Post Test CD

Question 1

1. A 20 year-old client has an infected leg wound from a
   motorcycle accident, and the client has returned home from the hospital. The client is to keep the
   affected leg elevated and is on contact
   precautions. The client wants to know if visitors can come. The
   appropriate response from the
   home health nurse is that:
   A. Visitors must wear a mask and a gown
   B. There are no special requirements for visitors of
   clients on contact
   C. Visitors should wash their hands before and after
   touching the client
   D. Visitors should wear gloves if they touch the client

Answer 1

C. Visitors should wash their hands before and after
touching the client

Question 2

2. Several clients are admitted to an adult medical unit. The
   nurse would ensure airborne
   precautions for a client with which medical condition?
   A. Autoimmune deficiency syndrome (AIDS) with
   cytomegalovirus (CMV)
   B. A positive purified protein derivative with an abnormal
   chest x-ray
   C. A tentative diagnosis of viral pneumonia with
   productive brown sputum.
   D. Advanced carcinoma of the lung with hemoptysis

Answer 2

B. A positive purified protein derivative with an abnormal
chest x-ray

Question 3

3. A child is admitted to the pediatric unit with a diagnosis of
   suspected meningococcal
   meningitis. Which admission orders should the nurse do first?
   A. Institute seizure precautions
   B. Monitor neurologic status every hour
   C. Place in respiratory/secretion precautions
   D. Cefataxime IV 50 mg/kg/day divided q6h

Answer 3

C. Place in respiratory/secretion precautions

Question 4

4. A client is diagnosed with methicillin resistant
   staphylococcus aureus pneumonia. What type
   of isolation is most appropriate for this client?
   A. Reverse
   B. Airbourne
   C. Standard precautions
   D. Contact

Answer 4

D. Contact

Question 5

5. Which of these clients with associated lab reports is a
   priority for the nurse to report to the
   public health department within the next 24 hours?
   A. An infant with a positive culture of stool of Shigella
   B. An elderly factory worker with a lab report that is
   positive for acid-fast bacillus smear
   C. A young adult commercial pilot with a positive
   histopathological examination from an induced
   sputum for Pneumocystis carinii
   D. A middle-aged nurse with a history of varicella-zoster
   virus and with crops of vesicles on an erythematous
   base that appear on the skin

Answer 5

B. An elderly factory worker with a lab report that is
positive for acid-fast bacillus smear

Question 6

6. A client is scheduled to receive an oral solution of
   radioactive iodine (131I). In order to reduce hazards, the
   priority information for the nurse to include during the
   instructions to the client is which of these statements?
   A. In the initial 48 hours avoid contact with children and
   pregnant women, and after urination or defecation
   flush the commode twice
   B. Use disposable utensils for 2 days and if vomiting
   occurs within 10 hours of the dose, do so in the toilet
   and flush it twice
   C. Your family can use the same bathroom that you use
   without any special precautions
   D. Drink plenty of water and empty your bladder often
   during the initial 3 days of therapy

Answer 6

A. In the initial 48 hours avoid contact with children and
pregnant women, and after urination or defecation
flush the commode twice

Question 7

7. A newly admitted adult client has a diagnosis of hepatitis A.
   The charge nurse should reinforce to the staff members that
   the most significant routine infection control strategy, in
   addition to hand-washing, to be implemented is which of these?
   A. Apply appropriate signs outside and inside the room
   B. Apply a mask with a shield if there is a risk of fluid
   splash
   C. Wear a gown to change soiled linens form
   incontinence
   D. Have gloves on while handling bedpans with feces

Answer 7

D. Have gloves on while handling bedpans with feces

Question 8

8. The nurse is assigned to a client newly diagnosed with
   active tuberculosis. Which of these protocols would be a
   priority for the nurse to implement?
   A. Have the client cough into a tissue and dispose in a
   separate bag
   B. Instruct the client to cover the mouth with a tissue
   when coughing
   C. Reinforce for all to wash their hands before and after
   entering the room
   D. Place client in a negative pressure private room and
   have all whoenter the room use masks with shields

Answer 8

D. Place client in a negative pressure private room and
have all whoenter the room use masks with shields

Question 9

9. The school nurse is teaching the faculty the most effective
   methods to prevent the spread office in the school. The information that would be most important to include would be
   which of these statements?
   A. The treatment requires reapplication in 8 to 10 days
   B. Bedding and clothing can be boiled or steamed
   C. Children are not to share hats, scarves and combs
   D. Nit combs are necessary to comb out nits.

Answer 9

C. Children are not to share hats, scarves and combs

Question 10

10. During the care of a client with a salmonella infection, the
    primary nursing intervention to limit transmission is which of
    these approaches?
    A. Wash hands thoroughly before and after client
    contact
    B. Wear gloves when in contact with body secretions
    C. Double glove when in contact with feces or vomitus
    D. Wear gloves when disposing of contaminated linens

Answer 10

A. Wash hands thoroughly before and after client
contact

Question 11

11. A nurse administers the influenza vaccine to a client in a
    clinic. Within 15 minutes after the immunization was given, the
    client complains of itchy and watery eyes, increased anxiety,
    and difficulty breathing. The nurse expects that the first action
    in the sequence of care for this client will be to
    A. Maintain the airway
    B. Administer epinephrine 1:1000 as ordered
    C. Monitor for hypotension with shock
    D. Administer diphenhydramine as ordered

Answer 11

B. Administer epinephrine 1:1000 as ordered

Question 12

12. A client with a diagnosis of Methicillin resistant
    Staphylococcus aureus (MRSA) has died.
    Which type of precautions is the appropriate type to use when
    performing postmortem care?
    A. Airborne precautions
    B. droplet precautions
    C. contact precautions
    D. compromised host precautions

Answer 12

C. contact precautions

Question 13

13. A nurse is stuck in the hand by an exposed needle. What
    immediate action should the nurse take?
    A. Look up the policy on needle sticks
    B. Contact employee health services
    C. Immediately wash the hands with vigor
    D. Notify the supervisor and risk management

Answer 13

C. Immediately wash the hands with vigor

Question 14

14. The nurse is teaching a class on HIV prevention. Which of
    the following should be emphasized as increasing risk?
    A. Donating blood
    B. Using public bathrooms
    C. Unprotected sex
    D. Touching person with AIDS

Answer 14

C. Unprotected sex

Question 15

15. Which of the following manifestations observed by the
    school nurse confirms the presence of pediculosis capitis in
    students?
    A. Scratching the head more than usual
    B. Flakes evident on a student’s shoulders
    C. Oval pattern occipital hair loss
    D. Whitish oval specks sticking to the hair

Answer 15

D. Whitish oval specks sticking to the hair

Question 16

16. A client is admitted with a right upper lobe infiltrate and to
    rule out tuberculosis. The most appropriate action by the nurse
    to protect the self would be which of these?
    A. Negative room ventilation
    B. Face mask with shield
    C. Particulate respirator mask
    D. Airborne precautions

Answer 16

C. Particulate respirator mask

Question 17

17. To prevent drug resistance common to tubercle bacilli, the
    nurse is aware that which of the following agents are usually added to drug therapy?
    A. Anti-inflammatory agent
    B. High doses of B complex vitamins
    C. Aminoglycoside antibiotic
    D. Two anti-tuberculosis drugs

Answer 17

D. Two anti-tuberculosis drugs

Question 18

18. 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?
    A. Tuberculin skin testing
    B. Sputum culture
    C. White blood cell count
    D. Chest X-ray

Answer 18

B. Sputum culture

Question 19

19. 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
    A. Acute tuberculosis with a productive cough of
    discolored sputum for over three months
    B. Lupus and vesicles on one side of the middle trunk
    from the back to the abdomen
    C. Pseudomembranous colitis and C. difficile.
    D. Exacerbation of polyarthritis with severe pain

Answer 19

A. Acute tuberculosis with a productive cough of
discolored sputum for over three months

Question 20

20. The nurse is attending a workshop about caring for
    persons infected with Hepatitis B. Which statement is correct when referring to the incidence rate for Hepatitis B?
    A. The number of persons in a population who develop
    Hepatitis B during a specific period of time
    B. The total number of persons in a population who
    have Hepatitis B at a particular time
    C. The percentage of deaths resulting from Hepatitis B
    during a specific time
    D. The occurrence of Hepatitis B in the population at a
    particular time

Answer 20

A. The number of persons in a population who develop
Hepatitis B during a specific period of time

Question 21

21. 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?
    A. Rubeola
    B. Meningitis
    C. Varicella
    D. Hepatitis

Answer 21

C. Varicella

Question 22

22. Nurse Aida is obtaining a specimen for sputum culture and
    sensitivity from a client with a suspected pneumonia. Which of
    the following instruction is best for the client?
    A. Do purse-lip breathing and cough into a container.
    B. Upon awakening, cough deeply and expectorate into
    a container.
    C. Save all sputum for three days in a sealed container.
    D. After treatment has been initiated, expectorate into a
    container

Answer 22

B. Upon awakening, cough deeply and expectorate into
a container.

Question 23

23. A 23 year old male student from the university belt area
    was admitted in Sampaloc Hospital with hepatitis A. Nurse Aida
    is aware that the client’s overall care during hospitalization
    should include which of the following?
    A. Protective isolation
    B. Airborne protection
    C. Standard precautions
    D. Droplet precautions

Answer 23

C. Standard precautions

Question 24

24. The National Tuberculosis Program of the Philippine has
    the following set of strategies except
    one:
    A. Ensure public and private healthcare provider’s
    adherence of national standard of TB care
    B. Ensure TB patient’s treatment compliance
    C. Improve access to services through innovative
    service delivery
    D. Decrease morbidity and mortality

Answer 24

C. Improve access to services through innovative
service delivery

Question 25

25. A child in the community has pediculosis capitis and is
    treated with 1% gamma benzenehexachloride (Kwell shampoo).Nurse Beth should explain to the parents that:
    A. Treatment is continued every other day for 1 week.
    B. Clothing and personal belongings require normal
    washing with soap and water.
    C. Application of the shampoo is done after 7 to 10
    days.
    D. Single treatment with Kwell kills nits and lice.

Answer 25

C. Application of the shampoo is done after 7 to 10
days.

Question 26

26. The community health nurse is giving instructions to an
    elderly male client recently diagnosed with pulmonary TB. Which of the following is an important part of the teaching
    plan?
    A. During the first two weeks of treatment, client
    should cover his mouth when he coughs.
    B. It is necessary for the client to wear mask at all
    times to prevent transmission.
    C. Family support is needed to reduce feelings of low
    self-esteem and isolation.
    D. Client should be required to take medications for 6
    to 9 months.

Answer 26

D. Client should be required to take medications for 6
to 9 months.

Question 27

27. A charge notes that one of the staff nurse on duty caring
    for clients developed discharge from her right eye with redness and pain. Which is the best action by the charge nurse?
    A. Send the staff nurse home
    B. Assess the staff nurse’s compliance with standard
    precaution
    C. Assign the staff nurse to clients with chronic
    diseases
    D. Reassign the staff nurse to documentation only

Answer 27

A. Send the staff nurse home

Question 28

28. A young child is placed on droplet precautions. Which of
    the following clients is given droplet precautions?
    A. Child with cystic fibrosis
    B. Child with tonsillitis
    C. Child with bronchitis
    D. Child with pertussis

Answer 28

D. Child with pertussis

Question 29

29. Miss Agassis was diagnosed with human papilloma virus
    (HPV). Which of the following statements if made to the nurse indicates understanding of the possible sequelae of the illness?
    A. I will need to take antibiotics for one week.
    B. I will use only prescribes douche to avoid
    recurrence.
    C. I will return for a Pap smear in six months.
    D. I will avoid using tampons for eight weeks.

Answer 29

C. I will return for a Pap smear in six months.

Question 30

30. A physician orders Metronidazole (Flagyl 250 mg) for Miss
    Francesca,a 26 year old female because of amoebiasis. Nurse
    Gemma gives her teachings about the drug. Teaching has been
    effective when Miss Francesca says:
    A. I should take this medication between meals to
    increase absorption.
    B. I should not drink alcohol while taking the
    medications.
    C. If I experience a metallic taste in my mouth,I
    should notify the physician.
    D. I should avoid strong sunlight while on the
    medication.

Answer 30

B. I should not drink alcohol while taking the
medications.

Question 31

31. In giving teachings to Mario who is being treated for
    syphilis, it is most important for Nurse Carlo, a community health nurse, to include which of the following information?
    A. Practice restraint of sexual activity
    B. Practice safe sex
    C. Information on family planning
    D. Signs of secondary infection

Answer 31

B. Practice safe sex

Question 32

32. Lorenzo is diagnosed with paralytic shellfish poisoning.
    Nurse Carlo knows that one of the following is not true about
    it?
    A. Poison victims who survive the first twelve hours
    after ingestion of the toxic shellfish have a greater
    chance of survival.
    B. Shellfish affected
    by
    red tide must be cooked with
    vinegar as the toxin of
    pyromidium decreases when
    mixed with acid.
    C.
    Toxin of
    red tide is not totally destroyed
    by cooking
    so consumers must be educated to
    a
    void bivalve
    mollusks.
    D. Drinking pur
    e coconut milk weakens the toxic
    effect of
    red tide if combined with sodium bicarbonate
    in the early stage of poisoning.

Answer 32

B. Shellfish affected
by
red tide must be cooked with
vinegar as the toxin of
pyromidium decreases when
mixed with acid.

Question 33

33. DOTS is the internationally recommended TB control
    strategy. All of the
    following are elements of DOTS except:
    A. Sustained political commitment
    B. Standardized short course chemotherapy
    for all TB
    cases under proper case management conditions
    C.
    Increase and sustain support and financing
    for TB
    control and accreditation
    D. Recording and reporting system enabling outcome
    assessment of
    overall program performance

Answer 33

C.
Increase and sustain support and financing
for TB
control and accreditation

Question 34

34. Nurse Carlo is
    aware the portal of entry of schistosomiasis
    is/are the:
    A. Gastrointestinal tract
    B. Skin
    C.
    Respiratory tract
    D. Blood
    vessels

Answer 34

B. Skin

Question 35

35. Which of the
    following is the most common virus that causes diarrhea in children?
    A. Giardia lamblia
    B. Respiratory syncitial virus
    C.
    Borrelia burgdorferi
    D. Rotavirus

Answer 35

D. Rotavirus

Question 36

36. Which of the
    following is considered
    a prophylaxis
    for
    leprosy?
    A. Multidrug therapy
    B. BCG
    vaccination
    C. Specific drug therapy
    D. Good personal
    hygiene

Answer 36

B. BCG
vaccination

Question 37

37. Nurse Minda is teaching
    a group of women about the
    prevention and control
    for scabies. All the
    following are part of
    the prevention and control except:
    A.
    Improving the sanitation of the surroundings
    B. Regular change of clean clothing, beddings and
    towels
    C. Good personal
    hygiene
    D. Use of benzyl benzoate emulsion

Answer 37

D. Use of benzyl benzoate emulsion

Question 38

38. Maricel,
    a
    young adolescent, tells the clinic nurse that she
    had sexual contact with her boyfriend
    3 days ago. Her
    boyfriend admitted having been diagnosed with gonorrhea.
    Maricel
    wants to know when she can expect symptoms to
    appear/The nurse inform her that onset of symptoms are
    expected within:
    A.
    Two to five days
    B. One to two weeks
    C. Five to seven days
    D. Two to three weeks

Answer 38

A.
Two to five days

Question 39

39. Nurse Maria has been assigned at the rural health unit in
    Palawan where malaria continues to be
    a health problem. She
    is
    aware of the
    following signs and symptoms of malaria.
    Which of the
    following is NOT INCLUDED?
    A.
    Recurrent chills
    B. Profuse sweating
    C. Anemia
    D. Vomiting

Answer 39

C. Anemia

Question 40

40. James
    a
    9
    year old child is brought to the health center
    for
    consult because of popular pruritic
    rash with some
    vesicles on
    his trunk and back. He has
    fever and body malaise.
    Based on
    the assessment of Nurse Maria, which illness does Jaime have?
    A. Measles
    B. Roseola
    C.
    Rubeola
    D. Varicella

Answer 40

A. Measles