COMPLETE NURS 6531 ACTUAL Final
EXAM 1 QUESTIONS WITH CORRECT
ANSWERS RATED A+| GUARANTEED PASS
2025 LATEST
A patient is seen in the clinic for patches of hair loss. The provider notes
several well-demarcated patches on the scalp and eyebrows without areas of
inflammation and several hairs within the patch with thinner shafts near the
scalp. Based on these findings, which type
of alopecia is most likely?
a. Alopecia areata
b. Anagen effluvium
c. Cicatricial alopecia
d. Telogen effluvium
ANS: A
These findings are characteristic of alopecia areata. Anagen effluvium and
telogen effluvium both result in diffuse hair loss and not discrete patches.
Cicatricial alopecia involves inflammation.
A patient diagnosed with alopecia is noted to have scaling on the affected
areas of the scalp. Which confirmatory test(s) will the provider order?
a. Examination of scalp scrapings with potassium hydroxide (KOH)
b. Grasping and pulling on a few dozen hairs
c. Serum iron studies and a complete blood count
d. Venereal Disease Research Laboratory (VDRL) test
,ANS: A
Scaling on the scalp is suggestive of tinea capitis. To confirm this, the
provider will perform scalp scraping or test hair samples with KOH
preparation to look for hyphae. Grasping and pulling on hairs is used to
identify anagen or telogen hairs by appearance. Serum iron and aCBC are
used if anemia is suspected as a cause. VDRL is performed if syphilis is
suspected.
A female patient is diagnosed with androgenetic alopecia. Which medication
will the primary health care provider prescribe?
a. Anthralin
b. Cyclosporine
c. Finasteride
d. Minoxidil
ANS: D
Either minoxidil or finasteride are used for androgenetic alopecia, but
finasteride is Pregnancy
Category X, so minoxidil is the only medication approved by the FDA for use
in women. Anthralin and cyclosporine are used to treat alopecia areata.
A young adult has been bitten by a dog resulting in several puncture wounds
near the thumb of one hand but can move all fingers and the bleeding has
stopped. What understanding
regarding dog bites should direct the care of this patient?
a. Infection is a likely outcome for a dog bite.
b. Dog bites generally result in serious injury.
c. Neurovascular and destructive soft tissue injuries can occur from such a
bite.
,d. Oral antibiotics are needed to address the increased risk for the
development of
osteomyelitis.
ANS: C
Dog bites account for most of the domestic animal bites that require medical
care, yet dog bites have had the lowest incidence of wound infection (2% to
13%). Even though most dog bites are relatively minor, severe injuries can
occur. These can include crush injuries, destructive soft tissue injuries,
neurovascular injuries, orthopedic injuries, and death. Osteomyelitis is a risk
for human bites.
A patient has sustained a human bite on the hand during a fist fight. Which is
especially concerning with this type of bite injury?
a. Possible exposure to rabies virus
b. Potential septic arthritis or osteomyelitis
c. Sepsis from Capnocytophaga canimorsus infection
d. Transmission of human immunodeficiency virus
ANS: B
Clenched-fist injury, or "fight bite," has a high complication rate from the
high penetrating
force with the potential for osteomyelitis, tendinitis, and septic arthritis.
Humans do not transmit rabies unless infected, which is highly unlikely.
Humans do not transmit C. canimorsus. HIV transmission is potential, but the
risk is extremely low.
Which type of bite is generally closed by delayed primary closure? (Select all
that apply.) p. 262
a. Bites to the face
, b. Bites to the hand
c. Deep puncture wounds
d. Dog bites on an arm
e. Wounds 6 hours old or older
ANS: B, C, E
Cat and human bites, deep puncture wounds, clinically infected wounds,
wounds more than 6 to 12 hours old, and bites to the hand should be left
open and closed by delayed primary closure. A bite to the face is closed by
primary closure. Dog bites do not require delayed or secondary closure.
A patient comes to the clinic after being splashed with boiling water while
cooking. The patient has partial thickness burns on both forearms, the neck,
and the chin. What will the provider do?
a. Clean and dress the burn wounds.
b. Order a CBC, glucose, and electrolytes.
c. Perform a chest radiograph.
d. Refer the patient to the emergency department (ED).
ANS: D
Patients with burns on the face, potential circumferential burns, and any
patient at risk of
airway compromise should be referred to the ED for evaluation and
treatment. The provider should do this urgently and not clean and dress the
wounds or order diagnostic tests.
A patient sustains chemical burns on both arms after a spill at work. What is
the initial action by the health care providers in the emergency department
(ED)? p. 269
EXAM 1 QUESTIONS WITH CORRECT
ANSWERS RATED A+| GUARANTEED PASS
2025 LATEST
A patient is seen in the clinic for patches of hair loss. The provider notes
several well-demarcated patches on the scalp and eyebrows without areas of
inflammation and several hairs within the patch with thinner shafts near the
scalp. Based on these findings, which type
of alopecia is most likely?
a. Alopecia areata
b. Anagen effluvium
c. Cicatricial alopecia
d. Telogen effluvium
ANS: A
These findings are characteristic of alopecia areata. Anagen effluvium and
telogen effluvium both result in diffuse hair loss and not discrete patches.
Cicatricial alopecia involves inflammation.
A patient diagnosed with alopecia is noted to have scaling on the affected
areas of the scalp. Which confirmatory test(s) will the provider order?
a. Examination of scalp scrapings with potassium hydroxide (KOH)
b. Grasping and pulling on a few dozen hairs
c. Serum iron studies and a complete blood count
d. Venereal Disease Research Laboratory (VDRL) test
,ANS: A
Scaling on the scalp is suggestive of tinea capitis. To confirm this, the
provider will perform scalp scraping or test hair samples with KOH
preparation to look for hyphae. Grasping and pulling on hairs is used to
identify anagen or telogen hairs by appearance. Serum iron and aCBC are
used if anemia is suspected as a cause. VDRL is performed if syphilis is
suspected.
A female patient is diagnosed with androgenetic alopecia. Which medication
will the primary health care provider prescribe?
a. Anthralin
b. Cyclosporine
c. Finasteride
d. Minoxidil
ANS: D
Either minoxidil or finasteride are used for androgenetic alopecia, but
finasteride is Pregnancy
Category X, so minoxidil is the only medication approved by the FDA for use
in women. Anthralin and cyclosporine are used to treat alopecia areata.
A young adult has been bitten by a dog resulting in several puncture wounds
near the thumb of one hand but can move all fingers and the bleeding has
stopped. What understanding
regarding dog bites should direct the care of this patient?
a. Infection is a likely outcome for a dog bite.
b. Dog bites generally result in serious injury.
c. Neurovascular and destructive soft tissue injuries can occur from such a
bite.
,d. Oral antibiotics are needed to address the increased risk for the
development of
osteomyelitis.
ANS: C
Dog bites account for most of the domestic animal bites that require medical
care, yet dog bites have had the lowest incidence of wound infection (2% to
13%). Even though most dog bites are relatively minor, severe injuries can
occur. These can include crush injuries, destructive soft tissue injuries,
neurovascular injuries, orthopedic injuries, and death. Osteomyelitis is a risk
for human bites.
A patient has sustained a human bite on the hand during a fist fight. Which is
especially concerning with this type of bite injury?
a. Possible exposure to rabies virus
b. Potential septic arthritis or osteomyelitis
c. Sepsis from Capnocytophaga canimorsus infection
d. Transmission of human immunodeficiency virus
ANS: B
Clenched-fist injury, or "fight bite," has a high complication rate from the
high penetrating
force with the potential for osteomyelitis, tendinitis, and septic arthritis.
Humans do not transmit rabies unless infected, which is highly unlikely.
Humans do not transmit C. canimorsus. HIV transmission is potential, but the
risk is extremely low.
Which type of bite is generally closed by delayed primary closure? (Select all
that apply.) p. 262
a. Bites to the face
, b. Bites to the hand
c. Deep puncture wounds
d. Dog bites on an arm
e. Wounds 6 hours old or older
ANS: B, C, E
Cat and human bites, deep puncture wounds, clinically infected wounds,
wounds more than 6 to 12 hours old, and bites to the hand should be left
open and closed by delayed primary closure. A bite to the face is closed by
primary closure. Dog bites do not require delayed or secondary closure.
A patient comes to the clinic after being splashed with boiling water while
cooking. The patient has partial thickness burns on both forearms, the neck,
and the chin. What will the provider do?
a. Clean and dress the burn wounds.
b. Order a CBC, glucose, and electrolytes.
c. Perform a chest radiograph.
d. Refer the patient to the emergency department (ED).
ANS: D
Patients with burns on the face, potential circumferential burns, and any
patient at risk of
airway compromise should be referred to the ED for evaluation and
treatment. The provider should do this urgently and not clean and dress the
wounds or order diagnostic tests.
A patient sustains chemical burns on both arms after a spill at work. What is
the initial action by the health care providers in the emergency department
(ED)? p. 269
