NUR 257 CHRONIC EXAM 4 (2025 UPDATE) | COMPLETE QUESTIONS & 100% CORRECT ANSWERS QUESTION 1 of 200 The nurse is doing a skin assessment on a patient with scabies. Which of the following indicates the patient has this disease? Circular lesions with central clearing Vesicles filled with clear fluid Linear lesions that are curved, ridges, and raised skin Maculopapular rash on the trunk RATIONALE>>: Scabies is caused by the mite Sarcoptes scabiei, which burrows into the stratum corneum, creating linear or curved burrows (serpiginous tracks). These appear as raised, ridge-like, or thread-like lines, often found in interdigital spaces, wrists, and elbows. The characteristic burrows are pathognomonic for scabies. Key Tip: Remember "S" for Scabies = Serpiginous (curved) tracks. The itching is typically worse at night due to increased mite activity. QUESTION 2 of 200 During an assessment, a patient has a firm red, irregular scaly spot on their chest. What is the diagnosis for this patient? Basal cell carcinoma Squamous cell carcinoma Malignant melanoma Actinic keratosis RATIONALE>>: Squamous cell carcinoma (SCC) typically presents as a firm, red, hyperkeratotic papule or plaque with an irregular border and scaly surface. It often occurs on sun-exposed areas such as the chest, head,