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NR 511 Week 3 Quiz

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John Marsh
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NR 511 Week 3 Quiz questions and answers

Chamberlain College of Nursing

Question 1
Sharon, a 47-year-old bank teller, is seen by the nurse practitioner in the office for
a red eye. You are trying to decide between a diagnosis of co

Question 2
A 3-year-old patient presents to your pediatric office with her mother. She has
recently started in day care. Her mother noted slight perioral erythema on the
right side of the patient’s mouth last night before bed. The patient awoke today
with 3 small, superficial, honey-colored vesicles where the erythema was last
night. The patient has no surrounding erythema presently. She had no difficulty
eating this morning and is active and energetic and doesn’t appear lethargic or
fatigued. She is also afebrile. How would you treat this child?

Question 3
A rash that looks like the patient was slapped on the cheeks of the face is the
hallmark characteristic for which disease?

Question 4
Mrs. Johnson, a 54-year-old accountant, presents to the office with a painful red
eye without discharge. You should suspect:

Question 5
Henry, 64 years old, is having difficulty getting rid of a corneal infection. He asks
why. How do you respond?

Question 6
A 27-year-old female comes into your primary care office complaining of a
perioral rash. The patient noticed burning around her lips a couple days ago that
quickly went away. She awoke from sleep yesterday and noticed a group of
vesicles with erythematous bases where the burning had been before. There is no
burning today. She is afebrile and has no difficulty eating or swallowing. What
test would confirm her diagnosis?

Potassium hydroxide (KOH) prep.
Sterile culture sent for aerobic and anaerobic bacteria.
Tzanck smear.
Exam under a Wood lamp
This would show giant cells consistent with herpes simplex virus. KOH and wood’s lamp
are used to diagnose fungal infections. Cultures can be sent to diagnose bacterial
infection’s but it will not detect HSV.

Question 7
A 20-year-old male presents to your office in the summer complaining of chest
discoloration. He is a lifeguard and has been out in the sun without a shirt on for long
periods of time. His physical exam shows small, flat, circular, hypopigmented macules
on his chest that he states are mildly pruritic. What is the treatment of choice for this
diagnosis?

Oral fluconazole.
Hydrocortisone cream 1%.
Ketoconazole shampoo.
Selenium sulfide shampoo.
Selenium sulfide shampoo is the treatment of choice for tinea versicolor.
Ketaconozole is not the treatment for tinea versicolor but it can be used for recurrence
prevention in resolved cases. Oral fluconazole is only the treatment in severe cases that
are resistant to topical treatments.

Question 8

A 4-year-old male presents to your pediatric clinic with his mother complaining of an
itchy rash, mostly between his fingers. This has been going on for multiple days and has
been getting worse. The patient recently started at a new day care. On physical exam,
the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 located in
the web spaces between his fingers. He also has signs of excoriation. What is the
treatment for this problem?

Question 9
Mary, age 82, presents with several eye problems. She states that her eyes are
always dry and look “sunken in.” What do you suspect?

Hypothyroidism.
Cushing syndrome.
A detached retina.
Normal age-related changes.
Dryness of the eyes and the appearance of “sunken” eyes are normal age-related
changes.

Question 10
A 25-year-old male presents with “bleeding in my eye” for 1 day. He awoke this
morning with a dark area of redness in his eye. He has no visual loss or changes.
He denies constitutional symptoms, pruritus, drainage, or recent trauma. The
redness presents on physical exam as a dark red area in the patient’s sclera of
the right eye only and takes up less than 50% of the eye. The patient’s remaining
sclera is clear and white. He also notes he was drinking alcohol last night and
vomited afterward. What is the best treatment?

Sending the patient to the emergency department for immediate ophthalmology consult.
Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.
Cold compresses and frequent handwashing.
Topical steroids and close follow-up with an ophthalmologist.
This is the classic presentation of a subconjunctival hemorrhage. It will resolve without
treatment in 2 to 4 weeks. Vomiting probably caused his hemorrhage.

Question 11
Which of the following patients does not have an increased risk of Candida infection?

A patient requiring home antibiotics while recovering from an operation for an infected
hernia.
A patient with a history of coronary artery disease.
A patient using a steroid regimen for asthma control.
A diabetic patient.
Coronary artery disease doesn’t increase the risk of Candida infection.

Question 12
A 22-year-old college student presents to your urgent care clinic complaining of a
rash. She was recently on spring break and spent every night in the hot tub at her
hotel. On physical exam, she has multiple small areas of 1- to 2-mm erythematous
pustules that are present mostly where her bathing suit covered her buttocks.
What is the most likely pathogen causing these lesions?

Streptococcus.
Klebsiella.
Pseudomonas aeruginosa.
Staphylococcus aureus.
This is a common cause of hot tub folliculitis. Staph and Strep can cause folliculitis but it
is not the most common pathogens in hot tubs. Klebsiella can cause folliculitis in the
immunocompromised patient.

Question 13

A 25-year-old male presents to your urgent care clinic complaining of genital pruritus.
On physical exam, the patient has small, erythematous, excoriated papules in his pubic
hair. No mites are identified. There is no penile discharge, and the patient has no
constitutional symptoms. He is sexually active but wears condoms during all sexual
experiences. What is the most likely diagnosis?

Scabies.
Pediculosis.

Chlamydia.

Gonorrhea.
This is a common presentation of genital lice.

Question 14
A 10-year-old male presents to the office with his mother with complaints of itchy and
red eyes for 1 day. He reports watery drainage in both eyes, associated with repetitive
itching. He has no fever or constitutional symptoms. The patient has a sibling that just
started day care recently. Upon examination, vision is 20/20 OU with glasses. He has
mild to moderate conjunctival hyperemia with bilateral preauricular lymph nodes that are
inflamed. What is the patient’s diagnosis?

Allergic conjunctivitis.

Bacterial conjunctivitis.

Blepharitis.
Viral conjunctivitis.
This is the classic presentation of viral conjunctivitis. The patient also has exposure to
kids at school and a sibling with day care exposure.

Question 15

You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should include:
Correct!
Supportive measures and lubricating drops (artificial tears).

Oral erythromycin for 14 days.

Gentamicin ophthalmic ointment.

Ciprofloxacin ophthalmic drops.
Viral conjunctivitis is treated with supportive measures, including cold compresses and
lubricating eye drops. Preventive measures, such as frequent handwashing, are
important, as viral conjunctivitis is highly contagious.

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