NURS 6531 Final Exam Test Bank Newest 2025/2026 Complete All 400 Exam
NURS 6531 FINAL EXAM TEST BANK NEWEST 2025/2026
COMPLETE ALL 400 EXAM QUESTIONS AND CORRECT
ANSWERS/ NURS 6531 PRACTICE CARE OF ADULTS/WALDEN
UNIVERSITY |ALREADY GRADED A+
A patient has actinic keratosis and the provider elects to use cryosurgery to
remove the lesions. How will the provider administer this procedure? p. 234
a. Applying one or two freeze-thaw cycles to each lesion
b. Applying two or more freeze-thaw cycles to each lesion
c. Applying until the freeze spreads laterally 1 mm from the lesion edges
d. Applying until the freeze spreads laterally 4 mm from the lesion edges -
ANSWER-ANS: A
For actinic keratosis, one to two freeze-thaw cycles are usually enough. Two or
more freeze-thaw cycles are generally required for thicker, seborrheic keratosis
lesions. The freeze should spread laterally 3 to 4 mm from the edge of the lesions.
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. - ANSWER-ANS: B
Patients with pacemakers or implantable cardioverter-defibrillators may receive
electrocautery if appropriate precautions, such as lower voltage and shorter
1|Page
, NURS 6531 Final Exam Test Bank Newest 2025/2026 Complete All 400 Exam
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 - ANSWER-ANS: B
Punch biopsy requires sterile technique. The other procedures require cleaning
with alcohol and clean technique with universal precautions.
When recommending an over-the-counter topical medication to treat a
dermatologic condition, which instruction to the patient is important to enhance
absorption of the drug?
a. Apply a thick layer of medication over the affected area.
b. A solution spray preparation will be more effective on hairy areas.
c. Put cool compresses over the affected area after application.
d. Use a lotion or cream instead of an ointment preparation. - ANSWER-ANS: B
Hairy areas are difficult to penetrate, so in these areas, a solution, foam, spray, or
gel may work better. Applying a thicker layer does not increase skin penetration or
effectiveness of a medication. Warm or inflamed skin absorbs medications more
readily; cool compresses will decrease absorption. Lotions and creams are not as
readily absorbed as ointments, which have occlusive properties.
2|Page
, NURS 6531 Final Exam Test Bank Newest 2025/2026 Complete All 400 Exam
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 - ANSWER-ANS: 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? p. 238
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. - ANSWER-ANS: 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.
3|Page
, NURS 6531 Final Exam Test Bank Newest 2025/2026 Complete All 400 Exam
During a total body skin examination for skin cancer, the provider notes a raised,
shiny, slightly pigmented lesion on the patient's nose. What will the provider do?
a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma. - ANSWER-ANS: C
This lesion is characteristic of basal cell carcinoma, which is treated with
electrodessication and curettage. Melanoma lesions are usually asymmetric
lesions with irregular borders, variable coloration, >6 mm diameter, which are
elevated; these should be referred immediately. All suspicious lesions should be
biopsied; until the results are known, the provider should not reassure the patient
that the lesion is benign. Squamous cell carcinoma is roughened, scaling, and
bleeds easily.
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 - ANSWER-ANS: 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.
4|Page
NURS 6531 FINAL EXAM TEST BANK NEWEST 2025/2026
COMPLETE ALL 400 EXAM QUESTIONS AND CORRECT
ANSWERS/ NURS 6531 PRACTICE CARE OF ADULTS/WALDEN
UNIVERSITY |ALREADY GRADED A+
A patient has actinic keratosis and the provider elects to use cryosurgery to
remove the lesions. How will the provider administer this procedure? p. 234
a. Applying one or two freeze-thaw cycles to each lesion
b. Applying two or more freeze-thaw cycles to each lesion
c. Applying until the freeze spreads laterally 1 mm from the lesion edges
d. Applying until the freeze spreads laterally 4 mm from the lesion edges -
ANSWER-ANS: A
For actinic keratosis, one to two freeze-thaw cycles are usually enough. Two or
more freeze-thaw cycles are generally required for thicker, seborrheic keratosis
lesions. The freeze should spread laterally 3 to 4 mm from the edge of the lesions.
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. - ANSWER-ANS: B
Patients with pacemakers or implantable cardioverter-defibrillators may receive
electrocautery if appropriate precautions, such as lower voltage and shorter
1|Page
, NURS 6531 Final Exam Test Bank Newest 2025/2026 Complete All 400 Exam
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 - ANSWER-ANS: B
Punch biopsy requires sterile technique. The other procedures require cleaning
with alcohol and clean technique with universal precautions.
When recommending an over-the-counter topical medication to treat a
dermatologic condition, which instruction to the patient is important to enhance
absorption of the drug?
a. Apply a thick layer of medication over the affected area.
b. A solution spray preparation will be more effective on hairy areas.
c. Put cool compresses over the affected area after application.
d. Use a lotion or cream instead of an ointment preparation. - ANSWER-ANS: B
Hairy areas are difficult to penetrate, so in these areas, a solution, foam, spray, or
gel may work better. Applying a thicker layer does not increase skin penetration or
effectiveness of a medication. Warm or inflamed skin absorbs medications more
readily; cool compresses will decrease absorption. Lotions and creams are not as
readily absorbed as ointments, which have occlusive properties.
2|Page
, NURS 6531 Final Exam Test Bank Newest 2025/2026 Complete All 400 Exam
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 - ANSWER-ANS: 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? p. 238
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. - ANSWER-ANS: 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.
3|Page
, NURS 6531 Final Exam Test Bank Newest 2025/2026 Complete All 400 Exam
During a total body skin examination for skin cancer, the provider notes a raised,
shiny, slightly pigmented lesion on the patient's nose. What will the provider do?
a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma. - ANSWER-ANS: C
This lesion is characteristic of basal cell carcinoma, which is treated with
electrodessication and curettage. Melanoma lesions are usually asymmetric
lesions with irregular borders, variable coloration, >6 mm diameter, which are
elevated; these should be referred immediately. All suspicious lesions should be
biopsied; until the results are known, the provider should not reassure the patient
that the lesion is benign. Squamous cell carcinoma is roughened, scaling, and
bleeds easily.
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 - ANSWER-ANS: 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.
4|Page
