NURS 623 FINAL EXAM MARYVILLE
UNIVERSITY | QUESTIONS AND
CORRECT ANSWERS (GRADED A+) |
PROFESSOR VERIFIED | LATEST
VERSION
Sally, age 25, presents with impetigo that has been diagnosed as infected
with Staphylococcus. The clinical presentation is pruritic tender, red
vesicles surrounded by erythema with a rash that is ulcerating. Her recent
treatment has not been adequate. Which type of impetigo is this?
a. Bullous impetigo
b. Staphylococcal scalded skin syndrome (SSSS)
c. Nonbullous impetigo
d. Ecthyma ------CORRECT ANSWER---------------Ecthyma
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the
skin reveals crepitus due to gas production by which anaerobic bacteria?
a. Staphylococcal aureus
b. Clostridium perfringens
c. S. pyrogenes
d. Streptococcus ------CORRECT ANSWER---------------Clostridium
perfringens
When using the microscope for an intravaginal infection, you see
something translucent and colorless. What do you suspect?
a. A piece of hair or a thread
b. Hyphae
c. Leukocytes
d. Spores ------CORRECT ANSWER---------------Hyphae
,Marci has a wart on her hand. She says she heard something about "silver
duct tape therapy." What do you tell her about his?
a. It is an old wives' tale.
b. It is used as a last resort.
c. Salicylic acid is more effective.
d. It is a simple treatment that should be tried first. ------CORRECT
ANSWER---------------It is a simple treatment that should be tried first.
Which is the most potent and irritating dose of tretinoin?
a. 0.05% liquid formulation
b. 0.1% cream
c. 1% foam
d. 0.02% cream ------CORRECT ANSWER---------------0.05% liquid
formulation
Of the following types of cellulitis, which is a streptococcal infection of the
superficial layers of the skin that does not involve the subcutaneous layers?
a. Necrotizing fasciitis
b. Periorbital cellulitis
c. Erysipelas
d. "Flesh-eating" cellulitis ------CORRECT ANSWER---------------Erysipelas
Mandy presents with a cauliflower-like wart in her anogenital region. You
suspect it was sexually transmitted and document this as a:
a. Filiform/digitate wart
b. Dysplastic cervical lesion
c. Condyloma acuminata
d. Koilocytosis ------CORRECT ANSWER---------------Condyloma acuminata
Jeffrey has atopic dermatitis. You are prescribing a low-dose topical
corticosteroid for him. Which would be a good choice?
a. Betamethasone dipropionate 0.05%
,b. Hydrocortisone base 2.5%
c. Halcinonide 0.1%
d. Desonide 0.05% ------CORRECT ANSWER---------------Hydrocortisone
base 2.5%
Harvey has a rubbery, smooth, round mass on his chest that is
compressible and has a soft-to-very-firm texture. What do you diagnose
this as?
a. A lipoma
b. A nevi
c. A skin tag
d. A possible adenoma ------CORRECT ANSWER---------------A lipoma
Which of the following statements is accurate when you are removing a
seborrheic keratosis lesion using liquid nitrogen?
a. Do not use lidocaine as it may potentiate bleeding.
b. Pinch the skin taut together.
c. Use gel foam to control bleeding.
d. This should be performed by a dermatologist only. ------CORRECT
ANSWER---------------Use gel foam to control bleeding.
The "B" in the ABCDEs of assessing skin cancer represents:
a. Biopsy
b. Best practice
c. Boundary
d. Border irregularity ------CORRECT ANSWER---------------Asymmetry
BORDER IRREGULARITY
Color not uniform
Diameter > 6 mm
Evolving size, shape or color.
, Stan, age 34, fractured his femur when his horse tripped over a jump. With
this type of injury, you know that Stan is at risk for fat emboli. Early
assessment findings for this complication include:
a. fever, tachycardia, rapid respirations, and neurological manifestations.
b. neurological manifestations, temperature elevation, bradycardia, and
pallor
c. hostility; combativeness, paresthesia, and absent peripheral pulses.
d. lethargy, hypothermia, paresthesia, and absent peripheral pulses. ------
CORRECT ANSWER---------------A.
Upon assessment, the NP notes unilateral back pain that had an acute
onset and increases when standing and bending. A straight leg test is
negative. The most likely differential diagnosis is:
a. herniated nucleus pulposus.
b. muscle strain
c. osteoarthritis
d. spondylolisthesis ------CORRECT ANSWER---------------A. **I believe this
is an error. I believe the correct answer is B.
Which test is routinely recommended for a preparticipation sports physical?
a. a CBC
b. a CXR
c. an ECG
d. A snellen test. ------CORRECT ANSWER---------------D.
The straight-leg-raising maneuver can be used to diagnose:
a. nerve root compression
b. a fractured hip
c. an anterior cruciate ligament tear
d. tendinitis. ------CORRECT ANSWER---------------A.
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