When observing the scalp of a 9-year-old patient, the NP notes round scaling patches. The patient's hairs appear broken close to the surface of the scalp. These findings may be consistent with:
tinea capitis.
seborrheic dermatitis of the scalp.
trichotillomania.
alopecia areata.
The Correct Answer is A
Rationale:
A. Tinea capitis, a fungal infection of the scalp, commonly presents with round, scaly patches and broken hairs close to the scalp. It often causes itching and may lead to mild inflammation.
B. Seborrheic dermatitis typically presents with greasy, yellowish scales rather than broken hairs.
C. Trichotillomania is characterized by hair loss due to repetitive pulling, often with irregular patches and no scaling.
D. Alopecia areata presents as smooth, well-demarcated, non-scaly patches of hair loss without broken hairs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Unconditional confidentiality for adolescents seeking contraception, including emergency contraception like levonorgestrel, is determined primarily by state and federal laws. Providers must follow legal requirements regarding minors’ rights to confidential reproductive healthcare.
B. Facility policies may support confidentiality, but they cannot override state or federal law.
C. While reporting requirements exist for sexual abuse or exploitation, confidentiality may still apply in other contexts depending on the law.
D. Professional guidelines provide ethical recommendations, but legal statutes take precedence in determining whether unconditional confidentiality can be maintained.
Correct Answer is B
Explanation
Rationale:
A. Herpes simplex in infants typically presents with painful vesicles and sometimes systemic symptoms, not a persistent whitish coating.
B. Oral candidiasis (thrush) presents as a white, curd-like coating on the tongue, gums, or inner cheeks that cannot be wiped away. It is caused by an overgrowth of Candida species and is common in young infants.
C. A normal coating in infants (milk residue) is easily wiped away and does not persist.
D. Poor oral care may cause debris or plaque later in infancy but is not the cause of persistent white plaques in young infants.
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