Page 1 of 36
NURS 651 EXAM 1 MARYVILLE UNIVERSITY LATEST
ACTUAL EXAM 75 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
12 month old male
Past 3 months increased erythema and pruritus
scratches all night, sheets bloody in the am
family history of allergic rhinitis and asthma .....ANSWER.....Acute
atopic dermatitis
treatment for acute atopic dermatitis .....ANSWER.....Daily
lukewarm bath 5-20min, mild or no soap.
pat dry after bath, add emollient, ie. aquaphor
Repeat emollient with each diaper change
Topical steroids first line, least potent first
,Page 2 of 36
calcineurini inhibitors to face (tacrolimus, and pimecrolimus)
Consider bleach baths and wet wraps
14 year old female, healthy
Itchy rash on stomach and feet
dryness, erythema, irritated
Tried to treat with topical steroids at home, moisturizer and lots
of bath and body works creams .....ANSWER.....Contact
dermatitis
Treatment for contact dermatitis .....ANSWER.....Remove
offending agent ( nickel allergy to jeans buttons, rubber from
latex flip flops)
Clean area, treat with emoillents
Topical steroids
will not recur if agent is avoided
,Page 3 of 36
can occur from poison ivy, latex, fragrances
11 year old female healthy
developed rash over last week
intense pruritic circular raised papular rash .....ANSWER.....Insect
bites due to bed bugs
Information about bed bugs .....ANSWER.....Visible to naked eye,
small
Wingless
Yellow to reddish oval shaped, prominent eyes
Mostly night feeders, attracted to warm blooded animals and
humans
Life cycle: egg 4-5 days, nymph state 5 stages, adult 1 year,
Can survive 1 year without feeding
Hide in luggage, mattresses, box springs, clothing
, Page 4 of 36
Signs and symptoms of bed bug insect bites
.....ANSWER.....Erythemous papule with or wheal 2-5mm with
punctuate center
Most common reaction small inflamed
Itchy bump where each bite occurred ( resolves in 1-2 weeks if
not exposed further)
can become widespread bullies rash
Other factors of when to consider bed bug diagnosis
.....ANSWER.....recent travel, pruritic papule noted on awakening,
skin reaction with linear configuration
Treatment of bed bugs .....ANSWER.....professional pest
management
all mattresses should be checked for dark stains usually around
the head of bed, use scraper to remove.
NURS 651 EXAM 1 MARYVILLE UNIVERSITY LATEST
ACTUAL EXAM 75 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
12 month old male
Past 3 months increased erythema and pruritus
scratches all night, sheets bloody in the am
family history of allergic rhinitis and asthma .....ANSWER.....Acute
atopic dermatitis
treatment for acute atopic dermatitis .....ANSWER.....Daily
lukewarm bath 5-20min, mild or no soap.
pat dry after bath, add emollient, ie. aquaphor
Repeat emollient with each diaper change
Topical steroids first line, least potent first
,Page 2 of 36
calcineurini inhibitors to face (tacrolimus, and pimecrolimus)
Consider bleach baths and wet wraps
14 year old female, healthy
Itchy rash on stomach and feet
dryness, erythema, irritated
Tried to treat with topical steroids at home, moisturizer and lots
of bath and body works creams .....ANSWER.....Contact
dermatitis
Treatment for contact dermatitis .....ANSWER.....Remove
offending agent ( nickel allergy to jeans buttons, rubber from
latex flip flops)
Clean area, treat with emoillents
Topical steroids
will not recur if agent is avoided
,Page 3 of 36
can occur from poison ivy, latex, fragrances
11 year old female healthy
developed rash over last week
intense pruritic circular raised papular rash .....ANSWER.....Insect
bites due to bed bugs
Information about bed bugs .....ANSWER.....Visible to naked eye,
small
Wingless
Yellow to reddish oval shaped, prominent eyes
Mostly night feeders, attracted to warm blooded animals and
humans
Life cycle: egg 4-5 days, nymph state 5 stages, adult 1 year,
Can survive 1 year without feeding
Hide in luggage, mattresses, box springs, clothing
, Page 4 of 36
Signs and symptoms of bed bug insect bites
.....ANSWER.....Erythemous papule with or wheal 2-5mm with
punctuate center
Most common reaction small inflamed
Itchy bump where each bite occurred ( resolves in 1-2 weeks if
not exposed further)
can become widespread bullies rash
Other factors of when to consider bed bug diagnosis
.....ANSWER.....recent travel, pruritic papule noted on awakening,
skin reaction with linear configuration
Treatment of bed bugs .....ANSWER.....professional pest
management
all mattresses should be checked for dark stains usually around
the head of bed, use scraper to remove.
