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NURS 611 ADVANCED PRACTICE NURSING
EXAM 2 (2025-2026) ACTUAL QUESTIONS AND
ANSWERS GRADED A+ LATEST WILLIAM
PATERSON UNIVERSITY
A patient presents with red and scaly lesions in the scalp, and the hairs appear discolored,
lusterless, and brittle. The lesions started as small erythematous papule around a hair shaft on
the scalp. The hairs break off a few millimeters above the scalp skin surface. The lesion has
spread, forming numerous papules in a circular form. The NP knows that in considering the
management for this patient, the statements below are true(multiple answer)
woods lamp, 1%
or 2.5%(selsun)
patient should follow up negative culture after treatment
60 year-old female, who works in an animal shelter, comes to your clinic with complaints of a
rash on her buttocks and abdomen for the last week. She has not changed her detergents or
soap. Upon examination you see erythematous, ring-like lesions with raised, scaly border that
appears paler in center. Which test would initially help you make your diagnosis
KOH scraping
The differential diagnoses for atopic dermatitis include: contact dermatitis, drug reaction,
scabies, and tinea. A feature that can distinguish atopic dermatitis from the other diagnosis
include
Personal history of asthma and hay fever
The most important aspect of skin care for individuals with atopic dermatitis is
application of
lubricants emollients
Which of the following statement is true regarding Actinic Keratosis
are considered pre-
malignant cells and precursors to squamous cell ca
sensation on his trunk a few days ago, then noticed a rash. Upon examination there is a
unilateral maculopapular and vesicular lesion on the right side of the trunk. The rash does not
cross the midline of the body. Based on the most likely diagnosis, what is your treatment plan?
Acyclovir 800mg PO 5 times a days for 7-10 days
Mr. Johnson is a 45 year old patient with DM type 2 and is homeless presents with nodules
on his skin around his beard. It started off as pustules on the hair shaft but has coalesced and
presents as nodules win pus. They are red and tender. Your diagnosis is
carbuncle
Mr. Johnson is a 45 year old patient with DM type 2 and is homeless presents with nodules
on his skin around his beard. It started off as pustules on the hair shaft but has coalesced and
presents as nodules win pus. They are red and tender. According to the guidelines, what is the
initial and best management for this patient?
incision and drainage
A 72 year old grandfather is seen by the nurse practitioner. He reports that upon waking up,
he noticed pain in his left eye and profuse tearing. He noticed crusty small round vesicular rash
on the left side of his forehead and tip of the nose, that felt uncomfortable. Which or the
following condition Is likely
herpes zoster with ophthalmic involvement
A 68 year old Caucasian female complains of a crusty and non-healing lesion on her lower
lip. She notices that it bleeds. There is also a rough textured reddish/brown-
colored irregular lesion on her right cheek. Which of the following would be the best
intervention for this patient?
referral to a dermatologist
The following skin lesions are found more commonly in the elderly except
candidiasis
given to anyone over 21
What is the most common bacteria that causes skin infection?
Staph aureus
Mr. Smith is 78 year old male who presents with tan/brown wart-like plaques on his back
with a stuck-on appearance. You recognize this as a dermatologic condition common in the
elderly
Seborrheic Keratosis
If a patient has cellulitis and MRSA is suspected, the best treatment of choice would be
Clindamycin 300mg q6 for 14 days
70 yr old white man presents with rough, scaly patches on his back. Some areas are feel like
sand paper, no visible lesions and some are wart-like in appearance. It has enlarged and has been bleeding. You suspect malignant melanoma and refer him to a dermatologist. You educate
him that possible treatment options for this type of lesion which is
MOHS
A 65 year old presents with what she thinks is a change in a pre-existing mole. Which 3
features would be most suspicious for a malignant melanoma?
Changes in color, size and shape
The most common source of Hepatitis A is
food and water contamination
Which would be the most helpful diagnostic test to diagnose cholecystitis?
U/S
You are working as an APN at the employee health and reviewing bloodwork results.
Hepatitis B panel shows: HBsAg negative, AntiHBc negative and AntiHBs positive. You interpret
this as
Immune due to immunization
Rectal bleeding associated with hemorrhoids is usually described as
streaks of bright red
blood in stool
Peptic Ulcer Disease can occur in any of the following locations except
large intestine
Mary is a 28-year-old woman who is 2 month post-partum. She is complaining of epigastric
pain, anorexia, and nausea. She had similar symptoms during her pregnancy, but it has
worsened in the past week. She also thinks she has injured her right shoulder carrying the baby
because she has an almost constant dull ache. PE findings include RUQ tenderness and
Murphy's sign. What would your primary diagnosis?
Cholecystitis/Cholelithiasis
In caring for a patient with symptomatic GERD, you prescribe a PPI to
increase PH of the
stomach
Gastroenteritis is most often caused by
Rotavirus, norovirus...it was norovirus and another
one....I think I picked e. coli which obviously isn't it because I got this one wrong
Expected finding when examining hemorrhoids include all of the following except
hard, nontender mass
Diagnostic testing in IBS often reveals
normal results on a lot of the tests
Common GI illnesses seen in primary care that present with RUQ pain include all of the
following except
ulcerative colitis
All of the following are true statements for the management of diverticulosis/diverticulitis
following conditions is most likely
IBS (ulcerative colitis)
Therapy of hemorrhoids includes all of the following except:
All but
not included: low-fat diet
Which of the following is most consistent with the presentation of a patient with
diverticulitis?
Cramping, diarrhea, leukocytosis
A 64-year old woman presents with a 3-month history of upper abdominal pain. She
describes the discomfort as an intermittent, centrally located "burning" feeling in the upper
abdomen, most often with meals and often accompanied by mild nausea. Use of an OTC
histamine 2-blocker provides mild relief intermittently. She uses naproxen regularly for arthritis
pain. Her clinical presentation is most consistent with
PUD/flastric ulcer
You see a 48 year-old woman with non-alcoholic fatty liver disease. Evaluation of infectious
hepatitis includes the following:
Anti HAV IgG- negative
Anti HBs- negative
Anti HCV- negative
When considering her overall health status, you advise which of the following vaccines?
Hepatitis A & B
After a decade of disease a person with Ulcerative colitis is at risk for malignancy involving
the
large intestine
A 65-year-old male presents to the family nurse practitioner for evaluation of years of
"heartburn" and recent significant weight loss (30 lb in 1 month). He has been taking antacids
and an oral histamine 2 receptor antagonist (H2 RA) for "years off and on" and has had some
