Deck 31: The Child With a Communicable Disease

Question 1

A parent of a newborn asked the nurse, "When will my baby get the hepatitis B vaccine?" The nurse bases a response on the knowledge that the first dose of Comvax should be given to infants born to a hepatitis B-negative mother at:

A) 2 months
B) 4 months
C) 6 months
D) 1 year

Answer 1

4 months

Question 2

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. The vaccine that would be contraindicated is:

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

Answer 2

Influenza

Question 3

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."

Answer 3

"The gown and mask are to protect you because you could get an infection very easily."

Question 4

The nurse would document a rash that has erythematous circular raised lesions as:

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

Question 5

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. The nurse is aware this type of rash is consistent with:

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

Question 6

The priority nursing diagnosis for a hospitalized infant who is HIV-positive would be:

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

Question 7

The nurse would delay the administration of DTaP when the mother says that her infant:

A) Has diarrhea
B) Had a temperature of 105º F from the previous inoculation
C) Is teething
D) Is traveling with her to Europe in a week

Question 8

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:

A) 2 to 10 days
B) 4 to 14 days
C) 3 to 32 days
D) 14 to 21 days

Question 9

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 10

The nurse determined the parent understood the information when he stated:

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 11

In giving care, the nurse is aware that safe handling of body substances is essential. Body substances that require safe handling are: Select all that apply.

A) Emesis
B) Saliva
C) Feces
D) Semen
E) Blood
F) None of the above

Question 12

When the 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough, the nurse explains that those "shots":

A) Were borrowed antibodies from another person who had whooping cough
B) Gave her a "tiny" case of whooping cough and then she made her own antibodies
C) Strengthened antibodies she was born with
D) Are only temporary borrowed antibodies and she needs to have another "shot" every 5 years

Question 13

The nurse takes into consideration that the child most susceptible to an opportunistic infection is the one taking:

A) Anticonvulsants
B) A beta-adrenergic agent
C) An antibiotic
D) Corticosteroids

Question 14

The type of precaution that is necessary when caring for a toddler with varicella is:

A) Contact
B) Protective
C) Airborne infection
D) Large droplet infection

Question 15

An adolescent is taking tetracycline for a sexually transmitted disease. The nurse would stress in the instruction about this medication to:

A) Finish all of the medication.
B) Get plenty of fresh air and sunlight.
C) The medication should be taken with food.
D) Take an antacid if the medication causes an upset stomach.

Question 16

The nurse would choose to administer the immunization injection of:

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

Question 17

The nurse would base a response to a parent about how his child got hepatitis A on the information that the child:

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 they were in Mexico

Question 18

The nurse explains to the parents that their child is in the prodromal stage of varicella. This means that the child:

A) Is now immune to varicella
B) Has varicella, but has not yet broken out
C) Is infected with varicella, but is not contagious
D) Does not have varicella, but has been exposed to it

Question 19

The statement made by a sexually active adolescent girl indicating an understanding of the prevention of sexually transmitted diseases is:

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

The nurse can be assured that parents understand how long a child who has varicella is contagious when they state:

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

The nurse uses a diagram showing how the wood tick acts as a ____________________ in the transmission of Lyme disease.

Question 22

The well-child clinic nurse will prepare to give a healthy 2-month-old inoculations for: Select all that apply.

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

Question 23

The nurse explains ____________________ test determines the child's susceptibility to tuberculosis.

Question 24

The school nurse recognizes the presence of macules, papules, vesicles, pustules, and scabs on the child as the particular sign of the communicable disease of ____________________.