NU 518 Exam 3
NU 518 EXAM 3 INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
ADVANCED CONCEPTS IN THEORETICAL FOUNDATIONS OF NURSING PRACTICE.
TOPICS MAY INCLUDE NURSING THEORY DEVELOPMENT, CONCEPTUAL
MODELS, AND EVIDENCE-BASED PRACTICE INTEGRATION
You are examining an unconscious patient from another region and notice Beau's lines, a
transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would
you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3
months ago.
D) Ask about dietary intake. - ANSWER-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure
to ill people or other agents in the environment. He has a slight fever in the office. The rash
consists of small, bright red marks. When they are pressed, the red color remains. What should
you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - ANSWER-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus).
She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't
blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
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, NU 518 Exam 3
D) It should not cause any problems. - ANSWER-A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It
has been there for about a year and is getting larger. He says his wife has been able to squeeze
out a cheesy-textured substance on occasion. He worries this may be cancer. When gently
pinched from the side, a prominent dimple forms in the middle of the mass. What is most
likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion - ANSWER-B
A young man comes to you with an extremely pruritic rash over his knees and elbows which has
come and gone for several years. It seems to be worse in the winter and improves with some
sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and
you are observant enough to notice small "pits" in his nails. What would account for these
findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection - ANSWER-C
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various
locations. Each lesion lasts for many minutes. What most likely accounts for this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura - ANSWER-B
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, NU 518 Exam 3
Ms. Whiting is a 68-year-old who comes in for her usual follow-up visit. You notice a few flat red
and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you examine them. What
should you do?
A) Conclude that these are lesions she has had for a long time.
B) Wait for her to mention them before asking further questions.
C) Ask how she acquired them.
D) Conduct the visit as usual for the patient. - ANSWER-C
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions
over his anterior chest and abdomen for the past several months. They are not painful and he
has not noted any bleeding or bruising. He is concerned this may be consistent with a
dangerous condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office. - ANSWER-A
The nurse educator is preparing an education module for the nursing staff on the epidermal
layer of skin. Which of these statements would be included in the module? The epidermis is:
a Highly vascular.
B Thick and tough.
C Thin and nonstratified
D Replaced every 4 weeks. - ANSWER-D
The nurse educator is preparing an education module for the nursing staff on the dermis layer
of skin. Which of these statements would be included in the module? The dermis:
a Contains mostly fat cells.
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, NU 518 Exam 3
b Consists mostly of keratin.
c Is replaced every 4 weeks.
d Contains sensory receptors. - ANSWER-D
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face
and feet but it doesnt have an odor. The nurse knows that this condition could be related to:
a Eccrine glands.
b Apocrine glands.
c Disorder of the stratum corneum.
d Disorder of the stratum germinativum. - ANSWER-A
A newborn infant is in the clinic for a well-baby checkup. The nurse observes the infant for the
possibility of fluid loss because of which of these factors?
a Subcutaneous fat deposits are high in the newborn.
b Sebaceous glands are overproductive in the newborn.
c The newborns skin is more permeable than that of the adult.
d The amount of vernix caseosa dramatically rises in the newborn. - ANSWER-C
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin
check-up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - ANSWER-A
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NU 518 EXAM 3 INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
ADVANCED CONCEPTS IN THEORETICAL FOUNDATIONS OF NURSING PRACTICE.
TOPICS MAY INCLUDE NURSING THEORY DEVELOPMENT, CONCEPTUAL
MODELS, AND EVIDENCE-BASED PRACTICE INTEGRATION
You are examining an unconscious patient from another region and notice Beau's lines, a
transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would
you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3
months ago.
D) Ask about dietary intake. - ANSWER-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure
to ill people or other agents in the environment. He has a slight fever in the office. The rash
consists of small, bright red marks. When they are pressed, the red color remains. What should
you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - ANSWER-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus).
She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't
blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
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, NU 518 Exam 3
D) It should not cause any problems. - ANSWER-A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It
has been there for about a year and is getting larger. He says his wife has been able to squeeze
out a cheesy-textured substance on occasion. He worries this may be cancer. When gently
pinched from the side, a prominent dimple forms in the middle of the mass. What is most
likely?
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion - ANSWER-B
A young man comes to you with an extremely pruritic rash over his knees and elbows which has
come and gone for several years. It seems to be worse in the winter and improves with some
sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and
you are observant enough to notice small "pits" in his nails. What would account for these
findings?
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection - ANSWER-C
Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various
locations. Each lesion lasts for many minutes. What most likely accounts for this rash?
A) Insect bites
B) Urticaria, or hives
C) Psoriasis
D) Purpura - ANSWER-B
2|Page
, NU 518 Exam 3
Ms. Whiting is a 68-year-old who comes in for her usual follow-up visit. You notice a few flat red
and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but
nowhere else. She doesn't mention them. They are tender when you examine them. What
should you do?
A) Conclude that these are lesions she has had for a long time.
B) Wait for her to mention them before asking further questions.
C) Ask how she acquired them.
D) Conduct the visit as usual for the patient. - ANSWER-C
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions
over his anterior chest and abdomen for the past several months. They are not painful and he
has not noted any bleeding or bruising. He is concerned this may be consistent with a
dangerous condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office. - ANSWER-A
The nurse educator is preparing an education module for the nursing staff on the epidermal
layer of skin. Which of these statements would be included in the module? The epidermis is:
a Highly vascular.
B Thick and tough.
C Thin and nonstratified
D Replaced every 4 weeks. - ANSWER-D
The nurse educator is preparing an education module for the nursing staff on the dermis layer
of skin. Which of these statements would be included in the module? The dermis:
a Contains mostly fat cells.
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, NU 518 Exam 3
b Consists mostly of keratin.
c Is replaced every 4 weeks.
d Contains sensory receptors. - ANSWER-D
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face
and feet but it doesnt have an odor. The nurse knows that this condition could be related to:
a Eccrine glands.
b Apocrine glands.
c Disorder of the stratum corneum.
d Disorder of the stratum germinativum. - ANSWER-A
A newborn infant is in the clinic for a well-baby checkup. The nurse observes the infant for the
possibility of fluid loss because of which of these factors?
a Subcutaneous fat deposits are high in the newborn.
b Sebaceous glands are overproductive in the newborn.
c The newborns skin is more permeable than that of the adult.
d The amount of vernix caseosa dramatically rises in the newborn. - ANSWER-C
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin
check-up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - ANSWER-A
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