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communicable practice quiz part 1

CD Practice Quiz Part I

When teaching adolescents about sexually transmitted diseases, what should the nurse emphasize that is the most common infection?

A. Gonorhea

B. Chlamydia

C. Herpes


Rationale: B. Chlamydia has the highest incidence of any sexually transmitted disease in this country. Prevention is similar to safe sex practices taught to prevent any STD: use of a condom and spermicide for protection during intercourse.


#1. The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB?

The sputum culture is the most accurate method for determining the presence of active TB.  

#2. A client had arrived in the USA from a developing country 1 week prior. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS with a history of unintended weight loss, drug abuse, night sweats, productive cough and a "feeling of being hot all the time." The nurse should assign the client to share a room with a client with the diagnosis of

The client for admission has classic findings of pulmonary tuberculosis. Of the choices, the client in option A has a similar diagnosis and it is acceptable to put these types of clients in the same room when no other alternative exists. Clients are considered contagious until the cough is eliminated with medications which initially is a combination of 4 drugs simultaneously.


#3. The nurse is attending a workshop about caring for persons infected with Hepatitis. Which statement is correct when referring to the incidence rate for Hepatitis?

This is the correct definition of incidence of the disease.

#4. The nurse is taking a health history from parents of a child admitted with possible Reye's Syndrome. Which recent illness would the nurse recognize as increasing the risk to develop Reye's Syndrome?

Varicella (chickenpox) and influenza are viral illnesses that have been identified as increasing the risk for Reye’s Syndrome. The use of aspirin is contraindicated for children with these infections.


#5. A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?

Medical management of Kawasaki involves the administration of immunoglobulins. Measles, mumps, rubella (MMR) is a live virus vaccine. Following the administration of immunoglobulins, live vaccines should be held due to possible interference with the body’s ability to form antibodies.

#6. The recent increase in the reported cases of active tuberculosis (TB) in the United States is attributed to which factor?

Between 1985 and 2002 there has been a significant increase in the reported cases of TB. The increase was most evident in cities with a high incidence of positive HIV infection. Positive HIV infection currently is the greatest known risk factor for reactivating latent TB infections as well.

#7. A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to include in the plan of care within the initial 24 hours for this client?

HAV is usually transmitted via the fecal-oral route. That means that someone with the virus handles food without washing his or her hands after using the bathroom. The virus can also be contracted by drinking contaminated water, eating raw shellfish from water polluted with sewage, or being in close contact with a person who’s infected — even if that person has no signs and symptoms. In fact, the disease is most contagious before signs and symptoms ever appear. The nurse should recognize the importance of isolation precautions from the initial contact with the client on admission until the noncontagious convalescence period.


#8. A child is diagnosed with poison ivy. The mother tells the nurse that she does not know how her child contracted the rash since he had not been playing in wooded areas. As the nurse asks questions about possible contact, which of the following would the nurse recognize as highest risk for exposure?

Smoke from burning leaves or stems of the poison ivy plant can produce a reaction. Direct contact with the toxic oil, urushiol, is the most common cause of this dermatitis.

#9. . A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to

Frequent sitz baths may soothe the area and reduce inflammation. The other actions are correct actions. However, they would not address the entire group of problems.

#10. A client with HIV infection has a secondary herpes simplex type 1 (HSV-1) infection. The nurse knows that the most likely cause of the HSV-1 infection in this client is

Decreased immunity leads to frequent secondary infections. Herpes simplex virus type 1 is an opportunistic infection. The other options may result in HSV-1. However, they are not the most likely cause in clients with HIV.


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