Maryville University NURS 623 Exam
1 Questions and Answers 100% Pass
Mode of transmission for parasitic skin infections - ✔✔Close direct skin contact.
Clinical presentation for Scabies - ✔✔Intense itching, worse at night. Burrows noted
between webs of fingers.
Commonly prescribed medications for Scabies - ✔✔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? - ✔✔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? - ✔✔Impetigo
What is the "classic" presentation of impetigo? - ✔✔Honey crusted lesions
Katelyn Whitman, All Rights Reserved © 2025 1
,What is the management of a minor case of folliculitis (non-pharmacologic)? -
✔✔Gentle cleansing by washing the skin twice a day with antibacterial soap.
What are the commonly prescribed medications for folliculitis? - ✔✔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 - ✔✔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 - ✔✔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.
Katelyn Whitman, All Rights Reserved © 2025 2
, What are the considerations when determining treatment for cellulitis? - ✔✔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 - ✔✔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 - ✔✔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.
Herpetic keratoconjunctivitis - ✔✔requires immediate referral to an ophthalmologist.
HSV-2 Genital lesion treatment - ✔✔Treated with oral antivirals Valacyclovir or
famciclovir. Warm compresses and oatmeal sitz baths can help promote comfort and
healing. Urinate into a warm bath. Increase fluid intake and rest.
Katelyn Whitman, All Rights Reserved © 2025 3
1 Questions and Answers 100% Pass
Mode of transmission for parasitic skin infections - ✔✔Close direct skin contact.
Clinical presentation for Scabies - ✔✔Intense itching, worse at night. Burrows noted
between webs of fingers.
Commonly prescribed medications for Scabies - ✔✔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? - ✔✔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? - ✔✔Impetigo
What is the "classic" presentation of impetigo? - ✔✔Honey crusted lesions
Katelyn Whitman, All Rights Reserved © 2025 1
,What is the management of a minor case of folliculitis (non-pharmacologic)? -
✔✔Gentle cleansing by washing the skin twice a day with antibacterial soap.
What are the commonly prescribed medications for folliculitis? - ✔✔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 - ✔✔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 - ✔✔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.
Katelyn Whitman, All Rights Reserved © 2025 2
, What are the considerations when determining treatment for cellulitis? - ✔✔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 - ✔✔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 - ✔✔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.
Herpetic keratoconjunctivitis - ✔✔requires immediate referral to an ophthalmologist.
HSV-2 Genital lesion treatment - ✔✔Treated with oral antivirals Valacyclovir or
famciclovir. Warm compresses and oatmeal sitz baths can help promote comfort and
healing. Urinate into a warm bath. Increase fluid intake and rest.
Katelyn Whitman, All Rights Reserved © 2025 3
