Wednesday, October 12, 2011

Communicable Disease Questions

Situation 1: Information dissemination is an integral element of health promotion, and disease prevention. The nurse is in the best position to do health education activities.

1. A nurse is providing instructions to a pregnant client with genital herpes about measures that need to be implemented to protect the fetus. The nurse tells the nurse that:
a. Daily administration of acyclovir (Zovirax) is necessary during the entire pregnancy
b. Total abstinence from sexual intercourse is necessary during the entire pregnancy
c. Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present
d. A cesarean section will be necessary if vaginal lesions are present at the time of labor

2. While the nurse is counseling a group of mothers about sexually transmitted diseases, one mother asks the nurse which sexually transmitted disease is most detrimental to their baby's safety during pregnancy? The nurse should respond that it would be:
a. Gonorrhea c. Genital herpes
b. Syphilis d. Trichomonas vaginalis

3. During an infection control seminar, the speaker specified that prevention of the spread of HIV include the following measures EXCEPT:
a. Patients with AIDS should be isolated
b. Blood and other specimens should be labeled AIDS Precaution
c. Needles should be disposed into a puncture resistant container
d. Blood spills should be cleaned with chlorox

4. A nurse is giving health education to a client diagnosed with HIV. The nurse determines that the client does not need further teaching if the client states that the most effective method known to control the spread of HIV infection is:
a. Premarital serologic screening
b. Prophylactic treatment of exposed people
c. Laboratory screening of pregnant women
d. Sex education about preventive behaviors.

5. The following are preventions of gonorrhea transmission EXCEPT:
a. Sex education
b. Case finding
c. Incidence to be reported to health authorities
d. Administration of ophthalmic prophylaxis, as ordered

Situation 2: The nursing process is applied in any health care setting.
6. A child is diagnosed with scarlet fever. The nurse assesses the child knowing that which of the following is not a clinical manifestation associated with this disease?
a. Pastia's sign
b. White strawberry tongue
c. Edematous and beefy, red colored pharynx
d. Koplik spots

7. A nurse provides instructions to the mother of a child with mumps regarding respiratory precautions. The mother asks the nurse the length of time required for the respiratory precautions. The nurse most appropriately responds that:
a. “Respiratory precautions are necessary for the entire time of illness.”
b. “Respiratory precautions are necessary until the swelling is gone.”
c. “Respiratory precautions are indicated during the period of communicability.”
d. “Respiratory precautions are indicated for 18 days after the onset of parotid swelling.”

8. A 6-month-old infant receives DPT immunization at the well-baby clinic. The mother returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. The nurse tells the mother to:
a. Apply a warm pack to the injection site
b. Bring the infant back to the clinic
c. Apply an ice pack to the injection site
d. Monitor the infant for fever

9. A nurse is preparing the plan of care for a patient with herpes genitalis. What would be the priority nursing diagnosis for the patient?
a. Disturbed Sleep pattern
b. Imbalance in Nutrition: Less than Body Requirements
c. Alteration in Comfort: Pain
d. Ineffective Breathing Pattern

10. The nurse on duty, based on her assessment findings suspects the presence of diphtheria. Which of the following will confirm her suspicion?
a. Pharyngotonsilar congestion
b. Grayish membrane at hard palate
c. Whitish plaque at buccal mucosa
d. Increased lacrimation

Situation 3: There are 170 Bilhariasis endemic municipalities. You are assigned in one of these municipalities.
11. In order to confirm the diagnosis of Snail fever, you advise patient to have, which of these examination:
a. X-ray of the abdomen
b. Urinalysis
c. Stool examination
d. CBC

12. You know that the mode of transmission of Katayama fever is:
a. Contact with affected stray animals
b. Contact with water infected with cercaria
c. Infected flies and rodent
d. Use of sanitary toilets

13. Which among the following is the drug of choice for Bilhariasis?
a. Biltricide c. Chloramphenicol
b. Hetrazan d. Tetracycline

14. The following are preventive measures for Schistosomiasis EXCEPT:
a. Use of safe water
b. Avoid bathing and washing in infested waters
c. Use of sanitary toilets
d. Elimination of breeding sites of mosquitoes

15. Which of the following is NOT a complication of Bilhariasis?
a. Liver cirrhosis and portal hypertension
b. Cor pulmonale, pulmonary hypertension
c. Meningitis and hepatomegally
d. Ascitis and renal failure

Situation 4: Endemic malaria occurs in the topic and subtopic areas where socioeconomic condition is very poor.
16. During your assessment, which among the following signs and symptoms need referral to a secondary or tertiary facility?
a. Sweating and headache
b. Icterus and shock
c. Fever and chills
d. Renal or liver failure

17. Laboratory confirmation of malaria is done on a blood film. What do you expect to see in the film?
a. Antibodies c. Malarial purinates
b. Malarial parasites d. Antigen

18. The mode of transmission of this disease is through the bite of an infected female mosquito called:
a. Aminophylline c. Anopheles
b. Aedes poecillus d. Aedes egypti

19. Which of the following is NOT an anti-malarial drug?
a. Sulfadoxine c. Tetracycline
b. Amoxicillin d. Quinidine

20. As a preventive measure for malarais, you ecucate people living in malaria endemic areas to do which of the following?
A. Avoid going out between 12nn to 3am
B. Take chloroquine tablets once a day
C. Apply insect repellant on house walls
D. Use long sleeved shirts when going out at night
E. Plant neem tree in their backyards
F. Clear hanging branches nears rivers
a. A, B, C, D, E, F c. B, C, D, E, F
b. C, D, E, F d. B, C, D, E

Situation 5: A nurse is having her duty in a public health clinic. She encounters multiple cases of sexually transmitted diseases.
21. A nurse is collecting data from a prenatal client. The nurse determines that which of the following places the client into the high risk category for contracting human immunodeficiency virus?
a. Living in an area where HIV infections are minimal
b. A history of IV drug use in the past year
c. A history of one sexual partner within the past 10 years
d. A spouse who is heterosexual and had only 1 sexual partner in the past 10 years

22. Which among the following informations is true of HIV?
a. It can be transmitted via body fluids such as blood, semen, urine, and perspiration.
b. Blood, semen, and breast milk have higher concentrations of HIV than urine, saliva, vomitus and stool
c. A client who by history may be exposed to HIV but test negative for HIV antibodies can no longer infect others
d. Enzyme-linked immunosorbent assay (ELISA) is the confirmatory test for HIV

23. Hepatitis B infection is established by the presence of hepatitis B antigen-antibody systems in the blood. Which of the following is NOT true?
a. Presence of HBsAG is the serological marker to establish the diagnosis of hepatitis B.
b. If the serological marker is present in the blood after 3 months, it indicates a carrier state or chronic hepatitis.
c. The presence of anti-HBS indicates recovery and immunity to hepatitis B.
d. Presence of HbeAG determines the infective state of the client

24. The nurse is talking to a young female client in the health clinic who is concerned she may have sexually transmitted disease. The nurse commends her for seeking medical care. The nurse explains that the major reason treatment of majority of STDs is delayed because:
a. Client is embarrassed
b. Symptoms are though to be caused by something else
c. Symptoms are ignored
d. The client does not manifest signs and symptoms

25. The nurse is very active in contact tracing and epidemiologic treatment of all gonococcal identified contacts to prevent:
a. Development of resistant strains
b. Asymptomatic infections
c. Non-venereal transmission
d. Reinfection

Situation 6: Avian Influenza is an infectious disease of birds that can cause serious illness in humans.
26. The importation of chicken from countries with outbreak of avian flu is banned by which law?
a. RA 280 c. PD 280
b. EO 280 d. AO 280

27. The major causes of death in avian flu are the following except:
a. Severe viral pneumonia
b. Respiratory distress
c. Multiple organ failure
d. Dehydration from severe vomiting and diarrhea

28. A suspected case of avian flu would be identified if a person exhibits which of the following manifestations?
a. Body weakness, fever, vomiting, diarrhea, cough, and anorexia
b. Fever, body weakness cough, dyspnea, and sore throat
c. Fever, cough, sore throat, diarrhea, bloody stool, and hematemesis
d. Hemoptysis, difficulty breathing, sore eyes, vomiting and diarrhea

29. It is necessary to institute which of the following measures to birds suspected of being exposed to the virus?
a. Vaccination of poultry
b. Killing of all infected or exposed birds
c. Mixing antiviral to feeds and water supplied to poultry suspected of being exposed to avian flu
d. All of the above

30. Incubation period for avian influenza is:
a. 10 days c. 21 days
b. 3 days d. 7 days

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