NRNP 6540 FINAL ACTUAL EXAM QUESTIONS AND
DETAILED ANSWERS (VERIFIED ANSWERS) WITH
EXPERT VERIFIED FEEDBACK UPDATED 2026/2027
LATEST VERSION!!
1. Mr. Edwards is 76 years old and received a burn on his leg when he dozed off
and dropped his cigarette. The nurse practitioner examines his leg for the degree
of burn and classifies it as second degree with some third degree in the center.
Mr. Edwards asks what that means and why it hurts so much. What is the best
answer? Select all that apply.
1. It means that this is a serious, deep burn in the center, and a less deep burn
around the sides.
2. It hurts because the nerve endings are exposed in the second-degree area.
3. It means that the burn is advancing and getting worse.
4. It hurts because the nerves are destroyed.
5. It hurts because the nerves in the second-degree areas are exposed to the
outside and are stimulated. - CORRECT ANSWER ✔✔- 9. Answer: 1, 2
Page: 98
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1.
Deep dermal burns extend further into the dermis; third-degree burns involve the
full dermis, extending into the subcutaneous tissue.
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,2.
In these burns there is pain from exposed nerve endings, but by the second day,
pain is often described more as pressure.
3.
The first step in treatment is to stop the burn.
4.
Destroyed nerves do not register pain.
5.
Superficial dermal burns involve the dermis and are characterized by blisters. The
underlying tissue is pink, moist, and hypersensitive to touch.
2. Mr. Watson,75 years old, comes to the urgent care center with complaints of
fever, fast heartbeat, a swollen gland under his right arm, and redness in his
upper left arm that has hurt for 2 to 3 days. The patient says that he has had the
redness in his arm for months without any difficulty. The nurse practitioner
suspects which of the following? Select all that apply.
1. Influenza
2. Upper respiratory infection
3. Cellulitis of upper left arm
4. Necrotizing fasciitis
5. Lymphangitis - CORRECT ANSWER ✔✔- 11. Answer: 3
Page: 103
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,Feedback
1.
Influenza is systemic and not localized in any one area.
2.
The patient has no respiratory symptoms.
3.
Signs of cellulitis include worsening of erythema, edema, tenderness, and pain
that has occurred for a few days. Symptoms are usually sudden. Systemic
symptoms which indicate serious toxicity include fever, hypotension, and
tachycardia.
4.
Necrotizing fasciitis exhibits diffuse swelling of an arm or leg with bullae.
5.
Systemic symptoms that indicate serious toxicity include fever, hypotension,
tachycardia, leucocytosis, lymphadenopathy, and lymphangitis.
3. Mr. James is 91 years old. His daughter notices that he has bruises and
lacerations on his arms and reports this to the nurse practitioner, who tells her
that older people bruise easily due to their fragile blood vessels. The skin
lacerations happen because he has thin skin. Even so, the nurse practitioner
assures the daughter that she will investigate further to ensure that he is getting
proper care. She says this because she understands that:
1. These markings on the patient's skin are part of aging skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused. - CORRECT ANSWER ✔✔- 3. Answer: 2
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, Page: 97
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1.
Markings on the skin may be signs of aging, a disease, or maltreatment.
2.
Poorly healing wounds or chronic pressure ulcers may signal a problem not only
with the patient but with the caregiver's ability to provide adequate care. Welts,
lacerations, burns, and distinctive markings may indicate a need for intervention.
3.
This is a result of the nurse practitioner addressing it further rather than the
reason for addressing it.
4.
A professional cannot assume abuse without good reason.
4. The nurse practitioner assesses a patient's skin and finds an infectious lesion on
the lower leg. The lesion is considered a secondary lesion. The nurse practitioner
explains that a secondary lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging. - CORRECT ANSWER ✔✔- 4. Answer: 1
Page: 97
4|Page
DETAILED ANSWERS (VERIFIED ANSWERS) WITH
EXPERT VERIFIED FEEDBACK UPDATED 2026/2027
LATEST VERSION!!
1. Mr. Edwards is 76 years old and received a burn on his leg when he dozed off
and dropped his cigarette. The nurse practitioner examines his leg for the degree
of burn and classifies it as second degree with some third degree in the center.
Mr. Edwards asks what that means and why it hurts so much. What is the best
answer? Select all that apply.
1. It means that this is a serious, deep burn in the center, and a less deep burn
around the sides.
2. It hurts because the nerve endings are exposed in the second-degree area.
3. It means that the burn is advancing and getting worse.
4. It hurts because the nerves are destroyed.
5. It hurts because the nerves in the second-degree areas are exposed to the
outside and are stimulated. - CORRECT ANSWER ✔✔- 9. Answer: 1, 2
Page: 98
Feedback
1.
Deep dermal burns extend further into the dermis; third-degree burns involve the
full dermis, extending into the subcutaneous tissue.
1|Page
,2.
In these burns there is pain from exposed nerve endings, but by the second day,
pain is often described more as pressure.
3.
The first step in treatment is to stop the burn.
4.
Destroyed nerves do not register pain.
5.
Superficial dermal burns involve the dermis and are characterized by blisters. The
underlying tissue is pink, moist, and hypersensitive to touch.
2. Mr. Watson,75 years old, comes to the urgent care center with complaints of
fever, fast heartbeat, a swollen gland under his right arm, and redness in his
upper left arm that has hurt for 2 to 3 days. The patient says that he has had the
redness in his arm for months without any difficulty. The nurse practitioner
suspects which of the following? Select all that apply.
1. Influenza
2. Upper respiratory infection
3. Cellulitis of upper left arm
4. Necrotizing fasciitis
5. Lymphangitis - CORRECT ANSWER ✔✔- 11. Answer: 3
Page: 103
2|Page
,Feedback
1.
Influenza is systemic and not localized in any one area.
2.
The patient has no respiratory symptoms.
3.
Signs of cellulitis include worsening of erythema, edema, tenderness, and pain
that has occurred for a few days. Symptoms are usually sudden. Systemic
symptoms which indicate serious toxicity include fever, hypotension, and
tachycardia.
4.
Necrotizing fasciitis exhibits diffuse swelling of an arm or leg with bullae.
5.
Systemic symptoms that indicate serious toxicity include fever, hypotension,
tachycardia, leucocytosis, lymphadenopathy, and lymphangitis.
3. Mr. James is 91 years old. His daughter notices that he has bruises and
lacerations on his arms and reports this to the nurse practitioner, who tells her
that older people bruise easily due to their fragile blood vessels. The skin
lacerations happen because he has thin skin. Even so, the nurse practitioner
assures the daughter that she will investigate further to ensure that he is getting
proper care. She says this because she understands that:
1. These markings on the patient's skin are part of aging skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused. - CORRECT ANSWER ✔✔- 3. Answer: 2
3|Page
, Page: 97
Feedback
1.
Markings on the skin may be signs of aging, a disease, or maltreatment.
2.
Poorly healing wounds or chronic pressure ulcers may signal a problem not only
with the patient but with the caregiver's ability to provide adequate care. Welts,
lacerations, burns, and distinctive markings may indicate a need for intervention.
3.
This is a result of the nurse practitioner addressing it further rather than the
reason for addressing it.
4.
A professional cannot assume abuse without good reason.
4. The nurse practitioner assesses a patient's skin and finds an infectious lesion on
the lower leg. The lesion is considered a secondary lesion. The nurse practitioner
explains that a secondary lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging. - CORRECT ANSWER ✔✔- 4. Answer: 1
Page: 97
4|Page
