American Nurses Credentialing Center (ANCC) Practice Exam 2025 - Free ANCC Practice Questions and Study Guide

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Which risk factor is NOT associated with the development of eczema in a patient with a family history of the condition?

Asthma

Bee allergy

Personal history of allergic rhinitis

Psoriasis

The correct answer is related to the understanding of atopic dermatitis, commonly known as eczema, and its associations with other allergic conditions. A family history of eczema often correlates with other atopic diseases, including asthma and allergic rhinitis, which are part of the atopic triad. These conditions frequently co-occur due to similar genetic and environmental factors.

Psoriasis, on the other hand, is a distinct chronic inflammatory skin condition that is not classified under the atopic diseases. It is an autoimmune disorder characterized by the rapid proliferation of skin cells and is not directly linked to the same allergic mechanisms that contribute to eczema. Therefore, having a family history of eczema does not imply a higher likelihood of developing psoriasis, making it the risk factor that is not associated with the development of eczema in this context.

The other options—asthma, bee allergy, and a personal history of allergic rhinitis—are all relevant risk factors for eczema, particularly in individuals with a family history of atopic conditions, as they are connected through shared immunological pathways.

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