NUR 631 Final Exam: New
Material – Dermatology and
Fungal Infections
Instructions: Select the best answer for each of the following questions based on
the provided content.
Section 1: Tinea Pedis (Athlete's Foot) – Questions 1-25
1. A patient presents with a scaly rash on their feet that causes itching,
stinging, and burning. The patient reports wearing tight-fitting shoes and
having sweaty feet. This presentation is most consistent with:
o A. Tinea versicolor
o B. Tinea pedis
o C. Onychomycosis
o D. Candidiasis
2. The diagnosis of tinea pedis is made by:
o A. Wood's lamp examination alone
o B. Patient history and visual inspection only
o C. Clinical presentation, confirmed via microscopy and culture of
primary skin
o D. Blood culture
3. Which of the following is a first-line topical antifungal for a mild case of
tinea pedis?
o A. Fluconazole 150 mg orally
, o B. Clotrimazole (Lotrimin)
o C. Itraconazole 200 mg daily
o D. Griseofulvin
4. A patient with tinea pedis asks how long they should apply terbinafine
(Lamisil) 1% cream. The correct response is:
o A. Twice daily for 2 weeks
o B. Once daily for 1 week
o C. Once daily for 1 month
o D. Twice daily for 3 days
5. A patient presents with a severe, refractory case of tinea pedis. Which of
the following systemic antifungals might be prescribed?
o A. Clotrimazole
o B. Terbinafine 1% cream
o C. Itraconazole
o D. Selenium sulfide lotion
6. Which systemic antifungal is used to treat severe tinea pedis?
o A. Fluconazole
o B. Ketoconazole cream
o C. Griseofulvin
o D. Ciclopirox nail lacquer
7. A patient is diagnosed with tinea pedis. The RN knows that this condition is
commonly associated with:
o A. Dry, cracked heels
o B. Sweaty feet and tight-fitting shoes
o C. Exposure to sunlight
, o D. Autoimmune disorders
8. Which of the following is a topical antifungal used for mild tinea pedis?
o A. Ketoconazole 2% cream (Nizoral)
o B. Ciclopirox nail lacquer
o C. Fluconazole 150 mg
o D. Selenium sulfide lotion
9. The nurse is educating a patient on the use of topical terbinafine for tinea
pedis. Which instruction is correct?
o A. Apply twice daily for 4 weeks
o B. Apply once daily for 2 weeks
o C. Apply once daily for 1 week
o D. Apply only when symptoms flare up
10.A patient with a severe case of tinea pedis is prescribed itraconazole. The
nurse knows this medication is:
o A. A topical cream
o B. A systemic antifungal
o C. An over-the-counter treatment
o D. A first-line treatment for mild cases
11.Which of the following is an appropriate systemic antifungal for severe
tinea pedis?
o A. Griseofulvin
o B. Selenium sulfide
o C. Clotrimazole
o D. Ciclopirox
12.A patient reports that their tinea pedis is not improving with topical
treatment. What should the nurse anticipate?
, o A. Discontinuing all treatment
o B. Increasing the frequency of topical application
o C. The provider may prescribe a systemic antifungal
o D. No further treatment is needed
13.The clinical presentation of tinea pedis includes:
o A. Hyperpigmented macules on the chest
o B. A scaly rash with itching, stinging, and burning
o C. Thickened, discolored nails
o D. A "Christmas tree" pattern on the back
14.Which of the following is a common risk factor for developing tinea pedis?
o A. Advanced age
o B. Wearing tight-fit shoes
o C. Dry, cool environment
o D. Frequent hand washing
15.A patient is diagnosed with tinea pedis. The nurse instructs the patient to:
o A. Keep feet moist and covered
o B. Keep feet clean and dry, and wear breathable footwear
o C. Apply lotion between the toes
o D. Soak feet in warm water daily
16.Which topical antifungal is available over the counter for tinea pedis?
o A. Clotrimazole
o B. Itraconazole
o C. Griseofulvin
o D. Fluconazole
Material – Dermatology and
Fungal Infections
Instructions: Select the best answer for each of the following questions based on
the provided content.
Section 1: Tinea Pedis (Athlete's Foot) – Questions 1-25
1. A patient presents with a scaly rash on their feet that causes itching,
stinging, and burning. The patient reports wearing tight-fitting shoes and
having sweaty feet. This presentation is most consistent with:
o A. Tinea versicolor
o B. Tinea pedis
o C. Onychomycosis
o D. Candidiasis
2. The diagnosis of tinea pedis is made by:
o A. Wood's lamp examination alone
o B. Patient history and visual inspection only
o C. Clinical presentation, confirmed via microscopy and culture of
primary skin
o D. Blood culture
3. Which of the following is a first-line topical antifungal for a mild case of
tinea pedis?
o A. Fluconazole 150 mg orally
, o B. Clotrimazole (Lotrimin)
o C. Itraconazole 200 mg daily
o D. Griseofulvin
4. A patient with tinea pedis asks how long they should apply terbinafine
(Lamisil) 1% cream. The correct response is:
o A. Twice daily for 2 weeks
o B. Once daily for 1 week
o C. Once daily for 1 month
o D. Twice daily for 3 days
5. A patient presents with a severe, refractory case of tinea pedis. Which of
the following systemic antifungals might be prescribed?
o A. Clotrimazole
o B. Terbinafine 1% cream
o C. Itraconazole
o D. Selenium sulfide lotion
6. Which systemic antifungal is used to treat severe tinea pedis?
o A. Fluconazole
o B. Ketoconazole cream
o C. Griseofulvin
o D. Ciclopirox nail lacquer
7. A patient is diagnosed with tinea pedis. The RN knows that this condition is
commonly associated with:
o A. Dry, cracked heels
o B. Sweaty feet and tight-fitting shoes
o C. Exposure to sunlight
, o D. Autoimmune disorders
8. Which of the following is a topical antifungal used for mild tinea pedis?
o A. Ketoconazole 2% cream (Nizoral)
o B. Ciclopirox nail lacquer
o C. Fluconazole 150 mg
o D. Selenium sulfide lotion
9. The nurse is educating a patient on the use of topical terbinafine for tinea
pedis. Which instruction is correct?
o A. Apply twice daily for 4 weeks
o B. Apply once daily for 2 weeks
o C. Apply once daily for 1 week
o D. Apply only when symptoms flare up
10.A patient with a severe case of tinea pedis is prescribed itraconazole. The
nurse knows this medication is:
o A. A topical cream
o B. A systemic antifungal
o C. An over-the-counter treatment
o D. A first-line treatment for mild cases
11.Which of the following is an appropriate systemic antifungal for severe
tinea pedis?
o A. Griseofulvin
o B. Selenium sulfide
o C. Clotrimazole
o D. Ciclopirox
12.A patient reports that their tinea pedis is not improving with topical
treatment. What should the nurse anticipate?
, o A. Discontinuing all treatment
o B. Increasing the frequency of topical application
o C. The provider may prescribe a systemic antifungal
o D. No further treatment is needed
13.The clinical presentation of tinea pedis includes:
o A. Hyperpigmented macules on the chest
o B. A scaly rash with itching, stinging, and burning
o C. Thickened, discolored nails
o D. A "Christmas tree" pattern on the back
14.Which of the following is a common risk factor for developing tinea pedis?
o A. Advanced age
o B. Wearing tight-fit shoes
o C. Dry, cool environment
o D. Frequent hand washing
15.A patient is diagnosed with tinea pedis. The nurse instructs the patient to:
o A. Keep feet moist and covered
o B. Keep feet clean and dry, and wear breathable footwear
o C. Apply lotion between the toes
o D. Soak feet in warm water daily
16.Which topical antifungal is available over the counter for tinea pedis?
o A. Clotrimazole
o B. Itraconazole
o C. Griseofulvin
o D. Fluconazole
