Dermatology - BURNS - Ch. 34 Exam Questions and Answers
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Course
Burns
Institution
Burns
1. The primary care pediatric nurse practitioner is teaching a parent of a
child with dry skin about hydrating the skin with bathing. What will the nurse
practitioner include in teaching?
A. Apply lubricating agents at least 1 hour after the bath.
B. Have the child soak in a lukewarm water ba...
Dermatology - BURNS - Ch. 34 Exam
Questions and Answers
1. The primary care pediatric nurse practitioner is teaching a parent of a
child with dry skin about hydrating the skin with bathing. What will the nurse
practitioner include in teaching?
A. Apply lubricating agents at least 1 hour after the bath.
B. Have the child soak in a lukewarm water bath.
C. Keep the child in the bath until the skin begins to "prune."
D. Soaping should be done at the beginning of the bath. - Answer-B. Have the child
soak in a lukewarm water bath.
2. A child will need an occlusive dressing to treat lichen simplex chronicus.
What will the primary care pediatric nurse practitioner tell the parents about
applying this treatment?
A. Apply ointment before the dressing.
B. Plastic wrap should not be used.
C. The dressing should be applied to dry skin.
D. Change the dressing twice daily. - Answer-A. Apply ointment before the dressing.
3. When prescribing topical glucocorticoids to treat inflammatory skin
conditions, the primary care pediatric nurse practitioner will
A. initiate therapy with a highpotency glucocorticoid.
B. order lotions when higher potency is necessary.
C. prescribe brandname preparations for consistent effects.
D. use fluorinated steroids to minimize adverse effects. - Answer-C. prescribe
brandname preparations for consistent effects.
4. A preschool age child has honey crusted lesions on erythematous, eroded
skin around the nose and mouth, with satellite lesions on the arms and legs.
The child's parent has several similar lesions and reports that other children in the day
care have a similar rash. How will this be treated?
A. Amoxicillin 40 to 5 mg/kg/day for 7 to 10 days
B. Amoxicillinclavulanate 90 mg/kg/day for 10 days
C. Bacitracin cream applied to lesions for 10 to 14 days
D. Mupirocin ointment applied to lesions until clear - Answer-B. Amoxicillinclavulanate
90 mg/kg/day for 10 days
5. A child is brought to clinic with several bright red lesions on the buttocks.
The primary care pediatric nurse practitioner examines the lesions and notes
, sharp margins and an "orange peel" look and feel. The child is afebrile and does not
appear toxic. What is the .course of treatment for these lesions?
A. Hospitalize the child for intravenous antibiotics and possible I&D of the
lesions.
B. Initiate empiric antibiotic therapy and follow up in 24 hours to assess response.
C. Obtain blood cultures prior to beginning antibiotic treatment.
D. Perform gram stain and culture of the lesions before initiating
antibiotics. - Answer-B. Initiate empiric antibiotic therapy and follow up in 24 hours to
assess response.
6. An adolescent who recently spent time in a hot tub while on vacation has
discrete, erythematous 1 to 2mm papules that are centered around hair
follicles on the thighs, upper arms, and buttocks. How will the primary care
pediatric nurse practitioner manage this condition?
A. Culture the lesions and treat with appropriate IM antibiotics.
B. Hospitalize for incision and drainage and intravenous antibiotics.
C. Order an antistaphylococcal betalactamaseresistant
antibiotic.
D. Prescribe topical keratolytics and topical antibiotics. - Answer-D. Prescribe topical
keratolytics and topical antibiotics.
7. An infant is brought to clinic with bright erythema in the neck and flexural
folds after recent treatment with antibiotics for otitis media. What is the
treatment for this condition?
A. 1% hydrocortisone cream to affected areas for 1 to 2 days
B. Oral fluconazole 6 mg/kg on day 1, then 3 mg/kg/dose for 14
days
C. Topical keratolytics and topical antibiotics for 7 to 10 days
D. Topical nystatin cream applied several times daily - Answer-D. Topical nystatin
cream applied several times daily
8. A school age child has several annular lesions on the abdomen
characterized by central clearing with scaly, red borders. What is the first
step in managing this condition?
A. Fluoresce the lesions with a Wood's lamp.
B. Obtain fungal cultures of the lesions.
C. Perform KOHtreated scrapings of the lesion borders.
D. Treat empirically with antifungal cream. - Answer-D. Treat empirically with antifungal
cream.
9. A child has several circular, scaly lesions on the arms and abdomen, some
of which have central clearing. The primary care pediatric nurse practitioner
notes a smaller, scaly lesion on the child's scalp. How will the nurse practitioner treat
this child?
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