Situation 7: Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
31. In the prevention of dengue fever, which of the following measures is included?
a. Mass vaccination during rainy season
b. Prophylactic drug treatment with antivirals
c. Removal of small collections of water such as flower vases
d. Fogging or daily spraying of insecticides
32. The most effective control measure for dengue hemorrhagic fever is:
a. Isolation of patient
b. Mosquito control
c. Health education
d. Concurrent disinfection
33. The treatment and control of dengue hemorrhagic fever include all of the following EXCEPT:
a. Treat shock with IVF
b. Encourage vaccination
c. Eradication of vector
d. Community participation
34. The best nursing intervention in the management of dengue fever among patients admitted in the hospital would be:
a. Observation
b. Contact Isolation
c. Administration of antivirals
d. Platelet administration
35. Which is an independent nursing intervention for a patient with Dengue Hemorrhagic Fever?
a. Give aspirin for fever and muscle pains
b. Put ice bag over forehead if patient has nose bleed
c. Place patient in prone position to relieve abdominal pain
d. Give high fiber diet
Situation 8: The BHW of Barangay Jacinto reported series of adults having cases of spasmodic coughing and fever for the past two weeks. The CHN in the area alarmed by the reports decided to investigate the community.
36. Which among the following diagnostic tests does NOT indicate active tuberculosis?
a. Sputum smear positive times three
b. Chest x-ray as diagnosed by the TBDC
c. An induration of 10 post tuberculin test
d. Chest x-ray after having three negative sputum smears
37. Mang Jose, 42 years old, went to the Chest Center to avail of the free Direct Sputum Smear Microscopy. Which among the following is a contraindication for sputum collection?
a. Pleural effusion c. Hemoptysis
b. TB meningitis d. Miliary TB
38. Mang Jose began his treatment regimen for tuberculosis. He complains of frequent tingling sensation of his feet. Which among the following diets shout be encouraged?
a. Fish c. Milk
b. Kangkong d. Beef
39. As a nurse working in the Barangay Health Center, it is essential to counsel the client on the side effects of the treatment regimen. Which among the following side effects should be reported immediately to the physician?
a. Hemoptysis c. Flu-like symptoms
b. Red-colored urine d. Yellowish palms
40. Which among the following is considered as the most important health teaching given to clients with Tuberculosis?
a. Strict compliance to treatment regimen
b. Frequent handwashing
c. Proper disposal of soiled tissues
d. Covering of mouth while coughing or sneezing
Situation 9: The nurse is aware of the misuse of antibiotics , which resulted to the emergence of new strains of microorganisms that proves to effect a catastophic effect on human health.
41. The period between the first exposure and multiplication of the SRAS causative agent would be:
a. 2-10 days c. 1-20 days
b. 5-11 days d. 1-5 days
42. SARS remains to be an enigma among health practitioners and had proven its virulence. The nurse knows that the virus could be categorized as:
a. Rhabdovirus c. Coronavirus
b. Togavirus d. Paramyxovirus
43. Which of the following best defines standards precaution?
a. These are guidelines created to prevent transmission of microorganisms in hospitals
b. It is a strategy of assuming that all patients are infectious, and using barrier protections during nurse-client interactions
c. These are precautions based on contagious or epidemiologically significant organisms are recognized.
d. It pertains to the use of handwashing.
44. In managing individuals with SARS, the nurse should be aware of the different signs and symptoms of the disease. Which among the following characterize the prodromal phase:
a. The patient is usually not infectious at this time.
b. Dry hacking cough is present
c. Fever is present, but does not rise beyond 38oC
d. The patient requires mechanical ventilation at this stage
45. Handwashing deters the spread of microorganisms. A nurse involved in the care of a patient diagnosed with SARS should:
a. Perform handwashing before client contact
b. Perform handwashing after eating
c. Perform handwashing after food preparation
d. Perform handwashing before using the toilet
Situation 10: Filariasis is endemic in some parts of the Philippines. The disease often progresses to become chronic, debilitating and often unfamiliar to health workers.
46. Effective methods that the government would likely to pursue to eliminate filariasis in the country are all of the following EXCEPT:
a. Pursue annual mass drug administration using two drugs in all endemic areas for at least five consecutive years
b. Vaccination of all susceptible in high risk areas and high risk populations
c. Intensify health information and advocacy campaigns in its prevention, control and elimination
d. Halt progression of disease through disability prevention
47. The vector for Filariasis is
a. Wuchereria bancrofti
b. Aedes poecillus
c. Anopheles
d. Aedes egypti
48. A long incubation period characterizes Filariasis that typically ranges from:
a. 2-4 weeks c. 2-3 years
b. 4-6 weeks d. 8-16 months
49. A 36-year-old man is brought by his wife to a doctor's clinic to be tested for filariasis. The most likely diagnostic test that he will undergo is:
a. Immunochromatographic test (ICT)
b. Nocturnal Blood Examination
c. Stool examination
d. Urinalysis
50. A client in the acute stage of the disease will include which of the following clinical findings?
a. Lymphangitis, lymphadenitis, epidydimitis
b. Hydrocele, lymphedema, elephantiasis
c. Orchitis, hydrocele, elephantiasis
d. Lymphadenitis, lympedema and orchitis
Situation 11: Specific defenses of the body involve the immune system. Nurses should be knowledgeable on the importance of immunity in the prevention of communicable diseases.
51. Ayisha is given the hepatitis B immune globulin serum, which will provide her with passive immunity. One advantage of passive immunity is that it:
a. Has effects that last a long time
b. Is highly effective in the treatment of disease
c. Offers immediate protection
d. Encourages the body to produce antibodies
52. Nurse Keith explains to a mother whose child just received a tetanus toxoid injection that the toxoid confers which of the following immunity?
a. Lifelong passive immunity
b. Long-lasting active immunity
c. Lifelong active natural immunity
d. Lifelong active artificial immunity
53. Simon, who is suspected of having tetanus, asks Nurse Benny about immunizations against tetanus. Nurse Benny explains that the major benefit in using tetanus antitoxin is that it:
a. Stimulates plasma cells directly
b. Provides a high titer of antibodies
c. Provides immediate active immunity
d. Stimulates long-lasting passive immunity
54. Justin, who was exposed to hepatitis A is given gamma globulin to provide passive immunity, which:
a. Increases production of short-lived antibodies
b. Provides antibodies that neutralize the antigen
c. Accelerates antigen-antibody union at the hepatic sites
d. Stimulates the lymphatic system to produce large numbers of antibodies
55. A mother asked Nurse Edna on the duration of the effectiveness of a natural passive immunity. Nurse Edna is correct when she tell the mother that the effect lasts for:
a. 2 to 3 weeks c. 6 months to 1 year
b. Permanent d. 2 to 5 years
Situation 12. Whenever possible, the nurse implements strategies to prevent infection. If infection cannot be prevented, the nurse's goal is to prevent the spread of the infection within and between persons, and to treat the existing infection.
56. Gino is a chronic carrier of infection. To prevent the spread of the infection to other clients or health care providers, the nurse emphasizes interventions that do which of the following?
a. Eliminate the reservoir
b. Block the portal of exit from the reservoir
c. Block the portal of entry into the host
d. Decrease the susceptibility of the host
57. The most effective nursing action for controlling the spread of infection includes which of the following?
a. Thorough hand cleansing
b. Wearing gloves and masks when providing direct client care
c. Implementing appropriate isolation precautions
d. Administering broad-spectrum prophylactic antibiotics
58. In caring for Mark who is on contact precautions for a draining infected foot ulcer, Nurse Bong should perform which of the following?
a. Wear a mask during dressing changes
b. Provide disposable meal trays and silverware
c. Follow standard precautions in all interactions with the client
d. Use surgical aseptic technique for all direct contact with the client
59. When caring for a single client during one shift, it is appropriate for the nurse to reuse which of the following personal protective equipment?
a. Goggles c. Surgical mask
b. Gown d. Clean gloves
60. After teaching a client and family strategies to prevent infection, which statement by the client would indicate effective learning has occurred?
a. “We will use antimicrobial soap and hot water to wash our hands at least three times per day.”
b. “We must wash or peel all raw fruits and vegetables before eating.”
c. “A wound or sore is not infected unless we see it draining pus.”
d. “We should not share toothbrushes but it is OK to share towels and washcloths.”
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