NUR242 EXAM 1 2026 ACTUAL SCRIPT
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ Clinical Manifestations of Psoriasis. Answer: -Pruritus
•Shedding (4 to 5 days)
•Silvery white scales
•Raised areas
•Redness
•Papules
•Round plaques
•Scalp, elbows, knees, lower back, buttocks, sacrum
•Yellow discolored pitted nails
•Joint inflammation and deformity when severe
◉ Treatments psoriasis. Answer: -Steroids
•Tar preparations
•Anthralin preparations
•Ultraviolet light treatments
•Retinoid derivatives
•Keratolytic agents
,◉ Biological agents. Answer: - Inifiximab, significant side effects, big
thing is infection
-MAB- IMMUNE MODULATOR
Risk for infection, & Malignancy
Given IV on Weeks 0,2,6
◉ Shingrix, Zostavax. Answer: zoster (shingles) virus vaccine
Shingrix- not to be given if receive previous dose of Zostavax
◉ Burns. Answer: Monitor for pulmonary edema
◉ Genetic Mutations. Answer: CDKN2A & CDK4-6 familial melanoma
◉ Etanercept (enbrel). Answer: Given twice weekly for 3 months
- biological agent
TNF inhibitor
Serious infection risk
Risk for malignancy
- report cough, fever, s/s of illness
-avoid large crowds, washing hands, avoid people who are sick
,◉ Patient Teaching Psoriasis. Answer: Psoriasis can occur at any age,
but median onset 28 years of age
•More prevalent in obese white female Caucasians
•Skin pigmentation affects appearance of lesions.
Patient Teaching
•Encourage patients to verbalize concerns
•Apply topical steroids
•Instruct not to scratch
•Monitor skin, stress reduction
•Warm water bath not hot
•Use of emollients
•Instruct patient to keep all follow up appointments
•Use sunscreen
•Notify healthcare provider
◉ Skin Cancer. Answer: •Abnormal growth of skin cells
Types
•Basal Cell (waxy, rolled edge)
-Exposed to the sun, long term UV radiation
•Squamous (rough, central ulceration)
, -Prolonged exposure to UV light
-Sunbathing, tanning beds or lamps
•Melanoma- worst one
-ABCDE (Asymmetry,Border, Color, Diameter, Evolving)
◉ Prevention of Skin Cancer. Answer: Sun Prevention (Sunscreen)
Protective Clothing
Avoid sun at peak hours
Meds that increase photosensitivity
Skin Mole Map (Monthly)
◉ Cellulitis. Answer: - An infection in an opening in the dermis or
subcutaneous tissue
Causes & Risk Factors
•Most common organisms
•Staphylococcus
•Group B streptococci
-Any opening in the skin
•Intravenous infusion therapy
•Venous insufficiency (diabetes)
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ Clinical Manifestations of Psoriasis. Answer: -Pruritus
•Shedding (4 to 5 days)
•Silvery white scales
•Raised areas
•Redness
•Papules
•Round plaques
•Scalp, elbows, knees, lower back, buttocks, sacrum
•Yellow discolored pitted nails
•Joint inflammation and deformity when severe
◉ Treatments psoriasis. Answer: -Steroids
•Tar preparations
•Anthralin preparations
•Ultraviolet light treatments
•Retinoid derivatives
•Keratolytic agents
,◉ Biological agents. Answer: - Inifiximab, significant side effects, big
thing is infection
-MAB- IMMUNE MODULATOR
Risk for infection, & Malignancy
Given IV on Weeks 0,2,6
◉ Shingrix, Zostavax. Answer: zoster (shingles) virus vaccine
Shingrix- not to be given if receive previous dose of Zostavax
◉ Burns. Answer: Monitor for pulmonary edema
◉ Genetic Mutations. Answer: CDKN2A & CDK4-6 familial melanoma
◉ Etanercept (enbrel). Answer: Given twice weekly for 3 months
- biological agent
TNF inhibitor
Serious infection risk
Risk for malignancy
- report cough, fever, s/s of illness
-avoid large crowds, washing hands, avoid people who are sick
,◉ Patient Teaching Psoriasis. Answer: Psoriasis can occur at any age,
but median onset 28 years of age
•More prevalent in obese white female Caucasians
•Skin pigmentation affects appearance of lesions.
Patient Teaching
•Encourage patients to verbalize concerns
•Apply topical steroids
•Instruct not to scratch
•Monitor skin, stress reduction
•Warm water bath not hot
•Use of emollients
•Instruct patient to keep all follow up appointments
•Use sunscreen
•Notify healthcare provider
◉ Skin Cancer. Answer: •Abnormal growth of skin cells
Types
•Basal Cell (waxy, rolled edge)
-Exposed to the sun, long term UV radiation
•Squamous (rough, central ulceration)
, -Prolonged exposure to UV light
-Sunbathing, tanning beds or lamps
•Melanoma- worst one
-ABCDE (Asymmetry,Border, Color, Diameter, Evolving)
◉ Prevention of Skin Cancer. Answer: Sun Prevention (Sunscreen)
Protective Clothing
Avoid sun at peak hours
Meds that increase photosensitivity
Skin Mole Map (Monthly)
◉ Cellulitis. Answer: - An infection in an opening in the dermis or
subcutaneous tissue
Causes & Risk Factors
•Most common organisms
•Staphylococcus
•Group B streptococci
-Any opening in the skin
•Intravenous infusion therapy
•Venous insufficiency (diabetes)
