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FNP AANP prep – SKIN Latest Exam 2025-2026 With Correct Verified Answers, Exams of Nursing

Trinity School of NursingNursing

Rubeola/"measles" - correct answer>>-childhood exanthem -early signs/symptoms: fever & 3 C's (cough, congestion, conjunctivitis) -key findings: koplik's spots (small white papules on buccal mucosa) -late signs/symptoms (3-5 days): flat, red generalized rash -transmission: airborne precautions...very contagious! -tx: symptomatic care (hydration and antipyretics) Rubella/"german" or "3-day" measles - correct answer>>-(mild)signs/symptoms: cervical lymphadenopathy & pink rash (starting on face and extending to rest of body) -transmission: droplet

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FNP AANP prep – SKIN Latest Exam 2025-2026
With Correct Verified Answers
Rubeola/"measles" - correct answer>>-childhood exanthem
-early signs/symptoms: fever & 3 C's (cough, congestion, conjunctivitis)
-key findings: koplik's spots (small white papules on buccal mucosa)
-late signs/symptoms (3-5 days): flat, red generalized rash
-transmission: airborne precautions...very contagious!
-tx: symptomatic care (hydration and antipyretics)
Rubella/"german" or "3-day" measles - correct answer>>-(mild)signs/symptoms: cervical
lymphadenopathy & pink rash (starting on face and extending to rest of body)
-transmission: droplet precautions! Highly contagious!
-caution: concern for birth defects if exposed to pregnant women
Roseola/"sixth disease" - correct answer>>-early signs & symptoms: HIGH fever ("rash
after fever")
-late signs & symptoms: generalized "rose" colored, blanchable papules (rash is not
painful or itchy)
-education: no longer considered contagious once rash appears
-tx: symptomatic care (roseola is self-limiting)
Fifth's disease/"erythema infectiousum" - correct answer>>-caused by parovirus B19
-signs/symptoms: "slapped cheeks" appearance with Lacey, net-link rash to entire body
-transmission: droplet precautions! Also via blood products & during pregnancy
-caution: avoid exposure to pregnant women!
*think of slapping cheeks with a lacey hand (that has FIVE fingers)
Coxsackie virus/"hand-foot-mouth" - correct answer>>-signs/symptoms: fevers,
congestion and painful, red vesicles to throat, palms of hands & soles of feet
-throat ulcers: infants may display painful swallowing and/or loss of appetite
-transmission: contact precautions
-tx: symptomatic care! (Maintaining hydration & thinning mucus)
Actinic keratosis - correct answer>>-pre-cancerous skin concerns
-common in older, fair-skinned adults with history of sunburns or chronic UV exposure
-signs/symptoms: "dry, pink, scaly lesions" that do not heal on sun-exposed areas (ex:
head, neck, shoulder, forearms)
-gold standard diagnostics: skin biopsy
-tx options...
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Download FNP AANP prep – SKIN Latest Exam 2025-2026 With Correct Verified Answers and more Exams Nursing in PDF only on Docsity!

FNP AANP prep – SKIN Latest Exam 2025- 2026

With Correct Verified Answers

Rubeola/"measles" - correct answer>>-childhood exanthem

  • early signs/symptoms: fever & 3 C's (cough, congestion, conjunctivitis)
  • key findings: koplik's spots (small white papules on buccal mucosa)
  • late signs/symptoms (3-5 days): flat, red generalized rash
  • transmission: airborne precautions...very contagious!
  • tx: symptomatic care (hydration and antipyretics) Rubella/"german" or "3-day" measles - correct answer>>-(mild)signs/symptoms: cervical lymphadenopathy & pink rash (starting on face and extending to rest of body)
  • transmission: droplet precautions! Highly contagious!
  • caution: concern for birth defects if exposed to pregnant women Roseola/"sixth disease" - correct answer>>-early signs & symptoms: HIGH fever ("rash after fever")
  • late signs & symptoms: generalized "rose" colored, blanchable papules (rash is not painful or itchy)
  • education: no longer considered contagious once rash appears
  • tx: symptomatic care (roseola is self-limiting) Fifth's disease/"erythema infectiousum" - correct answer>>-caused by parovirus B
  • signs/symptoms: "slapped cheeks" appearance with Lacey, net-link rash to entire body
  • transmission: droplet precautions! Also via blood products & during pregnancy
  • caution: avoid exposure to pregnant women! *think of slapping cheeks with a lacey hand (that has FIVE fingers) Coxsackie virus/"hand-foot-mouth" - correct answer>>-signs/symptoms: fevers, congestion and painful, red vesicles to throat, palms of hands & soles of feet
  • throat ulcers: infants may display painful swallowing and/or loss of appetite
  • transmission: contact precautions
  • tx: symptomatic care! (Maintaining hydration & thinning mucus) Actinic keratosis - correct answer>>-pre-cancerous skin concerns
  • common in older, fair-skinned adults with history of sunburns or chronic UV exposure
  • signs/symptoms: "dry, pink, scaly lesions" that do not heal on sun-exposed areas (ex: head, neck, shoulder, forearms)
  • gold standard diagnostics: skin biopsy
  • tx options...

—if only a few lesions: cryotherapy —if many lesions: fluorouracil 5% (efudex) over several weeks

  • alert! Actinic keratosis is a precursor ("precancerous") to squamous cell carcinoma Squamous cell carcinoma - correct answer>>-can result from untreated actinic keratosis lesions
  • signs/symptoms: slow-growing & scaly "non-healing ulcers" on sun exposed areas that itch & bleed easily
  • diagnosis: biopsy *remember your "S" key words! S - squamous cell S - slow growing S - scaly Seborrheic keratosis - correct answer>>-think...seborrheic = "stuck" on!
  • common in older, middle-aged patients
  • signs/symptoms: soft, wart-like "pasted-on" lesions that are commonly found on patient's backs; lesions are painless & benign! & colors range from light tan to black
  • education: only need to provide reassurance to patient's Basal cell carcinoma - correct answer>>-most common skin cancer!
  • high-risk: fair-skinned patient's with chronic UV exposure
  • signs/symptoms: "pearly, shiny, or waxy" lesions with ulcerated center that do not heal
  • key finding: telangiectasias (visible blood vessels across the lesion)
  • referral: dermatology for biopsy and removal Telangiectasias - correct answer>>-visible blood vessels across the lesion Malignant melanoma - correct answer>>-signs/symptoms: ABCDE A: asymmetry B: border irregularity C: color changes D: diameter >6 mm E: evolving or elevated
  • lesions can be found anywhere on the body, including the retina!
  • risk factors: family history, use of tanning beds, history of blistering sunburns, fair- skinned patients
  • alert! Subungual melanoma (in nail beds) is an advanced finding!
  • ex: sunburns
  • NP can manage
  • tx: cleanse with normal saline & use silvadene cream 3rd degree burn - correct answer>>-painless, involves entire skin layering & subcutaneous tissue (with eschar)
  • refer!
  • referral ex: electrical burns, severe burns on face, burns involving cartilage Brown recluse spider bites/"loxosceles reclusa" - correct answer>>-background story:
  1. Bitten area swollen, red, tender
  2. Blistering within 24-48 hours
  3. Central area of bite purple/necrotic (leaving an ulcer)
  • additional signs/symptoms: systemic symptoms of fever, chills, N/V
  • alert! Consider hospitalization in patients <7 years old (hemolysis risk!) Rocky Mountain spotted fever (dog/wood tick bites (NC, OK, AK, TN & MO) common locations! - correct answer>>-early signs/symptoms: abrupt onset high fever, chills, severe headache, N/V, myalgias
  • late signs/symptoms: small, red petechiae rash (erupts 2-5 days after fever onset) on bilateral wrists, palms & soles of hand & feet
  • first line tx: doxycycline stat! *tx regardless of age (or pregnancy status) within first 5 days of symptoms
  • increased mortality risk in children if left untx!
  • prevention: deet-contain repellent on skin & clothing Lyme disease/"erythema migrans" (deer tick bites) - correct answer>>-class signs/symptoms: expanding bulls-eye annular red rash with central clearing; rough and hot to touch with "flu-like" systemic symptoms
  • tx: doxycycline (*alt tx also available: amoxicillin or cefuroxime) Head lice - correct answer>>-signs/symptoms: incessant scalp pruritus (all throughout day & night)
  • tx options...
  1. Permethrin (kills live lice)
  2. Combing hair (removes nits & eggs)
  • highly contagious! Wash clothes and bedding in hot water Bite injuries - correct answer>>-human bites: "dirtiest" bite of all! Watch for closed fist injuries
  • animal bites: cat>dog bites for infection risk. May produce redness, swelling and pain within 12-24 hrs
  • tx: augmentin! All bites and infected wounds need would C&S, irrigate copiously with sterile saline
  • guidance: do not suture high infection risk wounds (>12 hours old). Tetanus booster (if not within last 5 years)
  • follow up: 24-48 hrs post tx Ringworm ("tinea" infections) - correct answer>>-characterized as: itchy, scaly patches with central clearing
  • tinea capitis: head/scalp
  • tinea barbae: beard
  • tinea corporis: anywhere on body (think "corps")
  • tinea pedis: feet (athletes foot)
  • tinea versicolor: can happen all over! (Hypopigmented spots appear after tanning)
  • tinea cruris: groin ("jock itch")
  • tinea unguium: nails
  • tx: anti-fungal creams, lotions or shampoos (ex: fluconazole)
  • *topical vs oral medication routes depend on severity of infection Tinea capitis - correct answer>>-head/scalp Tinea barbae - correct answer>>-beard Tinea corporis - correct answer>>-anywhere on body
  • think corps Tinea pedis - correct answer>>-feet
  • athletes foot Tinea versicolor - correct answer>>-can happen all over
  • hypopigmented spots appear after tanning Tinea cruris - correct answer>>-groin
  • jock itch Tinea unguium - correct answer>>-nails Enterobiasis ("pinworm") - correct answer>>-signs/symptoms: intensely pruritic perianal rash at nighttime

Keloid scars - correct answer>>-scar tissue spreads beyond the border of the initial injury

  • scars do not regress over time
  • tx: steroid injections or laser therapy Hypertrophic scars - correct answer>>-result of excess collagen at site of wound
  • borders contained within site of injury
  • scars may thicken for up to 6 months then regress over time! Contact dermatitis ("hives") - correct answer>>-inflammatory, histamine reaction from direct contact with irritating substance
  • common causes: plants (poison ivy), nickel, latex, chemicals *don't forget to ask about new shampoos, lotions, soaps, perfumes, laundry detergent, etc.
  • test tip: may be described as "shape may follow pattern" or have an "asymmetrical distribution"
  • signs/symptoms: acute onset of bright red & pruritic lesions that can evolve into bulbous or vesicular lesions *if ruptured, can cause burning & stinging
  • tx: topical or oral steroids (route determined by severity of reaction!) also calamine lotions, oatmeal baths & antihistamines
  • education: identify & avoid irritants! Varicella ("chicken pox") - correct answer>>-signs/symptoms: fever, headache & sore throat symptoms may present prior to onset of a generalized red, itchy vesicular rash that erupts with "various stages of healing" (usually starts on trunk, back or face)
  • tx: self-limiting, contact precautions
  • education: no longer contagious once lesions have crusted over! (Can return to school/daycare at that time)
  • prevention: varicella (live) immunization starting at 12 mo of age Shingles - correct answer>>-signs/symptoms: new-onset unilateral burning & tingling pain followed by a red, itchy vesicular rash that erupts across a dermatome *alert! Always refer patient's with a shingles rash anywhere near the eyes (concern for permanent corneal scarring or blindness)
  • tx: antivirals started within 48-72 hours of eruption
  • prevention: shingrix immunization (inactivated virus) starting at 50 years old *can give regardless of when last outbreak was!

Keratosis Pilaris ("chicken skin" "chicken bumps") - correct answer>>-signs/symptoms: overproduction of keratin causes blockage of hair follicles, producing rough patches & small red bumps on skin (arms, thighs, cheeks)

  • tx:
  1. Emollients & moisturizers to soften skin
  2. Exfoliants to remove dead skin cells Cafe Au Lait spots - correct answer>>-benign, hyper-pigmented spots with irregular borders
  • caused by increased melanin content *test tip: caution! If >8 spots, concern for neurofibromatosis! Molluscum contagiosum - correct answer>>-flesh-colored "impregnated" lesions (described as "having a dimpling")
  • highly contagious but self-limiting
  • test tip: can be found anywhere, but...if found in groin area, investigate for possible sexual abuse Pityriasis rosea - correct answer>>-viral infection; self-limiting illness (4-6 weeks)
  • signs/symptoms: oval salmon-pink, itchy patchy lesions with fine scales often found on the back, abdomen or trunk
  • presentation:
  1. "Herald patch" (1st and largest)
  2. Spreads along skin lines (cleavage lines) *christmas tree pattern distribution Aphthous stomatitis ("canker sores") - correct answer>>-signs/symptoms: painful, shallow ulcers found on buccal mucosa/inner lip area
  • tx: topical analgesics (ex: magic mouthwash)
  • antivirals will not help or provide symptom relief! Herpes simplex virus ("cold sores") - correct answer>>-signs/symptoms: painful, clustered vesicles on erythematous base found on outer lips or around mouth
  • tx: antivirals start w/in 48-72 hrs of symptom/vesicle onset Cellulitis - correct answer>>-acute bacterial skin infection of deep dermal layer from skin breaks, insect bites, or pre-existing skin infections; commonly seen in lower limbs (85%)
  • signs/symptoms: sudden onset of warm & tender pink-to-red skin area that is "poorly demarcated" with advancing margins; may become abscessed
  • watch for infection spreading/streaking to lymph node chains (lymphangitis)
  • tx...
  1. If large: consider I&D with wound culture
  2. If small: warm compresses & oral abx Lupus - correct answer>>-signs/symptoms: "malar rash" "butterfly" cheek & nasal bridge rash that spares the naso-labial folds; may also see dry eyes & mouth
  • referral: rheumatologist Rosacea - correct answer>>-signs/symptoms: erythematous rash to cheeks, nose & forehead often seen with acne
  • triggers: sun exposure & alcohol
  • tx:
  1. topical abx (flagyl gel)
  2. wear hats, spf & avoid triggers Lichen planus - correct answer>>-commonly seen with other autoimmune disorders (ex: ulcerative colitis, myasthenia gravis, etc)
  • signs/symptoms: reddish-purple, flat-top bumps found on flexor surfaces of limbs, often itchy
  • tx:
  1. normally self-limiting, resolves in 6 mo
  2. itchy lesions: topical steroids & antihistamines Lichen sclerosis - correct answer>>-chronic condition (not contagious); most common in older, post-menopausal women
  • signs/symptoms: thin, small white patches (usually in genital area) that eventually grow into bigger patches; associated with itching, discomfort, & blisters
  • tx: topical steroids *higher risk of squamous cell carcinoma lichen simplex chronicus - correct answer>>-lichenification occurs after lots of scratching & scabbing
  • think... "it's simple, you scratch, you scab"
  • tx: topical steroids & antihistamines