The nurse in a high school clinic is aware of an unusually high incidences of cold sores among the student population. Which information from the nurse will be the most helpful in controlling the spread of the causative virus, HSV-1?

Any student who has not been infected needs to get immunized immediately.

All students need to stop sharing lip products, drinks, and foods.

Infected students need to stay out of school until the lesion is crusted over.

Students with an active lesion need to eat at a specific isolation table.

Answer and Explanation

The Correct Answer is B

A. "Any student who has not been infected needs to get immunized immediately."
There is no vaccine for HSV-1, so immunization is not an option.

B. "All students need to stop sharing lip products, drinks, and foods."
HSV-1 spreads through direct contact with saliva or contaminated objects, so avoiding sharing is key to prevention.

C. "Infected students need to stay out of school until the lesion is crusted over."
This is not a standard requirement for school attendance, and HSV-1 can be transmitted before lesions are visible.

D. "Students with an active lesion need to eat at a specific isolation table."
HSV-1 is not typically transmitted through casual airborne exposure; isolation tables are unnecessary and stigmatizing.

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Correct Answer is C

Explanation

A. Allergic contact
This presents as a localized rash with itching after exposure to an allergen — not typically greasy or crusted.

B. Atopic dermatitis
Typically dry, itchy, and more common on flexor surfaces — not greasy or crusted.

C. Seborrheic dermatitis
Characterized by reddened skin with greasy scales and yellowish crusts, especially on the face, scalp, or nasolabial folds.

D. Contact dermatitis
Presents as red, itchy rash due to irritant exposure - lacks greasy scales or crusts.

A. Intense pain B. Lesions along the pathways of nerve endings C. Serous drainage D. Silvery, white scales

Correct Answer is D

Explanation

A. Intense pain:
Psoriasis can be itchy or mildly sore, but intense pain is not characteristic unless lesions are cracked/infected.

B. Lesions along the pathways of nerve endings:
Describes herpes zoster, not psoriasis.

C. Serous drainage:
Psoriatic lesions are typically dry unless secondarily infected.

D. Silvery, white scales:
Classic sign of psoriasis - raised, red patches with a silvery scale.

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The nurse in a high school clinic is aware of an unusually high incidences of cold sores among the student population. Which information from the nurse will be the most helpful in controlling the spread of the causative virus, HSV-1?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

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