CMN 577 FINAL FALL 2021 University of
ss ss ss ss ss ss
ss South Alabama FNP questions and answers
ss ss ss ss ss
ss latest 2026 ss
1. An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on
ss ss ss ss ss ss ss ss ss ss ss ss ss
his skin. One of those lesion measures 1.6 cm. What is the child at risk for?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Normal finding ss
b. Neurofibromatosis*
c. Melanoma
d. Tinea versicolor ss
2. Isotretinoin (Accutane) is commonly used for the treatment of severe cystic
ss ss ss ss ss ss ss ss ss ss
acne that has not responded to standard treatment. Which of the following
ss ss ss ss ss ss ss ss ss ss ss ss
considerations is not true for prescribing Isotretinoin?
ss ss ss ss ss ss ss
a) Isotretinoin can be prescribed by any healthcare provider.* ss ss ss ss ss ss ss
b) Isotretinoin is a category X drug and requires 2 forms of contraception, one
ss ss ss ss ss ss ss ss ss ss ss ss
of which can be abstinence.
ss ss ss ss ss
c) Before use of Isotretinoin, the patient must sign an informed consent and
ss ss ss ss ss ss ss ss ss ss ss
become enrolled in a monitoring program called iPledge.
ss ss ss ss ss ss ss ss
d) If a patient’s acne relapses on Isotretinoin, then they may complete a
ss ss ss ss ss ss ss ss ss ss ss
second round of the therapy.
ss ss ss ss ss
3. A 1-month-old female presents to your clinic with her mother for a well
ss ss ss ss ss ss ss ss ss ss ss ss
child check. The mother reports a bright red, rubbery appearing bump that is
ss ss ss ss ss ss ss ss ss ss ss ss ss
located on her daughter’s neck. She says that it started out as a flat red
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
area, but now it has grown and is sticking out. This most likely represents
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
which type of birthmark:
ss ss ss ss
a) Mongolian spot ss
b) Port-wine stain ss
c) Hemangioma*
d) Melanocytic nevi ss
,4. You are seeing a 6-year-old male who was brought in by his mother. The
ss ss ss ss ss ss ss ss ss ss ss ss ss
mother reports they recently took a family vacation last week and stayed in
ss ss ss ss ss ss ss ss ss ss ss ss ss
a few different hotels. He developed significant itching and a rash the day of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
returning home. He is noted to continuously scratch during the visit. The
ss ss ss ss ss ss ss ss ss ss ss ss
father and older sister also have a similar rash that developed at the same
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
time. On exam, you note linear burrows around his wrists, ankles, in the
ss ss ss ss ss ss ss ss ss ss ss ss ss
webbing of his fingers, and axillary folds with excoriations present. There is
ss ss ss ss ss ss ss ss ss ss ss ss
no facial involvement. He has never had anything like this before. The most
ss ss ss ss ss ss ss ss ss ss ss ss ss
likely diagnosis would be:
ss ss ss ss
A. Atopic Dermatitis ss
B. Impetigo
C. Molluscum Contagiosum ss
, D. Scabies*
5. A 16-year-old female presents to clinic accompanied by her mother. She has
ss ss ss ss ss ss ss ss ss ss ss
a rash that appears as erythematous plaques with thick, white, silvery
ss ss ss ss ss ss ss ss ss ss ss
overlying scales on her elbows, knees, and umbilicus. She reports this has
ss ss ss ss ss ss ss ss ss ss ss ss
been going on for about 2 years and tends to come and go. The mother
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
reports her father has psoriasis. The patient is not on any medications and
ss ss ss ss ss ss ss ss ss ss ss ss ss
she is not currently treating her rash with anything. She has tried various
ss ss ss ss ss ss ss ss ss ss ss ss ss
moisturizers in the past but has never had a prescription to treat this. She
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
weighs 130 pounds and has no allergies. You diagnose her with psoriasis
ss ss ss ss ss ss ss ss ss ss ss ss
with body surface area involvement less than 10%. Which is the best option
ss ss ss ss ss ss ss ss ss ss ss ss ss
as first line therapy?
ss ss ss ss
A. Ketoconazole (Nizoral) 2% cream ss ss ss
B. Clobetasol (Temovate) 0.05% ointment* ss ss ss
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
ss ss ss ss ss ss
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3 days, 10 mg
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
x 3 days
ss ss ss
6. A 3-year-old-boy presents to clinic with his mother with honey-colored
ss ss ss ss ss ss ss ss ss
crusted sores around his mouth and nose. The mother states her son
ss ss ss ss ss ss ss ss ss ss ss ss
started attending daycare a couple of weeks ago and noticed the sores
ss ss ss ss ss ss ss ss ss ss ss ss
starting to develop earlier this week. Which highly contagious childhood
ss ss ss ss ss ss ss ss ss ss
illness do you suspect?
ss ss ss ss
A. Impetigo*
B. Varicella
C. Herpes Simplex ss
D. Molluscum contagiosum ss
7. Blepharitis that occurs in children has a strong correlation with which disease?
ss ss ss ss ss ss ss ss ss ss ss
a. Rosacea * ss
b. Eczema
c. Psoriasis
d. Pityriasis rosea ss
8. A child with Sturge-Weber Syndrome (SWS) will most likely have what finding
ss ss ss ss ss ss ss ss ss ss ss
on the physical exam?
ss ss ss ss
A) Port wine nevus on the face * ss ss ss ss ss ss
B) Mongolian spot ss
C) Allergic shiners ss
D) Retractions
9. What skin disorder is seen with short hyphae and yeast on microscopic examination
ss ss ss ss ss ss ss ss ss ss ss ss
of scales?
ss ss
A. Tinea Versicolor* ss
B. Pityriasis Rosea ss
C. Psoriasis
D. Atopic Dermatitis ss
, 10. A mother brings her two-month-old to your clinic to establish care after a recent
ss ss ss ss ss ss ss ss ss ss ss ss ss
move. She asks you about a raised red “mole-like” spot on the infant’s forehead that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
has grown in size over the last few weeks. You determine it is most likely a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
hemangioma. The mother then asks what the treatment is. What would be an
ss ss ss ss ss ss ss ss ss ss ss ss ss
appropriate response?
ss ss
A. Watchful approach is appropriate as these lesions typically fade as the child ages*
ss ss ss ss ss ss ss ss ss ss ss ss
B. Oral steroids can be taken to shrink the size of the lesion
ss ss ss ss ss ss ss ss ss ss ss
C. Topical antibiotics to treat the infection causing the redness
ss ss ss ss ss ss ss ss
D. Surgical intervention to remove the lesion ss ss ss ss ss
1. At the 6-month checkup a mother is inquiring about a bulge in her son’s right groin.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
She states it comes and goes and seems to disappear when he is fussing. The
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
bulge is non tender when palpated and has a ‘silk glove’ feel. The findings are
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
most consistent with which type of hernia?
ss ss ss ss ss ss ss
a. hiatal
b. umbilical
c. inguinal * ss
d. paraesophageal
2. A 62-year-old female with osteoarthritis of her left knee is prescribed meloxicam (Mobic)
ss ss ss ss ss ss ss ss ss ss ss ss
7.5mg PO daily for pain; when reviewing the patient’s history and developing the
ss ss ss ss ss ss ss ss ss ss ss ss
patient’s treatment plan, the nurse practitioner knows to assess for:
ss ss ss ss ss ss ss ss ss ss
A. History of GERD and advice the patient to eat bland foods to prevent GI complications
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
B. History of peptic ulcer disease and prescribe a PPI along with an NSAID *
ss ss ss ss ss ss ss ss ss ss ss ss ss
C. The patient’s pain level and start her on the highest dose of NSAID to knock out
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the patient’s pain
ss ss ss
D. History of peptic ulcer disease and advice the patient to take meloxicam on an
ss ss ss ss ss ss ss ss ss ss ss ss ss
empty stomach
ss ss
3. You are evaluating a 4-year-old child for possible Duchenne muscular dystrophy
ss ss ss ss ss ss ss ss ss ss
(DMD). All of the following are characteristic of DMD except:
ss ss ss ss ss ss ss ss ss ss
A. Delayed motor milestones ss ss
B. Excessive lumbar lordosis ss ss
C. Increased gastrointestinal motility* ss ss
D. Walking on toes ss ss
4. Your next patient is a 60-year-old female. At the patient’s yearly wellness exam,
ss ss ss ss ss ss ss ss ss ss ss ss
she mentions that her hands and fingers have started having pain. This pain is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
usually in the mornings and improve with increased movement as the day goes on.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
She can hardly open her bottle of water when the pain is more severe, and the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
joints in her fingers appear swollen. She also says as the months go by, she feels
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
her pain is steadily getting worse. What type of arthritis does the advanced
ss ss ss ss ss ss ss ss ss ss ss ss ss
practice nurse suspect?
ss ss ss
A. Rheumatoid Arthritis * ss ss
B. Old Age ss
C. Psoriatic Arthritis ss
ss ss ss ss ss ss
ss South Alabama FNP questions and answers
ss ss ss ss ss
ss latest 2026 ss
1. An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on
ss ss ss ss ss ss ss ss ss ss ss ss ss
his skin. One of those lesion measures 1.6 cm. What is the child at risk for?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Normal finding ss
b. Neurofibromatosis*
c. Melanoma
d. Tinea versicolor ss
2. Isotretinoin (Accutane) is commonly used for the treatment of severe cystic
ss ss ss ss ss ss ss ss ss ss
acne that has not responded to standard treatment. Which of the following
ss ss ss ss ss ss ss ss ss ss ss ss
considerations is not true for prescribing Isotretinoin?
ss ss ss ss ss ss ss
a) Isotretinoin can be prescribed by any healthcare provider.* ss ss ss ss ss ss ss
b) Isotretinoin is a category X drug and requires 2 forms of contraception, one
ss ss ss ss ss ss ss ss ss ss ss ss
of which can be abstinence.
ss ss ss ss ss
c) Before use of Isotretinoin, the patient must sign an informed consent and
ss ss ss ss ss ss ss ss ss ss ss
become enrolled in a monitoring program called iPledge.
ss ss ss ss ss ss ss ss
d) If a patient’s acne relapses on Isotretinoin, then they may complete a
ss ss ss ss ss ss ss ss ss ss ss
second round of the therapy.
ss ss ss ss ss
3. A 1-month-old female presents to your clinic with her mother for a well
ss ss ss ss ss ss ss ss ss ss ss ss
child check. The mother reports a bright red, rubbery appearing bump that is
ss ss ss ss ss ss ss ss ss ss ss ss ss
located on her daughter’s neck. She says that it started out as a flat red
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
area, but now it has grown and is sticking out. This most likely represents
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
which type of birthmark:
ss ss ss ss
a) Mongolian spot ss
b) Port-wine stain ss
c) Hemangioma*
d) Melanocytic nevi ss
,4. You are seeing a 6-year-old male who was brought in by his mother. The
ss ss ss ss ss ss ss ss ss ss ss ss ss
mother reports they recently took a family vacation last week and stayed in
ss ss ss ss ss ss ss ss ss ss ss ss ss
a few different hotels. He developed significant itching and a rash the day of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
returning home. He is noted to continuously scratch during the visit. The
ss ss ss ss ss ss ss ss ss ss ss ss
father and older sister also have a similar rash that developed at the same
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
time. On exam, you note linear burrows around his wrists, ankles, in the
ss ss ss ss ss ss ss ss ss ss ss ss ss
webbing of his fingers, and axillary folds with excoriations present. There is
ss ss ss ss ss ss ss ss ss ss ss ss
no facial involvement. He has never had anything like this before. The most
ss ss ss ss ss ss ss ss ss ss ss ss ss
likely diagnosis would be:
ss ss ss ss
A. Atopic Dermatitis ss
B. Impetigo
C. Molluscum Contagiosum ss
, D. Scabies*
5. A 16-year-old female presents to clinic accompanied by her mother. She has
ss ss ss ss ss ss ss ss ss ss ss
a rash that appears as erythematous plaques with thick, white, silvery
ss ss ss ss ss ss ss ss ss ss ss
overlying scales on her elbows, knees, and umbilicus. She reports this has
ss ss ss ss ss ss ss ss ss ss ss ss
been going on for about 2 years and tends to come and go. The mother
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
reports her father has psoriasis. The patient is not on any medications and
ss ss ss ss ss ss ss ss ss ss ss ss ss
she is not currently treating her rash with anything. She has tried various
ss ss ss ss ss ss ss ss ss ss ss ss ss
moisturizers in the past but has never had a prescription to treat this. She
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
weighs 130 pounds and has no allergies. You diagnose her with psoriasis
ss ss ss ss ss ss ss ss ss ss ss ss
with body surface area involvement less than 10%. Which is the best option
ss ss ss ss ss ss ss ss ss ss ss ss ss
as first line therapy?
ss ss ss ss
A. Ketoconazole (Nizoral) 2% cream ss ss ss
B. Clobetasol (Temovate) 0.05% ointment* ss ss ss
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
ss ss ss ss ss ss
D. Oral prednisone 40 mg x 3 days, 30 mg x 3 days, 20 mg x 3 days, 10 mg
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
x 3 days
ss ss ss
6. A 3-year-old-boy presents to clinic with his mother with honey-colored
ss ss ss ss ss ss ss ss ss
crusted sores around his mouth and nose. The mother states her son
ss ss ss ss ss ss ss ss ss ss ss ss
started attending daycare a couple of weeks ago and noticed the sores
ss ss ss ss ss ss ss ss ss ss ss ss
starting to develop earlier this week. Which highly contagious childhood
ss ss ss ss ss ss ss ss ss ss
illness do you suspect?
ss ss ss ss
A. Impetigo*
B. Varicella
C. Herpes Simplex ss
D. Molluscum contagiosum ss
7. Blepharitis that occurs in children has a strong correlation with which disease?
ss ss ss ss ss ss ss ss ss ss ss
a. Rosacea * ss
b. Eczema
c. Psoriasis
d. Pityriasis rosea ss
8. A child with Sturge-Weber Syndrome (SWS) will most likely have what finding
ss ss ss ss ss ss ss ss ss ss ss
on the physical exam?
ss ss ss ss
A) Port wine nevus on the face * ss ss ss ss ss ss
B) Mongolian spot ss
C) Allergic shiners ss
D) Retractions
9. What skin disorder is seen with short hyphae and yeast on microscopic examination
ss ss ss ss ss ss ss ss ss ss ss ss
of scales?
ss ss
A. Tinea Versicolor* ss
B. Pityriasis Rosea ss
C. Psoriasis
D. Atopic Dermatitis ss
, 10. A mother brings her two-month-old to your clinic to establish care after a recent
ss ss ss ss ss ss ss ss ss ss ss ss ss
move. She asks you about a raised red “mole-like” spot on the infant’s forehead that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
has grown in size over the last few weeks. You determine it is most likely a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
hemangioma. The mother then asks what the treatment is. What would be an
ss ss ss ss ss ss ss ss ss ss ss ss ss
appropriate response?
ss ss
A. Watchful approach is appropriate as these lesions typically fade as the child ages*
ss ss ss ss ss ss ss ss ss ss ss ss
B. Oral steroids can be taken to shrink the size of the lesion
ss ss ss ss ss ss ss ss ss ss ss
C. Topical antibiotics to treat the infection causing the redness
ss ss ss ss ss ss ss ss
D. Surgical intervention to remove the lesion ss ss ss ss ss
1. At the 6-month checkup a mother is inquiring about a bulge in her son’s right groin.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
She states it comes and goes and seems to disappear when he is fussing. The
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
bulge is non tender when palpated and has a ‘silk glove’ feel. The findings are
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
most consistent with which type of hernia?
ss ss ss ss ss ss ss
a. hiatal
b. umbilical
c. inguinal * ss
d. paraesophageal
2. A 62-year-old female with osteoarthritis of her left knee is prescribed meloxicam (Mobic)
ss ss ss ss ss ss ss ss ss ss ss ss
7.5mg PO daily for pain; when reviewing the patient’s history and developing the
ss ss ss ss ss ss ss ss ss ss ss ss
patient’s treatment plan, the nurse practitioner knows to assess for:
ss ss ss ss ss ss ss ss ss ss
A. History of GERD and advice the patient to eat bland foods to prevent GI complications
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
B. History of peptic ulcer disease and prescribe a PPI along with an NSAID *
ss ss ss ss ss ss ss ss ss ss ss ss ss
C. The patient’s pain level and start her on the highest dose of NSAID to knock out
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the patient’s pain
ss ss ss
D. History of peptic ulcer disease and advice the patient to take meloxicam on an
ss ss ss ss ss ss ss ss ss ss ss ss ss
empty stomach
ss ss
3. You are evaluating a 4-year-old child for possible Duchenne muscular dystrophy
ss ss ss ss ss ss ss ss ss ss
(DMD). All of the following are characteristic of DMD except:
ss ss ss ss ss ss ss ss ss ss
A. Delayed motor milestones ss ss
B. Excessive lumbar lordosis ss ss
C. Increased gastrointestinal motility* ss ss
D. Walking on toes ss ss
4. Your next patient is a 60-year-old female. At the patient’s yearly wellness exam,
ss ss ss ss ss ss ss ss ss ss ss ss
she mentions that her hands and fingers have started having pain. This pain is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
usually in the mornings and improve with increased movement as the day goes on.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
She can hardly open her bottle of water when the pain is more severe, and the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
joints in her fingers appear swollen. She also says as the months go by, she feels
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
her pain is steadily getting worse. What type of arthritis does the advanced
ss ss ss ss ss ss ss ss ss ss ss ss ss
practice nurse suspect?
ss ss ss
A. Rheumatoid Arthritis * ss ss
B. Old Age ss
C. Psoriatic Arthritis ss
