NURSE PRACTITIONER CERTIFICATION EXAM | 185
QUESTIONS AND ANSWERS | NEW 2026 UPDATE | WITH
COMPLETE SOLUTION.
primary lesion Answer - lesion that develops on previously unaltered skin
lesion Answer - a region in an organ or tissue that has suffered damage thru
injury or disease
secondary lesion Answer - lesion that either changes impression over time or
occurs when a primary lesion is scratched it may be infected
macule Answer - circumscribed flat area; different color and texture from
surrounding tissue, <1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)
patch Answer - a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot
papule Answer - Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)
plaque Answer - elevation of skin; >1cm; example psoriasis lesion
,pustule Answer - a visible accumulation of purulent fluid under skin; <1cm;
examples acne and impetigo
vesicle Answer - a circumscribed elevation of skin contains "SEROUS FLUID:
<1cm; examples, herpes simples, varicella, shingles
nodule Answer - solid mass of skin, is elevated or palpated >1cm; often
extends deeper into dermis: examples xanthoma and fibroma
bulla Answer - blister, circumscribed elevation containing fluid >1cm , extends
only into epidermis, examples burns, superficial blister, contact dermatitis
wheal Answer - elevated white or pink compressible papule or plaque, a red,
axon-mediated flare often surround it, commonly associated with allergic
reaction, examples PPD test and mosquito bites
cyst Answer - any closed cavity or sac; contains fluid or semisolid material,
normal or abnormal epithelium. example sebaceous cyst
Abscess Answer - a localized collection of purulent fluid in a cavity formed by
disintegration or necrosis of tissues >1cm
tumor Answer - "MASS: > few cm in diameter; firm or soft; benign or
malignant
configuration: annular Answer - circular, begins in center and spreads to
periphery
, configuration: confluent Answer - lesions run together
configuration: grouped Answer - lesion cluster
configuration: gyrate Answer - twisted, coiled, spiral and snake like
configuration: linear Answer - scratch, streak, line stripe
configuration: polycyclic Answer - annular lesions merge
configuration: solitary or discrete Answer - individual and distinct lesions that
remain separate
configuration: target (iris) Answer - resembles iris of eye; lesion with
concentric rings of color
configuration: zosteriform Answer - linear arrangement along nerve route
comedones Answer - open are called black heads (openings capped with a
blackened skin debris); and closed are called white head (obstructed)
acne Answer - can be comedones, pustules, papules (pimples and zits), cysts,
nodules and scaring
nonpharmacological management of acne Answer - wash several times daily
with soap and water; avoid topical oil based; use oil free cleansers and
moisterizers
QUESTIONS AND ANSWERS | NEW 2026 UPDATE | WITH
COMPLETE SOLUTION.
primary lesion Answer - lesion that develops on previously unaltered skin
lesion Answer - a region in an organ or tissue that has suffered damage thru
injury or disease
secondary lesion Answer - lesion that either changes impression over time or
occurs when a primary lesion is scratched it may be infected
macule Answer - circumscribed flat area; different color and texture from
surrounding tissue, <1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)
patch Answer - a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot
papule Answer - Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)
plaque Answer - elevation of skin; >1cm; example psoriasis lesion
,pustule Answer - a visible accumulation of purulent fluid under skin; <1cm;
examples acne and impetigo
vesicle Answer - a circumscribed elevation of skin contains "SEROUS FLUID:
<1cm; examples, herpes simples, varicella, shingles
nodule Answer - solid mass of skin, is elevated or palpated >1cm; often
extends deeper into dermis: examples xanthoma and fibroma
bulla Answer - blister, circumscribed elevation containing fluid >1cm , extends
only into epidermis, examples burns, superficial blister, contact dermatitis
wheal Answer - elevated white or pink compressible papule or plaque, a red,
axon-mediated flare often surround it, commonly associated with allergic
reaction, examples PPD test and mosquito bites
cyst Answer - any closed cavity or sac; contains fluid or semisolid material,
normal or abnormal epithelium. example sebaceous cyst
Abscess Answer - a localized collection of purulent fluid in a cavity formed by
disintegration or necrosis of tissues >1cm
tumor Answer - "MASS: > few cm in diameter; firm or soft; benign or
malignant
configuration: annular Answer - circular, begins in center and spreads to
periphery
, configuration: confluent Answer - lesions run together
configuration: grouped Answer - lesion cluster
configuration: gyrate Answer - twisted, coiled, spiral and snake like
configuration: linear Answer - scratch, streak, line stripe
configuration: polycyclic Answer - annular lesions merge
configuration: solitary or discrete Answer - individual and distinct lesions that
remain separate
configuration: target (iris) Answer - resembles iris of eye; lesion with
concentric rings of color
configuration: zosteriform Answer - linear arrangement along nerve route
comedones Answer - open are called black heads (openings capped with a
blackened skin debris); and closed are called white head (obstructed)
acne Answer - can be comedones, pustules, papules (pimples and zits), cysts,
nodules and scaring
nonpharmacological management of acne Answer - wash several times daily
with soap and water; avoid topical oil based; use oil free cleansers and
moisterizers
