NURS 6531 QUIZZES CERTIFICATION
EVALUATION TEST PAPER 2026 PRACTICE
SOLUTION 100% CORRECT
◉ Which type of office surgical procedure warrants sterile
technique?
a. Curettage
b. Punch biopsy
c. Scissor excision
d. Shave biopsy. Answer: ANS: B
Punch biopsy requires sterile technique. The other procedures
require cleaning with alcohol and clean technique with universal
precautions.
◉ When recommending an over-the-counter topical medication to
treat a dermatologic condition, which instruction to the patient is
important to enhance absorption of the drug?
a. Apply a thick layer of medication over the affected area.
b. A solution spray preparation will be more effective on hairy areas.
c. Put cool compresses over the affected area after application.
d. Use a lotion or cream instead of an ointment preparation..
Answer: ANS: B
,Hairy areas are difficult to penetrate, so in these areas, a solution,
foam, spray, or gel may work better. Applying a thicker layer does
not increase skin penetration or effectiveness of a medication. Warm
or inflamed skin absorbs medications more readily; cool compresses
will decrease absorption. Lotions and creams are not as readily
absorbed as ointments, which have occlusive properties.
◉ A provider is prescribing a topical dermatologic medication for a
patient who has open lesions on a hairy area of the body. Which
vehicle type will the provider choose when prescribing this
medication?
a. Cream
b. Gel
c. Ointment
d. Powder. Answer: ANS: B
Gels are an excellent vehicle for use on hairy areas of the body.
Creams and ointments are not recommended for hairy areas.
Powders should be avoided in open wounds.
◉ An adult patient has been diagnosed with atopic dermatitis and
seborrheic dermatitis with lesions on the forehead and along the
scalp line. Which is correct when prescribing a corticosteroid
medication to treat this condition? p. 238
a. Initiate treatment with 0.1% triamcinolone acetonide.
,b. Monitor the patient closely for systemic adverse effects during
use.
c. Place an occlusive dressing over the medication after application.
d. Prescribe 0.05% fluocinonide to apply liberally.. Answer: ANS: A
Treatment with 0.1% triamcinolone acetonide is appropriate in this
case, because it is a class 4
corticosteroid and may be used on the face and is suggested for use
for these conditions. Systemic side effects are rare when topical
corticosteroids are used appropriately. Occlusive dressings increase
the risk of adverse effects and are not recommended. 0.05%
fluocinonide is a class III corticosteroid and should not be used on
the face.
◉ During a total body skin examination for skin cancer, the provider
notes a raised, shiny, slightly pigmented lesion on the patient's nose.
What will the provider do?
a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma.. Answer:
ANS: C
This lesion is characteristic of basal cell carcinoma, which is treated
with electrodessication and curettage. Melanoma lesions are usually
asymmetric lesions with irregular borders, variable coloration, >6
mm diameter, which are elevated; these should be referred
, immediately. All suspicious lesions should be biopsied; until the
results are known, the provider should not reassure the patient that
the lesion is benign. Squamous cell carcinoma is roughened, scaling,
and bleeds easily.
◉ What is the initial approach when obtaining a biopsy of a
potential malignant melanoma lesion?
a. Excisional biopsy
b. Punch biopsy
c. Shave biopsy
d. Wide excision. Answer: ANS: A
A suspected malignant melanoma lesion should be biopsied with
excisional biopsy; if diagnosed, a wide excision should follow. Punch
and shave biopsy procedures are appropriate for diagnostic
evaluation of NMSC lesions.
◉ A patient has acne and the provider notes lesions on half of the
face, some nodules, and two scarred areas. Which treatment will be
prescribed?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin. Answer: ANS: C
EVALUATION TEST PAPER 2026 PRACTICE
SOLUTION 100% CORRECT
◉ Which type of office surgical procedure warrants sterile
technique?
a. Curettage
b. Punch biopsy
c. Scissor excision
d. Shave biopsy. Answer: ANS: B
Punch biopsy requires sterile technique. The other procedures
require cleaning with alcohol and clean technique with universal
precautions.
◉ When recommending an over-the-counter topical medication to
treat a dermatologic condition, which instruction to the patient is
important to enhance absorption of the drug?
a. Apply a thick layer of medication over the affected area.
b. A solution spray preparation will be more effective on hairy areas.
c. Put cool compresses over the affected area after application.
d. Use a lotion or cream instead of an ointment preparation..
Answer: ANS: B
,Hairy areas are difficult to penetrate, so in these areas, a solution,
foam, spray, or gel may work better. Applying a thicker layer does
not increase skin penetration or effectiveness of a medication. Warm
or inflamed skin absorbs medications more readily; cool compresses
will decrease absorption. Lotions and creams are not as readily
absorbed as ointments, which have occlusive properties.
◉ A provider is prescribing a topical dermatologic medication for a
patient who has open lesions on a hairy area of the body. Which
vehicle type will the provider choose when prescribing this
medication?
a. Cream
b. Gel
c. Ointment
d. Powder. Answer: ANS: B
Gels are an excellent vehicle for use on hairy areas of the body.
Creams and ointments are not recommended for hairy areas.
Powders should be avoided in open wounds.
◉ An adult patient has been diagnosed with atopic dermatitis and
seborrheic dermatitis with lesions on the forehead and along the
scalp line. Which is correct when prescribing a corticosteroid
medication to treat this condition? p. 238
a. Initiate treatment with 0.1% triamcinolone acetonide.
,b. Monitor the patient closely for systemic adverse effects during
use.
c. Place an occlusive dressing over the medication after application.
d. Prescribe 0.05% fluocinonide to apply liberally.. Answer: ANS: A
Treatment with 0.1% triamcinolone acetonide is appropriate in this
case, because it is a class 4
corticosteroid and may be used on the face and is suggested for use
for these conditions. Systemic side effects are rare when topical
corticosteroids are used appropriately. Occlusive dressings increase
the risk of adverse effects and are not recommended. 0.05%
fluocinonide is a class III corticosteroid and should not be used on
the face.
◉ During a total body skin examination for skin cancer, the provider
notes a raised, shiny, slightly pigmented lesion on the patient's nose.
What will the provider do?
a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma.. Answer:
ANS: C
This lesion is characteristic of basal cell carcinoma, which is treated
with electrodessication and curettage. Melanoma lesions are usually
asymmetric lesions with irregular borders, variable coloration, >6
mm diameter, which are elevated; these should be referred
, immediately. All suspicious lesions should be biopsied; until the
results are known, the provider should not reassure the patient that
the lesion is benign. Squamous cell carcinoma is roughened, scaling,
and bleeds easily.
◉ What is the initial approach when obtaining a biopsy of a
potential malignant melanoma lesion?
a. Excisional biopsy
b. Punch biopsy
c. Shave biopsy
d. Wide excision. Answer: ANS: A
A suspected malignant melanoma lesion should be biopsied with
excisional biopsy; if diagnosed, a wide excision should follow. Punch
and shave biopsy procedures are appropriate for diagnostic
evaluation of NMSC lesions.
◉ A patient has acne and the provider notes lesions on half of the
face, some nodules, and two scarred areas. Which treatment will be
prescribed?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin. Answer: ANS: C
