NURS 6531 QUIZZES EXAM SCRIPT 2026
TESTED QUESTIONS AND SOLUTIONS GRADED
A+
◉ Which is the primary symptom causing discomfort in patients
with atopic dermatitis (AD)?
a. Dryness
b. Erythema
c. Lichenification
d. Pruritis. Answer: ANS: D
Itching is incessant, and patients usually develop other signs at the
site of itching. None of the other options are associated with AD.
◉ A patient diagnosed with atopic dermatitis asks what can be done
to minimize the recurrence of symptoms. What will the provider
recommend?
a. Calcineurin inhibitors
b. Lubricants and emollients
c. Oral diphenhydramine
d. Prophylactic topical steroids. Answer: ANS: B
Emollients and lubricants are used long-term to reduce flare-ups.
Calcineurin inhibitors can be
,helpful for managing chronic moderate to severe eczema. Oral
diphenhydramine helps with symptoms of itching but is not used to
prevent symptoms. Corticosteroids should be used sparingly to treat
symptoms and stopped once the inflammation has subsided.
◉ A patient who has atopic dermatitis has recurrent secondary
bacterial skin infections. What will the provider recommend to help
prevent these infections?
a. Bleach baths twice weekly
b. Frequent bathing with soap and water
c. Low-dose oral antibiotics
d. Topical antibiotic ointments. Answer: ANS: A
Bleach baths and intranasal mupirocin have been shown to reduce
bacterial superinfections of the skin. Frequent bathing with soap
and water may increase flare-ups and increase the risk for
superinfections. Oral and topical antibiotic prophylaxes are not
recommended.
◉ A previously healthy patient has an area of inflammation on one
leg which has well-demarcated borders and the presence of
lymphangitic streaking. Based on these symptoms, what is the initial
treatment for this infection? p. 280
a. Amoxicillin-clavulanate
b. Clindamycin
c. Doxycycline
,d. Sulfamethoxazole-trimethoprim. Answer: ANS: A
This patient has symptoms consistent with erysipelas, which is
commonly caused by staphylococcal or streptococcal bacteria. These
may be treated empirically with penicillinase-resistant penicillin if
not allergic. Clindamycin, doxycycline, and
sulfamethoxazole-trimethoprim are used for methicillin-resistant
staphylococcus aureus
infections.
◉ A patient has vesiculopustular lesions around the nose and mouth
with areas of honey-colored crusts. The provider notes a few similar
lesions on the patient's hands and legs. Which treatment is
appropriate for this patient? p. 281
a. Mupirocin, 2% ointment
b. Culture and sensitivity of the lesions
c. Sulfamethoxazole-trimethoprim
d. Surgical referral. Answer: ANS: A
This patient has symptoms of impetigo which has spread to the
hands and legs. Mupirocin, 2% ointment, should be applied three
times a day for 10 days. It is not necessary to obtain a culture since
this can be treated empirically in most cases. MRSA is unlikely, so
sulfamethoxazole-trimethoprim is not indicated. Surgical referrals
are generally not indicated.
, ◉ A patient with a purulent skin and soft tissue infection (SSTI). A
history reveals a previous MRSA infection in a family member. The
clinician performs an incision and drainage of the lesion and sends a
sample to the lab for culture. What is the next step in treating this
patient? p. 278
a. Apply moist heat until symptoms resolve.
b. Begin treatment with amoxicillin-clavulanate.
c. Prescribe trimethoprim-sulfamethoxazole.
d. Wait for culture results before ordering an antibiotic.. Answer:
ANS: C
Because of a history of exposure to MRSA, the patient is likely to be
colonized and should be treated accordingly. Small lesions may be
treated with moist heat, but the likelihood of MRSA requires
treatment. Amoxicillin-clavulanate is not effective for MRSA.
Treatment should be started empirically.
◉ A patient who has never had an outbreak of oral lesions reports a
burning sensation on the oral mucosa and then develops multiple
painful round vesicles at the site. A Tzanck culture confirms HSV-1
infection. What will the provider tell the patient about this
condition? p. 288
a. Antiviral medications are curative for oral herpes.
b. The initial episode is usually the most severe.
c. There are no specific triggers for this type of herpesvirus.
TESTED QUESTIONS AND SOLUTIONS GRADED
A+
◉ Which is the primary symptom causing discomfort in patients
with atopic dermatitis (AD)?
a. Dryness
b. Erythema
c. Lichenification
d. Pruritis. Answer: ANS: D
Itching is incessant, and patients usually develop other signs at the
site of itching. None of the other options are associated with AD.
◉ A patient diagnosed with atopic dermatitis asks what can be done
to minimize the recurrence of symptoms. What will the provider
recommend?
a. Calcineurin inhibitors
b. Lubricants and emollients
c. Oral diphenhydramine
d. Prophylactic topical steroids. Answer: ANS: B
Emollients and lubricants are used long-term to reduce flare-ups.
Calcineurin inhibitors can be
,helpful for managing chronic moderate to severe eczema. Oral
diphenhydramine helps with symptoms of itching but is not used to
prevent symptoms. Corticosteroids should be used sparingly to treat
symptoms and stopped once the inflammation has subsided.
◉ A patient who has atopic dermatitis has recurrent secondary
bacterial skin infections. What will the provider recommend to help
prevent these infections?
a. Bleach baths twice weekly
b. Frequent bathing with soap and water
c. Low-dose oral antibiotics
d. Topical antibiotic ointments. Answer: ANS: A
Bleach baths and intranasal mupirocin have been shown to reduce
bacterial superinfections of the skin. Frequent bathing with soap
and water may increase flare-ups and increase the risk for
superinfections. Oral and topical antibiotic prophylaxes are not
recommended.
◉ A previously healthy patient has an area of inflammation on one
leg which has well-demarcated borders and the presence of
lymphangitic streaking. Based on these symptoms, what is the initial
treatment for this infection? p. 280
a. Amoxicillin-clavulanate
b. Clindamycin
c. Doxycycline
,d. Sulfamethoxazole-trimethoprim. Answer: ANS: A
This patient has symptoms consistent with erysipelas, which is
commonly caused by staphylococcal or streptococcal bacteria. These
may be treated empirically with penicillinase-resistant penicillin if
not allergic. Clindamycin, doxycycline, and
sulfamethoxazole-trimethoprim are used for methicillin-resistant
staphylococcus aureus
infections.
◉ A patient has vesiculopustular lesions around the nose and mouth
with areas of honey-colored crusts. The provider notes a few similar
lesions on the patient's hands and legs. Which treatment is
appropriate for this patient? p. 281
a. Mupirocin, 2% ointment
b. Culture and sensitivity of the lesions
c. Sulfamethoxazole-trimethoprim
d. Surgical referral. Answer: ANS: A
This patient has symptoms of impetigo which has spread to the
hands and legs. Mupirocin, 2% ointment, should be applied three
times a day for 10 days. It is not necessary to obtain a culture since
this can be treated empirically in most cases. MRSA is unlikely, so
sulfamethoxazole-trimethoprim is not indicated. Surgical referrals
are generally not indicated.
, ◉ A patient with a purulent skin and soft tissue infection (SSTI). A
history reveals a previous MRSA infection in a family member. The
clinician performs an incision and drainage of the lesion and sends a
sample to the lab for culture. What is the next step in treating this
patient? p. 278
a. Apply moist heat until symptoms resolve.
b. Begin treatment with amoxicillin-clavulanate.
c. Prescribe trimethoprim-sulfamethoxazole.
d. Wait for culture results before ordering an antibiotic.. Answer:
ANS: C
Because of a history of exposure to MRSA, the patient is likely to be
colonized and should be treated accordingly. Small lesions may be
treated with moist heat, but the likelihood of MRSA requires
treatment. Amoxicillin-clavulanate is not effective for MRSA.
Treatment should be started empirically.
◉ A patient who has never had an outbreak of oral lesions reports a
burning sensation on the oral mucosa and then develops multiple
painful round vesicles at the site. A Tzanck culture confirms HSV-1
infection. What will the provider tell the patient about this
condition? p. 288
a. Antiviral medications are curative for oral herpes.
b. The initial episode is usually the most severe.
c. There are no specific triggers for this type of herpesvirus.
