NSG 6440 - A patient with diabetes has right anterior shin edema

NSG 6440 Question Bank: Questions and Rationales: South University

1.      A patient with diabetes has right anterior shin edema, erythema, warmth, and tenderness to touch. This developed over the past 3 days. There is no visible pus. What is the most likely diagnosis to consider?

   Deep vein thrombosis (DVT) 

Buerger’s disease 

Cellulitis 

   Venous disease 

 

2.      An example of a first-generation cephalosporin used to treat a skin infection is:

   cephalexin. 

   cefuroxime. 

   cefdinir. 

cefaclor. 

 

3.      A patient reports that he found a tick on himself about 2 weeks ago. He presents today with a red circle and a white center near where he remembers the tick bite. He did not seek treatment at that time. Today he complains of myalgias and arthralgias. Which laboratory test can be used to help diagnose Lyme disease?

   CBC 

   Lyme titer 

ELISA 

   Skin scraping 

4.      A 16-year-old male has nodulocystic acne. What might have the greatest positive impact in managing his acne?

   Retin-A plus minocycline 

   Benzoyl peroxide plus erythromycin 

   Isotretinoin (Accutane) 

   Oral antibiotics 

 

5.      A skin lesion fluoresces under a Wood’s lamp. What microscopic finding is consistent with this?

   Clue cells 

   Scabies 

Hyphae 

   Leukocytes  

6.      A patient exhibits petechiae on both lower legs but has no other complaints. How should the NP proceed?

   Refer to hematology 

   Order a CBC 

   Order blood cultures 

   Stop aspirin and reassess in 1 week 

 

7.      A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely etiology?

 

   Group A Streptococcus 

   H. parainfluenzae

   Viral etiology 

   Mycoplasma 

 

 

8.      The nurse practitioner examines a patient who has had poison ivy for 3 days. She asks if she can spread it to her family members. The nurse practitioner replies:

   “Yes, but only before crusting has occurred.” 

   “Yes, the fluid in the blister can transmit it.” 

   “No, transmission does not occur from the blister’s contents.” 

   “No, you are no longer contagious.” 

 

 

9.      A 74-year-old woman is diagnosed with shingles. The NP is deciding how to best manage her care. What should be prescribed?

   An oral antiviral agent 

   An oral antiviral agent plus an oral steroid 

   An oral antiviral agent plus a topical steroid 

   A topical steroid only 

 

 

 

10.  When can a child with chickenpox return to daycare?

   24 hours after he is fever-free 

   48 hours after he is fever-free 

   After all lesions have crusted

   When he no longer itches 

 

 

 

11.  Which vehicle is least appropriate in a patient who has atopic dermatitis?

Lotions 

   Creams 

   Thick creams 

   Ointments 

12.  A patient has 10 cm of well demarcated erythema on his lower leg that is raised and warm to touch. He had an abrupt onset of lower leg pain, and fever that began 36 hours ago. What is this?

Cellulitis 

Erysipelas

   Impetigo 

   An allergic reaction 

13.  The American Cancer Society uses an ABCDE mnemonic to help patients develop awareness of suspicious skin lesions. What does the “B” represent?

   Bleeding 

   Black 

Border 

   Benign 

 

Rationale:

 

 

14.  The term caput succedaneum refers to:

   cradle cap. 

   atopic dermatitis. 

   scalp edema.

   asymmetric head shape. 

15.  Patients with atopic dermatitis are likely to exhibit:

   itching. 

   asthma and allergic bronchitis. 

   nasal polyps and asthma. 

   allergic conjunctivitis and wheezing. 

 

16.  A 9-year-old has been diagnosed with chickenpox. A drug that should be avoided in him is:

   penicillin. 

   aspirin. 

   ibuprofen. 

   sulfa. 

 

 

17.  A skin lesion that is a solid mass is described as a:

 

   macule.

   papule.

   vesicle. 

   bullae. 

 

 

18.  A 16-year-old has been diagnosed with Lyme disease. Which drug should be used to treat him?

Doxycycline 

   Amoxicillin-clavulanate 

   Trimethoprim-sulfamethoxazole 

   Cephalexin 

 

 

 

19.  A 4-year-old has been diagnosed with measles. The nurse practitioner identifies Koplik’s spots. These are:

   spots on the skin that are pathognomonic for measles. 

   red rings found on the tongue that have a white granular area inside the ring. 

   found on the inside of the cheek and are granular.

   blanchable areas on the trunk and extremities. 

 

 

20.  The main difference between cellulitis and erysipelas is the:

age of the patient. 

   length of time that infection lasts. 

   treatment. 

   layer of skin involvement.