Maryville University Nurs 623 Exam 1 Questions And
Answers Latest New 2025/2026
Mode of transmission for parasitic skin infections - CORRECT ANSWERS Close direct skin
contact.
Clinical presentation for Scabies - CORRECT ANSWERS Intense itching, worse at night. Burrows
noted between webs of fingers.
Commonly prescribed medications for Scabies - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Impetigo
What is the "classic" presentation of impetigo? - CORRECT ANSWERS Honey crusted lesions
What is the management of a minor case of folliculitis (non-pharmacologic)? - CORRECT
ANSWERS Gentle cleansing by washing the skin twice a day with antibacterial soap.
, What are the commonly prescribed medications for folliculitis? - CORRECT ANSWERS
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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? - CORRECT ANSWERS
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS requires immediate referral to an
ophthalmologist.
HSV-2 Genital lesion treatment - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
Atopic dermatitis
What is the "atopic triad?" - CORRECT ANSWERS Atopic eczema, asthma, and allergies
What dermatitis is associated with the expression "the itch that rashes?" - CORRECT ANSWERS
Atopic dermatitis
Answers Latest New 2025/2026
Mode of transmission for parasitic skin infections - CORRECT ANSWERS Close direct skin
contact.
Clinical presentation for Scabies - CORRECT ANSWERS Intense itching, worse at night. Burrows
noted between webs of fingers.
Commonly prescribed medications for Scabies - CORRECT ANSWERS 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? - CORRECT ANSWERS 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? - CORRECT ANSWERS Impetigo
What is the "classic" presentation of impetigo? - CORRECT ANSWERS Honey crusted lesions
What is the management of a minor case of folliculitis (non-pharmacologic)? - CORRECT
ANSWERS Gentle cleansing by washing the skin twice a day with antibacterial soap.
, What are the commonly prescribed medications for folliculitis? - CORRECT ANSWERS
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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? - CORRECT ANSWERS
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS requires immediate referral to an
ophthalmologist.
HSV-2 Genital lesion treatment - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
Atopic dermatitis
What is the "atopic triad?" - CORRECT ANSWERS Atopic eczema, asthma, and allergies
What dermatitis is associated with the expression "the itch that rashes?" - CORRECT ANSWERS
Atopic dermatitis
