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Part 1 CD Mastery Test

A 4-year-old child is being assessed for bacterial meningitis. The most likely mode of transmission was contact with respiratory secretions of an infected person. A lumbar puncture was performed and laboratory results showed increased white blood cells, increased proteins, and low glucose, confirming bacterial meningitis. During assessment, flexing the child's neck forward produced leg flexion, indicating a positive Brudzinski's sign. Precautions are being taken to prevent further infection transmission.

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Rika Mae
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© © All Rights Reserved
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0% found this document useful (0 votes)
401 views15 pages

Part 1 CD Mastery Test

A 4-year-old child is being assessed for bacterial meningitis. The most likely mode of transmission was contact with respiratory secretions of an infected person. A lumbar puncture was performed and laboratory results showed increased white blood cells, increased proteins, and low glucose, confirming bacterial meningitis. During assessment, flexing the child's neck forward produced leg flexion, indicating a positive Brudzinski's sign. Precautions are being taken to prevent further infection transmission.

Uploaded by

Rika Mae
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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3.

A 41 year old victim of gunshot wound is


being assessed closely for signs of hypovolemic
PART 1 CD MASTERY TEST
shock. Which of the following instructions of Lace
1. The nurse is to explain to a client and his family to the newly hired nurse is LEAST intended to obtain
about transmission-based precautions. It was data regarding hypovolemic shock?
verbalized by the client that he felt “unclean and
A. “Talk to the patient.”
disliked” as a result of the perception that he was
highly communicable. The nurse’s MOST B. “Note skin color of the patient.”
appropriate instructions would include:
C. “Report to me changes in vital signs.”
1. Protective equipment used by the staff are to
D. “Maintain pressure on the wound.”
protect the client health team and others
4. The newly hired nurse observed Lace
2. Precautions are temporary and continuously
perform assessment on a 50 year old female who
evaluated
sustained partial and full thickness burns on both
3. Proper hand hygiene before and after visiting the lower extremities due to fire. Which of the
client is very effective in preventing infection following questions asked by Lace will the newly
hired nurse consider as an attempt to determine
4. Patient care items like glasses, pitchers, basin
the full thickness burns?
must always be in sterile condition to prevent
spread of infection A. “Can you move both extremities?”

A. 2, 3, 4 B. “How long were your extremities exposed to


flames?”
B. 1, 2, 3
C. “Did you cover extremities with any material like
C. 1, 3, 4
a blanket?”
D. 1, 2, 4
D. “Do you experience pain?”
2. The nurse is explaining standard precaution
5. Lace administered as prescribed antivenom and
to the client. The primary purpose of standard
tetanus toxoid to a client admitted with history of
precaution as part of maintaining safe environment
snake bite. If you were the newly hired nurse,
is to:
which of the following will you consider
A. Reduce the spread of the disease INCORRECT?

B. Prevent the spread of communicable diseases A. Tetanus toxoid enhance effect of antivenom.

C. Protect health workers from acquiring B. Amount of antivenom is dependent on the


communicable diseases severity of reaction than weight of the client.

D. Prevent nosocomial infection C. Complications induced may be prevented by the


tetanus toxoid.
Situation: Lace is an emergency department nurse
working during the morning shift. A newly hired D. Antivenom is an antidote for snake bite.
nurse was assigned to work with her as part of the
6. Lace instructed the newly hired nurse to
orientation program.
inform the client with congestive heart failure to
avoid Valsalva-type Maneuvers. The newly hired
nurse understands that these include the following A. Hip flexed and knee Extended
EXCEPT:
B. Knee extended and ankle flexed
A. Walking to and from the bathroom
C. Leg extended with resistance
B. Moving from supine to lateral position
D. Hip, knee and ankle flexed
C. Coughing and Straining
10. In the nursing care plan prepared by the nurse,
D. Getting out of bed to a wheelchair. “Pain related to meningeal irritation” is a priority
nursing diagnosis. Which of the following should
Situation: Worthy, 4 years old is positive for
the nurse avoid to do to prevent pain when
Bacterial Meningitis.
positioning the patient?
7. From the history obtained from the mother,
A. Extend leg
which of the following could be the possible
method by which the infection was transmitted to B. Flex the neck forward
the patient?
C. Hyperextend the neck
A. Drinking water in the community was
D. Flex the hip
contaminated.
11. The nurse understands that this leucocytes
B. Contact with respiratory secretions of an infected
is related to phagocytosis?
person
A. neutrophils.
C. Hands of caregiver was contaminated with local
discharges B. eosinophils.
D. Eating utensils of the child were contaminated C. basophils.
8. The physician prescribed lumbar tap. When the D. monocytes.
nurse reads the laboratory results, which of the
following reflects positive results indicative of 12. The large, heavy, and older adult patient, post
Bacterial Meningitis? stroke, develops an infected decubitus on the
sacrum during the hospital stay. When the patient
A. Decreased white blood cells, decreased proteins, goes home, about 2 weeks later, the patient returns
high glucose to the hospital with pneumonia. The distinction
between these two infections is which of the
B. Normal white blood cells, increased proteins,
following?
high glucose
A. The decubitus infection was transmitted from
C. Increased white blood cells, increased proteins,
other patients on the unit, but the pneumonia was
low glucose
transmitted from a neighbor visiting when the
D. Increased white blood cells, decreased proteins, patient was at home.
low glucose
B. The decubitus and pneumonia are caused by the
9. Assessment findings reveal positive Brudzinski same host.
sign, When the nurse flexed the child’s neck
C. The decubitus is termed nosocomial and the
forward, which of the following behavior indicated a
pneumonia is termed community-acquired.
positive Brudzinski’s sign?
D. The decubitus is considered to be caused by and tuna fish sandwiches. The nurse anticipates that
protozoa, whereas the pneumonia is termed the causative organism for these symptoms is:
unpreventable because of the size of the patient.
A. Clostridium botulinum
13. When discarding used needles and syringes
B. Clostridium perfringens
after injection to the patient, which of the following
is appropriate nursing action? C. Salmonella
A. Remove needle from syringe and discard them in D. Staphylococcus aureus
separate containers.
17. Which of the following is the MOST COMMON
B. Recap needle, then discard the needle still sign of infection among the elderly?
attached to the syringe into a container.
A. decreased breath sounds with crackles
C. Discard the uncapped needle and syringe into a
container in the nurse station B. fever

D. Discard the uncapped needle and syring into a C. pain


container in the patient’s room D. change in mental status
14. The nurse caring for an immunosuppressed 18. The nurse would anticipate a caesarean birth for
patient is diligent about protecting the patient from a client who has which infection present at the
infection. When visitors come in, in addition to onset of labor?
having them put on isolation garb, the nurse would
prohibit them bringing: A. Herpes-simplex virus type 2

A. a battery-operated DVD player. B. Human papilloma virus

B. baked broccolli with beans C. Herpes simplex type 1

C. potted plants. D. Toxoplasmosis

D. boxed candy. 19. Which of the following nursing interventions is


done when examining the incision wound and
15. The patient with the diagnosis of changing the dressing?
Clostridium difficile infection asks what has caused
the diarrhea. The nurse responds that it is caused A. Observe the dressing and type and odor of
by: drainage if any

A. protozoal infection. B. Get patient’s consent

B. fecal–oral contamination. C. Wash hands

C. inflammatory response. D. Request the client to expose the incision


wound
D. long-term antibiotic therapy.
20. A solution used to treat Pseudomonas wound
16. Six hours after a beach picnic on a hot infection is:
afternoon, a young man enters the ER with nausea
and vomiting, headache, and diarrhea. On A. Dakin’s solution
interview, the patient says that he ate potato salad B. Half-strength hydrogen peroxide
C. Acetic acid B. There are no special requirements for visitors of
clients on contact precautions
D. Betadine
C. Visitors should wash their hands before and after
21. Surgical asepsis is observed when:
touching the client
a. inserting an intravenous catheter
D. Visitors should wear gloves if they touch the
b. disposing of syringe and needles in puncture client
proof containers
25. Several clients are admitted to an adult medical
c. washing hands before changing wound dressing unit. The nurse would ensure airborne precautions
for a client with which medical condition?
d. placing dirty soiled linen in moisture resistant
bags A. Autoimmune deficiency syndrome (AIDS) with
cytomegalovirus (CMV)
22. A client with viral infection, will most likely
manifest which of the following during the illness B. A positive purified protein derivative with an
stage of the infection? abnormal chest x-ray

a. Client was exposed to the infection 2 days ago C. A tentative diagnosis of viral pneumonia with
but without any symptoms productive brown sputum

b. Oral temperature shows fever D. Advanced carcinoma of the lung with hemoptysis

c. Acute symptoms are no longer visible 26. The nurse is assigned to a client newly
diagnosed with active tuberculosis. Which of these
d. Client “feels sick” but can do normal activities protocols would be a priority for the nurse to
23. Which action by a new nurse signifies an implement?
understanding about infection control? A. Have the client cough into a tissue and dispose in
A. The nurse touches the the inside portion of the a separate bag
gloves only when wearing gloves. B. Instruct the client to cover the mouth with a
B. The nurse washes gloved hands before removing. tissue when coughing

C. The nurse uses her bare hands to change the C. Reinforce for all to wash their hands before and
dressing after entering the room

D. The nurse applies standard precaution to all D. Place client in a negative pressure private room
types of patients. and have all who enter the room use masks with
shields
24. A 20 year-old client has an infected leg wound
from a motorcycle accident, and the client has 27. A sputum specimen was collected from Mr.
returned home from the hospital. The client is to Ramos for culture and sensitivity. This study is to
keep the affected leg elevated and is on contact ascertain which of the following facts?
precautions. The client wants to know if visitors can A. The virulence of microorganism involved
come. The appropriate response from the home
health nurse is that: B. The antibiotics which would be most helpful

A. Visitors must wear a mask and a gown


C. The patients probably reaction to the causative 31. While assessing the pressure sore of a 75 year
microorganism old client, the nurse documents that healing is
taking place when she observes presence of:
D. The patient’s sensitivity to antibiotics
A. Exudates
28. In cleaning the inner cannula or other parts of
the tracheostomy tube, The best cleansing mediums B. Ragged edges around the wound
are:
C. Eschar
A. Hydrogen peroxide and Sterile NSS
D. Granulation tissue
B. Providone Iodine and Sterile NSS
32. Personal Protective Equipment (PPE) like the
C. Alcohol and Sterile NSS face mask when worn correctly offers maximum
protection against transmission of droplets. Below
D. Alcohol and Hydrogen Peroxide
are descriptions of how a mask is worn. Which
29. The nurse is caring for a client in the Isolation statement describes a CORRECTLY WORN MASK?
Room. Which of the following is the correct
A. The mask is placed to cover the nose, ear and
technique to be observed by the nurse regarding
mouth tied at the back of the head
use of the stethoscope to prevent spread of
microorganisms to other clients? B. Place the mask to cover the nose and mouth with
two ties tied at the back of the head
a) Leave the stethoscope inside the room of the
client C. With the two loops on either side of the mask,
anchor it to both ears and adjust to cover the nose
b) Place the stethoscope inside a double bag every
and the mouth
after use
D. The mask is placed to cover the nose and mouth
c) Wipe the stethoscope with a disinfectant solution
with the four sides snugly fitting against the skin
every after use
and with the two pairs of ties tied
d) Hang the stethoscope inside the patient’s room separately at the back of the head

30. While you were obtaining intravenous access to 33. You are caring for a client who had a near-
start fluids, you accidentally pricked yourself with drowning incident in a lake. Which assessment will
the needle you were about to use. Which the you perform to monitor for possible complications?
following is the BEST action to do?
A. Check the client’s blood glucose level before
A. Dispose the needle, change gloves and restart meals
the procedure
B. Assess the client’s bowel sounds three times
B. Discontinue the procedure and report to the daily
Head nurse
C. Check the client’s skin for petechiae daily
C. Dispose the needle, ask to be excused and secure
D. Assess the client’s temperature every 8 hours.
treatment for the needleprick
34. Your nursing action which indicates your
D. Ignore the needleprick, replace the needle and
observance of standard precautions would be when
proceed with the IV insertion
you:
A. dispose needles, scalpel blades, sharp instrument B.ICU is never empty so disinfection of this special
in double bags. area is difficult to accomplish

B. protect yourself from infections through contact C. Clients are critically ill and highly susceptible to
with blood or body fluid borne viruses. infection

C. protect yourself from contact with blood, open D. ICU personnel are less strict with asepsis since
wounds, and body fluids. clients are on antibiotics all the time

D. practice frequent hand washing including 38. The effectiveness of nurse's teaching regarding
washing of contaminated gloves. take home prescribed antibiotic self-administration
is indicated in which statement of the client?
35. You have mild cough, runny nose and low fever
but you still reported to work. Which of the A. "I will see to it that the medication schedule is
following actions is NOT an effective way to control synchronized with my daily routine."
infection?
B. "I have read the prescription and its specific
A. Do frequent hand washing. instructions"

B. Cover your mouth and nose when you sneeze or C. "I fully understand the beneficial effects of the
cough. antibiotic"

C. Minimize working with clients highly susceptible D. "I will report side effects immediately."
to infections.
39. Where should you put Mr.Alejar, with Category
D. Use mask, gloves and gown while working. II TB?

36. Understanding the risks of infection, who among A. In a room with positive air pressure and at least 3
the clients listed below should receive immediate air exchanges an hour
attention and care?
B. In a room with positive air pressure and at least 6
A. Adult female with Vitamin B deficiency due to air exchanges an hour
chronic alcohol intake.
C. In a room with negative air pressure and at least
B. Adult male with fresh second degree burns on 3 air exchanges an hour
arms and chest.
D. In a room with negative air pressure and at least
C. A teenager who is bleeding due to a cut on the 6 air exchanges an hour
finger.
40. A new technology adopted by the Philippines for
D. An elderly male with diabetes mellitus and toe a rapid diagnosis of TB in less than 2 hours?
infection
A. Chest X ray
37. During the seminar the nurses are informed that
B. Sputum Microscopy
Intensive Care Unit (ICU) patients have a high risk of
contracting hospital acquired infections. Which of C. Xpert-MTB/RIF
the following explanations is TRUE?
D. Mantoux Test
A. Many procedures done in the ICU expose clients
to more pathogens 41. Which of the following anti TB drugs would least
likely allergic reaction?
A. Rifampicin a. Wear an N95 respirator

B. INH b. Wear a mask when working within 3 feet away


from the client
C. Pyrazinamide
c. Place the client in a private room or a client
D. Streptomycin
infected with the same organism
42. Which of the following anti TB drugs is
d. Instruct family members and caregivers to wear
contraindicated to pregnant woman?
respiratory devices
A. Rifampicin
46. Which new admission should the nurse plan to
B. INH place in a private room with negative-pressure
airflow?
C. Pyrazinamide
a. Client with rubella
D. Streptomycin
b. Client with strep throat
43. The nurse is to insert an NG Tube when
suddenly, she accidentally dip the end of the tube in c. Client with measles
the client’s glass containing distilled drinking water
d. Client with TB of the bone
which is definitely not sterile. As a nurse, what
should you do? 47. A nursing instructor asks a nursing student to
describe human immunoglobulin. The student
A. Don’t mind the incident, continue to insert the
correctly states that these types of vaccine are:
NG Tube
A. Vaccine that have their virulence diminished so
B. Obtain a new NG Tube for the client
as to not produce a full blown clinical illness
C. Disinfect the NG Tube before reinserting it again
B. Vaccine that contains pathogens made inactive
D. Ask your senior nurse what to do by either chemicals or heat

44. In removing protective devices, which should be C. Bacterial toxins that have been made inactive by
the exact sequence? either chemicals or heat

1. Eye wear or goggles D. Vaccines collected from pooled blood of people


and provide antibodies to variety of diseases
2. Mask
48. You are preparing Hazel for discharge. She had
3. Gloves splenectomy following multiple injury sustained
4. Gown from a vehicular accident. The MOST important
precaution to teach Hazel regarding her immune
A. 3,1,4,2 function is that she:
B. 4,3,1,2 A. Will be at a decreased risk for developing
C. 1,3,4,2 allergies, so it will no longer be necessary for her
worry about asthmatic allergies.
D. 2,1,4,3
B. Should have yearly check up because she is high
45. The following are interventions for clients under risk for cancer development now.
airborne precaution except:
C. Will no longer developed a fever when she has an B. “I had the measles, so many baby will be
infection. She must learn to identify other protected against it until he is old enough to receive
symptoms of infections. the MMR vaccine?”

D. Should avoid people with the flu because it is C. “only certain antibodies were able to cross the
hard for her to developed antibodies. placenta to protect my baby.”

49. Jane who is recovering from Hepatitis A asks you D. “My baby received some antibodies from me
if should take the vaccine to avoid contacting the before birth and I will give him more when I
disease again. What is your BEST response? breastfeed.”

A. “No, your liver and immune system are too 52. Gerry who is receiving intravenous
impaired at this time.” chemotherapy asks you why you are wearing a
mask, gloves and gown when giving the drugs to
B. “Yes, because the Hepatitis A virus strain changes
him. What is your BEST response?
from year to year.”
A. “There clothing protect me from accidentally
C. “No, having had Hepatitis A has done the same
absorbing these drugs through the skin and mucous
thing a vaccination would.”
membrane.”
D. “Yes, because now you are more susceptible to
B. “I am preventing the spread of infection from you
have Hepatitis A.”
to me or to any other clients.”
50. While you are preparing to administer a tetanus
C. “Our hospital policy requires that any nurse
toxoid vaccination for Carlo who had a punctured
giving these drugs should wear a gown.
wound, he tells you that he had tetanus shot just 1
year ago. What will be your BEST response? D. “These protective barriers will prevent you from
getting an infection coming from me.”
A. ” Antibody production slows down as you age.
You need a booster.” 53. What antibodies is transmitted through
breastmilk
B. “You probably do not need another vaccination
now.” A. IgG

C. it won’t hurt to receive an extra dose of the B. IgA


toxoid.”
C. IgM
D. “you need this vacation because the strain of
D. IgD
tetanus changes every year.
54. What type of immunity is attained if a patient
51. You are having a Mother’s Class for
received Sinovac vaccine?
Primigravidas who had recently given birth about
immunity that has been passed to the baby in utero. A. Natural Passive Immunity
Which statement by a participant indicates that
additional teaching is needed? B. Natural Active Immunity

A. I had chickenpox and I am immune to it, so my C. Artificial Passive Immunity


baby will not need to have chickenpox vaccine.” D. Artificial Active Immunity
SITUATION: - You are caring for Rolando, 58 years 58. The priority nursing diagnosis for Rolando is “
old, was admitted because of difficulty of Risk for ineffective airway clearance” related to
swallowing and stiffening of the neck. He has history which of the ff.?
of a wound laceration on his right hand sustained
A. Stiffness
whiel gardening. Physician suspects Tetanus
infection. B. seizures
55. While you were preparing to administer oxygen C. back muscle spasms
inhalation, Rolando had seizures and assumed an
opisthotonic position. Which of the ff. correctly D. infection
describe the position? 59. During a seizure, which of the ff. are you
A. Head retracted, back arched and feet extended expected to do FIRST?

B. Neck, hip, knee flexed and feet plantar flexed A. Monitor vital signs especially the respiratory rate
B. Place a padded tongue blade in the patient’s
C. Head flexed forward, jaw clenched, arms mouth
pronated and feet plantar flexed C. Provide mechanical ventilation
D. Turn patient to his side
D. Head hyper extended hip flexed and feet
extended
60. You are at the RHU clinic when a mother
56. Taking into consideration the incubation period,
brought in her infant Dodong, for his OPV
which of the ff. data in Rolando’s’ health history will
immunization. You have assessed that the infant
you consider relevant?
has diarrhea. What will be your next action?
A. positive for type 2 diabetes mellitus
a. Notify the physician
B. Immunization status uncertain, no booster dose b. Give the OPV and record the dose
administered c. Give the OPV but do not record the dose
d. Do not give the OPV
C. Wound laceration, sustained a week ago, was
treated at home
Situation: Patient with Rabies
D. Wound pain, unbearable and unrelieved by
analgesic 61. Nursing care of clients diagnosed with rabies is
provision of this comfortable environment which is:
57. To decrease stimuli that cause muscle spasms
and seizures, which of the ff. nursing interventions a. Adequately supplied with food and water
is LEAST relevant for you to do? b. Quiet and dark
c. Provided with soft music
A. Maintain a quiet, well ventilated and darkened
d. Accessible to medication
room

B. Administer sedatives as prescribed


62. A patient, who is exhibiting signs of rabies, is
C. Monitor for hazards of immobility admitted to San Lazaro Hospital. The patient’s
mother is in disbelief since her son was bitten by a
D. Perform physical care during time of maximal dog 2 years ago. The nurse correctly responds by
sedation explaining to the mother that:
a. Incubation period of rabies can reach more than 66. Community health nurses should be alert in
1 year observing a Dengue suspect. The following is NOT
b. Incubation period of rabies is 1-3 months and indicator for hospitalization of H-fever suspects.
c. That bite two years ago did not cause the rabies
a. Marked anorexia, abdominal pain and vomiting
d. Rabies virus does not live that long
b. Increasing hematocrit count
c. Fever for more than 2 days
63. Nursing intervention for the patient would d. Persistent headache
include:

a. Covering the IV fluid bag with paper 67. The community health nurses primary concern
b. Opening the windows in the room in the immediate control of hemorrhage among
c. Bringing extra fan for the patient to avoid patients with dengue is:
hyperthermia
a. advising low fiber and non-fat diet
d. Avoiding dim light
b. providing warmth through light weight covers
c. observing closely the patient for vital signs
Situation: Patient with Dengue leading to shock
d. keeping the patient at rest
64. Which of the following treatment should NOT
be considered if the child has severe dengue
hemorrhagic fever? 68. Which of these signs may NOT be REGARDED as
a truly positive signs indicative of Dengue H-Fever?
A. use plan C if there is bleeding from the nose or
gums a. Prolonged bleeding time
B. give ORS if there is skin petechiae, persistent b. Appearance of at least 5 petechiae
vomiting and positive tourniquet test c. Steadily increasing hematocrit count
C. give aspirin d. Fall in the platelet count
D. prevent low blood sugar
69. Which of the following is the most important
treatment of patients with Dengue H-Fever?
65. An important role of the community health
nurse in the prevention and control of Dengue H- a. Give aspirin for fever
fever includes: b. Replacement of body fluids
c. Avoid unnecessary movement of patient
a. advising the elimination of vectors by keeping
d. Ice cap over the abdomen in case of melena
water containers covered
b. conducting strong health education
drivers/campaign directed towards proper garbage 70. The community health nurses primary concern
disposal in the immediate control of hemmorrhage among
c. explaining to the individuals, families, groups patients with dengue is:
and community the nature of the disease and its
A. Advising low fiber and non-fat diet
causation
d. practicing residual spraying with insecticides B. Providing warmth through light weight covers

C. Observing closely the patient for vital signs


leading to shock
D. Keeping the patient at rest. B. 1,2,3,4,5,6,7

71. Which of these signs may NOT be REGARDED as C. 1,2,3,4,5,6,7,8


a truly positive signs indicative of Dengue H-fever?
D. 1,2,3,4,5,7
A. Prolonged Bleeding Time
74. The nurse understands that the cycle of
B. Appearance of at least 20 petechiae within 1 cm transmission of the Dengue Fever virus begins
square during which of the ff.

C. Steadily increasing hematocrit count A. Infected mosquito bites an uninfected human

D. Fall in the platelet count B. Virus multiply in the midgut of the mosquito

72. Which of the ff. Was MOST likely the description C. Mosquito feeds on an infected human
of Bobby's fever prior to onset of hematuria that
D. Mosquito's saliva is invaded by the virus during
supported the physician's diagnosis of DENGUE
subsequent biting of infected human
FEVER?
75. To prevent transmission of the virus to others.
A. intermittent fever for 4 days
Which of the ff. Is MOST appropriate isolation
B. onset of fever was abrupt and remained elevated measure the nurse should implement in the care of
for 4 days Bobby?

C. abrupt onset of fever and sudden drop on the A. screen the environment
4th day
B. use gown, gloves, and mask
D. gradual increase of body temperature and
C. blood and body secretion isolation
sudden drop on the 4th day
D. use strict universal isolation technique
73. With proper medical care and early recognition,
case-fatality rates are below 1%. On the other hand, 76. The mother is preparing for their discharge. She
special attention needs to be given to these warning tells the nurse that she is relieved that everything is
signs as it could lead to severe dengue: Select all fine and her daughter is now immune to dengue.
that apply The nurse replies based on the knowledge that:
1. Severe abdominal pain a. Immunity against one serotype can lead to
immunity to other serotypes
2. Persistent vomiting
b. Immunity against one serotype does not make
3. Bleeding gums
the individual immune to other serotypes
4. Vomiting blood
c. Immunity against all dengue viruses is based on
5. Rapid breathing the individual’s immune response

6. Fatigue/ restlessness d. Cross-immunity to other viruses is possible only if


infected with DEN-4 serotype
7. Hemoptysis
77. The mother of a child whose chickenpox rash
8. Headache
first appeared 8 days ago asks the nurse when her
A. 1,2,3,4,5,6 child may return to school without being
contagious. Which of the following is the nurse’s C. erythematous and macular rash on the ankles
most appropriate response? and wrists

A. “your child cannot return to school until all the D. painful raised vesicles
lesions disappear.”
81. A client with neutropenia has an absolute
B. “your child is contagious as long as your child is neutrophil count of 900. What is the client’s risk of
itching.” infection?

C. “the contagious state of chickenpox is generally 2 A. Normal risk.


weeks.”
B. Moderate risk.
D. “your child is not contagious and may return to
C. High risk.
school now.”
D. Extremely high risk.
78. When planning the care of a client diagnosed
with asymptomatic herpes simplex virus type 2 82. The nurse is reviewing the lab reports of a client
(Hsv-2), Which of the following should the nurse who is HIV positive. Which laboratory report
consider? provides information regarding the effectiveness of
the client’s medication regimen?
A. there is no risk of transmitting the condition to
anyone else A. ELISA
B. after prescribed treatment, herpes simplex virus B. Western Blot
type 2 is cured
C. Viral load
C. an antibiotic is used successfully in the treatment
D. CD4 count
D. the client is a carrier, and still able to transmit
the disease 83. A client with AIDS related CMV is started on
cytoven (ganciclovir). The nurse should tell the
79. The nurse assesses what clinical manifestation client that the medication will be needed:
to be the priority in a child with Enterobius
(pinworm)? A. Until the infection clears

A. nocturnal anal itching B. for 6 months to a year

B. weight loss C. Until the cultures are normal

C. chronic or relapsing diarrhea D. for the remainder of life.

D. flatulence 84. The nurse is caring for a client with suspected


AIDS dementia complex. The first sign of dementia
80. the nurse assesses which of the following to be in the client with AIDS is:
a clinical manifestation of human
papillomavirus(HPV)? A. Changes in gait

A. soft papules in the anogenital area B. Loss of concentration

B. nocturnal anal itching C. Problems with speech

D. seizures
85. A second year nursing student has just suffered B. All of these
a needlestick while working with a patient that
C. unprovoked bites
ispositive for AIDS. Which of the following is the
most important action that nursing student should D. Animals display abnormal behavior
take?
89. In another health education session, Nurse
A: Immediately see a social worker Gabriela explains about LEPROSY. Which of the
following should be included?
B: Start prophylactic AZT treatment
1. Leprosy is curable
C: Start prophylactic Pentamide treatment
2. not all leprosy patients are infectious
D: Seek counseling
3. leprosy is hereditary
Situation: The Department of Health has vowed to
end Neglected Tropical diseases (NTDs) by 2030. In 4. Casual contact with a patient causes leprosy
the Philippines, the NTDs that are prevalent include
leprosy and rabies. One of the strategies to address 5. Regular and adequate treatment is essential
this goal is through conduct of Health Education A. 1,3,4
program.
B. 2,4,5
86. Public Health Nurse Gabriela is educating a
group of residents in Community X about rabies. A C. 1,2,5
partciipant asks, “How can you get the virus?” The D. 2,3,4
nurse explains that the virus can be transmitted by
which source? 90. Nurse Garbriela stated that a definitive
diagnosis of Leprosy is obtained through _____.
A. Saliva
A. blood examinations
B. Blood
B. Tuberculin testing
C. Urine
C. Skin smears/biopsies
D. Stool
D. Nasal smears
87. She emphasized that the bites, which are
responsible for nearly 99 percent of human rabies Situation: – In recent months, “bird flu” or avian
infections, are those of the infected ____. influenza caused a significant concern among the
people especially those in Central Luzon and Metro
A. monkeys Manila. It is both an emerging and re-emerging
B. Dogs infection.

C. Bats 91. Which of the following statement is TRUE


about “bird flu”?
D. Cats
A. All forms of bird flu can easily cause illness to
88. Nurse Gabriela explains that there are situations humans
which increase risk of rabies. These are _____.
B. Domestic poultry flocks are much less vulnerable
A. stray dog bites to infections
C. Infected chickens can also infect domestic 96. Which of the following has been recognized
animals like cats and dogs as a significant risk factor for the development of
acute respiratory distress syndrome (ARDS) and
D. Only birds are normally infected by the viruses,
death in patients with COVID-19?
less commonly pigs.
A. Decreased Lactate dehydrogenase levels.
92. When humans are infected, the following
signs and symptoms of bird flu may appear, EXCEPT: B. Elevated D – dimer tests

A. Fever C. Neutropenia
B. Sore eyes/Sore throat
D. Lymphocytosis
C. Chicken rashes
D. Body weakness 97. Syphilis is another infection that may impose
risk during pregnancy. Since we are under the
93. Which of the following is NOT included in practice of health science, you know that Syphilis is
the control measures in infected birds? caused by:
A. Restrictions on the movement of the live poultry. A. Treponema Syphilis
B. Rapid destruction of all infected or exposed birds
C. Transferring of the live poultry in another area B. Neisseria gonorrhoeae
or location. C. Chlamydia Trachomatis
D. Vigorous disinfection of poultry farms
D. Treponema Pallidum

94. There are measures that should be 98. Under the second level of prevention, you know
observed by the humans to prevent bird flu that one of the focuses of care is the screening of
infection. Which of the following is NOT included? diseases. What is the screening test for syphilis?

A. Non-poultry workers should avoid contact with A. VDRL


the chickens and ducks as much as possible. B. Western blot
B. All poultry farm workers should be given the
current season’s flu vaccine. C. PSA
C. Avoid eating chicken or any poultry products until
D. ELISA
the epidemic has abated
D. Advise people on proper cooking of poultry meat 99. Which of the following are recommended
and eggs. infection control measures upon arrival of a patient
with suspected COVID-19 infection?

95. For patients with bird flu infection, health A. Rapid triage of symptomatic infection
care workers should observe the following, EXCEPT:
B. Implement respiratory hygiene and cough
A. Establish a separate isolation facility etiquette.

B. Utilize Personal Protective Equipment (PPE) C. Have a separate, well-ventilated space that
allows waiting symptomatic patients to be
C. Avoid going near the patient as much as possible
separated by 6 or more feet.
D. Apply the principles of handwashing.
D. All of the above
100. Which of the following is the most effective
method for prevention of COVID-19 infection in the
health care setting?

A. Avoid exposure (Use standard precautions,


Contact precautions, and Airborne Precautions and
eye protection when caring for patients with
confirmed or possible COVID-19 infection)

B. Vaccination

C. Handwashing

D. None of the above

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