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100

What is described as the time interval between early manifestations of a disease and the overt clinical syndrome?

A. Incubation period

B. Prodromal period

C. Desquamation period

D. Period of communicability

B. Prodromal period

100

The nurse is concerned with the prevention of communicable disease. Primary prevention results from

A. immunizations. 

B. early diagnosis.

C. strict isolation.

D. treatment of disease.

A. immunizations.

100

The most important prevention method for the spread of any communicable disease is

A. hand washing.

B. immunizations as secondary prevention.

C. use of appropriate broad spectrum antibiotics.

D. isolation from infectious agents.

A. hand washing.

200

The school nurse is concerned about an outbreak of chickenpox because two children at the school have cancer and are immunodeficient from chemotherapy. The most appropriate recommendation by the school nurse is that

A. no precautions necessary.

B. acyclovir (Zovirax) should be taken to minimize the symptoms of chickenpox.

C. varicella–zoster immune globulin (VZIG) to prevent chickenpox. 

D. temporarily stopping chemotherapy will allow the immune system to recover.

C. varicella–zoster immune globulin (VZIG) to prevent chickenpox.

200

The nurse is assessing a child with herpetic gingivostomatitis. The nurse wears gloves when examining the lesions. This nursing action is

A. unnecessary because the virus is sexually transmitted.

B. unnecessary because the virus is not easily spread.

C. necessary only if the nurse touches his or her own mouth after touching the child’s mouth.

D. necessary because virus can easily enter breaks in the skin. 

D. necessary because virus can easily enter breaks in the skin.

200

When is the time frame for starting primary immunizations for a baby who was just born?

A. At two months

B. Following birth or up to two weeks of age 

C. Recommendation based on gender and weight protocols

D. At four weeks

B. Following birth or up to two weeks of age

300

What is the causative agent for erythema infectiosum (fifth disease)?

A. Paramyxovirus

B. Human parvovirus B19 

C. Human herpesvirus type 6

D. Group A β-hemolytic streptococcus

B. Human parvovirus B19

300

A nurse is providing instruction to a family concerning the care of an infant with bacterial conjunctivitis. Which observation indicates that additional teaching is needed?

A. Tissues used to clean the eye are discarded following use.

B. Separate towels are being used for the infant.

C. An occlusive dressing is applied to the eye area. 

D. Warm, moist compresses are being used to cleanse the eye area.

C. An occlusive dressing is applied to the eye area.

300

Systematic clinical findings associated with bedbugs manifest as

A. folliculitis.

B. anaphylaxis.

C. rash.

D. wheal.

B. anaphylaxis.

400

An important nursing intervention in the care of a child with bacterial conjunctivitis is

A. intermittent warm, moist compresses to remove crusts on the eye area. 

B. oral antihistamines to minimize itching.

C. continuous warm compresses to relieve discomfort.

D. application of optic corticosteroids to reduce inflammation.

A. intermittent warm, moist compresses to remove crusts on the eye area.

400

Which method should the student nurse use to apply the principles of cough etiquette in the clinical setting to prevent the potential spread of infection?

A. Wearing a surgical mask for all patient contacts even if the student nurse has not overt clinical symptoms of having a cold.

B. Maintaining a perimeter of 10 feet from patient and visitors when coughing.

C. Using tissues when coughing to catch secretions. 

D. Covering the nose when coughing.

C. Using tissues when coughing to catch secretions.

400

A nurse has been assigned to take care of a pediatric patient suspected of having chicken pox(varicella). Which type of precaution is required?

A. Standard precautions are sufficient

B. Airborne with isolation room

C. Contact precautions

D. Droplet precautions

B. Airborne with isolation room

500

The most appropriate comfort intervention for a child with severe itching related to chickenpox is

A. encourage frequent warm baths.

B. give aspirin or acetaminophen (Tylenol).

C. apply thick coat of pramoxine (Caladryl) lotion over open lesions.

D. give an antipruritic medication such as diphenhydramine (Benadryl). 

E. apply thick coat of pramoxine (Caladryl) lotion over open lesions.

D. give an antipruritic medication such as diphenhydramine (Benadryl).

500

Which clinical finding would alert the nurse to the possibility that the pediatric patient has conjunctivitis as a result of a foreign object body?

A. Bilateral swollen lids

B. Tearing of the right eye

C. Crusting of eyelids

D. Inflamed conjunctiva of both eyes

B. Tearing of the right eye

500

A group of nurses are reviewing potential health environmental for the spread of noscomial infections in the hosptial. Which equipment should the nurse include as having a high risk potential for transmission? (Select all that apply.)

A. Stethoscope 

B. Computer keyboard 

C. Disposable tongue blade

D. Nurse’s station desktop 

E. Oral temperature probe

A. Stethoscope

B. Computer keyboard 

D. Nurse’s station desktop