NSG 6440 Question Bank: Questions and Rationales: South University
1.      A patient with diabetes has right anterior shin edema, erythema, warmth, and tenderness to touch. This developed over the past 3 days. There is no visible pus. What is the most likely diagnosis to consider?
   Deep vein thrombosis (DVT) 
Buerger’s disease 
Cellulitis 
   Venous disease 
 
2.      An example of a first-generation cephalosporin used to treat a skin infection is:
   cephalexin. 
   cefuroxime. 
   cefdinir. 
cefaclor. 
 
3.      A patient reports that he found a tick on himself about 2 weeks ago. He presents today with a red circle and a white center near where he remembers the tick bite. He did not seek treatment at that time. Today he complains of myalgias and arthralgias. Which laboratory test can be used to help diagnose Lyme disease?
   CBC 
   Lyme titer 
ELISA 
   Skin scraping 
4.      A 16-year-old male has nodulocystic acne. What might have the greatest positive impact in managing his acne?
   Retin-A plus minocycline 
   Benzoyl peroxide plus erythromycin 
   Isotretinoin (Accutane) 
   Oral antibiotics 
 
5.      A skin lesion fluoresces under a Wood’s lamp. What microscopic finding is consistent with this?
   Clue cells 
   Scabies 
Hyphae 
   Leukocytes  
6.      A patient exhibits petechiae on both lower legs but has no other complaints. How should the NP proceed?
   Refer to hematology 
   Order a CBC 
   Order blood cultures 
   Stop aspirin and reassess in 1 week 
 
7.      A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely etiology?
 
   Group A Streptococcus 
   H. parainfluenzae
   Viral etiology 
   Mycoplasma 
 
 
8.      The nurse practitioner examines a patient who has had poison ivy for 3 days. She asks if she can spread it to her family members. The nurse practitioner replies:
   “Yes, but only before crusting has occurred.” 
   “Yes, the fluid in the blister can transmit it.” 
   “No, transmission does not occur from the blister’s contents.” 
   “No, you are no longer contagious.” 
 
 
9.      A 74-year-old woman is diagnosed with shingles. The NP is deciding how to best manage her care. What should be prescribed?
   An oral antiviral agent 
   An oral antiviral agent plus an oral steroid 
   An oral antiviral agent plus a topical steroid 
   A topical steroid only 
 
 
 
10.  When can a child with chickenpox return to daycare?
   24 hours after he is fever-free 
   48 hours after he is fever-free 
   After all lesions have crusted
   When he no longer itches 
 
 
 
11.  Which vehicle is least appropriate in a patient who has atopic dermatitis?
Lotions 
   Creams 
   Thick creams 
   Ointments 
12.  A patient has 10 cm of well demarcated erythema on his lower leg that is raised and warm to touch. He had an abrupt onset of lower leg pain, and fever that began 36 hours ago. What is this?
Cellulitis 
Erysipelas
   Impetigo 
   An allergic reaction 
13.  The American Cancer Society uses an ABCDE mnemonic to help patients develop awareness of suspicious skin lesions. What does the “B” represent?
   Bleeding 
   Black 
Border 
   Benign 
 
Rationale:
 
 
14.  The term caput succedaneum refers to:
   cradle cap. 
   atopic dermatitis. 
   scalp edema.
   asymmetric head shape. 
15.  Patients with atopic dermatitis are likely to exhibit:
   itching. 
   asthma and allergic bronchitis. 
   nasal polyps and asthma. 
   allergic conjunctivitis and wheezing. 
 
16.  A 9-year-old has been diagnosed with chickenpox. A drug that should be avoided in him is:
   penicillin. 
   aspirin. 
   ibuprofen. 
   sulfa. 
 
 
17.  A skin lesion that is a solid mass is described as a:
 
   macule.
   papule.
   vesicle. 
   bullae. 
 
 
18.  A 16-year-old has been diagnosed with Lyme disease. Which drug should be used to treat him?
Doxycycline 
   Amoxicillin-clavulanate 
   Trimethoprim-sulfamethoxazole 
   Cephalexin 
 
 
 
19.  A 4-year-old has been diagnosed with measles. The nurse practitioner identifies Koplik’s spots. These are:
   spots on the skin that are pathognomonic for measles. 
   red rings found on the tongue that have a white granular area inside the ring. 
   found on the inside of the cheek and are granular.
   blanchable areas on the trunk and extremities. 
 
 
20.  The main difference between cellulitis and erysipelas is the:
age of the patient. 
   length of time that infection lasts. 
   treatment. 
   layer of skin involvement.