NURS502 Midterm Exam
NURS502 MIDTERM EXAM NEWEST 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
A concerned mother brings her 9-year-old daughter to the clinic with several days
of a diffuse rash on the trunk. The child was previously healthy and is current on
her vaccinations. The mother relates a history of decreased appetite, easy fatigue,
and low-grade subjective fevers. On examination, temperature is recorded at
100.5ºF, the rash is confirmed as described by the mother, and additional physical
findings of a strawberry tongue and erythema of the palms and soles are noted.
Nonpainful peeling of the skin of the child's fingertips is noted incidentally. Based
on the history and physical findings, which is the most likely diagnosis and course
of action?
Strep throat, for which amoxicillin is indicated
Nonspecific viral exanthem, for which observant management is advised
Measles, for which review of the vaccination history is critical
Kawasaki disease, for which close monitoring and possibly hospitalization mig -
ANSWER-Kawasaki disease, for which close monitoring and possibly
hospitalization might be required
variable rash, "strawberry tongue," desquamation of the fingertips
A 16-year-old male high school student presents with a primary concern of acne.
He relates a history of 2 years of moderate mild acne and closed comedones
(whiteheads), which have recently worsened such that a classmate started calling
him a pirate due to a large pustule that developed at the tip of his nose. He has
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, NURS502 Midterm Exam
increasing outbreaks of cyst-like acne as well as a generally poor complexion with
pitting and scarring from prior outbreaks. Which of the following best describes
this condition in the adolescent population?
1. Acne vulgaris affects <50% of the adolescent population.
2. The primary hormonal stimulus for acne vulgaris is estrogen, causing
preferentially worse cases in females and males with lower testosterone levels.
3. Acne vulgaris is associated with blockage of sebaceous glands, stress, humidity,
and heavy sweating as well as other contributory factors.
4. Acne vulgaris is associated with an identifie - ANSWER-3. Acne vulgaris is
associated with blockage of sebaceous glands, stress, humidity, and heavy
sweating as well as other contributory factors.
A 62-year-old manual laborer presents to an annual physical examination with
concerns about skin cancer screening. He does not have any lesions of concern
but was recently told by a friend that he should have his skin checked by a doctor
yearly. What is the best advice for this patient according to the U.S. Preventive
Services Task Force (USPSTF) recommendations on skin cancer screening from
2015?
1. The USPSTF recommends that all individual age >50 years be screened yearly
for skin cancer regardless of risk factors.
2. The USPSTF recommends focused screening of individuals with a history of
dysplastic nevus syndrome.
3. The USPSTF recommendations mirror those of the American Cancer Society
(ACS) and American Academy of Dermatologists (AAD) in recommending and
annual skin cancer screening for patients age >50 years.
2|Page
, NURS502 Midterm Exam
4. The USPSTF recommends skin cancer screening only in sun-exposed areas of
fair-skinned individuals - ANSWER-5. The USPSTF recommends against routine
screening for skin cancer due to lack of evidence for this intervention across the
general population.
A 33-year-old nurse presents with a history of weight gain, decreased energy, and
menorrhagia over the past several months. Review of her family history reveals
Hashimoto thyroiditis and hypothyroidism in four female first-degree relatives (her
mother and three sisters). Which of the following skin findings best supports a
diagnosis of clinical hypothyroidism?
1. Warm moist skin, hyperpigmentation, and pretibial myxedema
2. Thickened, taut skin with sclerodactyly and telangiectasia
3. Discoid rash, alopecia, oral ulcers, and Raynaud phenomenon
4. Spider angiomas, telangiectasia, palmar erythema, and Terry nails
5. Dry skin, myxedema, alopecia of the eyebrows, and brittle nails - ANSWER-5.
Dry skin, myxedema, alopecia of the eyebrows, and brittle nails
A 72-year-old woman presents with concerns about several ruby-red spots on her
chest and abdomen. She reports that these are growing in both size and number
over time. On examination, the provider notes a number of cherry angiomas at
the locations indicated by the patient. No other abnormalities are noted. Which of
the following best describes the clinical characteristics and significance of a cherry
angioma?
1. Cherry angiomas never show blanching under pressure.
2. Cherry angiomas are associated with liver disease and B vitamin deficiencies.
3|Page
, NURS502 Midterm Exam
3. Cherry angiomas are a marker for underlying pathology that requires additional
evaluation.
4. Cherry angiomas are benign and may increase in size and number with aging.
5. Cherry angiomas rarely occur on the trunk and are most often noted on the legs
near veins. - ANSWER-4. Cherry angiomas are benign and may increase in size and
number with aging.
A 28-year-old male business executive presents to a primary care provider with
concerns about hair loss. He is otherwise healthy without chronic medical
conditions or current medications. He has a chart history of allergy to sulfa
medications, although this happened when he was a young child, and he does not
recall the incident or the reaction. He is unsure at what age his father went bald,
as he never remembers his father having hair. He remarks jokingly that he is losing
more hair than his dogs at home, who shed frequently but are otherwise healthy.
On examination, he has a single uniform oval patch of hair loss over the left
temporal area without any scaling, inflammation, or other skin changes where the
hair is missing. Which of the following is the most likely explanation for his hair
loss?
1. Drug rash, as evidenced by his allergy to sulfa drugs
2. Male pattern baldness, as evidenced by his father's baldness a - ANSWER-3.
Alopecia areata, as evidenced by patchy hair loss without associated skin changes
A 42-year-old fair-skinned woman of Irish origin presents with an abnormal skin
growth that was first noted 7 years ago. On examination, a 2 × 3-cm lesion is
noted over her left bicep. Which of the following historical elements most
increases the suspicion that the lesion is malignant?
4|Page
NURS502 MIDTERM EXAM NEWEST 2025/2026 COMPLETE 200
QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED
A+||BRAND NEW VERSION!
A concerned mother brings her 9-year-old daughter to the clinic with several days
of a diffuse rash on the trunk. The child was previously healthy and is current on
her vaccinations. The mother relates a history of decreased appetite, easy fatigue,
and low-grade subjective fevers. On examination, temperature is recorded at
100.5ºF, the rash is confirmed as described by the mother, and additional physical
findings of a strawberry tongue and erythema of the palms and soles are noted.
Nonpainful peeling of the skin of the child's fingertips is noted incidentally. Based
on the history and physical findings, which is the most likely diagnosis and course
of action?
Strep throat, for which amoxicillin is indicated
Nonspecific viral exanthem, for which observant management is advised
Measles, for which review of the vaccination history is critical
Kawasaki disease, for which close monitoring and possibly hospitalization mig -
ANSWER-Kawasaki disease, for which close monitoring and possibly
hospitalization might be required
variable rash, "strawberry tongue," desquamation of the fingertips
A 16-year-old male high school student presents with a primary concern of acne.
He relates a history of 2 years of moderate mild acne and closed comedones
(whiteheads), which have recently worsened such that a classmate started calling
him a pirate due to a large pustule that developed at the tip of his nose. He has
1|Page
, NURS502 Midterm Exam
increasing outbreaks of cyst-like acne as well as a generally poor complexion with
pitting and scarring from prior outbreaks. Which of the following best describes
this condition in the adolescent population?
1. Acne vulgaris affects <50% of the adolescent population.
2. The primary hormonal stimulus for acne vulgaris is estrogen, causing
preferentially worse cases in females and males with lower testosterone levels.
3. Acne vulgaris is associated with blockage of sebaceous glands, stress, humidity,
and heavy sweating as well as other contributory factors.
4. Acne vulgaris is associated with an identifie - ANSWER-3. Acne vulgaris is
associated with blockage of sebaceous glands, stress, humidity, and heavy
sweating as well as other contributory factors.
A 62-year-old manual laborer presents to an annual physical examination with
concerns about skin cancer screening. He does not have any lesions of concern
but was recently told by a friend that he should have his skin checked by a doctor
yearly. What is the best advice for this patient according to the U.S. Preventive
Services Task Force (USPSTF) recommendations on skin cancer screening from
2015?
1. The USPSTF recommends that all individual age >50 years be screened yearly
for skin cancer regardless of risk factors.
2. The USPSTF recommends focused screening of individuals with a history of
dysplastic nevus syndrome.
3. The USPSTF recommendations mirror those of the American Cancer Society
(ACS) and American Academy of Dermatologists (AAD) in recommending and
annual skin cancer screening for patients age >50 years.
2|Page
, NURS502 Midterm Exam
4. The USPSTF recommends skin cancer screening only in sun-exposed areas of
fair-skinned individuals - ANSWER-5. The USPSTF recommends against routine
screening for skin cancer due to lack of evidence for this intervention across the
general population.
A 33-year-old nurse presents with a history of weight gain, decreased energy, and
menorrhagia over the past several months. Review of her family history reveals
Hashimoto thyroiditis and hypothyroidism in four female first-degree relatives (her
mother and three sisters). Which of the following skin findings best supports a
diagnosis of clinical hypothyroidism?
1. Warm moist skin, hyperpigmentation, and pretibial myxedema
2. Thickened, taut skin with sclerodactyly and telangiectasia
3. Discoid rash, alopecia, oral ulcers, and Raynaud phenomenon
4. Spider angiomas, telangiectasia, palmar erythema, and Terry nails
5. Dry skin, myxedema, alopecia of the eyebrows, and brittle nails - ANSWER-5.
Dry skin, myxedema, alopecia of the eyebrows, and brittle nails
A 72-year-old woman presents with concerns about several ruby-red spots on her
chest and abdomen. She reports that these are growing in both size and number
over time. On examination, the provider notes a number of cherry angiomas at
the locations indicated by the patient. No other abnormalities are noted. Which of
the following best describes the clinical characteristics and significance of a cherry
angioma?
1. Cherry angiomas never show blanching under pressure.
2. Cherry angiomas are associated with liver disease and B vitamin deficiencies.
3|Page
, NURS502 Midterm Exam
3. Cherry angiomas are a marker for underlying pathology that requires additional
evaluation.
4. Cherry angiomas are benign and may increase in size and number with aging.
5. Cherry angiomas rarely occur on the trunk and are most often noted on the legs
near veins. - ANSWER-4. Cherry angiomas are benign and may increase in size and
number with aging.
A 28-year-old male business executive presents to a primary care provider with
concerns about hair loss. He is otherwise healthy without chronic medical
conditions or current medications. He has a chart history of allergy to sulfa
medications, although this happened when he was a young child, and he does not
recall the incident or the reaction. He is unsure at what age his father went bald,
as he never remembers his father having hair. He remarks jokingly that he is losing
more hair than his dogs at home, who shed frequently but are otherwise healthy.
On examination, he has a single uniform oval patch of hair loss over the left
temporal area without any scaling, inflammation, or other skin changes where the
hair is missing. Which of the following is the most likely explanation for his hair
loss?
1. Drug rash, as evidenced by his allergy to sulfa drugs
2. Male pattern baldness, as evidenced by his father's baldness a - ANSWER-3.
Alopecia areata, as evidenced by patchy hair loss without associated skin changes
A 42-year-old fair-skinned woman of Irish origin presents with an abnormal skin
growth that was first noted 7 years ago. On examination, a 2 × 3-cm lesion is
noted over her left bicep. Which of the following historical elements most
increases the suspicion that the lesion is malignant?
4|Page
