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NSG 6420 Week 7 Quiz – Question and Answers – South University

1. 1. When a patient presents with a skin-related complaint, it is important to first:
2. The appearance of a 2-10 cm. herald patch with subsequent development of parallel oval lesions on the trunk in a christmas tree distribution involving the upper arms and upper legs are common in
3. Mr. Fitzgerald is a 68-year-old previously healthy man with a history of significant sun exposure who presents with a progressively enlarging 18 x 16 mm erythematous pruritic oval patch on his left forearm that has been present for three to four years. Your differential would include all of the following EXCEPT:
4. Which of the following dermatological conditions results from reactivation of the dormant varicella virus?
5. What kind of lesions are caused by the herpes simplex virus?
6. An older adult male presents with pain in his right chest wall for the past 48 hours. Upon examination, the nurse practitioner notices a vesicular eruption along the dermatome and identifies this as herpes zoster. The NP informs the gentleman that:
7. Among the following conditions, which needs to be treated with systemic antifungal agents?
8. A 70-year-old white male comes to the clinic with a slightly raised, scaly, pink, and irregular lesion on his scalp. He is a farmer and works outside all day. You suspect actinic keratosis, but cannot rule out other lesions. What recommendation would you give him?
9. Which lesions are typically located along the distribution of dermatome?
10. The immunofluorescent antibody (IFA) is a laboratory test used to diagnose which of the following disorders?
11. Folliculitis is most commonly due to:
12. A wound with drainage and foul odor should be cleansed with:
13. The anti-inflammatory properties of topical corticosteroids result in part from their ability to induce vasoconstriction to the small blood vessels in the upper dermis. Of the following, which is the most potent topical corticosteroid?
14. A patient has a tender, firm, nodular cystic lesion on his scalp that produces cheesy discharge with foul odor. This is most likely a:
15. Patient presents with complaint of a “swollen node” under his arm. The area is tender and the node has progressed in size over the past few days. Which of the following should be included in your differential diagnosis
16. A patient suffered a laceration of the shin three days ago, and today presents with a painful, warm, red swollen region around the area. The laceration has a purulent exudate. The clinician should recognize that the infected region is ….
17. A full thickness pressure ulcer is partially covered with eschar and the surrounding tissue is reddened. Which of the following is the most appropriate treatment for this condition?
18. A woman complains of malaise and arthralgias. You note a butterfly-shaped, macular, erythematous rash across her cheeks and nose. These conditions are common in:
19. In examining the skin of your nursing home patient, you note a “stained glass” brownish mark on the face. Which of the following lesions best describes a …..glass brownish mark?
20. Patients who have an underlying tinea infection to the cellulitis should also be ….with which one of the following?
21. Identify the type of malignant melanoma that is associated with the Hutchinson’s sign of the cuticle of the finger nsg 6420 week 7 quiz
22. A smooth round nodule with a pearly gray border and central induration best describes which skin lesion?
23. Cellulitis is a deep skin infection involving the dermis and subcutaneous tissues. The nurse practitioner suspects cellulitis in a 70-year-old Asian diabetic male presenting with reddened edematous skin around his nares. Which statement below will the nurse practitioner use in her decision-making process for the differential diagnosis pertaining to reddened edematous skin?
24. An 82-year-old female has a “pimple” on his nose that occasionally bleeds and may have increased in size in the past year. The lesion is a 0.7-cm, dome-shaped, umbilicated papule with pearly translucence. There is also a hemorrhagic crust covering the central portion. Which of the following is the most likely diagnosis?
25. Which of the following is generally not a first-line treatment for post herpetic neuralgia?
26. A nursing home resident with a Stage 4 pressure ulcer that extends to the muscle layer and has significant undermining with heavy exudate should be treated with:
27. Which of the following descriptions accurately documents cellulitis?
28. Asymmetrical bi-color lesion with irregular border measuring 8 mm is found on the right lower arm of an adult patient. This assessment finding is consistent with:
29. Which of the following descriptions best illustrates assessment findings consistent with tinea capitis?
30. A hyperkeratatotic nodule formed as the result of exposure of the foot to moisture from perspiration is ….
31. 64-year-old male presents with an exacerbation of psoriasis. His social history includes 50-year two packs a day of cigarettes and a six-pack a week of beer. He states he had a recent sore throat, which he attributes to minding his young grandson. He reports that until recently the pruritis was only minimal. His BMI is 37. Which of the following factors most likely contributed to the acute presentation of psoriasis?
32. Treatment of complicated cellulitis of the lower extremity resulting from an anaerobe requires all of the following except: