Exam 1: NUR 6111 Advanced Practice
Nursing I | WPUNJ | Latest Update
2025/2026 | 100% Correct | Graded A+
and Verified Answers
Dermatology (40 Questions)
QUESTION 1: What is the primary characteristic of acne?
Answer: Comedones
Rationale: Acne is characterized by comedones (blackheads/whiteheads) due to clogged pores
(Buttaro, 7th ed., Ch. 22).
QUESTION 2: What is a first-line treatment for mild acne?
Answer: Topical retinoids
Rationale: Topical retinoids (e.g., tretinoin) are first-line for mild acne to unclog pores (Hollier,
4th ed., Ch. 3).
QUESTION 3 (Scenario-Based): A 16-year-old female presents with blackheads and pustules
on her face. What is the likely diagnosis?
Answer: Acne
Rationale: Comedones and pustules are hallmark signs of acne (Buttaro, 7th ed., Ch. 22).
QUESTION 4: What is a hallmark feature of eczema?
Answer: Itching
Rationale: Eczema (atopic dermatitis) is characterized by intense pruritus (Hollier, 4th ed., Ch.
3).
QUESTION 5 (Select All That Apply): Which are symptoms of psoriasis? Select all that apply:
Scaly plaques, Itching, Comedones, Joint pain, Fever.
Answer: Scaly plaques, Joint pain
,Rationale: Psoriasis presents with scaly plaques and can be associated with psoriatic arthritis.
Comedones are for acne, and fever is unrelated (Buttaro, 7th ed., Ch. 24).
QUESTION 6 (Scenario-Based): A 30-year-old male reports red, scaly plaques on his elbows
and knees. What is the likely diagnosis?
Answer: Psoriasis
Rationale: Scaly plaques on extensor surfaces are characteristic of psoriasis (Hollier, 4th ed.,
Ch. 3).
QUESTION 7: What is a first-line treatment for eczema?
Answer: Topical corticosteroids
Rationale: Topical corticosteroids reduce inflammation and itching in eczema (Buttaro, 7th ed.,
Ch. 23).
QUESTION 8 (Select All That Apply): Which are triggers for eczema? Select all that apply:
Stress, Allergens, Heat, Antibiotics, Dry skin.
Answer: Stress, Allergens, Heat, Dry skin
Rationale: These exacerbate eczema. Antibiotics are not triggers (Hollier, 4th ed., Ch. 3).
QUESTION 9 (Scenario-Based): A 25-year-old female with eczema reports intense itching.
What is a recommended non-pharmacologic intervention?
Answer: Moisturizers
Rationale: Moisturizers reduce dryness and itching in eczema (Buttaro, 7th ed., Ch. 23).
QUESTION 10: What is a hallmark feature of basal cell carcinoma?
Answer: Pearly, telangiectatic nodule
Rationale: Basal cell carcinoma presents as a pearly nodule with telangiectasias (Hollier, 4th ed.,
Ch. 3).
QUESTION 11 (Select All That Apply): Which are risk factors for melanoma? Select all that
apply: UV exposure, Fair skin, Family history, Obesity, Smoking.
Answer: UV exposure, Fair skin, Family history
Rationale: These increase melanoma risk. Obesity and smoking are less direct (Buttaro, 7th ed.,
Ch. 28).
, QUESTION 12: What is a first-line treatment for moderate psoriasis?
Answer: Topical corticosteroids
Rationale: Topical corticosteroids are first-line for localized psoriasis (Hollier, 4th ed., Ch. 3).
QUESTION 13 (Scenario-Based): A 40-year-old male presents with a pearly nodule on his
nose that bleeds easily. What is the likely diagnosis?
Answer: Basal cell carcinoma
Rationale: Pearly nodules with bleeding suggest basal cell carcinoma (Buttaro, 7th ed., Ch. 27).
QUESTION 14 (Select All That Apply): Which are features of melanoma? Select all that
apply: Asymmetry, Border irregularity, Color variation, Diameter >6mm, Itching.
Answer: Asymmetry, Border irregularity, Color variation, Diameter >6mm
Rationale: These are ABCDE criteria for melanoma. Itching is less specific (Hollier, 4th ed., Ch.
3).
QUESTION 15: What diagnostic test confirms skin cancer?
Answer: Skin biopsy
Rationale: Biopsy confirms the diagnosis of skin cancers like melanoma or basal cell carcinoma
(Buttaro, 7th ed., Ch. 28).
QUESTION 16 (Scenario-Based): A 35-year-old female reports a changing mole with irregular
borders. What is the next step?
Answer: Skin biopsy
Rationale: Changing moles require biopsy to rule out melanoma (Hollier, 4th ed., Ch. 3).
QUESTION 17: What is a common cause of bacterial skin infections?
Answer: Staphylococcus aureus
Rationale: S. aureus is a common cause of cellulitis and impetigo (Buttaro, 7th ed., Ch. 25).
QUESTION 18 (Select All That Apply): Which treatments are used for acne? Select all that
apply: Topical retinoids, Benzoyl peroxide, Oral antibiotics, Topical corticosteroids, Antivirals.
Answer: Topical retinoids, Benzoyl peroxide, Oral antibiotics
Nursing I | WPUNJ | Latest Update
2025/2026 | 100% Correct | Graded A+
and Verified Answers
Dermatology (40 Questions)
QUESTION 1: What is the primary characteristic of acne?
Answer: Comedones
Rationale: Acne is characterized by comedones (blackheads/whiteheads) due to clogged pores
(Buttaro, 7th ed., Ch. 22).
QUESTION 2: What is a first-line treatment for mild acne?
Answer: Topical retinoids
Rationale: Topical retinoids (e.g., tretinoin) are first-line for mild acne to unclog pores (Hollier,
4th ed., Ch. 3).
QUESTION 3 (Scenario-Based): A 16-year-old female presents with blackheads and pustules
on her face. What is the likely diagnosis?
Answer: Acne
Rationale: Comedones and pustules are hallmark signs of acne (Buttaro, 7th ed., Ch. 22).
QUESTION 4: What is a hallmark feature of eczema?
Answer: Itching
Rationale: Eczema (atopic dermatitis) is characterized by intense pruritus (Hollier, 4th ed., Ch.
3).
QUESTION 5 (Select All That Apply): Which are symptoms of psoriasis? Select all that apply:
Scaly plaques, Itching, Comedones, Joint pain, Fever.
Answer: Scaly plaques, Joint pain
,Rationale: Psoriasis presents with scaly plaques and can be associated with psoriatic arthritis.
Comedones are for acne, and fever is unrelated (Buttaro, 7th ed., Ch. 24).
QUESTION 6 (Scenario-Based): A 30-year-old male reports red, scaly plaques on his elbows
and knees. What is the likely diagnosis?
Answer: Psoriasis
Rationale: Scaly plaques on extensor surfaces are characteristic of psoriasis (Hollier, 4th ed.,
Ch. 3).
QUESTION 7: What is a first-line treatment for eczema?
Answer: Topical corticosteroids
Rationale: Topical corticosteroids reduce inflammation and itching in eczema (Buttaro, 7th ed.,
Ch. 23).
QUESTION 8 (Select All That Apply): Which are triggers for eczema? Select all that apply:
Stress, Allergens, Heat, Antibiotics, Dry skin.
Answer: Stress, Allergens, Heat, Dry skin
Rationale: These exacerbate eczema. Antibiotics are not triggers (Hollier, 4th ed., Ch. 3).
QUESTION 9 (Scenario-Based): A 25-year-old female with eczema reports intense itching.
What is a recommended non-pharmacologic intervention?
Answer: Moisturizers
Rationale: Moisturizers reduce dryness and itching in eczema (Buttaro, 7th ed., Ch. 23).
QUESTION 10: What is a hallmark feature of basal cell carcinoma?
Answer: Pearly, telangiectatic nodule
Rationale: Basal cell carcinoma presents as a pearly nodule with telangiectasias (Hollier, 4th ed.,
Ch. 3).
QUESTION 11 (Select All That Apply): Which are risk factors for melanoma? Select all that
apply: UV exposure, Fair skin, Family history, Obesity, Smoking.
Answer: UV exposure, Fair skin, Family history
Rationale: These increase melanoma risk. Obesity and smoking are less direct (Buttaro, 7th ed.,
Ch. 28).
, QUESTION 12: What is a first-line treatment for moderate psoriasis?
Answer: Topical corticosteroids
Rationale: Topical corticosteroids are first-line for localized psoriasis (Hollier, 4th ed., Ch. 3).
QUESTION 13 (Scenario-Based): A 40-year-old male presents with a pearly nodule on his
nose that bleeds easily. What is the likely diagnosis?
Answer: Basal cell carcinoma
Rationale: Pearly nodules with bleeding suggest basal cell carcinoma (Buttaro, 7th ed., Ch. 27).
QUESTION 14 (Select All That Apply): Which are features of melanoma? Select all that
apply: Asymmetry, Border irregularity, Color variation, Diameter >6mm, Itching.
Answer: Asymmetry, Border irregularity, Color variation, Diameter >6mm
Rationale: These are ABCDE criteria for melanoma. Itching is less specific (Hollier, 4th ed., Ch.
3).
QUESTION 15: What diagnostic test confirms skin cancer?
Answer: Skin biopsy
Rationale: Biopsy confirms the diagnosis of skin cancers like melanoma or basal cell carcinoma
(Buttaro, 7th ed., Ch. 28).
QUESTION 16 (Scenario-Based): A 35-year-old female reports a changing mole with irregular
borders. What is the next step?
Answer: Skin biopsy
Rationale: Changing moles require biopsy to rule out melanoma (Hollier, 4th ed., Ch. 3).
QUESTION 17: What is a common cause of bacterial skin infections?
Answer: Staphylococcus aureus
Rationale: S. aureus is a common cause of cellulitis and impetigo (Buttaro, 7th ed., Ch. 25).
QUESTION 18 (Select All That Apply): Which treatments are used for acne? Select all that
apply: Topical retinoids, Benzoyl peroxide, Oral antibiotics, Topical corticosteroids, Antivirals.
Answer: Topical retinoids, Benzoyl peroxide, Oral antibiotics
