NR511 Midterm Study Guide UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Rubella S/S - CORRECT ANSWER - low-grade fever, headache, sore throat, rhinorrhea,
malaise, eye pain, and myalgia 2-5 days before rash eruption
Rash appears as "rose-pink" macules and papules that first present on the head before spreading
downwards on the body
Rubella treatment - CORRECT ANSWER - Symptom care with acetaminophen,
nonsteroidal anti-inflammatory drugs (NSAIDs), and rest
Telogen effluvium - CORRECT ANSWER - Type of nonscarring alopecia after
pregnancy, major surgery, or major emotional stress)
Management of intensely dry skin - CORRECT ANSWER - Use tepid water and mild
soaps
Older adults at risk
Scabies symptoms - CORRECT ANSWER - Itching that worsens at night
Mothers may report change in feeding patterns of children and that they are more tired and
irritable than usual
Itching is widespread but is commonly located in the interdigital web spaces, wrists, anterior
axillary folds, periumbilical skin, pelvic girdle, penis, and ankles
Children: more common in palms, soles, face, neck, and scalp
Scabies treatment - CORRECT ANSWER - Permethrin
Ivermectin
,Lice treatment - CORRECT ANSWER - Permethrin 1% lotion or 5% cream (Nix)
Pyrethrin 0.3% with piperonyl poo or gel OTC
Malathion 0.5% lotion or gel
Benzyl alcohol 5% lotion
Ivermectin 0.5% lotion
Tinea corporis (Ringworm) S/S - CORRECT ANSWER - Sharply demarcated, scaly
plaques with or without pruritis
How to diagnose tinea corporis - CORRECT ANSWER - Diagnosis may be confirmed
using fungal cultures from skin scrapings and direct microscopy or a Wood lamp examination
How do you treat fungal skin infections - CORRECT ANSWER - Tinea is typically
treated with topical antifungal creams, lotions, or shampoos. Common topical antifungals
include:
butenafine (Mentax) 1% cream, apply to the affected area once daily for 2-4 weeks
clotrimazole (Lotrimin AF) 1% cream or lotion, apply to the affected area twice daily 2-4 weeks
ketoconazole (Nizoral) 2% cream, foam, or shampoo, apply once daily for 2-4 weeks
terbinafine (Lamisil) 250 mg by mouth daily for 2-4 weeks
Tinea corporis patient education - CORRECT ANSWER - Vinegar or Burrows solution
soaks help decrease pruritus associated with tinea pedis and tinea manuum
Treat shoes with over the counter (OTC) antifungal spray during and after therapy
use OTC miconazole nitrate (Zeabsorb) powder to reduce friction, absorb moisture, and prevent
tinea cruris
Follow-up with clients on oral antifungal therapy to ensure improvement
Oncychomycosis - CORRECT ANSWER - Nail fungal infection
Non-life-threatening
, Oncymycosis S/S - CORRECT ANSWER - May involve any component of the nail unit
Nail is usually yellow-white, with yellow streaks
Nail is thin and crumbling and may separate from the nail bed
Oncychomycosis treatment - CORRECT ANSWER - Direct microscopy
A 20% potassium hydroxide (KOH) preparation
Fungal culture
A combination of systemic and topical treatment increases the cure rate.
Epidermal inclusion cyst S/S - CORRECT ANSWER - Chronic history of cyst on same
site for months to years, cheesy white discharge with strong odor
Located in areas of the body where there is thicker skin and a large number of sebaceous glands,
such as on the back and upper shoulders
Cellulitis characteristics - CORRECT ANSWER - Bacterial infection of the skin involving
both the dermis and subcutaneous tissue
Mostly caused by Streptococcus or S. aureus - both gram-positive bacteria
S/S:
Tender, warm, erythematous area of skin that is usually located on the face, neck, or extremities
Folliculitis S/S - CORRECT ANSWER - Bacterial infection characterized by papules
Superficial-to-deep skin infection of the hair follicles
Lesions range from minute white-topped pustules in newborns to large, tender, yellow-white
pustules in adults
Folliculitis causes - CORRECT ANSWER - Main pathogens are gram-positive bacteria
occasional causes are caused by fungus or gram-negative bacilli
ACTUAL Exam Questions and CORRECT
Answers
Rubella S/S - CORRECT ANSWER - low-grade fever, headache, sore throat, rhinorrhea,
malaise, eye pain, and myalgia 2-5 days before rash eruption
Rash appears as "rose-pink" macules and papules that first present on the head before spreading
downwards on the body
Rubella treatment - CORRECT ANSWER - Symptom care with acetaminophen,
nonsteroidal anti-inflammatory drugs (NSAIDs), and rest
Telogen effluvium - CORRECT ANSWER - Type of nonscarring alopecia after
pregnancy, major surgery, or major emotional stress)
Management of intensely dry skin - CORRECT ANSWER - Use tepid water and mild
soaps
Older adults at risk
Scabies symptoms - CORRECT ANSWER - Itching that worsens at night
Mothers may report change in feeding patterns of children and that they are more tired and
irritable than usual
Itching is widespread but is commonly located in the interdigital web spaces, wrists, anterior
axillary folds, periumbilical skin, pelvic girdle, penis, and ankles
Children: more common in palms, soles, face, neck, and scalp
Scabies treatment - CORRECT ANSWER - Permethrin
Ivermectin
,Lice treatment - CORRECT ANSWER - Permethrin 1% lotion or 5% cream (Nix)
Pyrethrin 0.3% with piperonyl poo or gel OTC
Malathion 0.5% lotion or gel
Benzyl alcohol 5% lotion
Ivermectin 0.5% lotion
Tinea corporis (Ringworm) S/S - CORRECT ANSWER - Sharply demarcated, scaly
plaques with or without pruritis
How to diagnose tinea corporis - CORRECT ANSWER - Diagnosis may be confirmed
using fungal cultures from skin scrapings and direct microscopy or a Wood lamp examination
How do you treat fungal skin infections - CORRECT ANSWER - Tinea is typically
treated with topical antifungal creams, lotions, or shampoos. Common topical antifungals
include:
butenafine (Mentax) 1% cream, apply to the affected area once daily for 2-4 weeks
clotrimazole (Lotrimin AF) 1% cream or lotion, apply to the affected area twice daily 2-4 weeks
ketoconazole (Nizoral) 2% cream, foam, or shampoo, apply once daily for 2-4 weeks
terbinafine (Lamisil) 250 mg by mouth daily for 2-4 weeks
Tinea corporis patient education - CORRECT ANSWER - Vinegar or Burrows solution
soaks help decrease pruritus associated with tinea pedis and tinea manuum
Treat shoes with over the counter (OTC) antifungal spray during and after therapy
use OTC miconazole nitrate (Zeabsorb) powder to reduce friction, absorb moisture, and prevent
tinea cruris
Follow-up with clients on oral antifungal therapy to ensure improvement
Oncychomycosis - CORRECT ANSWER - Nail fungal infection
Non-life-threatening
, Oncymycosis S/S - CORRECT ANSWER - May involve any component of the nail unit
Nail is usually yellow-white, with yellow streaks
Nail is thin and crumbling and may separate from the nail bed
Oncychomycosis treatment - CORRECT ANSWER - Direct microscopy
A 20% potassium hydroxide (KOH) preparation
Fungal culture
A combination of systemic and topical treatment increases the cure rate.
Epidermal inclusion cyst S/S - CORRECT ANSWER - Chronic history of cyst on same
site for months to years, cheesy white discharge with strong odor
Located in areas of the body where there is thicker skin and a large number of sebaceous glands,
such as on the back and upper shoulders
Cellulitis characteristics - CORRECT ANSWER - Bacterial infection of the skin involving
both the dermis and subcutaneous tissue
Mostly caused by Streptococcus or S. aureus - both gram-positive bacteria
S/S:
Tender, warm, erythematous area of skin that is usually located on the face, neck, or extremities
Folliculitis S/S - CORRECT ANSWER - Bacterial infection characterized by papules
Superficial-to-deep skin infection of the hair follicles
Lesions range from minute white-topped pustules in newborns to large, tender, yellow-white
pustules in adults
Folliculitis causes - CORRECT ANSWER - Main pathogens are gram-positive bacteria
occasional causes are caused by fungus or gram-negative bacilli
