Adv Practice Nursing I
William Paterson University
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,### 1. A 73-year-old woman presents with a newly formed painless,
pearly, ulcerated nodule with rolled edges and overlying
telangiectasia on the upper lip. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Melanoma
D) Actinic keratosis
E) Seborrheic keratosis
Correct Answer: B) Basal cell carcinoma
Rationale:
Basal cell carcinoma (BCC) commonly presents as a pearly nodule
with rolled borders and telangiectasia, especially on sun-exposed
areas such as the face and lips.
---
### 2. Which statement is true regarding Basal Cell Carcinoma?
A) Mostly found on the palms and soles
B) Commonly occurs on head, neck, and nose
,C) It rapidly metastasizes
D) It is caused by viral infection
E) It always presents as pigmented lesions
Correct Answer: B) Commonly occurs on head, neck, and nose
Rationale:
BCC primarily occurs on sun-exposed areas such as the head, neck,
and nose. It grows slowly and rarely metastasizes.
---
### 3. A 75-year-old man reports 72 hours of low-grade fever,
headache, and burning pain on one side of his back with a unilateral
vesicular rash that does not cross the midline. What is the
appropriate treatment plan?
A) Oral acyclovir 800 mg five times daily for 7-10 days
B) Oral prednisone for 2 weeks
C) Topical corticosteroids only
D) No treatment necessary, it resolves spontaneously
E) Oral doxycycline
, Correct,Answer:,A),Oral,acyclovir,800,mg,five,times,daily,for,7-10,days
Rationale:,,
These,symptoms,are,classic,for,herpes,zoster,(shingles).,Early,antiviral,
treatment,with,oral,acyclovir,reduces,duration,and,severity.
###,4.,A,patient,presents,with,red,and,scaly,lesions,on,the,scalp,,with,h
airs,appearing,discolored,,lusterless,,and,brittle.,The,lesions,started,as
,small,erythematous,papules,around,a,hair,shaft.,Hairs,break,off,a,few,
millimeters,above,the,scalp,skin,surface.,The,lesion,has,spread,,formin
g,numerous,papules,in,a,circular,form.,The,NP,knows,that,in,consideri
ng,the,management,for,this,patient,,which,of,the,following,statement
s,are,true?,(Select,all,that,apply)
A),Woods,lamp,examination,can,be,helpful,in,diagnosis,,
B),Use,of,1%,or,2.5%,selenium,sulfide,shampoo,(Selsun),is,recommended,
,
C),A,negative,culture,after,treatment,is,necessary,for,follow-
up,evaluation,,
D),This,condition,does,not,require,antifungal,treatment,,
E),Oral,corticosteroids,are,first-line,therapy,,
Correct,Answers:,A,,B,,C