NURS 623 MARYVILLE UNIVERSITY EXAM 1
2026 EXAM SCRIPT COMPLETE QUESTIONS
AND SOLUTIONS GRADED A+
◉ 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.
2026 EXAM SCRIPT COMPLETE QUESTIONS
AND SOLUTIONS GRADED A+
◉ 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.
