EXAM 2 NUR 600 exam QUESTIONS WITH ACTUAL CORRECT
DETAILED ANSWERS GRADED A+
The parent of a toddler asks the NP about using a topical antihistamine to treat the child's
atopic dermatitis symptoms. The NP should tell the parent that: - ANSWER-topical application of
an antihistamine may result in drug toxicity in children.
A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone
acetone 2.5% cream. The primary care NP should prescribe:
desonide cream 0.01%. - ANSWER-triamcinolone acetonide.
A patient has been treated for severe contact dermatitis on both arms with clobetasol
propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared.
The NP should: - ANSWER-prescribe triamcinolone cream for 2 weeks.
A primary care NP prescribes fluocinolone cream for a patient who has contact dermatitis. At a
follow-up visit in 2 weeks, the patient reports decreased pruritus but continues to have
excoriated, erythematous areas. The NP should: - ANSWER-tell the patient to continue using the
fluocinolone for 3 to 4 more weeks.
A primary care NP is considering using a topical immunosuppressive agent for a patient who has
atopic dermatitis that is refractory to treatment with topical corticosteroids. The NP should: -
ANSWER-begin therapy with pimecrolimus (Elidel).
,A patient who has scabies has been treated by the primary care NP twice with permethrin
(Elimite). The second application was administered 10 days after the first. The patient returns to
the clinic with mild pruritus and erythema. The NP does not observe new burrows on the skin.
The NP should: - ANSWER-prescribe triamcinolone 0.1%.
A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP
notes three annular lesions with elevated borders and central clearing on the child's face and a
similar lesion on the back of the neck that extends above the hairline. The NP should - ANSWER-
c. oral ketoconazole.
A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The
primary care NP notes improvement but not complete cure. The NP should: - ANSWER-renew
the prescription after obtaining renal, liver, and hematopoietic tests.
A patient is seen by a primary care NP to evaluate a rash. The NP notes three ring -shaped
lesions with elevated, erythematous borders and two smaller, scaly patches on the patient's
abdomen. The patient has not used any over-the-counter medications on the rash. The NP
should prescribe: - ANSWER-miconazole (Lotrimin AF).
A patient was diagnosed with tinea corporis and given topical ketoconazole. The patient tells
the primary care nurse practitioner (NP) that the infection is not getting better. The NP should: -
ANSWER-obtain a culture of the infection site.
A patient is diagnosed with onychomycosis. The primary care NP notes that the patient takes
quinidine. The NP should prescribe: - ANSWER-terbinafine (Lamisil).
are both indicated to treat onychomycosis - ANSWER-Sporanox and terbinafine
, is not indicated in patients taking quinidine because of the risk of cardiac arrhythmias.
a. sporanox
b. terbinafine - ANSWER-Sporanox
A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue
and decreased oral intake. The primary care NP should prescribe: - ANSWER-nystatin oral
suspension, 200,000 units qid.
A female patient has vaginal candidiasis and has taken a single dose of fluconazole without
resolution of the infection. The primary care NP obtains a culture and should order: - ANSWER-
topical miconazole (Monistat).
A woman who takes oral contraceptive pills develops vaginal candidiasis. The primary care NP
prescribes a single dose of fluconazole. When counseling the patient about this drug, the NP
should tell her: - ANSWER-to use a backup contraceptive method for the next 2 months.v
A patient who is currently not sexually active has an outbreak of genital herpes. The patient asks
the primary care NP how this could have occurred without active infection since being treated
more than 2 years ago. The NP should tell the patient that: - ANSWER-successful treatment
won't prevent future outbreaks of active infection.
A patient who has genital herpes has frequent outbreaks. The patient asks the primary care NP
why it is necessary to take oral acyclovir all the time and not just for acute outbreaks. The NP
should explain that oral acyclovir may: - ANSWER-cause episodes to be shorter and less
frequent.
A 60-year-old patient comes to the clinic reporting a sudden onset of a painful rash that began
the day before. The primary care NP notes a vesicular rash along a dermatome on one side of
the patient's back. The patient has a low-grade fever. The NP will prescribe: - ANSWER-acyclovir
(Zovirax).
DETAILED ANSWERS GRADED A+
The parent of a toddler asks the NP about using a topical antihistamine to treat the child's
atopic dermatitis symptoms. The NP should tell the parent that: - ANSWER-topical application of
an antihistamine may result in drug toxicity in children.
A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone
acetone 2.5% cream. The primary care NP should prescribe:
desonide cream 0.01%. - ANSWER-triamcinolone acetonide.
A patient has been treated for severe contact dermatitis on both arms with clobetasol
propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared.
The NP should: - ANSWER-prescribe triamcinolone cream for 2 weeks.
A primary care NP prescribes fluocinolone cream for a patient who has contact dermatitis. At a
follow-up visit in 2 weeks, the patient reports decreased pruritus but continues to have
excoriated, erythematous areas. The NP should: - ANSWER-tell the patient to continue using the
fluocinolone for 3 to 4 more weeks.
A primary care NP is considering using a topical immunosuppressive agent for a patient who has
atopic dermatitis that is refractory to treatment with topical corticosteroids. The NP should: -
ANSWER-begin therapy with pimecrolimus (Elidel).
,A patient who has scabies has been treated by the primary care NP twice with permethrin
(Elimite). The second application was administered 10 days after the first. The patient returns to
the clinic with mild pruritus and erythema. The NP does not observe new burrows on the skin.
The NP should: - ANSWER-prescribe triamcinolone 0.1%.
A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP
notes three annular lesions with elevated borders and central clearing on the child's face and a
similar lesion on the back of the neck that extends above the hairline. The NP should - ANSWER-
c. oral ketoconazole.
A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The
primary care NP notes improvement but not complete cure. The NP should: - ANSWER-renew
the prescription after obtaining renal, liver, and hematopoietic tests.
A patient is seen by a primary care NP to evaluate a rash. The NP notes three ring -shaped
lesions with elevated, erythematous borders and two smaller, scaly patches on the patient's
abdomen. The patient has not used any over-the-counter medications on the rash. The NP
should prescribe: - ANSWER-miconazole (Lotrimin AF).
A patient was diagnosed with tinea corporis and given topical ketoconazole. The patient tells
the primary care nurse practitioner (NP) that the infection is not getting better. The NP should: -
ANSWER-obtain a culture of the infection site.
A patient is diagnosed with onychomycosis. The primary care NP notes that the patient takes
quinidine. The NP should prescribe: - ANSWER-terbinafine (Lamisil).
are both indicated to treat onychomycosis - ANSWER-Sporanox and terbinafine
, is not indicated in patients taking quinidine because of the risk of cardiac arrhythmias.
a. sporanox
b. terbinafine - ANSWER-Sporanox
A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue
and decreased oral intake. The primary care NP should prescribe: - ANSWER-nystatin oral
suspension, 200,000 units qid.
A female patient has vaginal candidiasis and has taken a single dose of fluconazole without
resolution of the infection. The primary care NP obtains a culture and should order: - ANSWER-
topical miconazole (Monistat).
A woman who takes oral contraceptive pills develops vaginal candidiasis. The primary care NP
prescribes a single dose of fluconazole. When counseling the patient about this drug, the NP
should tell her: - ANSWER-to use a backup contraceptive method for the next 2 months.v
A patient who is currently not sexually active has an outbreak of genital herpes. The patient asks
the primary care NP how this could have occurred without active infection since being treated
more than 2 years ago. The NP should tell the patient that: - ANSWER-successful treatment
won't prevent future outbreaks of active infection.
A patient who has genital herpes has frequent outbreaks. The patient asks the primary care NP
why it is necessary to take oral acyclovir all the time and not just for acute outbreaks. The NP
should explain that oral acyclovir may: - ANSWER-cause episodes to be shorter and less
frequent.
A 60-year-old patient comes to the clinic reporting a sudden onset of a painful rash that began
the day before. The primary care NP notes a vesicular rash along a dermatome on one side of
the patient's back. The patient has a low-grade fever. The NP will prescribe: - ANSWER-acyclovir
(Zovirax).
