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Worksheetsinfectious diseases
Total questions: 55
Worksheet time: 29mins
Which of the following best represents an example of infectious disease spreading via a vector?
Being bitten by an infected mosquito
Disease spreading from infected mother to infant via the placenta
A group of partygoers hugging & shaking hands
Two persons, 1 of whom is infected, sharing a glass of soda
Which of the following is the most common vector-borne disease worldwide?
Dengue fever
Malaria
Onchocerciasis (river fever)
Yellow fever
6 students order meals at a local restaurant. Which of the following are at highest risk for illness (select all that apply)?
the 1st student who askes for a salad w/chicken strips & dressing on the side
the 2nd student who asks for a hamburger, very rare
the 3rd student who orders a tuna salad sandwich with extra mayonnaise
the 4th student who orders a breakfast with 2 very soft-poached eggs & toast
Which of the following infectious disease interventions best represents the use of secondary prevention?
clients with HIV infection are encouraged to use condoms to protect partners
clients with HIV infection are given medications to improve immunological response
healthcare workers are encouraged to receive annual vaccinations for influenza
healthcare workers are required to have a tuberculosis skin test or chest x-ray
At a town meeting w/public health officials to discuss a communicable disease outbreak, an RN is aksed to explain what is meant by the phrase "a virulent organism." The RN explains this means the organism causing the disease is able to do which of the following?
bypass normal immunologic response mechanisms
invade major organ systems
produce toxins & poisons that weaken the body
produce very strong physical reactions
There is great concern in the RN's community over 3 local cases of West Nile virus. Which of the following actions should the nurse take to get the community involved in addressing the problem?
ask the state department of heatlh for assistance
demand that everyone over age 65 become immunized immediately
encourage immunization of all children under age 12
have an educational campaign to remove any containers of standing water
Which of the following is the most common vector-borne disease in the United States?
Babesiosis
Erhlichiosis
Lyme disease
Rocky Mountain spotted fever
Which of the following components of the epidemiological triangle contributes most to a female client developing a vaginal infection cause by fungi after successful treatment of her strep throat?
agent
host
environment
agent and host
The RN is trying to determine if a disease occurrence needs to be reported to the state health department. Which of the following resources should the nurse use to answer this question?
CDC's weekly MMRW
Communicable Diseases Weekly Report
Nationally notifiable infectious diseases on the CDC website
State health department website
Which of the following is the most probable cause of the increase in new, emerging infectious diseases?
activities or behaviors of humans, including changes in the environment
increasing urbanization & growth in new housing materials
new infectious agents are evolving throughout the world
overpopulation in many areas, creating a need to reduce the global population
A man loudly protests his increased property tax bill right after the public health department has made a plea for increased funds. He asks, "Why should my tax dollars be used to pay for children to be immunized?" Which of the following would be the best response by the nurse?
"Immunizations are required by law, & if their parents can't afford it, you & I will have to pay for it."
"It's just the right thing to do."
"Only by making sure that most kids are immunized can we stop epidemics that might hurt all of us."
"We're a religious, God-fearing commuity & we take care of each other."
An instructor is reviewing Salmonella infections with her class. Which of the following comments indicates that the student needs further review on how Salmonella is spread?
"Certain pets & farm animals may be carriers."
"It's possible to transmit Salmonella by person-to-person contact."
"Salmonella may be spread by spores that form once contaminated blood is exposed to the air."
"Salmonella outbreaks are usually due to contaminated meat, poultry, & eggs."
Which of the following best describes the current goal in relation to communicable diseases?
to control political borders so diseases cannot spread further
to exterminate specific infectious agents 1 by 1
to expand healthcare facilities to improve infectious disease treatment
to achieve worldwide immunization to control new cases
A client is using a primary prevention strategy to prevent infectious diseases. Which of the following actions is the client most likely taking?
The client receives a tetanus booster every 10 years
The client receives a tetanus booster after stepping on a nail
The client receives tetanus immunoglobulin after stepping on a nail
The client with tetanus is given antibiotics & is placed on seizure precautions
The APN explains the client has an URI & suggests several measures that might make the client more comfortable. Which of the following best describes why the APN doesn't just prescribe antibiotics as the client repeatedly requests? Select all that apply.
antibiotics are expensive, whereas the support measures would be almost free
viral diseases are not affected by antibiotics
clinics cannot afford to continuously give antibiotics to anyone who asks them
the more antibiotics are prescribed, the more infectious agents develop resistance to such drugs
Which of the following places best describes where the incidence of vancomycin-resistant Staph aureus (VRSA) & methicillin-resistant S. aureus (MRSA) is currently rising?
areas where people share dressing or bathing facilities
daycare centers & schools
long-term care facilities
senior citizen centers
During an outbreak of hepatitis A, nurses are giving injections of hepatitis A immunoglobulin to selected susceptible persons. Which of the following best describes the type of immunity that will follow the administration of these injections?
active immunity
acquired immunity
natural immunity
passive immunity
Which of the following is the number 1 cause of death worldwide?
chronic diseases (heart disease, cancer, stroke, diabetes)
infectious diseases
injuries (accidental or purposeful)
terrorism
Which of the following biological warfare agents poses the greatest bioterrorism threat to a community?
anthrax
botulism
smallpox
tularemia
Place these in correct order:
1. convalescence
2. illness
3. incubation
4. prodrome
1. convalescence
2. illness
3. incubation
4. prodrome
3. incubation
4. prodrome
2. illness
1. convalescence
4. prodrome
3. incubation
2. illness
1. convalescence
2. illness
3. incubation
1. convalescence
4. prodrome
Pertussis is a highly contagious disease associated with a high infant mortality rate
true
false
Scarlet fever is caused by group A beta-hemolytic streptococci.
True
False
In both Lyme disease & Rocky Mountain Spotted Fever, the vector is a tick.
True
False
Manifestations of fungal infections appear quickly after the chld contracts the organism.
True
False
When a child is diagnosed with a helminthic infection, treatment is usually provided for the entire family.
True
False
Frequent handwashing can prevent the spread of parasitic diseases.
True
False
A bulls-eye rash may be a manifestation of diphtheria.
True
False
Children should receive a pertussis booster (TDap) at 11-12 years.
True
False
Many teens are not aware that participating in oral sex puts them at risk for STIs.
True
False
The HPV vaccine is given in a 2-dose series for ages 9-14.
True
False
Bacterial vaginosis in a child who is not sexually active proves that the child has been sexually abused.
True
False
There is no cure for HSV2.
True
False
The drug to treat gonorrhea is:
metronidazole
azithromycin
penicillin G benzathine
ceftriaxone
The drug to treat syphilis is:
metronidazole
clindamycin
acyclovir
penicillin G benzathine
The drug to treat chlamydia is: (select all that apply)
metronidazole
azithromycin
doxycycline
clindamycin
The drug to treat trichomoniasis is:
metronidazole
azithromycin
clindamycin
doxycycline
The drug to treat human papilloma virus (HPV) is:
azithromycin
ceftriaxone
surgical removal of lesions
penicillin G benzathine
The drugs to treat bacterial vaginosis are: (select all that apply)
metronidazole
azithromycin
clindamycin
doxycycline
The drug to treat HSV1 or HSV 2 is:
clindamycin
acyclovir
surgical removal of lesions
ceftriaxone
Self-care measures to reduce the transmission of STIs include:
withdrawal of the penis before ejaculation
douching immediately after intercourse
use of barrier methods of contraception
mutual masturbation
Strategies for safer sex that avoid contact with bodily fluids include:
erotic massage
oral-genital stimulation
careful anal intercourse
consensual sharing of sex toys
Factors that put women at increased risk of HIV infection include:
premenstrual syndrome
trichomoniasis infection
seizure disorder
gonorrhea
The most common STI that frequently produces NO signs or symptoms in women is:
chancroid
herpes
chlamydia
syphilis
The first sign of syphilis is a sore that is:
painful
filled with clear fluid
itchy and scaly
painless
The nurse caring for a woman with a chlamydial infection anticipates an order for which drug?
metronidazole 2 grams orally in a single dose
ceftriaxone 250 mg IM one time
doxycycline 100 mg orally bid for 7 days
acyclovir 800 mg every 4 hours for 7 days
A patient is being treated for trichomoniasis with metronidazole. Which instruction specific to this medication should the nurse give the patient?
"Don't drink alcohol until 24-72 hours after you're finished the medication."
"Avoid getting in direct sunlight for 1 week after you finish the medication."
"Make sure you take all the medication that's been prescribed for you."
"Since only 1 dose is needed, we will watch you take it before you leave."
A patient in the clinic has what appears to be a chancre. The nurse anticipates which test will be ordered to confirm the disease?
RPR
VDRL
FTA-ABS
culture of lesion
A patient had an injection of ceftriaxone for gonorrhea & is given a prescription for doxycycline. The patient asks why a 2nd drug is needed. Waht response by the nurse is best?
"Give the pills to your sexual partner so he or she gets treated too."
"The injection only lasts a few days, and you need further treatment."
"The pills are a backup medication in case the injection doesn't work."
"We always treat for Chlamydia when we treat patients for gonorrhea."
A woman just diagnosed with Chlamydia tells the nurse she's relieved it's "just Chlamydia" & not something "serious." The best response by the nurse is to say:
"You're right; Chlamydia is easily cured with common antibiotics."
"Yes, Chlamydia is not as serious as other STIs & has fewer long-term side effects."
"Chlamydia can increase the risk of contracting "serious" infections like HIV."
"All STIs are equally serious because they show you engage in unsafe sexual behavior."
The RN wants to become involved in community teaching on preventing HIV infection. To reach the most vulnerable population, where would the nurse plan to hold the educational session?
African-American churches
Asian-American neighborhoods
Inner city schools
Suburban family practice clinics
While working in a pediatric clinic, the RN receives a phone call from the parent of a 13-yr-old who's receiving chemo for leukemia. The patient's sibling has chicken pox. Which action will the nurse anticipate next?
administer varicella-zoster immunoglobulin to the patient
teach the parent about correct use of acyclovir
educate the parent about contact & airborne precautions
prepare to admit the patient to a private room in the hospital
An unimmunized 7-yr-old who attends the local school has rubeola (measles). The child has 2 siblings who also attend the school. Which action by the nurse is a priority?
Exclude the child & siblings from attending school for 21 days
notify all parents of children attending the school of exposure
recommend the siblings receive the measles vaccine
recommend that the siblings receive measles immunoglobulin
The RN is teaching a group of daycare workers about how to avoid transmission of hepatitis A in daycare settings. What is the single most effective measure to emphasize?
hand hygiene should be performed often to prevent & control the spread of infection
children in whom hepatitis has been diagnosed should not share toys with others
children with episodes of fecal incontinence should be isolated from others
immunizations are recommended before children are admitted to daycare settings
A 16-yr-old female arrives at the health center. She tells the RN that she's been sexually active for 6 months but "only with my boyfriend." Her immunizations are up to date. Screening for which STI will be most important for her?
syphilis
genital herpes simplex
human papillomavirus
chlamydia
The doctor ordered cooling measures for a child with a fever who will be discharged once the fever goes down. Which task will the RN delegate to the tech?
provide explanations for nursing actions to the family
assist the child to remove outer clothing
advise parents to use acetaminophen instead of aspirin
monitor the child's level of consciousness & orientation level
