Deck 32: The Child with a Communicable Disease

Question 1

The mother of a newborn asked the nurse,"When will my baby get the hepatitis B vaccine?" The nurse bases a response on the knowledge that the first dose of Comvax should be given to infants born to a hepatitis B-positive mother within _____ after birth.

A) 12 hours
B) 2 weeks
C) 1 month
D) 2 months

Answer 1

12 hours

Question 2

A 9-year-old child hospitalized for neutropenia is placed in protective isolation.What is the most appropriate response for the nurse to make when the child asks,"Why do you have to wear a gown and mask when you are in my room?"

A) "Nurses and doctors wear gowns and masks because you have a condition that could be spread to others. "
B) "The gown and mask are to protect you because you could get an infection very easily. "
C) "I'm wearing this because there are a lot of bacteria in the hospital. "
D) "I might look scary but you won't need this after you have had medication for 24 hours. "

Answer 2

"The gown and mask are to protect you because you could get an infection very easily. "

Question 3

The nurse is planning to administer immunizations at a well-child visit when a parent reports the 18-month-old child is allergic to eggs.The vaccine that would be contraindicated is:

A) influenza.
B) inactivated polio vaccine.
C) diphtheria, tetanus, acellular pertussis.
D) hepatitis B.

Answer 3

influenza.

Question 4

The statement made by a sexually active adolescent girl indicating an understanding of the prevention of sexually transmitted diseases is:

A) "I always douche after intercourse. "
B) "I think you can get a vaccination for STDs now. "
C) "I insist that my partner wear a condom. "
D) "I am protected because I take the pill. "

Question 5

The nurse determined the parent understood the information related to tick bites when he stated:

A) "I'll have my son wear dark clothing on his hike. "
B) "We should all get the Lyme disease vaccine before our trip. "
C) "I'll get a prescription for amoxicillin to take with us. "
D) "We will wear long pants and long-sleeved shirts in the woods. "

Question 6

The nurse would base a response to a parent about how his child got hepatitis A on the information that the child:

A) came in contact with infected blood.
B) came in contact with droplets in the air.
C) was bitten by a mosquito or a tick.
D) ate shrimp while they were in Mexico.

Question 7

The nurse would document a rash that has erythematous circular raised lesions as:

A) macular.
B) papular.
C) vesicular.
D) pustular.

Question 8

The priority nursing diagnosis for a hospitalized infant who is HIV positive would be:

A) risk for injury.
B) altered nutrition.
C) impaired skin integrity.
D) risk for infection.

Question 9

The nurse would choose to administer the immunization injection of:

A) DTaP subcutaneously.
B) Hib vaccine prepared in a separate syringe.
C) varicella intramuscularly.
D) varicella 1 week after the MMR vaccine.

Question 10

An infant is hospitalized for RSV bronchiolitis.Which type of precautions would the nurse use when caring for the infant?

A) Large-droplet infection precautions
B) Airborne-infection precautions
C) Contact precautions
D) Protective precautions

Question 11

The nurse demonstrates proper hand hygiene pointing out that the process should take a minimum of ____ seconds.

A) 5
B) 10
C) 15
D) 20

Question 12

When the 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough,the nurse explains that those shots:

A) were borrowed antibodies from another person who had whooping cough.
B) gave her a tiny case of whooping cough and then she made her own antibodies.
C) strengthened antibodies she was born with.
D) are only temporary borrowed antibodies and she needs to have another shot every 5 years.

Question 13

The nurse would delay the administration of DTaP when the mother says that her infant:

A) has diarrhea.
B) had a temperature of 40. 5° C (105° F) from the previous inoculation.
C) is teething.
D) is traveling with her to Europe in a week.

Question 14

The nurse can be assured that parents understand how long a child who has varicella is contagious when they state "My child:

A) should stay home from school for 6 days after the pox appear. "
B) can return to school when the rash fades. "
C) must stay away from other children until all of the lesions have healed. "
D) is contagious as long as he has a fever. "

Question 15

The nurse explains to the parents that their child is in the prodromal stage of varicella.This means that the child:

A) is now immune to varicella.
B) has varicella but has not yet broken out.
C) is infected with varicella but is not contagious.
D) does not have varicella but has been exposed to it.

Question 16

A child was sent to the school nurse because of a rash.The nurse noted the rash was present on the trunk,extremities,and face.The child's cheeks were bright red.The nurse is aware this type of rash is consistent with:

A) measles.
B) roseola.
C) varicella.
D) fifth disease.

Question 17

An adolescent is taking tetracycline for a sexually transmitted disease.The nurse would stress in the instruction about this medication to:

A) finish all of the medication.
B) get plenty of fresh air and sunlight.
C) take the medication with food.
D) take an antacid if the medication causes an upset stomach.

Question 18

The nurse takes into consideration that the child most susceptible to an opportunistic infection is the one taking a(n):

A) anticonvulsant.
B) beta-adrenergic agent.
C) antibiotic.
D) corticosteroid.

Question 19

A parent is concerned because her son was exposed to varicella at preschool.The nurse would tell this parent that the incubation period for varicella is _____ days.

A) 2 to 10
B) 4 to 14
C) 3 to 32
D) 14 to 21

Question 20

The type of precautions necessary when caring for a toddler with varicella is:

A) contact.
B) protective.
C) airborne infection.
D) large droplet infection.

Question 21

The nurse explains that the ______________ test determines the child's susceptibility to tuberculosis.

Question 22

The school nurse recognizes the presence of macules,papules,vesicles,pustules,and scabs on the child as the particular sign of the communicable disease of _________________.

Question 23

The well-child clinic nurse will prepare to give which inoculation(s)to a healthy 2-month-old? Select all that apply.

A) DTaP
B) Hib
C) IPV
D) MMR
E) PCV

Question 24

The nurse is aware that female adolescents with STDs resist reporting the conditions for what reason(s)? Select all that apply.

A) They are reluctant to name contacts.
B) They are embarrassed.
C) They doubt confidentiality.
D) They don't want to take the medication.
E) They dread the pelvic examination.

Question 25

In giving care,the nurse is aware that safe handling of body substances is essential.Which body substance(s)require(s)safe handling? Select all that apply.

A) Emesis
B) Saliva
C) Feces
D) Semen
E) Blood
F) None of the above

Question 26

The nurse explains that some families do not have their children immunized for what reason(s)? Select all that apply.

A) Parental lack of knowledge
B) Lack of access to clinics
C) Religious beliefs
D) Cost of immunization
E) Fear of adverse reaction
F) None of the above

Question 27

The nurse uses a diagram showing how the wood tick acts as a(n)______________ in the transmission of Lyme disease.

Question 28

An acquired immunity is obtaining the immunity through what source(s)? Select all that apply.

A) Gamma globulin
B) The disease
C) Maternal antibodies
D) The vaccine
E) Immune globulin

Question 29

The nurse gives an example of an opportunistic infection as:

A) measles.
B) Pneumocystis jiroveci.
C) Clostridium difficile.
D) smallpox.