MARYVILLE NURS 623 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
● Mode of transmission for parasitic skin infections. Answer: Close direct skin contact.
● Clinical presentation for Scabies. Answer: Intense itching, worse at night. Burrows noted
between webs of fingers.
● Commonly prescribed medications for Scabies. Answer: Permethrin Cream 5%
(Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all areas from neck
down and leave on for 8-12 hours. Repeat application in 1 week. May repeat a third time in
another week. Follow up in 1 week. Antihistamines and topical steroids if the pruritis is bad.
● What should you include in the patient education to prevent spreading of the various
parasitic skin problems?. Answer: Avoid close contact. Wash all bedding, clothing, cloth
items, and stuffed animals in hot water. All close contacts family members, people you live
with and sexual partners need to be treated as well.
● Which bacterial skin infection is considered highly contagious?. Answer: Impetigo
● What is the "classic" presentation of impetigo?. Answer: Honey crusted lesions
● What is the management of a minor case of folliculitis (non-pharmacologic)?.
Answer: Gentle cleansing by washing the skin twice a day with antibacterial soap.
● What are the commonly prescribed medications for folliculitis?. Answer: Mupirocin
(Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent folliculitis to
clear the colonization of S. Aureus.
● Furuncles. Answer: Initially appear small (0.5-1 cm), red, tender, indurated nodule. As it
grows it develops a central yellow plug. They eventually rupture spontaneously. Fluctuant or
larger furuncles should be treated with I&D and covered with a simple dry sterile dressing.
Patients should be instructed to use warm compresses twice daily to encourage drainage of
pus.
● Carbuncles. Answer: Initially appear as multiple furuncles and develops into a large,
erythematous lump and must be drained before healing will take place and this typically
, occurs spontaneously within 2 weeks. Carbuncles frequently require I&D and need systemic
antibiotics and a referral. Antibiotics include: TMP-SMX (MRSA converage), dicloxacillin,
cephalexin, or doxycycline. A gram stain is recommended to check for MRSA strains.
● What are the considerations when determining treatment for cellulitis?. Answer:
Severe infections, infections around the eyes, or systemic involvement (fever & chills),
immunocompromised should be sent to the ED for inpatient IV treatment. Mild cases can be
treated with PO antibiotics that should show improvement within 48-72 hours. Penicillin VK,
dicloxacillin, clindamycin, or cephalexin for 5 days. Infected human & animal bites need to be
treated with amoxicillin-clavulanic acid (Augmentin) for 2 weeks. Prophylaxis treatment for
human & animal bites (within 6 hours) amoxicillin-clavulanic acid (Augmentin) for 3-5 days.
● HSV. Answer: grouped vesicles on an erythematous base, followed by ulcers or erosions
that crust over with honey color. Lesions typically heal in 7-10 days. Mouth, face, or genitals.
● Diagnostic tests for HSV. Answer: Viral Culture Gold Standard & PCR tests are standard
for diagnosis. Vesicle fluid can be cultured with 72 hours of outbreak. Tzanck smear. HIV
testing is advisable in HSV-2 patients.
● Herpetic keratoconjunctivitis. Answer: requires immediate referral to an ophthalmologist.
● HSV-2 Genital lesion treatment. Answer: Treated with oral antivirals Valacyclovir or
famciclovir. Warm compresses and oatmeal sitz baths can help promote comfort and healing.
Urinate into a warm bath. Increase fluid intake and rest.
● HSV-1 oral lesion treatment. Answer: Acetaminophen to control pain. Ice or lip ointments
like Blistex. OTC docosanol (abreva) 10% cream applied 5 times a day. For more extensive
lesions, penciclovir (Denavir) 1% cream applied every 2 hours while awake. Extensive oral
lesions may require lidocaine, and acyclovier oral suspension 200mg/5mL, rinse mouth with 1
teaspoon and swallow five times a day.
● HSV Patient education. Answer: Begin antiviral at the first sign of tingling or burning. No
sharing of towels, silverware, or glasses. Wash hands frequently. Avoid sex until lesions are
healed, Use condoms every time to avoid viral spread.
● Which dermatitis is an inherited skin reaction that begins in infancy. Answer: Atopic
dermatitis
● What is the "atopic triad?". Answer: Atopic eczema, asthma, and allergies
● What dermatitis is associated with the expression "the itch that rashes?". Answer:
Atopic dermatitis
QUESTIONS WITH ANSWERS GRADED A+
● Mode of transmission for parasitic skin infections. Answer: Close direct skin contact.
● Clinical presentation for Scabies. Answer: Intense itching, worse at night. Burrows noted
between webs of fingers.
● Commonly prescribed medications for Scabies. Answer: Permethrin Cream 5%
(Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all areas from neck
down and leave on for 8-12 hours. Repeat application in 1 week. May repeat a third time in
another week. Follow up in 1 week. Antihistamines and topical steroids if the pruritis is bad.
● What should you include in the patient education to prevent spreading of the various
parasitic skin problems?. Answer: Avoid close contact. Wash all bedding, clothing, cloth
items, and stuffed animals in hot water. All close contacts family members, people you live
with and sexual partners need to be treated as well.
● Which bacterial skin infection is considered highly contagious?. Answer: Impetigo
● What is the "classic" presentation of impetigo?. Answer: Honey crusted lesions
● What is the management of a minor case of folliculitis (non-pharmacologic)?.
Answer: Gentle cleansing by washing the skin twice a day with antibacterial soap.
● What are the commonly prescribed medications for folliculitis?. Answer: Mupirocin
(Bactroban) 2% ointment or cream, TID, 5-14 days, for secondarily infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with recurrent folliculitis to
clear the colonization of S. Aureus.
● Furuncles. Answer: Initially appear small (0.5-1 cm), red, tender, indurated nodule. As it
grows it develops a central yellow plug. They eventually rupture spontaneously. Fluctuant or
larger furuncles should be treated with I&D and covered with a simple dry sterile dressing.
Patients should be instructed to use warm compresses twice daily to encourage drainage of
pus.
● Carbuncles. Answer: Initially appear as multiple furuncles and develops into a large,
erythematous lump and must be drained before healing will take place and this typically
, occurs spontaneously within 2 weeks. Carbuncles frequently require I&D and need systemic
antibiotics and a referral. Antibiotics include: TMP-SMX (MRSA converage), dicloxacillin,
cephalexin, or doxycycline. A gram stain is recommended to check for MRSA strains.
● What are the considerations when determining treatment for cellulitis?. Answer:
Severe infections, infections around the eyes, or systemic involvement (fever & chills),
immunocompromised should be sent to the ED for inpatient IV treatment. Mild cases can be
treated with PO antibiotics that should show improvement within 48-72 hours. Penicillin VK,
dicloxacillin, clindamycin, or cephalexin for 5 days. Infected human & animal bites need to be
treated with amoxicillin-clavulanic acid (Augmentin) for 2 weeks. Prophylaxis treatment for
human & animal bites (within 6 hours) amoxicillin-clavulanic acid (Augmentin) for 3-5 days.
● HSV. Answer: grouped vesicles on an erythematous base, followed by ulcers or erosions
that crust over with honey color. Lesions typically heal in 7-10 days. Mouth, face, or genitals.
● Diagnostic tests for HSV. Answer: Viral Culture Gold Standard & PCR tests are standard
for diagnosis. Vesicle fluid can be cultured with 72 hours of outbreak. Tzanck smear. HIV
testing is advisable in HSV-2 patients.
● Herpetic keratoconjunctivitis. Answer: requires immediate referral to an ophthalmologist.
● HSV-2 Genital lesion treatment. Answer: Treated with oral antivirals Valacyclovir or
famciclovir. Warm compresses and oatmeal sitz baths can help promote comfort and healing.
Urinate into a warm bath. Increase fluid intake and rest.
● HSV-1 oral lesion treatment. Answer: Acetaminophen to control pain. Ice or lip ointments
like Blistex. OTC docosanol (abreva) 10% cream applied 5 times a day. For more extensive
lesions, penciclovir (Denavir) 1% cream applied every 2 hours while awake. Extensive oral
lesions may require lidocaine, and acyclovier oral suspension 200mg/5mL, rinse mouth with 1
teaspoon and swallow five times a day.
● HSV Patient education. Answer: Begin antiviral at the first sign of tingling or burning. No
sharing of towels, silverware, or glasses. Wash hands frequently. Avoid sex until lesions are
healed, Use condoms every time to avoid viral spread.
● Which dermatitis is an inherited skin reaction that begins in infancy. Answer: Atopic
dermatitis
● What is the "atopic triad?". Answer: Atopic eczema, asthma, and allergies
● What dermatitis is associated with the expression "the itch that rashes?". Answer:
Atopic dermatitis
