
b) Pityriasis rosea
c) Psoriasis
d) Eczema - Psoriasis

Explanation:
This is a classic presentation of plaque psoriasis. Eczema is usually over the flexor
surfaces and does not scale, whereas psoriasis affects the extensor surfaces. Pityriasis
usually is limited to the trunk and proximal extremities. Tinea has a much finer scale
associated with it, almost like powder, and is found in dark and most areas

he nurse is preparing to examine the skin of an adult client with a diagnosis of herpes
simplex. The nurse plans to measure the client's symptomatic lesions and measure the
size of the client's

a) bullae.
b) wheals.
c) nodules.
d) vesicles. - vesicles.

Explanation:
Vesicles are circumscribed elevated, palpable masses containing serous fluid. Vesicles
are less than 0.5 cm. Examples of vesicles include herpes simplex/zoster, varicella
(chickenpox), poison ivy, and second-degree burn.

A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in
the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to
be on a ventilator for 3 weeks. The nurse is completing an initial assessment and
evaluating the client's skin condition. On her sacrum there is full-thickness skin loss that

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