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Oral lesions called Koplik's spots are seen in patients with


A) croup.
B) mumps.
C) influenza.
D) measles (rubeola) .
E) rubella.

F) C) and E)
G) A) and E)

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Infections caused by Staphylococcus aureus include all of the following except


A) meningitis.
B) furuncles and carbuncles.
C) impetigo.
D) scalded skin syndrome.
E) acne.

F) A) and B)
G) None of the above

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The toxin of Staphylococcus aureus strains that causes blisters and desquamation of skin in scalded skin syndrome is


A) enterotoxin.
B) hemolysin.
C) toxic shock syndrome toxin.
D) exfoliative toxin.
E) erythrogenic toxin.

F) All of the above
G) C) and D)

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Varicella zoster virus (human herpesvirus-3)


A) uses the respiratory epithelium as its portal of entry.
B) becomes latent in dorsal root ganglia that serve specific dermatomes.
C) has humans as its reservoir.
D) causes chickenpox and shingles.
E) All of the choices are correct.

F) A) and B)
G) C) and D)

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Protective features of the skin include all but


A) keratinized surface.
B) resident biota.
C) antimicrobial peptides.
D) high pH.
E) lysozyme.

F) B) and C)
G) C) and D)

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Propionibacterium acnes is normal flora of sebaceous glands of the skin.

A) True
B) False

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A mother brings her 8-year-old daughter into the clinic where you are a nurse. The girl has a dry, flaky, and peeling rash around her mouth. The mother states that she has tried using numerous lotions, but the lesions persist. She has come here looking for information on how to make her daughter stop licking her lips, as she thinks this is causing the lesions. Upon closer examination, you notice small blisters and honey-colored crusts. You note that the patient is negative for other symptoms, including fever, nausea, vomiting, and general malaise. -As you suspect,the doctor diagnoses the lesions as S.aureus impetigo.The mother then asks you why her daughter's affected skin seems so fragile and blisters so easily.What will be your response to her question?


A) "The constant exposure to moisture makes your daughter's skin very fragile,and blistering is the natural response."
B) "Your daughter's constant itching irritates the skin,making it very fragile and irritable."
C) "The blood beneath the surface of the skin is broken down by waste products from S.aureus,and superficial blisters are the clinical sign."
D) "An exotoxin produced by S.aureus targets a protein responsible for cell-to-cell binding,and blisters are the result."

E) A) and B)
F) B) and C)

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Rubella is


A) caused by the measles virus (Morbillivirus) .
B) a very contagious disease.
C) associated with congenital transmission causing miscarriage,deafness,and cardiac and mental defects.
D) seen as high fever,severe sore throat,severe cough,and myalgia.
E) All of the choices are correct.

F) D) and E)
G) C) and D)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A mother brings her 8-year-old daughter into the clinic where you are a nurse. The girl has a dry, flaky, and peeling rash around her mouth. The mother states that she has tried using numerous lotions, but the lesions persist. She has come here looking for information on how to make her daughter stop licking her lips, as she thinks this is causing the lesions. Upon closer examination, you notice small blisters and honey-colored crusts. You note that the patient is negative for other symptoms, including fever, nausea, vomiting, and general malaise. -In the lab,the specimen is Gram-stained and inoculated onto blood agar.Microscopic analysis of the slide revealed gram-positive cocci arranged in grapelike clusters,while the blood agar produced large,round,creamy colonies with clear areas of hemolysis.After reading this information,you believe the causative agent to be


A) Streptococcus pyogenes.
B) Staphylococcus aureus.
C) Corynebacterium diphtheriae.
D) Pseudomonas aeruginosa.

E) A) and B)
F) All of the above

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Which is true of viral conjunctivitis?


A) caused by Chlamydia trachomatis or Neisseria gonorrhoeae
B) has a mucopurulent discharge
C) caused by adenoviruses
D) must be treated with topical and oral antibiotics
E) caused by Moraxella

F) A) and C)
G) B) and E)

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The eye's best defense is/are the


A) optic nerve.
B) eyelid.
C) eyelashes.
D) tear film.
E) cornea.

F) A) and D)
G) A) and B)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are a school nurse at a public elementary school in your town. By lunch time, you have had four students visit your office complaining of itchy, watery eyes featuring red and inflamed sclera and conjunctiva. All students had clear drainage; three of the students had it in both eyes, while the fourth only had it in one eye. They all complained that their eyes felt “glued-shut” when they awoke this morning, and one student was very sensitive to light. -What infectious control procedures,if any,should be carried out?


A) Send the kids home,but they can come back to school in the morning as long as hand washing is encouraged.
B) Send the kids home until symptoms have cleared,recommend good hand washing and hygiene to the rest of the school.
C) Obtain prescriptions of ciprofloxacin drops for those affected students.
D) Recommend total school shutdown until further notice to the superintendent.

E) C) and D)
F) None of the above

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A mother brings in her unimmunized, otherwise healthy, 7-year-old daughter to the pediatric office where you are the charge nurse. The child has nearly 100 lesions all over her body, mainly localized to her trunk. Most of the lesions are vesicular, but a few have scabbed over. According to the mother, her daughter broke out in this rash about 5 days ago. She never experienced a fever, but the rash seems to be incurably itchy. As the mother is telling you this, you see her daughter itch open one of the vesicles, revealing a clear fluid. -One of your nurses begins calling the state health department to report a suspected case of smallpox infection.You stop her,citing the distinct differences between the symptoms of chickenpox and smallpox.Which of the following answers is not true concerning the two diseases?


A) Smallpox features deep lesions mainly on the extremities,whereas chickenpox features superficial lesions mainly on the trunk.
B) Smallpox patients exhibit a prodromal fever,whereas chickenpox patients do not.
C) Smallpox lesions are filled with clear fluid,whereas chickenpox lesions are filled with a thick,opaque liquid and are distinctly indented in the center.
D) Smallpox is caused by the variola virus,whereas chickenpox is caused by human herpesvirus 3.

E) C) and D)
F) B) and D)

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Which of the following provides the eye with its best defense against microorganisms?


A) conjunctiva
B) eyelids
C) lymphocytes
D) tears
E) eyelashes

F) A) and B)
G) B) and C)

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Blood vessels are found in the


A) stratum corneum.
B) dermis.
C) stratum basale.
D) subcutaneous layer.
E) dermis and subcutaneous layer.

F) A) and E)
G) A) and C)

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Mottled,discolored pigmentation is seen in patients with tinea versicolor.

A) True
B) False

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A mother brings in her unimmunized, otherwise healthy, 7-year-old daughter to the pediatric office where you are the charge nurse. The child has nearly 100 lesions all over her body, mainly localized to her trunk. Most of the lesions are vesicular, but a few have scabbed over. According to the mother, her daughter broke out in this rash about 5 days ago. She never experienced a fever, but the rash seems to be incurably itchy. As the mother is telling you this, you see her daughter itch open one of the vesicles, revealing a clear fluid. -The mother demands antibiotics to treat her daughter's infection.How will you best respond to her request?


A) Advocate that the physician should write a prescription for oral amoxicillin,because the mother always knows best.
B) Inform the mother that she is not a trained professional and should not be advising medical staff on proper treatments.
C) Tell the mother she can purchase a triple-antibiotic ointment over the counter to apply to all lesions three times daily.
D) Inform the mother that chickenpox is caused by a virus and does not respond to antibiotics,but is self-limiting and will heal on its own.

E) A) and C)
F) C) and D)

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What group of microorganisms do not usually call the skin "home"?


A) Streptococcus
B) Corynebacterium
C) Propionibacterium
D) yeasts
E) All of the choices are correct.

F) A) and E)
G) C) and E)

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Which of the following is not true of cellulitis?


A) caused by Staphylococcus aureus or Streptococcus pyogenes
B) occurs in the epidermis
C) causes pain,tenderness,swelling,and warmth
D) lymphangitis may occur
E) treated with cephalexin

F) C) and E)
G) A) and C)

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Which is incorrect about the MMR immunization?


A) contains attenuated virus
B) contains toxoids
C) is given in early childhood
D) protects against three different viral diseases
E) None of the choices is correct.

F) A) and E)
G) B) and D)

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