NURS 6531 FINAL EXAM (WALDEN) NEWEST 2026
ACTUAL EXAM TEST BANK| NURS6531 ADVANCED
PRACTICE CARE OF ADULTS ACROSS THE LIFESPAN
FINAL EXAM REVIEW WITH 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+
What is the main reason for using the REALM-SF instrument to
evaluate health literacy?
a. It assesses numeracy skills.
b. It enhances patient-provider communication.
c. It evaluates medical word recognition.
d. It measures technology knowledge. - Correct Answer - C
The Rapid Estimate of Adult Literacy in Medicine-Short Form
(REALM-SF) is an easy and fast tool that measures medical word
recognition. It does not evaluate numeracy. The "Ask Me 3" tool
enhances patient-provider communication. This tool does not evaluate
understanding of technology.
A provider is preparing to administer electrocautery to a patient who has
several seborrheic keratoses. The patient tells the provider that he has a
pacemaker. Which action is correct?
a. Administer the electrocautery per the usual protocol.
b. Apply electrocautery in short burst at low voltage.
c. Refer the patient to a dermatologist for removal.
d. Suggest another method for removal of the lesions. - Correct Answer -
B
pg. 1
,Patients with pacemakers or implantable cardioverter-defibrillators may
receive electrocautery if appropriate precautions, such as lower voltage
and shorter bursts are taken. It is not necessary to suggest another
method or to refer to a dermatologist.
Which type of office surgical procedure warrants sterile technique?
a. Curettage
b. Punch biopsy
c. Scissor excision
d. Shave biopsy - Correct Answer - B
Punch biopsy requires sterile technique. The other procedures require
cleaning with alcohol and clean technique with universal precautions.
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 - Correct Answer - 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?
pg. 2
,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. - Correct Answer - 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.
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 - Correct Answer - 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
pg. 3
, c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin - Correct Answer - C
This patient has moderate acne, based on symptoms of lesions on half of
the face with nodules and a few scars. A combination of topical benzoyl
peroxide and clindamycin is recommended. Oral antibiotics are reserved
for severe cases. Oral isotretinoin is used only for recalcitrant cases
which are severe and have not responded to other treatments. Topical
antibiotics should be used as monotherapy.
A patient is seen in the clinic for patches of hair loss. The provider notes
several well-demarcated patches on the scalp and eyebrows without
areas of inflammation and several hairs within the patch with thinner
shafts near the scalp. Based on these findings, which type of alopecia is
most likely?
a. Alopecia areata
b. Anagen effluvium
c. Cicatricial alopecia
d. Telogen effluvium - Correct Answer - A
These findings are characteristic of alopecia areata. Anagen effluvium
and telogen effluvium both result in diffuse hair loss and not discrete
patches. Cicatricial alopecia involves inflammation.
A patient diagnosed with alopecia is noted to have scaling on the
affected areas of the scalp. Which confirmatory test(s) will the provider
order?
a. Examination of scalp scrapings with potassium hydroxide (KOH)
b. Grasping and pulling on a few dozen hairs
c. Serum iron studies and a complete blood count
pg. 4
ACTUAL EXAM TEST BANK| NURS6531 ADVANCED
PRACTICE CARE OF ADULTS ACROSS THE LIFESPAN
FINAL EXAM REVIEW WITH 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+
What is the main reason for using the REALM-SF instrument to
evaluate health literacy?
a. It assesses numeracy skills.
b. It enhances patient-provider communication.
c. It evaluates medical word recognition.
d. It measures technology knowledge. - Correct Answer - C
The Rapid Estimate of Adult Literacy in Medicine-Short Form
(REALM-SF) is an easy and fast tool that measures medical word
recognition. It does not evaluate numeracy. The "Ask Me 3" tool
enhances patient-provider communication. This tool does not evaluate
understanding of technology.
A provider is preparing to administer electrocautery to a patient who has
several seborrheic keratoses. The patient tells the provider that he has a
pacemaker. Which action is correct?
a. Administer the electrocautery per the usual protocol.
b. Apply electrocautery in short burst at low voltage.
c. Refer the patient to a dermatologist for removal.
d. Suggest another method for removal of the lesions. - Correct Answer -
B
pg. 1
,Patients with pacemakers or implantable cardioverter-defibrillators may
receive electrocautery if appropriate precautions, such as lower voltage
and shorter bursts are taken. It is not necessary to suggest another
method or to refer to a dermatologist.
Which type of office surgical procedure warrants sterile technique?
a. Curettage
b. Punch biopsy
c. Scissor excision
d. Shave biopsy - Correct Answer - B
Punch biopsy requires sterile technique. The other procedures require
cleaning with alcohol and clean technique with universal precautions.
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 - Correct Answer - 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?
pg. 2
,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. - Correct Answer - 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.
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 - Correct Answer - 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
pg. 3
, c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin - Correct Answer - C
This patient has moderate acne, based on symptoms of lesions on half of
the face with nodules and a few scars. A combination of topical benzoyl
peroxide and clindamycin is recommended. Oral antibiotics are reserved
for severe cases. Oral isotretinoin is used only for recalcitrant cases
which are severe and have not responded to other treatments. Topical
antibiotics should be used as monotherapy.
A patient is seen in the clinic for patches of hair loss. The provider notes
several well-demarcated patches on the scalp and eyebrows without
areas of inflammation and several hairs within the patch with thinner
shafts near the scalp. Based on these findings, which type of alopecia is
most likely?
a. Alopecia areata
b. Anagen effluvium
c. Cicatricial alopecia
d. Telogen effluvium - Correct Answer - A
These findings are characteristic of alopecia areata. Anagen effluvium
and telogen effluvium both result in diffuse hair loss and not discrete
patches. Cicatricial alopecia involves inflammation.
A patient diagnosed with alopecia is noted to have scaling on the
affected areas of the scalp. Which confirmatory test(s) will the provider
order?
a. Examination of scalp scrapings with potassium hydroxide (KOH)
b. Grasping and pulling on a few dozen hairs
c. Serum iron studies and a complete blood count
pg. 4
