NUR 6111 EXAM 1
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) Ac nic keratosis
E) Seborrheic keratosis
Correct Answer: B) Basal cell carcinoma
Ra$onale:
Basal cell carcinoma (BCC) commonly presents as a pearly nodule with
rolled borders and telangiectasia, especially on sun-exposed areas such
as the face and lips.
---
### 2. Which statement is true regarding Basal Cell Carcinoma?
A) Mostly found on the palms and soles
B) Commonly occurs on head, neck, and nose
,C) It rapidly metastasizes
D) It is caused by viral infec on
E) It always presents as pigmented lesions
Correct Answer: B) Commonly occurs on head, neck, and nose
Ra$onale:
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 mes daily for 7-10 days
B) Oral prednisone for 2 weeks
C) Topical cor costeroids only
D) No treatment necessary, it resolves spontaneously
E) Oral doxycycline
, Correct Answer: A) Oral acyclovir 800 mg five mes daily for 7-10 days
Ra$onale:
These symptoms are classic for herpes zoster (shingles). Early an viral
treatment with oral acyclovir reduces dura on and severity.
### 4. A pa$ent presents with red and scaly lesions on the scalp, with
hairs appearing discolored, lusterless, and bri/le. The lesions started
as small erythematous papules around a hair sha0. Hairs break off a
few millimeters above the scalp skin surface. The lesion has spread,
forming numerous papules in a circular form. The NP knows that in
considering the management for this pa$ent, which of the following
statements are true? (Select all that apply)
A) Woods lamp examina on can be helpful in diagnosis
B) Use of 1% or 2.5% selenium sulfide shampoo (Selsun) is
recommended
C) A nega ve culture a6er treatment is necessary for follow-up
evalua on
D) This condi on does not require an fungal treatment
E) Oral cor costeroids are first-line therapy
Adv Practice Nursing I
William Paterson University
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,### 1. A 73-year-old woman presents with a newly formed painless,
pearly, ulcerated nodule with rolled edges and overlying telangiectasia
on the upper lip. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Basal cell carcinoma
C) Melanoma
D) Ac nic keratosis
E) Seborrheic keratosis
Correct Answer: B) Basal cell carcinoma
Ra$onale:
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 infec on
E) It always presents as pigmented lesions
Correct Answer: B) Commonly occurs on head, neck, and nose
Ra$onale:
BCC primarily occurs on sun-exposed areas such as the head, neck,
and nose. It grows slowly and rarely metastasizes.
---
### 3. A 75-year-old man reports 72 hours of low-grade fever,
headache, and burning pain on one side of his back with a unilateral
vesicular rash that does not cross the midline. What is the appropriate
treatment plan?
A) Oral acyclovir 800 mg five mes daily for 7-10 days
B) Oral prednisone for 2 weeks
C) Topical cor costeroids only
D) No treatment necessary, it resolves spontaneously
E) Oral doxycycline
, Correct Answer: A) Oral acyclovir 800 mg five mes daily for 7-10 days
Ra$onale:
These symptoms are classic for herpes zoster (shingles). Early an viral
treatment with oral acyclovir reduces dura on and severity.
### 4. A pa$ent presents with red and scaly lesions on the scalp, with
hairs appearing discolored, lusterless, and bri/le. The lesions started
as small erythematous papules around a hair sha0. Hairs break off a
few millimeters above the scalp skin surface. The lesion has spread,
forming numerous papules in a circular form. The NP knows that in
considering the management for this pa$ent, which of the following
statements are true? (Select all that apply)
A) Woods lamp examina on can be helpful in diagnosis
B) Use of 1% or 2.5% selenium sulfide shampoo (Selsun) is
recommended
C) A nega ve culture a6er treatment is necessary for follow-up
evalua on
D) This condi on does not require an fungal treatment
E) Oral cor costeroids are first-line therapy
