NURS 6111 EXAM 1 NURSING ADVANCED PRACTICE / FAMILY NURSE PRACTITIONER
COMPLETE EXAM STUDY GUIDE AND PRACTICE QUESTIONS
1. Screening: Obesity: BMI
2. Screening: Cancer: Family hx, Smoking
3. Screening: Heart Disease: Hx, Labs, BP
4. Screening: DM: Hx, A1C
5. Screening: Metabolic Syndrome: BMI, Waist-Hip ratio, BP, FBS, Lipids
6. Screening: Dyslipidemia: Lipid Panel
7. Screening: PAD: ABI
8. Screening: TB: PPD
9. Screening: Osteoporosis: DEXA Scan- starting age 65 (female)
10. Screening: Breast Cancer: 1. Mammography: starting age 40
2. USPSTF recommends age 50 every 2 years
11. Screening: Cervical Cancer: Pap Smear starting age 21
12. Screening: Colon Cancer: Colonoscopy starting age 45
13. Immunization: Shingles: 1. Shingrix at age 50+, 2 doses (2nd dose admin 2-6 months after 1st dose)
2. Can get Shingrix if: already had shingles, have been vaccinated against Shingles with Zostavax, and are not sure if
you've had chickenpox
14. Immunization: Pneumonia: 1. Pneumococcal vaccine (PCV 15 or PCV 20)
2. PCV 15 follow with PPSV23 1 year later
3. PCV 20, no need for PPSV23
-Interval of 8 weeks for immunocompromised, cochlear implant, cerebrospinal fluid
15. what is Dermatitis?: Common skin irritation
16. General Atopic Dermatits: Eczema
1. Occurs in flexural locations of skin
2. Often caused by genetic mutations or propensity for allergy
3. Most often occurs in children age 5 or younger
17. General Contact Dermatitis: 1. Caused by rxn to to chemical exposure (substance, plant)
2. Less common in younger children
3. Occurs at site of chemical exposure
18. Atopic Dermatitis definition: Intermittent exacerbations and remissions of dry, itchy skin
19. Atopic: areas affected: behind knees/ elbows, hands, feet, upper chest, ankles, wrists, neck, eyelids
-infants: face, scalp
, NURS 6111 EXAM 1 NURSING ADVANCED PRACTICE / FAMILY NURSE PRACTITIONER
COMPLETE EXAM STUDY GUIDE AND PRACTICE QUESTIONS
20. What is Atopic associated with (diseases): asthma, urticaria, allergic rhinitis (hay fever), atopic
diseases (IgE)
21. Atopic: Assessment: pruritus, dry and scaly skin, erythema, lichenification, flexural folds, linear excori-
ations
22. Atopic Tx: Pharm: -Topical cortico/steroid: Triamcinolone (or hydrocortisone)
-Antihistamine: Clartin, Zytec, Benadryl
23. Atopic Tx: Non-Pharm: -Cool humified environment
-Shower in lukewarm/ tepid water (not hot water)
-Pat skin dry (no rub)
-Lubricate skin: Aquaphor, Celaphil
-Control itching
24. Contact Dermaitis: Definition: a red, itchy rash caused by direct contact with substance or an
allergic rxn to it (not contagious or life-threatening)
25. Contact Dermatitis: Causes: Soaps, fragrances, jewelry, plants, cosemtius
26. Contact Derm: Tx: -Need to identify and avoid cause of rxn
-Antihistamines
-Topical corticosterioids: Triamcinolone (0.1% to attected area), Hydrocortisone, baclomethodone
-Soothing skin with cool, wet compresses
27. Most common bacteria that causes skin infection: 1. S. Aureus
2. S. pyogenes
28. Most common Gram positive bacteria: Staph, MRSA
29. Most common Gram negative bacteria: -frequently present in wound infections caused by
animal bites, trauma, surgery, or infected water
-E.Coli, pseudomonas aeruginosa, proteus mirabilis
30. SSTI Types: Purulent and Non-Purulent
31. Purulent Types: folliculitis, furucle, carbuncle, abscess
32. Non-Purulent Types: cellulitis, erysipelas, necrotizing infection
33. Purulent infection: most commonly caused by: S. Aureus and MRSA
34. Purulent Infection: most common in (people): athletes, shaving, waxing hot tubes
35. where does purulent infections most commonly occur: in areas with coarse hair
(axilla, peroneal area)
, NURS 6111 EXAM 1 NURSING ADVANCED PRACTICE / FAMILY NURSE PRACTITIONER
COMPLETE EXAM STUDY GUIDE AND PRACTICE QUESTIONS
36. Purulent clinical presentation & DS: -pustule in hair shaft
-tenderness, redness
-culture: for recurrent furuncles and for carbuncles
-Usually no diagnostic tests
-If MRSA suspected: culture nares and axilla
37. Initial Tx of Purulent infections: -hygiene
-warm, moist compress
-betadine/ hibiclens wash or
-chlorhexidine containing antiseptic cleanser daily for 1-2 weeks
38. Tx for topical for simple folliculitis: -Mupirocin 2% TID
-Clindamycin 1% gel BID
-do not use oral antibiotics
39. Purulent SSTI Tx: -1st Line= Incision and drainage
-Labs: C & S
40. Patient with carbuncle what is treatment of choice?: Cephalexin (Keflex) 500 mg q12
hrs x 10 days
41. Tx: oral for more complicated furuncle, carbuncle, and abscess: -1st line incision
and drainage
-antibiotics: SMX/ TMP (Bactrim DS): 800/160 mg;
Clindamycine (Cleocin): 450 PO TID for 7 days;
Doxycycline (Vibramycin): 100 mg PO BID for 7 days
42. Non-Purulent: most common organism: Strep
43. Non-Purulent infections: bacteria enters through break in skin (not contagious)
44. Non-Purulent: clinical presentation: -red, swollen, and painful area; warm & tender to touch
-skin may look pitted or blisters
-can appear anywhere on body (most common feet and legs)
-some people develop fever and chills (go to ER)
45. Non-Purulent Tx: -Cephalexin (Keflex) 500 mg PO 4x/day 5-7 days
-Cefuroxime (Zinacef) 500 mg PO 2x/day for 5-7 days
-Cefadroxil (Duricef) Ig PO once daily for 5-7 days
-If severe PCN allergy= clindamycin (clocin) 450 mg PO 3x/day
COMPLETE EXAM STUDY GUIDE AND PRACTICE QUESTIONS
1. Screening: Obesity: BMI
2. Screening: Cancer: Family hx, Smoking
3. Screening: Heart Disease: Hx, Labs, BP
4. Screening: DM: Hx, A1C
5. Screening: Metabolic Syndrome: BMI, Waist-Hip ratio, BP, FBS, Lipids
6. Screening: Dyslipidemia: Lipid Panel
7. Screening: PAD: ABI
8. Screening: TB: PPD
9. Screening: Osteoporosis: DEXA Scan- starting age 65 (female)
10. Screening: Breast Cancer: 1. Mammography: starting age 40
2. USPSTF recommends age 50 every 2 years
11. Screening: Cervical Cancer: Pap Smear starting age 21
12. Screening: Colon Cancer: Colonoscopy starting age 45
13. Immunization: Shingles: 1. Shingrix at age 50+, 2 doses (2nd dose admin 2-6 months after 1st dose)
2. Can get Shingrix if: already had shingles, have been vaccinated against Shingles with Zostavax, and are not sure if
you've had chickenpox
14. Immunization: Pneumonia: 1. Pneumococcal vaccine (PCV 15 or PCV 20)
2. PCV 15 follow with PPSV23 1 year later
3. PCV 20, no need for PPSV23
-Interval of 8 weeks for immunocompromised, cochlear implant, cerebrospinal fluid
15. what is Dermatitis?: Common skin irritation
16. General Atopic Dermatits: Eczema
1. Occurs in flexural locations of skin
2. Often caused by genetic mutations or propensity for allergy
3. Most often occurs in children age 5 or younger
17. General Contact Dermatitis: 1. Caused by rxn to to chemical exposure (substance, plant)
2. Less common in younger children
3. Occurs at site of chemical exposure
18. Atopic Dermatitis definition: Intermittent exacerbations and remissions of dry, itchy skin
19. Atopic: areas affected: behind knees/ elbows, hands, feet, upper chest, ankles, wrists, neck, eyelids
-infants: face, scalp
, NURS 6111 EXAM 1 NURSING ADVANCED PRACTICE / FAMILY NURSE PRACTITIONER
COMPLETE EXAM STUDY GUIDE AND PRACTICE QUESTIONS
20. What is Atopic associated with (diseases): asthma, urticaria, allergic rhinitis (hay fever), atopic
diseases (IgE)
21. Atopic: Assessment: pruritus, dry and scaly skin, erythema, lichenification, flexural folds, linear excori-
ations
22. Atopic Tx: Pharm: -Topical cortico/steroid: Triamcinolone (or hydrocortisone)
-Antihistamine: Clartin, Zytec, Benadryl
23. Atopic Tx: Non-Pharm: -Cool humified environment
-Shower in lukewarm/ tepid water (not hot water)
-Pat skin dry (no rub)
-Lubricate skin: Aquaphor, Celaphil
-Control itching
24. Contact Dermaitis: Definition: a red, itchy rash caused by direct contact with substance or an
allergic rxn to it (not contagious or life-threatening)
25. Contact Dermatitis: Causes: Soaps, fragrances, jewelry, plants, cosemtius
26. Contact Derm: Tx: -Need to identify and avoid cause of rxn
-Antihistamines
-Topical corticosterioids: Triamcinolone (0.1% to attected area), Hydrocortisone, baclomethodone
-Soothing skin with cool, wet compresses
27. Most common bacteria that causes skin infection: 1. S. Aureus
2. S. pyogenes
28. Most common Gram positive bacteria: Staph, MRSA
29. Most common Gram negative bacteria: -frequently present in wound infections caused by
animal bites, trauma, surgery, or infected water
-E.Coli, pseudomonas aeruginosa, proteus mirabilis
30. SSTI Types: Purulent and Non-Purulent
31. Purulent Types: folliculitis, furucle, carbuncle, abscess
32. Non-Purulent Types: cellulitis, erysipelas, necrotizing infection
33. Purulent infection: most commonly caused by: S. Aureus and MRSA
34. Purulent Infection: most common in (people): athletes, shaving, waxing hot tubes
35. where does purulent infections most commonly occur: in areas with coarse hair
(axilla, peroneal area)
, NURS 6111 EXAM 1 NURSING ADVANCED PRACTICE / FAMILY NURSE PRACTITIONER
COMPLETE EXAM STUDY GUIDE AND PRACTICE QUESTIONS
36. Purulent clinical presentation & DS: -pustule in hair shaft
-tenderness, redness
-culture: for recurrent furuncles and for carbuncles
-Usually no diagnostic tests
-If MRSA suspected: culture nares and axilla
37. Initial Tx of Purulent infections: -hygiene
-warm, moist compress
-betadine/ hibiclens wash or
-chlorhexidine containing antiseptic cleanser daily for 1-2 weeks
38. Tx for topical for simple folliculitis: -Mupirocin 2% TID
-Clindamycin 1% gel BID
-do not use oral antibiotics
39. Purulent SSTI Tx: -1st Line= Incision and drainage
-Labs: C & S
40. Patient with carbuncle what is treatment of choice?: Cephalexin (Keflex) 500 mg q12
hrs x 10 days
41. Tx: oral for more complicated furuncle, carbuncle, and abscess: -1st line incision
and drainage
-antibiotics: SMX/ TMP (Bactrim DS): 800/160 mg;
Clindamycine (Cleocin): 450 PO TID for 7 days;
Doxycycline (Vibramycin): 100 mg PO BID for 7 days
42. Non-Purulent: most common organism: Strep
43. Non-Purulent infections: bacteria enters through break in skin (not contagious)
44. Non-Purulent: clinical presentation: -red, swollen, and painful area; warm & tender to touch
-skin may look pitted or blisters
-can appear anywhere on body (most common feet and legs)
-some people develop fever and chills (go to ER)
45. Non-Purulent Tx: -Cephalexin (Keflex) 500 mg PO 4x/day 5-7 days
-Cefuroxime (Zinacef) 500 mg PO 2x/day for 5-7 days
-Cefadroxil (Duricef) Ig PO once daily for 5-7 days
-If severe PCN allergy= clindamycin (clocin) 450 mg PO 3x/day
