NR 602 Dermatology QBank Questions and Answers

A microscopic examination of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate? (Fungal) 

A child with a sandpaper-textured rash probably has: (Strep infection) 

A 40-year-old female patient presents to the clinic with multiple, painful reddened nodules on the anterior surface of both legs. She is concerned. These are probably associated with her history of: (ulcerative colitis) 

A patient is diagnosed with tinea pedis. A microscopic examination of the sample taken from the infected area would likely demonstrate: (hyphae) 

When can a child with chickenpox return to daycare? (After all lesions have crusted) 

A patient with a primary case of scabies was probably infected: (3-4 weeks ago)

The nurse practitioner examines a patient who has had poison ivy for 3 days. She asks if she can spread it to her family members. The nurse practitioner replies: (“No, transmission does not occur from the blister’s contents”)

Which chronic skin disorder primarily affects hairy areas of the body? (Seborrheic dermatitis

A patient with diabetes has right anterior shin edema, erythema, warmth, and tenderness to touch. This developed over the past 3 days. There is no visible pus. What is the most likely diagnosis to consider? (Cellulitis) 

The agent commonly used to treat patients with scabies is permethrin. How often should it be applied to eradicate scabies? (Once)

Impetigo is characterized by: (honey-colored crusts)

A 60-year-old patient is noted to have rounding of the distal phalanx of the fingers. What might have caused this? (Hepatic cirrhosis)

A patient has suspected scarlet fever. He likely has a sandpaper rash and: (a positive rapid Strep test) 

A patient with a positive history of a tick bite about 2 weeks ago and erythema migrans has a positive ELISA for Borrelia burgdorferi. The Western blot is positive. How should he be managed? (He should receive doxycycline for Lyme disease) 

A patient will be taking oral terbinafine for fingernail fungus. The NP knows that: (terbinafine is an inhibitor of the CYP 2D6 enzymes) 

A skin lesion that is a solid mass is described as a: (papule)

The nurse practitioner is examining a 3-month-old infant who has normal development. She has identified an alopecic area at the occiput. What should be done? (Encourage the caregiver to change the infant’s head position) 

The most common form of skin cancer is: (basal cell carcinoma) 

The nurse practitioner identifies satellite lesions in a 6-month-old infant. These are: (indicative of candidal infection) 

A patient who is at high risk for skin cancer should: (examine his skin monthly for changes) 

An example of a premalignant lesion that develops on sun-damaged skin is: (actinic keratosis)

Which of the following areas of the body has the greatest percutaneous absorption? (Genitalia)

The main difference between cellulitis and erysipelas is the: (layer of skin involvement) 

Most cases of atopic dermatitis exacerbation are treated with: (topical steroids)

A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely etiology? (Viral etiology) 

A pregnant mother in her first trimester has a 5-year-old who has Fifth Disease. What implication does this have for the mother? (There is a risk of fetal death if she becomes infected) 

A 74-year-old woman is diagnosed with shingles. The NP is deciding how to best manage her care. What should be prescribed? (An oral antiviral agent) 

An adolescent has acne. The nurse practitioner prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide? (Photosensitivity of the skin can occur) 

A 70-year-old is diagnosed with multiple cherry angiomas. The nurse practitioner knows that: (these may bleed profusely if ruptured)

A patient has seborrheic dermatitis. Which vehicle would be most appropriate to use in the hairline area to treat this? (Foam) 

A patient with eczema asks for a recommendation for a skin preparation to help with xerosis. What should the NP respond? (Use a petroleum-based product) 

A topical treatment for basal cell carcinoma is: (5-fluorouracil)

The most common place for basal cell carcinoma to be found is the: (Face) 

An infant is diagnosed with diaper dermatitis. Satellite lesions are visible. This should be treated with a: (topical antifungal agent) 

A 3-year-old female had a fever of 102° F for the last 3 days. Today she woke up from a nap and is afebrile. She has a maculopapular rash. Which statement is true? (The rash will blanch) 

A 71-year-old female presents with a vesicular rash that burns and itches. Shingles is diagnosed. An oral antiviral: (should be started within 72 hours of the onset of symptoms) 

A skin disorder has a hallmark finding of silvery scales. What word below describes this common condition? (Chronic)

A child has 8-10 medium brown café au lait spots > 1 cm in diameter. The differential diagnosis should include: (neurofibromatosis) 

A low-potency topical hydrocortisone cream would be most appropriate in a patient who has been diagnosed with: (atopic dermatitis) 

A patient is found to have koilonychia. What laboratory test would be prudent to perform? (Complete blood count) 

A 23-year-old male appears in clinic with the following lesion on his trunk. This lesion is usually associated with: (pityriasis rosea) 

A 28-year-old has thick, demarcated plaques on her elbows. Which features are suggestive of psoriasis? (Silvery scales that are not pruritic) 

Which of the following skin lesions in an older adult is a premalignant condition? (Actinic keratosis) 

A patient presents with plaques on the extensor surface of the elbows, knees, and back. The plaques are erythematous and thick, silvery scales are present. This is likely: (plaque psoriasis) 

A 15-year-old male has worked this summer as a lifeguard at a local swimming pool. He complains of itching in the groin area. He is diagnosed with tinea cruris. The nurse practitioner is likely to identify: (well marginated half-moon macules on the inner thigh) 

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