Allergic Contact Dermatitis in a Young Adult: Krista Hampton NURS 5308 iHuman Simulation

Allergic Contact Dermatitis in a Young Adult: Krista
Hampton NURS 5308 iHuman Simulation


SECTION 1: HISTORY OF PRESENT ILLNESS (HPI) – Questions 1-20

Question 1
What is Krista Hampton's chief complaint?

 A) "I have a fever and chills"

 B) "I have this ugly looking rash on my upper thighs"

 C) "My boyfriend has the same rash"

 D) "I can't stop vomiting"

Answer: B – Krista states, "I have this ugly looking rash on my upper thighs" as her reason for seeking
care .



Question 2
How long ago did Krista's rash begin?

 A) 12 hours ago

 B) 24 hours ago

 C) Approximately 36 hours ago

 D) One week ago

Answer: C – The rash started approximately 36 hours ago after a hiking trip in Napa with her boyfriend .



Question 3
What activity preceded the onset of Krista's rash?

 A) Swimming in a pool

 B) Hiking in Napa

 C) Working in her garden

,  D) Eating at a restaurant

Answer: B – Krista reports the rash began after hiking in Napa with her boyfriend over the weekend .



Question 4
Where is Krista's rash located?

 A) Face and neck only

 B) Bilateral inner thighs and left inner forearm

 C) Back and chest only

 D) Hands and feet only

Answer: B – The rash is located bilaterally on her inner thighs and on her left inner forearm .



Question 5
What is the character of Krista's rash?

 A) Painful with no itching

 B) Itchy and tender with papules and vesicles

 C) Numb and tingling

 D) Dry and scaly only

Answer: B – Krista describes the rash as "itchy and getting more tender" with red bumps and small
blisters (papules and vesicles) .



Question 6
What linear pattern is noted on Krista's left inner forearm?

 A) Circular pattern

 B) Linear configuration with vesicles

 C) Scattered nodules

 D) Diffuse erythema

,Answer: B – The left inner forearm shows erythematous papules in linear configuration with vesicles,
which is classic for brushing against a plant such as poison ivy .



Question 7
What is the size of the confluent rash on Krista's bilateral inner thighs?

 A) 5x7 cm

 B) 10x12 cm

 C) 15x20 cm

 D) 2x3 cm

Answer: B – The bilateral inner thighs have raised confluent erythematous papules measuring 10x12 cm
with vesicles in various stages .



Question 8
Does Krista's boyfriend have similar symptoms?

 A) Yes, he has the same rash

 B) No, he is asymptomatic

 C) He has a fever but no rash

 D) He has a different rash on his back

Answer: B – Krista reports that her boyfriend does not have similar symptoms, which is expected
because only sensitized individuals react to urushiol .



Question 9
What treatments has Krista tried for her rash?

 A) Over-the-counter hydrocortisone cream

 B) Oral antihistamines

 C) None

 D) Antibiotic ointment

Answer: C – Krista reports that she has not tried any treatments for the rash .

, Question 10
What new products did Krista use during her hiking trip?

 A) New shampoo and conditioner

 B) New sunscreen and new drink

 C) New laundry detergent

 D) New makeup

Answer: B – Krista tried a new sunscreen, a new drink (tonic with botanicals), and new foods including
scallops .



Question 11
What new food did Krista try during her trip?

 A) Shellfish (scallops)

 B) Peanuts

 C) Dairy products

 D) Wheat bread

Answer: A – Krista tried new foods including scallops during her hiking trip .



Question 12
What other exposure did Krista have during her trip?

 A) Swimming in a lake

 B) Hot tub use with boyfriend

 C) Sunbathing at the beach

 D) Using a public gym

Answer: B – Krista spent time in the hot tub with her boyfriend during the trip .