Deck 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

Question 1

The nurse explains to the parents that their child is in the prodromal stage of varicella.What does this mean?

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

Answer 1

The child has varicella but has not yet broken out.

Question 2

The mother of a newborn asked the nurse,"When will my baby get the hepatitis B vaccine?" When will the nurse explain the first dose of Comvax should be given to infants born to a hepatitis B-positive mother?

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

Answer 2

Within 12 hours after birth

Question 3

How would the nurse document a rash that has erythematous,circular raised lesions?

A) Macular
B) Papular
C) Vesicular
D) Pustular

Answer 3

Papular

Question 4

An 8-year-old child asks the nurse how she got the antibodies that kept her from getting whooping cough.What is the nurse's best explanation?

A) "You received borrowed antibodies from another person who had whooping cough."
B) "You were given a tiny case of whooping cough and then you made your own antibodies."
C) "An immunization strengthened antibodies you were born with."
D) "You received only temporary borrowed antibodies and you need to have another shot every 5 years."

Question 5

What statement leads the nurse to determine that a child's parent understands information related to tick bites?

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

An adolescent is taking tetracycline for a sexually transmitted disease.What would the nurse stress when providing instruction about this medication?

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 7

A 10-year-old child is diagnosed with hepatitis A.What is the most likely way the child contracted this disease?

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 in Mexico.

Question 8

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."

Question 9

What type of precautions are necessary when caring for a toddler with varicella?

A) Contact
B) Protective
C) Airborne
D) Droplet

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

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.With what is the nurse aware this type of rash is consistent?

A) Measles
B) Roseola
C) Varicella
D) Fifth disease

Question 12

Which finding would lead the nurse to delay the administration of DTaP for an infant?

A) Diarrhea
B) Temperature of 40.5° C (105° F)from the previous inoculation
C) Teething
D) Traveling to Europe in a week

Question 13

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.Which vaccine would be contraindicated?

A) Influenza
B) Inactivated polio vaccine
C) Diphtheria,tetanus,acellular pertussis
D) Hepatitis B

Question 14

A child is admitted to the pediatric unit with a diagnosis of cellulitis on the right upper thigh.Patient history reveals the child had a 2-cm laceration on the right thigh prior to infection.When explaining the chain of infection,how does the nurse identify this laceration?

A) Reservoir
B) Portal of entry
C) Portal of exit
D) Vector

Question 15

Which classification of medication would make a child most susceptible to an opportunistic infection?

A) Anticonvulsant
B) Beta-adrenergic agent
C) Antibiotic
D) Corticosteroid

Question 16

What is the priority nursing diagnosis for a hospitalized infant who is HIV positive?

A) Risk for injury
B) Altered nutrition
C) Impaired skin integrity
D) Risk for infection

Question 17

The nurse is preparing to administer immunizations at a well-child clinic.Which method of administration will the nurse implement?

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

Question 18

Which is an example of an opportunistic infection?

A) Measles
B) Pneumocystis jiroveci
C) Clostridium difficile
D) Smallpox

Question 19

Which statement made by a sexually active adolescent girl indicates an understanding of the prevention of sexually transmitted diseases?

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 20

Which statement assures the nurse that parents understand how long a child who has varicella is contagious?

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

Question 21

What sources are examples of acquired immunity? (Select all that apply. )

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

Question 22

What are the most likely reasons a female adolescent with STDs resist reporting the condition? (Select all that apply. )

A) She is reluctant to name contacts.
B) She is embarrassed.
C) She doubts confidentiality.
D) She doesn't want to take the medication.
E) She dreads the pelvic examination.

Question 23

The nurse is assisting with an admission assessment of a child with scarlet fever.Which actions will the nurse expect to implement? (Select all that apply. )

A) Obtain a throat culture.
B) Encourage ambulation.
C) Assess for desquamation.
D) Initiate droplet precautions.
E) Administer isoniazid.

Question 24

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

Question 25

The nurse is explaining to a family about disaster preparedness.What will the nurse instruct the family to prepare in a disaster kit in case of emergency? (Select all that apply. )

A) Small television
B) Vital documents
C) Nonperishable food
D) Pet food
E) Blankets

Question 26

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 14 to_____ days.

Question 27

The well-child clinic nurse is preparing to give which immunizations to a healthy 2-month-old infant? (Select all that apply. )

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