NURS 6531 Final, part one Exam
Questions And Answers.| Latest
Updates
A provider is preparing to administer electrocautery to a patient who has several
seborrheic keratoses. The patient tells the provider that he has a pacemaker. Which
action is correct?
a. Administer the electrocautery per the usual protocol.
b. Apply electrocautery in short burst at low voltage.
c. Refer the patient to a dermatologist for removal.
d. Suggest another method for removal of the lesions. - ANSWER -ANS: B
Patients with pacemakers or implantable cardioverter-defibrillators may receive
electrocautery if appropriate precautions, such as lower voltage and shorter bursts
are taken. It is not necessary to suggest another method or to refer to a
dermatologist.
Which type of office surgical procedure warrants sterile technique?
a. Curettage
b. Punch biopsy
c. Scissor excision
d. Shave biopsy - ANSWER -ANS: B
Punch biopsy requires sterile technique. The other procedures require cleaning
with alcohol and clean technique with universal precautions.
When recommending an over-the-counter topical medication to treat a
dermatologic condition, which instruction to the patient is important to enhance
absorption of the drug?
a. Apply a thick layer of medication over the affected area.
b. A solution spray preparation will be more effective on hairy areas.
c. Put cool compresses over the affected area after application.
d. Use a lotion or cream instead of an ointment preparation. - ANSWER -ANS: B
Hairy areas are difficult to penetrate, so in these areas, a solution, foam, spray, or
gel may work better. Applying a thicker layer does not increase skin penetration or
effectiveness of a medication. Warm or inflamed skin absorbs medications more
readily; cool compresses will decrease absorption. Lotions and creams are not as
readily absorbed as ointments, which have occlusive properties.
, A provider is prescribing a topical dermatologic medication for a patient who has
open lesions on a hairy area of the body. Which vehicle type will the provider
choose when prescribing this
medication?
a. Cream
b. Gel
c. Ointment
d. Powder - ANSWER -ANS: B
Gels are an excellent vehicle for use on hairy areas of the body. Creams and
ointments are not recommended for hairy areas. Powders should be avoided in
open wounds.
An adult patient has been diagnosed with atopic dermatitis and seborrheic
dermatitis with lesions on the forehead and along the scalp line. Which is correct
when prescribing a corticosteroid medication to treat this condition? p. 238
a. Initiate treatment with 0.1% triamcinolone acetonide.
b. Monitor the patient closely for systemic adverse effects during use.
c. Place an occlusive dressing over the medication after application.
d. Prescribe 0.05% fluocinonide to apply liberally. - ANSWER -ANS: A
Treatment with 0.1% triamcinolone acetonide is appropriate in this case, because it
is a class 4
corticosteroid and may be used on the face and is suggested for use for these
conditions. Systemic side effects are rare when topical corticosteroids are used
appropriately. Occlusive dressings increase the risk of adverse effects and are not
recommended. 0.05% fluocinonide is a class III corticosteroid and should not be
used on the face.
During a total body skin examination for skin cancer, the provider notes a raised,
shiny, slightly pigmented lesion on the patient's nose. What will the provider do?
a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma. - ANSWER -ANS: C
This lesion is characteristic of basal cell carcinoma, which is treated with
electrodessication and curettage. Melanoma lesions are usually asymmetric lesions
with irregular borders, variable coloration, >6 mm diameter, which are elevated;
these should be referred immediately. All suspicious lesions should be biopsied;
until the results are known, the provider should not reassure the patient that the
lesion is benign. Squamous cell carcinoma is roughened, scaling, and bleeds easily.
, What is the initial approach when obtaining a biopsy of a potential malignant
melanoma lesion?
a. Excisional biopsy
b. Punch biopsy
c. Shave biopsy
d. Wide excision - ANSWER -ANS: A
A suspected malignant melanoma lesion should be biopsied with excisional
biopsy; if diagnosed, a wide excision should follow. Punch and shave biopsy
procedures are appropriate for diagnostic evaluation of NMSC lesions.
A patient has acne and the provider notes lesions on half of the face, some
nodules, and two scarred areas. Which treatment will be prescribed?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin - ANSWER -ANS: C
This patient has moderate acne, based on symptoms of lesions on half of the face
with nodules and a few scars. A combination of topical benzoyl peroxide and
clindamycin is recommended. Oral antibiotics are reserved for severe cases. Oral
isotretinoin is used only for recalcitrant cases which are severe and have not
responded to other treatments. Topical antibiotics should be used as monotherapy.
A provider is considering an oral contraceptive medication to treat acne in an
adolescent female. Which is an important consideration when prescribing this
drug? p. 246
a. A progesterone-only contraceptive is most beneficial for treating acne.
b. Combined oral contraceptives are effective for non-inflammatory acne only.
c. Oral contraceptives are effective because of their androgen enhancing effects.
d. Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne treatment. -
ANSWER -ANS: D
Three oral contraceptives have a labeled use for acne treatment: Yaz, Ortho Tri-
Cyclen, and Estrostep. Progesterone-only contraceptives may worsen acne.
Combined oral contraceptives are effective in reducing inflammatory and non-
inflammatory acne. Oral contraceptives are effective because of their antiandrogen
effects, since androgen induces sebum production.
A female patient is diagnosed with hidradenitis suppurativa and has multiple areas
of swelling, pain, and erythema, along with several abscesses in the right femoral
area. When counseling the patient about this disorder, the practitioner will include
which information? p. 252
, a. Antibiotic therapy is effective in clearing up the lesions.
b. It is often progressive with relapses and permanent scarring.
c. The condition is precipitated by depilatories and deodorants.
d. The lesions are infective, and the disease may be transmitted to others. -
ANSWER -ANS: B
Although lesions may be treated with antibiotics, other medications, and drainage,
the disease is often progressive, with relapses and permanent scarring. Deodorants
and depilatories are not implicated as a cause. The disease is not transmitted to
others, although the organisms may cause other infections in other people.
When counseling a patient with rosacea about management of this condition, the
provider may recommend (Select all that apply.)
a. applying a topical steroid.
b. avoiding makeup.
c. avoiding oil-based products.
d. eliminating spicy foods.
e. exposing the skin to sun.
f. using topical antibiotics. - ANSWER -ANS: C, D, F
Patients with rosacea should avoid oil-based products and eliminate spicy foods,
alcohol, and hot fluids. Topical antibiotics may be used if pustules are present.
Topical steroids are not recommended. Patients do not need to avoid makeup and
should avoid the sun.
Which medications may be used as part of the treatment for a patient with
hidradenitis suppurativa? (Select all that apply.)
a. Chemotherapy
b. Erythromycin
c. Infliximab
d. Isotretinoin
e. Prednisone - ANSWER -ANS: B, C, D, E
Hidradenitis suppurativa is not malignant and chemotherapy is not used.
Erythromycin,
infliximab, isotretinoin, and prednisone are all used.
A patient is seen in the clinic for patches of hair loss. The provider notes several
well-demarcated patches on the scalp and eyebrows without areas of inflammation
and several hairs within the patch with thinner shafts near the scalp. Based on these
findings, which type
of alopecia is most likely?
a. Alopecia areata
Questions And Answers.| Latest
Updates
A provider is preparing to administer electrocautery to a patient who has several
seborrheic keratoses. The patient tells the provider that he has a pacemaker. Which
action is correct?
a. Administer the electrocautery per the usual protocol.
b. Apply electrocautery in short burst at low voltage.
c. Refer the patient to a dermatologist for removal.
d. Suggest another method for removal of the lesions. - ANSWER -ANS: B
Patients with pacemakers or implantable cardioverter-defibrillators may receive
electrocautery if appropriate precautions, such as lower voltage and shorter bursts
are taken. It is not necessary to suggest another method or to refer to a
dermatologist.
Which type of office surgical procedure warrants sterile technique?
a. Curettage
b. Punch biopsy
c. Scissor excision
d. Shave biopsy - ANSWER -ANS: B
Punch biopsy requires sterile technique. The other procedures require cleaning
with alcohol and clean technique with universal precautions.
When recommending an over-the-counter topical medication to treat a
dermatologic condition, which instruction to the patient is important to enhance
absorption of the drug?
a. Apply a thick layer of medication over the affected area.
b. A solution spray preparation will be more effective on hairy areas.
c. Put cool compresses over the affected area after application.
d. Use a lotion or cream instead of an ointment preparation. - ANSWER -ANS: B
Hairy areas are difficult to penetrate, so in these areas, a solution, foam, spray, or
gel may work better. Applying a thicker layer does not increase skin penetration or
effectiveness of a medication. Warm or inflamed skin absorbs medications more
readily; cool compresses will decrease absorption. Lotions and creams are not as
readily absorbed as ointments, which have occlusive properties.
, A provider is prescribing a topical dermatologic medication for a patient who has
open lesions on a hairy area of the body. Which vehicle type will the provider
choose when prescribing this
medication?
a. Cream
b. Gel
c. Ointment
d. Powder - ANSWER -ANS: B
Gels are an excellent vehicle for use on hairy areas of the body. Creams and
ointments are not recommended for hairy areas. Powders should be avoided in
open wounds.
An adult patient has been diagnosed with atopic dermatitis and seborrheic
dermatitis with lesions on the forehead and along the scalp line. Which is correct
when prescribing a corticosteroid medication to treat this condition? p. 238
a. Initiate treatment with 0.1% triamcinolone acetonide.
b. Monitor the patient closely for systemic adverse effects during use.
c. Place an occlusive dressing over the medication after application.
d. Prescribe 0.05% fluocinonide to apply liberally. - ANSWER -ANS: A
Treatment with 0.1% triamcinolone acetonide is appropriate in this case, because it
is a class 4
corticosteroid and may be used on the face and is suggested for use for these
conditions. Systemic side effects are rare when topical corticosteroids are used
appropriately. Occlusive dressings increase the risk of adverse effects and are not
recommended. 0.05% fluocinonide is a class III corticosteroid and should not be
used on the face.
During a total body skin examination for skin cancer, the provider notes a raised,
shiny, slightly pigmented lesion on the patient's nose. What will the provider do?
a. Consult with a dermatologist about possible melanoma.
b. Reassure the patient that this is a benign lesion.
c. Refer the patient for possible electrodessication and curettage.
d. Tell the patient this is likely a squamous cell carcinoma. - ANSWER -ANS: C
This lesion is characteristic of basal cell carcinoma, which is treated with
electrodessication and curettage. Melanoma lesions are usually asymmetric lesions
with irregular borders, variable coloration, >6 mm diameter, which are elevated;
these should be referred immediately. All suspicious lesions should be biopsied;
until the results are known, the provider should not reassure the patient that the
lesion is benign. Squamous cell carcinoma is roughened, scaling, and bleeds easily.
, What is the initial approach when obtaining a biopsy of a potential malignant
melanoma lesion?
a. Excisional biopsy
b. Punch biopsy
c. Shave biopsy
d. Wide excision - ANSWER -ANS: A
A suspected malignant melanoma lesion should be biopsied with excisional
biopsy; if diagnosed, a wide excision should follow. Punch and shave biopsy
procedures are appropriate for diagnostic evaluation of NMSC lesions.
A patient has acne and the provider notes lesions on half of the face, some
nodules, and two scarred areas. Which treatment will be prescribed?
a. Oral clindamycin for 6 to 8 weeks
b. Oral isotretinoin
c. Topical benzoyl peroxide and clindamycin
d. Topical erythromycin - ANSWER -ANS: C
This patient has moderate acne, based on symptoms of lesions on half of the face
with nodules and a few scars. A combination of topical benzoyl peroxide and
clindamycin is recommended. Oral antibiotics are reserved for severe cases. Oral
isotretinoin is used only for recalcitrant cases which are severe and have not
responded to other treatments. Topical antibiotics should be used as monotherapy.
A provider is considering an oral contraceptive medication to treat acne in an
adolescent female. Which is an important consideration when prescribing this
drug? p. 246
a. A progesterone-only contraceptive is most beneficial for treating acne.
b. Combined oral contraceptives are effective for non-inflammatory acne only.
c. Oral contraceptives are effective because of their androgen enhancing effects.
d. Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne treatment. -
ANSWER -ANS: D
Three oral contraceptives have a labeled use for acne treatment: Yaz, Ortho Tri-
Cyclen, and Estrostep. Progesterone-only contraceptives may worsen acne.
Combined oral contraceptives are effective in reducing inflammatory and non-
inflammatory acne. Oral contraceptives are effective because of their antiandrogen
effects, since androgen induces sebum production.
A female patient is diagnosed with hidradenitis suppurativa and has multiple areas
of swelling, pain, and erythema, along with several abscesses in the right femoral
area. When counseling the patient about this disorder, the practitioner will include
which information? p. 252
, a. Antibiotic therapy is effective in clearing up the lesions.
b. It is often progressive with relapses and permanent scarring.
c. The condition is precipitated by depilatories and deodorants.
d. The lesions are infective, and the disease may be transmitted to others. -
ANSWER -ANS: B
Although lesions may be treated with antibiotics, other medications, and drainage,
the disease is often progressive, with relapses and permanent scarring. Deodorants
and depilatories are not implicated as a cause. The disease is not transmitted to
others, although the organisms may cause other infections in other people.
When counseling a patient with rosacea about management of this condition, the
provider may recommend (Select all that apply.)
a. applying a topical steroid.
b. avoiding makeup.
c. avoiding oil-based products.
d. eliminating spicy foods.
e. exposing the skin to sun.
f. using topical antibiotics. - ANSWER -ANS: C, D, F
Patients with rosacea should avoid oil-based products and eliminate spicy foods,
alcohol, and hot fluids. Topical antibiotics may be used if pustules are present.
Topical steroids are not recommended. Patients do not need to avoid makeup and
should avoid the sun.
Which medications may be used as part of the treatment for a patient with
hidradenitis suppurativa? (Select all that apply.)
a. Chemotherapy
b. Erythromycin
c. Infliximab
d. Isotretinoin
e. Prednisone - ANSWER -ANS: B, C, D, E
Hidradenitis suppurativa is not malignant and chemotherapy is not used.
Erythromycin,
infliximab, isotretinoin, and prednisone are all used.
A patient is seen in the clinic for patches of hair loss. The provider notes several
well-demarcated patches on the scalp and eyebrows without areas of inflammation
and several hairs within the patch with thinner shafts near the scalp. Based on these
findings, which type
of alopecia is most likely?
a. Alopecia areata
