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NU 518 EXAM 3 2024-2025 WITH 400
QUESTIONS AND CORRECT ANSWERS/ NU
518 EXAM 3 UPDATED EXAM QUESTIONS
AND CORRECT ANSWERS (BRAND NEW!!)
You are examining an unconscious patient from another region and notice Beau's lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next?
- Conclude this is caused by a cultural practice.
- Conclude this finding is most likely secondary to trauma.
- Look for information from family and records regarding any problems which
- Ask about dietary intake. - ANSWER-C
occurred 3 months ago.
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill people or other agents in the environment. He has a slight fever in the office. The rash consists of small, bright red marks. When they are pressed, the red color remains. What should you do?
- Prescribe a steroid cream to decrease inflammation.
- Consider admitting the patient to the hospital.
- Reassure the parents and the patient that this should resolve within a week.
- Tell him not to scratch them, and follow up in 3 days. - ANSWER-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What would you tell her regarding her rash?
- It is likely to be related to her lupus. 1 / 4
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- It is likely to be related to an exposure to a chemical.
- It is likely to be related to an allergic reaction.
- It should not cause any problems. - ANSWER-A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely?
- An enlarged lymph node
- A sebaceous cyst
- An actinic keratosis
- A malignant lesion - ANSWER-B
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?
- Pityriasis rosea
- Tinea versicolor
- Psoriasis
- Atopic eczema - ANSWER-B
A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you notice 2 / 4
pg. 3 scabbing and crusting with some silvery scale, and you are observant enough to notice small "pits" in his nails. What would account for these findings?
- Eczema
- Pityriasis rosea
- Psoriasis
- Tinea infection - ANSWER-C
A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting sign and sign.a Tanner; Hegar b Hegar; Goodell c Chadwick; Hegar d Goodell; Chadwick - ANSWER-D
Generally, the changes normally associated with menopause occur because the
cells in the reproductive tract are:
a Aging.b Becoming fibrous.c Estrogen dependent.d Able to respond to estrogen. - ANSWER-C
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination. Which of these statements should the nurse include
in patient education? A postmenopausal woman:
a Is not at any greater risk for heart disease than a younger woman.b Should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions. 3 / 4
pg. 4 c Has only stopped menstruating; there really are no other significant changes with which she should be concerned.d Is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual response cycle. - ANSWER-B
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?
- Age
- Hair color
- Actinic lentigines
- 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 = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6
- A = asymmetry; B = irregular borders; C = color changes, especially blue; D =
- A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E =
- A = asymmetry; B = regular borders; C = color changes, especially orange; D =
mm; E =evolution
diameter >6 mm; E = evolution
evolution
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
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