EXAM 2 NUR 600 questions well
answers graded A+
topical application of an antihistamine may result in drug toxicity in children. - correct answer
✔✔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:
triamcinolone acetonide. - correct answer ✔✔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%.
prescribe triamcinolone cream for 2 weeks. - correct answer ✔✔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:
tell the patient to continue using the fluocinolone for 3 to 4 more weeks. - correct answer ✔✔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:
begin therapy with pimecrolimus (Elidel). - correct answer ✔✔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:
prescribe triamcinolone 0.1%. - correct answer ✔✔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:
,c. oral ketoconazole. - correct answer ✔✔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
renew the prescription after obtaining renal, liver, and hematopoietic tests. - correct answer
✔✔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:
miconazole (Lotrimin AF). - correct answer ✔✔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:
obtain a culture of the infection site. - correct answer ✔✔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:
terbinafine (Lamisil). - correct answer ✔✔A patient is diagnosed with onychomycosis. The
primary care NP notes that the patient takes
quinidine. The NP should prescribe:
Sporanox and terbinafine - correct answer ✔✔are both indicated to treat onychomycosis
Sporanox - correct answer ✔✔is not indicated in patients taking quinidine because of the risk of
cardiac arrhythmias.
a. sporanox
b. terbinafine
, nystatin oral suspension, 200,000 units qid. - correct answer ✔✔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:
topical miconazole (Monistat). - correct answer ✔✔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:
to use a backup contraceptive method for the next 2 months.v - correct answer ✔✔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:
successful treatment won't prevent future outbreaks of active infection. - correct answer ✔✔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:
cause episodes to be shorter and less frequent. - correct answer ✔✔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:
acyclovir (Zovirax). - correct answer ✔✔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:
give the patient the Zostavax vaccine. - correct answer ✔✔The primary care NP performs a
physical examination on an 89-year-old patient who is about to enter a skilled nursing facility.
The patient reports having had chickenpox as a child. The NP should:
answers graded A+
topical application of an antihistamine may result in drug toxicity in children. - correct answer
✔✔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:
triamcinolone acetonide. - correct answer ✔✔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%.
prescribe triamcinolone cream for 2 weeks. - correct answer ✔✔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:
tell the patient to continue using the fluocinolone for 3 to 4 more weeks. - correct answer ✔✔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:
begin therapy with pimecrolimus (Elidel). - correct answer ✔✔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:
prescribe triamcinolone 0.1%. - correct answer ✔✔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:
,c. oral ketoconazole. - correct answer ✔✔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
renew the prescription after obtaining renal, liver, and hematopoietic tests. - correct answer
✔✔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:
miconazole (Lotrimin AF). - correct answer ✔✔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:
obtain a culture of the infection site. - correct answer ✔✔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:
terbinafine (Lamisil). - correct answer ✔✔A patient is diagnosed with onychomycosis. The
primary care NP notes that the patient takes
quinidine. The NP should prescribe:
Sporanox and terbinafine - correct answer ✔✔are both indicated to treat onychomycosis
Sporanox - correct answer ✔✔is not indicated in patients taking quinidine because of the risk of
cardiac arrhythmias.
a. sporanox
b. terbinafine
, nystatin oral suspension, 200,000 units qid. - correct answer ✔✔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:
topical miconazole (Monistat). - correct answer ✔✔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:
to use a backup contraceptive method for the next 2 months.v - correct answer ✔✔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:
successful treatment won't prevent future outbreaks of active infection. - correct answer ✔✔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:
cause episodes to be shorter and less frequent. - correct answer ✔✔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:
acyclovir (Zovirax). - correct answer ✔✔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:
give the patient the Zostavax vaccine. - correct answer ✔✔The primary care NP performs a
physical examination on an 89-year-old patient who is about to enter a skilled nursing facility.
The patient reports having had chickenpox as a child. The NP should:
