NURS 651 Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
12 month old male
Past 3 months increased erythema and pruritus
Scratches all night, sheets bloody in the am
Family history of allergic rhinitis and asthma - correct answer acute atopic dermatitis
Treatment for acute atopic dermatitis - correct answer daily lukewarm bath 5-20min, mild or no
soap.
Pat dry after bath, add emollient, ie. Aquaphor
Repeat emollient with each diaper change
Topical steroids first line, least potent first
Calcineurini inhibitors to face (tacrolimus, and pimecrolimus)
Consider bleach baths and wet wraps
14 year old female, healthy
Itchy rash on stomach and feet
Dryness, erythema, irritated
Tried to treat with topical steroids at home, moisturizer and lots of bath and body works creams -
correct answer contact dermatitis
Treatment for contact dermatitis - correct answer remove offending agent ( nickel allergy to
jeans buttons, rubber from latex flip flops)
Clean area, treat with emoillents
Topical steroids
Will not recur if agent is avoided
Can occur from poison ivy, latex, fragrances
11 year old female healthy
Developed rash over last week
, Intense pruritic circular raised papular rash - correct answer insect bites due to bed bugs
Information about bed bugs - correct answer visible to naked eye, small
Wingless
Yellow to reddish oval shaped, prominent eyes
Mostly night feeders, attracted to warm blooded animals and humans
Life cycle: egg 4-5 days, nymph state 5 stages, adult 1 year,
Can survive 1 year without feeding
Hide in luggage, mattresses, box springs, clothing
Signs and symptoms of bed bug insect bites - correct answer erythemous papule with or wheal
2-5mm with punctuate center
Most common reaction small inflamed
Itchy bump where each bite occurred ( resolves in 1-2 weeks if not exposed further)
Can become widespread bullies rash
Other factors of when to consider bed bug diagnosis - correct answer recent travel, pruritic
papule noted on awakening, skin reaction with linear configuration
Treatment of bed bugs - correct answer professional pest management
All mattresses should be checked for dark stains usually around the head of bed, use scraper to
remove.
Bag all stuffed animals for 3 days at freeze at 18 degrees or below. Or high heat at 122 degrees
Prevention of bed bugs - correct answer check all hotel mattresses on arrival for small dark
stains around head of bed.
Keep luggage up and away from bed.
Clothes worn in hotel room should be bagged and sealed.
Use caution with garage sale items.
5 year old boy known food allergy to milk, egg and peanut. At birthday party came to mom, itchy,
coughing and sneezing. Child given benadryl and brought to your office, diffuse generalized hives,
AND CORRECT ANSWERS
12 month old male
Past 3 months increased erythema and pruritus
Scratches all night, sheets bloody in the am
Family history of allergic rhinitis and asthma - correct answer acute atopic dermatitis
Treatment for acute atopic dermatitis - correct answer daily lukewarm bath 5-20min, mild or no
soap.
Pat dry after bath, add emollient, ie. Aquaphor
Repeat emollient with each diaper change
Topical steroids first line, least potent first
Calcineurini inhibitors to face (tacrolimus, and pimecrolimus)
Consider bleach baths and wet wraps
14 year old female, healthy
Itchy rash on stomach and feet
Dryness, erythema, irritated
Tried to treat with topical steroids at home, moisturizer and lots of bath and body works creams -
correct answer contact dermatitis
Treatment for contact dermatitis - correct answer remove offending agent ( nickel allergy to
jeans buttons, rubber from latex flip flops)
Clean area, treat with emoillents
Topical steroids
Will not recur if agent is avoided
Can occur from poison ivy, latex, fragrances
11 year old female healthy
Developed rash over last week
, Intense pruritic circular raised papular rash - correct answer insect bites due to bed bugs
Information about bed bugs - correct answer visible to naked eye, small
Wingless
Yellow to reddish oval shaped, prominent eyes
Mostly night feeders, attracted to warm blooded animals and humans
Life cycle: egg 4-5 days, nymph state 5 stages, adult 1 year,
Can survive 1 year without feeding
Hide in luggage, mattresses, box springs, clothing
Signs and symptoms of bed bug insect bites - correct answer erythemous papule with or wheal
2-5mm with punctuate center
Most common reaction small inflamed
Itchy bump where each bite occurred ( resolves in 1-2 weeks if not exposed further)
Can become widespread bullies rash
Other factors of when to consider bed bug diagnosis - correct answer recent travel, pruritic
papule noted on awakening, skin reaction with linear configuration
Treatment of bed bugs - correct answer professional pest management
All mattresses should be checked for dark stains usually around the head of bed, use scraper to
remove.
Bag all stuffed animals for 3 days at freeze at 18 degrees or below. Or high heat at 122 degrees
Prevention of bed bugs - correct answer check all hotel mattresses on arrival for small dark
stains around head of bed.
Keep luggage up and away from bed.
Clothes worn in hotel room should be bagged and sealed.
Use caution with garage sale items.
5 year old boy known food allergy to milk, egg and peanut. At birthday party came to mom, itchy,
coughing and sneezing. Child given benadryl and brought to your office, diffuse generalized hives,
