FRANDSEN CHAPTER 61 TEST BANK QUESTIONS AND ANSWERS | FRANDSEN
CHAPTER 61 STUDY GUIDE & PRACTICE TEST 2026/2027
1. A teenager is being treated for acne vulgaris. Which oral antibiotics may be prescribed to
treat acne?
A. Neomycin and vancomycin
B. Gentamicin and ceftriaxone
C. Tetracycline and erythromycin
D. Bacitracin and polymyxin B - ✔✔ANS: C
Rationale: Tetracyclines and erythromycin may be used systemically to treat acne.
Neomycin, vancomycin, gentamicin, ceftriaxone, bacitracin, and polymyxin B are not used
to treat acne.
2. The nurse is providing health promotion education to the parents of two young children.
What is the most important information the nurse should include when discussing sun
protection?
A. "Try to keep the children indoors as much as possible."
B. "Apply SPF 30 sunscreen before going out in the sun."
C. "Be sure the baby wears a hat at the beach."
D. "Get sunscreen that blocks UVA rays especially." - ✔✔ANS: B
Rationale: Dermatologists recommend sunscreen preparations that block both UVA and
UVB and have a sun protective factor of SPF value 30 or higher. It is unnecessary to avoid
outdoor exposure. The parents should apply a hat, but this advice is not the most important
health promotion intervention; this does not prevent sun damage to most skin surfaces.
3. A female client has been prescribed isotretinoin for the treatment of acne. What statement
should the nurse include in teaching?
A. "You need to use effective contraception while taking this drug."
B. "Take the medication on an empty stomach to decrease discomfort."
C. "If the tablets are too large to swallow, crush them and take with applesauce."
D. "Take a vitamin A supplement daily to enhance effectiveness." - ✔✔ANS: A
Rationale: The administration of retinoids requires adequate contraceptive practices in
women. Retinoids should be given with food, not on an empty stomach. The tablets should
not be crushed. The client should not take vitamin A because doing so increases the risk of
retinoid toxicity.
4. A female client has been prescribed retinoid. Before beginning a medical regimen that
includes a retinoid, which laboratory test must be negative?
A. Throat culture
B. Skin culture
C. Stool for occult blood
D. Pregnancy test - ✔✔ANS: D
Rationale: The female client should have a negative pregnancy test before beginning
retinoid therapy. It is not necessary to have a negative throat culture or skin culture. If the
client has a positive stool for occult blood, the cause should be determined but is not
affected by retinoid therapy.
, 5. A client has been prescribed isotretinoin. What assessment should be routinely monitored?
A. Blood pressure
B. Blood lipid levels
C. Manic behaviors
D. Increased weight - ✔✔ANS: B
Rationale: The administration of isotretinoin is linked with increased blood lipid levels. The
client should be taught that lipid levels should be periodically assessed. Considering the
drug's possible adverse reactions, the assessment of blood pressure and weight are not
imperative, but the client should be regularly assessed for depression and suicidal ideation.
6. The health care provider (HCP) has determined that a client with acne vulgaris is not a
candidate for retinoid therapy. Which topical medication regimen is the HCP most likely to
prescribe?
A. Azelaic acid
B. Benzoyl peroxide
C. Clindamycin
D. Clindamycin with benzoyl peroxide - ✔✔ANS: D
Rationale: Combination products of topical clindamycin or erythromycin and benzoyl
peroxide are more effective than antibiotics alone. Azelaic acid and benzoyl peroxide are
effective but not as effective as combination medications. Topical clindamycin is effective,
but combination medications may be more effective.
7. A child who has not received the chickenpox vaccine has developed the chickenpox virus.
What herbal preparations should the nurse suggest when asked about interventions to
decrease itching triggered by chickenpox pustules?
A. Coal tar
B. Colloidal oatmeal
C. Clindamycin
D. Bacitracin - ✔✔ANS: B
Rationale: Oat preparations are used topically to treat minor skin irritation. Coal tar is not
used for this child; it is primarily administered for psoriasis and dermatitis. Clindamycin is
not administered to treat minor skin irritation. Bacitracin is not administered to relieve
itching related to chickenpox.
8. Which medication is most effective in treating rosacea?
A. Topical metronidazole
B. Oral nystatin
C. Oral prednisone
D. Topical hydrocortisone - ✔✔ANS: A
Rationale: Topical metronidazole is commonly used for rosacea. None of the other options
are effective for the treatment of rosacea.
9. Which medication can be applied to lesions related to a bacterial skin infection?
A. Bacitracin
B. Benzoyl peroxide
C. Butenafine
D. Clotrimazole - ✔✔ANS: A
CHAPTER 61 STUDY GUIDE & PRACTICE TEST 2026/2027
1. A teenager is being treated for acne vulgaris. Which oral antibiotics may be prescribed to
treat acne?
A. Neomycin and vancomycin
B. Gentamicin and ceftriaxone
C. Tetracycline and erythromycin
D. Bacitracin and polymyxin B - ✔✔ANS: C
Rationale: Tetracyclines and erythromycin may be used systemically to treat acne.
Neomycin, vancomycin, gentamicin, ceftriaxone, bacitracin, and polymyxin B are not used
to treat acne.
2. The nurse is providing health promotion education to the parents of two young children.
What is the most important information the nurse should include when discussing sun
protection?
A. "Try to keep the children indoors as much as possible."
B. "Apply SPF 30 sunscreen before going out in the sun."
C. "Be sure the baby wears a hat at the beach."
D. "Get sunscreen that blocks UVA rays especially." - ✔✔ANS: B
Rationale: Dermatologists recommend sunscreen preparations that block both UVA and
UVB and have a sun protective factor of SPF value 30 or higher. It is unnecessary to avoid
outdoor exposure. The parents should apply a hat, but this advice is not the most important
health promotion intervention; this does not prevent sun damage to most skin surfaces.
3. A female client has been prescribed isotretinoin for the treatment of acne. What statement
should the nurse include in teaching?
A. "You need to use effective contraception while taking this drug."
B. "Take the medication on an empty stomach to decrease discomfort."
C. "If the tablets are too large to swallow, crush them and take with applesauce."
D. "Take a vitamin A supplement daily to enhance effectiveness." - ✔✔ANS: A
Rationale: The administration of retinoids requires adequate contraceptive practices in
women. Retinoids should be given with food, not on an empty stomach. The tablets should
not be crushed. The client should not take vitamin A because doing so increases the risk of
retinoid toxicity.
4. A female client has been prescribed retinoid. Before beginning a medical regimen that
includes a retinoid, which laboratory test must be negative?
A. Throat culture
B. Skin culture
C. Stool for occult blood
D. Pregnancy test - ✔✔ANS: D
Rationale: The female client should have a negative pregnancy test before beginning
retinoid therapy. It is not necessary to have a negative throat culture or skin culture. If the
client has a positive stool for occult blood, the cause should be determined but is not
affected by retinoid therapy.
, 5. A client has been prescribed isotretinoin. What assessment should be routinely monitored?
A. Blood pressure
B. Blood lipid levels
C. Manic behaviors
D. Increased weight - ✔✔ANS: B
Rationale: The administration of isotretinoin is linked with increased blood lipid levels. The
client should be taught that lipid levels should be periodically assessed. Considering the
drug's possible adverse reactions, the assessment of blood pressure and weight are not
imperative, but the client should be regularly assessed for depression and suicidal ideation.
6. The health care provider (HCP) has determined that a client with acne vulgaris is not a
candidate for retinoid therapy. Which topical medication regimen is the HCP most likely to
prescribe?
A. Azelaic acid
B. Benzoyl peroxide
C. Clindamycin
D. Clindamycin with benzoyl peroxide - ✔✔ANS: D
Rationale: Combination products of topical clindamycin or erythromycin and benzoyl
peroxide are more effective than antibiotics alone. Azelaic acid and benzoyl peroxide are
effective but not as effective as combination medications. Topical clindamycin is effective,
but combination medications may be more effective.
7. A child who has not received the chickenpox vaccine has developed the chickenpox virus.
What herbal preparations should the nurse suggest when asked about interventions to
decrease itching triggered by chickenpox pustules?
A. Coal tar
B. Colloidal oatmeal
C. Clindamycin
D. Bacitracin - ✔✔ANS: B
Rationale: Oat preparations are used topically to treat minor skin irritation. Coal tar is not
used for this child; it is primarily administered for psoriasis and dermatitis. Clindamycin is
not administered to treat minor skin irritation. Bacitracin is not administered to relieve
itching related to chickenpox.
8. Which medication is most effective in treating rosacea?
A. Topical metronidazole
B. Oral nystatin
C. Oral prednisone
D. Topical hydrocortisone - ✔✔ANS: A
Rationale: Topical metronidazole is commonly used for rosacea. None of the other options
are effective for the treatment of rosacea.
9. Which medication can be applied to lesions related to a bacterial skin infection?
A. Bacitracin
B. Benzoyl peroxide
C. Butenafine
D. Clotrimazole - ✔✔ANS: A
