1|Page
NU 518 Exam 3 WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 3 PRACTICE
TEST QUESTIONS AND ANSWERS (NEW!)
A 35-year-old archaeologist comes to your office (located in Phoenix,
Arizona) for a regular skin check-up. She has just returned from her
annual dig site in Greece. She has fair skin and reddish-blonde hair. She
has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a
risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure ......ANSWER......A
You are speaking to an 8th grade class about health prevention and are
preparing to discuss the ABCDEs of melanoma. Which of the following
descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D =
diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially
blue; D = diameter >6 mm; E = evolution
pg. 1
,2|Page
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E
= evolution
D) A = asymmetry; B = regular borders; C = color changes, especially
orange; D = diameter >6 mm; E = evolution ......ANSWER......B
You are beginning the examination of the skin on a 25-year-old teacher.
You have previously elicited that she came to the office for evaluation of
fatigue, weight gain, and hair loss. You strongly suspect that she has
hypothyroidism. What is the expected moisture and texture of the skin
of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough ......ANSWER......D
A 28-year-old patient comes to the office for evaluation of a rash. At
first there was only one large patch, but then more lesions erupted
suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas
tree and that there are a variety of erythematous papules and macules
on the cleavage lines of the back. Based on this description, what is the
most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
pg. 2
,3|Page
D) Atopic eczema ......ANSWER......A
A 19-year-old construction worker presents for evaluation of a rash. He
notes that it started on his back with a multitude of spots and is also on
his arms, chest, and neck. It itches a lot. He does sweat more than
before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has
sharp borders and fine scales, scattered more prominently around the
upper back, chest, neck, and upper arms as well as under the arms.
Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema ......ANSWER......B
A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale that
is round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most
likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma ......ANSWER......A
pg. 3
, 4|Page
A 58-year-old gardener comes to your office for evaluation of a new
lesion on her upper chest. The lesion appears to be "stuck on" and is
oval, brown, and slightly elevated with a flat surface. It has a rough,
wartlike texture on palpation. Based on this description, what is your
most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma ......ANSWER......B
A 72-year-old teacher comes to a skilled nursing facility for
rehabilitation after being in the hospital for 6 weeks. She was treated
for sepsis and respiratory failure and had to be on the ventilator for 3
weeks. You are completing your initial assessment and are evaluating
her skin condition. On her sacrum there is full-thickness skin loss that is
5 cm in diameter, with damage to the subcutaneous tissue. The
underlying muscle is not affected. You diagnose this as a pressure ulcer.
What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 ......ANSWER......C
pg. 4
NU 518 Exam 3 WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 3 PRACTICE
TEST QUESTIONS AND ANSWERS (NEW!)
A 35-year-old archaeologist comes to your office (located in Phoenix,
Arizona) for a regular skin check-up. She has just returned from her
annual dig site in Greece. She has fair skin and reddish-blonde hair. She
has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a
risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure ......ANSWER......A
You are speaking to an 8th grade class about health prevention and are
preparing to discuss the ABCDEs of melanoma. Which of the following
descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D =
diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially
blue; D = diameter >6 mm; E = evolution
pg. 1
,2|Page
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E
= evolution
D) A = asymmetry; B = regular borders; C = color changes, especially
orange; D = diameter >6 mm; E = evolution ......ANSWER......B
You are beginning the examination of the skin on a 25-year-old teacher.
You have previously elicited that she came to the office for evaluation of
fatigue, weight gain, and hair loss. You strongly suspect that she has
hypothyroidism. What is the expected moisture and texture of the skin
of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough ......ANSWER......D
A 28-year-old patient comes to the office for evaluation of a rash. At
first there was only one large patch, but then more lesions erupted
suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas
tree and that there are a variety of erythematous papules and macules
on the cleavage lines of the back. Based on this description, what is the
most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
pg. 2
,3|Page
D) Atopic eczema ......ANSWER......A
A 19-year-old construction worker presents for evaluation of a rash. He
notes that it started on his back with a multitude of spots and is also on
his arms, chest, and neck. It itches a lot. He does sweat more than
before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has
sharp borders and fine scales, scattered more prominently around the
upper back, chest, neck, and upper arms as well as under the arms.
Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema ......ANSWER......B
A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale that
is round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most
likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma ......ANSWER......A
pg. 3
, 4|Page
A 58-year-old gardener comes to your office for evaluation of a new
lesion on her upper chest. The lesion appears to be "stuck on" and is
oval, brown, and slightly elevated with a flat surface. It has a rough,
wartlike texture on palpation. Based on this description, what is your
most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma ......ANSWER......B
A 72-year-old teacher comes to a skilled nursing facility for
rehabilitation after being in the hospital for 6 weeks. She was treated
for sepsis and respiratory failure and had to be on the ventilator for 3
weeks. You are completing your initial assessment and are evaluating
her skin condition. On her sacrum there is full-thickness skin loss that is
5 cm in diameter, with damage to the subcutaneous tissue. The
underlying muscle is not affected. You diagnose this as a pressure ulcer.
What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 ......ANSWER......C
pg. 4
