Practice Questions Communicable Diseases

The mother of a child diagnosed with fifth disease is crying, and says, "I'm afraid. Will my unborn baby die? I have a planned C-Section next week." Which statement would be the most therapeutic response? a. "Let me get the physician to come and talk to you." b. "I understand. I would be afraid, too." c. "Would you like me to call your OB to have you seen as soon as possible?" d. "I understand you are afraid. Can we talk about your concerns?"

d. "I understand you are afraid. Can we talk about your concerns?"

Which would be the nurse's best response if a mother asks if her baby will still needs the Hib vaccine because he already had Hib? a. Yes, it is recommended that the baby still gets the Hib vaccine b. No, if he has had Hib, he will not need to receive the vaccine c. Let me take a nasal swab first; if it is negative, he will receive the Hib vaccine d. The physician will order a blood test, and depending on results, your child may need the vaccine

a. Yes, it is recommended that the baby still gets the Hib vaccine

Which S/S would the nurse expect to find when assessing a client diagnosed with rheumatic fever? a. ankle and knee joint b. negative group A beta strep culture c. large red bulls eye rash d. stiff neck with photophobia

a. ankle and knee joint

A 10 month old is carried into the ER by her parents after she fell down 15 stairs in her walker. Which would be your highest priority nursing intervention? a. assess airway while simultaneously maintaining cervical spine predations b. assess airway, breathing, and circulation c. prepare for diagnostic radiological testing to check for any injuries d. obtain venous access and draw blood for testing

a. assess airway while simultaneously maintaining cervical spine predations

Which nursing intervention should take place prior to all vaccine administrations? a. document the vaccination to be administered on the immunization record and medical record b. provide the vaccine information statement handout, and answer all questions c. administer the most painful vaccine first, and then alternate injection sites d. refer to the vaccination as "baby shots" so the parents understand the child will be receiving the vaccine

a. document the vaccination to be administered on the immunization record and medical record

Which would be the most appropriate injury prevention/safety teaching for an adolescent? a. inquire which are the favorite sports, discuss the teen's knowledge and application of appropriate safety principles b. tell the teen to be careful performing sports activities c. tell the teen not to let friends encourage drinking, smoking, or taking drugs d. ask the mom what sports the child plays

a. inquire which are the favorite sports, discuss the teen's knowledge and application of appropriate safety principles

Which would be the priority intervention for a child suspected of having varicella (chickenpox)? a. contact precautions b. contact and droplet respiratory precautions c. droplet respiratory precautions d. universal precautions and standard precautions

b. contact and droplet respiratory precautions

An 18 month old is discharged from the hospital after having a febrile seizure secondary to Roseola. On discharge, the mother asks the nurse if her 6 year old twins will get sick. When teaching about the transmission of roseola which would be most accurate? a. the child should be isolated in the home until the vesicles have dried b. the child does not need to be isolated from the older siblings c. administer acetaminophen to the older siblings to prevent seizures d. monitor the older children for seizure development

b. the child does not need to be isolated from the older siblings

When discharging a newborn, which injury prevention instruction would be of highest priority to tell the parents? a. place safety locks on all medicine cabinets and cleaning supplies b. transport the infant in the front seat when driving alone so you can see the baby at all times c. never leave the baby unattended on a raised, unguarded area d. place safety guards in front of any heating appliance, stove, fireplace, or radiator

c. never leave the baby unattended on a raised, unguarded area

What clinical assessment of a neonate with bacterial meningitis would warrant immediate intervention? a. Irritability b. Rectal Temp of 100.6 F c. Quieter than usual d. RR of 24 breaths/min

d. RR of 24 breaths/min

What would be the nurse's best response if the foster mother of a 15 month old with an unknown immunization history comes to the clinic requesting immunizations? a. your foster child will not receive immunizations today b. your foster child will receive the MMR, Hib, IPV, and Hep B vaccines c. your foster child could have harmful effects if we revaccinate with prior vaccinations d. your foster child will receive only the Hib and DTap vaccines today

d. your foster child will receive only the Hib and DTap vaccines today