NUR 600 MODULE 2 EXAM – QUESTIONS AND ANSWERS |
UPDATE | 100% CORRECT
1.
A parent asks about using a topical antihistamine for a toddler with atopic dermatitis. What should the
NP advise?
A. Topical antihistamines are safe for all pediatric patients
B. They are preferred over corticosteroids
C. Topical antihistamines can cause systemic toxicity in children ✅
D. They should be used daily for prevention
Rationale:
Topical antihistamines (e.g., diphenhydramine) can be systemically absorbed in children → risk of
toxicity (CNS excitation, seizures). They are not recommended for atopic dermatitis.
2.
A 5-year-old has atopic dermatitis unresponsive to hydrocortisone 2.5%. What is the next step?
A. Increase hydrocortisone frequency
B. Switch to oral steroids
C. Prescribe triamcinolone acetonide ✅
D. Use antihistamines only
Rationale:
Moderate-potency steroids like triamcinolone are indicated when low-potency agents fail.
3.
A patient’s severe contact dermatitis has resolved after clobetasol. What should the NP do next?
A. Stop all therapy immediately
B. Continue clobetasol long-term
C. Step down to triamcinolone for 2 weeks ✅
D. Switch to oral steroids
Rationale:
High-potency steroids (clobetasol) are not for prolonged use → taper to medium potency to prevent
rebound.
,4.
A patient using fluocinolone shows partial improvement after 2 weeks. What is the next step?
A. Stop medication
B. Switch to antibiotics
C. Continue therapy for 3–4 more weeks ✅
D. Start systemic steroids
Rationale:
Persistent inflammation requires continued topical corticosteroid therapy until resolution.
5.
A patient with refractory atopic dermatitis needs alternative therapy. What should the NP prescribe?
A. Oral steroids
B. Antibiotics
C. Pimecrolimus (Elidel) ✅
D. Antifungals
Rationale:
Topical calcineurin inhibitors (e.g., pimecrolimus) are used when steroids fail or are contraindicated.
6.
A patient treated for scabies has residual itching but no new burrows. What is the management?
A. Repeat permethrin
B. Start oral ivermectin
C. Prescribe triamcinolone 0.1% ✅
D. Begin antibiotics
Rationale:
Post-scabetic pruritus is inflammatory, not active infection → treat with corticosteroids.
7.
A child presents with annular lesions on face and scalp. What is the treatment?
, A. Topical antifungal
B. Antibiotics
C. Oral antifungal (e.g., griseofulvin) ✅
D. Steroids
Rationale:
Tinea capitis requires systemic therapy, not topical.
8.
A patient on griseofulvin shows improvement but not cure after 4 weeks. What should the NP do?
A. Stop therapy
B. Switch drug immediately
C. Renew prescription after lab monitoring ✅
D. Add antibiotics
Rationale:
Griseofulvin requires long-term therapy + monitor liver, renal, hematologic function.
9.
A patient has ring-shaped lesions with central clearing. What should be prescribed?
A. Steroids
B. Antibiotics
C. Miconazole (Lotrimin AF) ✅
D. Antivirals
Rationale:
Classic tinea corporis → treat with topical antifungals.
10.
Tinea corporis is not improving with ketoconazole. Next step?
A. Increase dose
B. Switch to steroid
C. Obtain culture of infection site ✅
D. Stop therapy
UPDATE | 100% CORRECT
1.
A parent asks about using a topical antihistamine for a toddler with atopic dermatitis. What should the
NP advise?
A. Topical antihistamines are safe for all pediatric patients
B. They are preferred over corticosteroids
C. Topical antihistamines can cause systemic toxicity in children ✅
D. They should be used daily for prevention
Rationale:
Topical antihistamines (e.g., diphenhydramine) can be systemically absorbed in children → risk of
toxicity (CNS excitation, seizures). They are not recommended for atopic dermatitis.
2.
A 5-year-old has atopic dermatitis unresponsive to hydrocortisone 2.5%. What is the next step?
A. Increase hydrocortisone frequency
B. Switch to oral steroids
C. Prescribe triamcinolone acetonide ✅
D. Use antihistamines only
Rationale:
Moderate-potency steroids like triamcinolone are indicated when low-potency agents fail.
3.
A patient’s severe contact dermatitis has resolved after clobetasol. What should the NP do next?
A. Stop all therapy immediately
B. Continue clobetasol long-term
C. Step down to triamcinolone for 2 weeks ✅
D. Switch to oral steroids
Rationale:
High-potency steroids (clobetasol) are not for prolonged use → taper to medium potency to prevent
rebound.
,4.
A patient using fluocinolone shows partial improvement after 2 weeks. What is the next step?
A. Stop medication
B. Switch to antibiotics
C. Continue therapy for 3–4 more weeks ✅
D. Start systemic steroids
Rationale:
Persistent inflammation requires continued topical corticosteroid therapy until resolution.
5.
A patient with refractory atopic dermatitis needs alternative therapy. What should the NP prescribe?
A. Oral steroids
B. Antibiotics
C. Pimecrolimus (Elidel) ✅
D. Antifungals
Rationale:
Topical calcineurin inhibitors (e.g., pimecrolimus) are used when steroids fail or are contraindicated.
6.
A patient treated for scabies has residual itching but no new burrows. What is the management?
A. Repeat permethrin
B. Start oral ivermectin
C. Prescribe triamcinolone 0.1% ✅
D. Begin antibiotics
Rationale:
Post-scabetic pruritus is inflammatory, not active infection → treat with corticosteroids.
7.
A child presents with annular lesions on face and scalp. What is the treatment?
, A. Topical antifungal
B. Antibiotics
C. Oral antifungal (e.g., griseofulvin) ✅
D. Steroids
Rationale:
Tinea capitis requires systemic therapy, not topical.
8.
A patient on griseofulvin shows improvement but not cure after 4 weeks. What should the NP do?
A. Stop therapy
B. Switch drug immediately
C. Renew prescription after lab monitoring ✅
D. Add antibiotics
Rationale:
Griseofulvin requires long-term therapy + monitor liver, renal, hematologic function.
9.
A patient has ring-shaped lesions with central clearing. What should be prescribed?
A. Steroids
B. Antibiotics
C. Miconazole (Lotrimin AF) ✅
D. Antivirals
Rationale:
Classic tinea corporis → treat with topical antifungals.
10.
Tinea corporis is not improving with ketoconazole. Next step?
A. Increase dose
B. Switch to steroid
C. Obtain culture of infection site ✅
D. Stop therapy
