Question 1

What presents a challenge for human papillomavirus (HPV) prevention?

Accepted Answer

A)  HPV can be transmitted through all body fluids. 
B)  HPV warts may grow in areas that a barrier (e.g., a condom) does not cover. 
C)  With HPV, thin-walled pustules may rupture to form honey-coloured crusts. 
D)  With HPV, vesicles are hidden and ulcerate within 1 day. 
A)  HPV can be transmitted through all body fluids. 
B)  HPV warts may grow in areas that a barrier (e.g., a condom) does not cover. 
C)  With HPV, thin-walled pustules may rupture to form honey-coloured crusts. 
D)  With HPV, vesicles are hidden and ulcerate within 1 day. B

Question 2

Women who develop vaginal fungal infections (commonly referred to as yeast infections) usually have a history of having been prescribed antibiotics for bacterial infections. Which component of the epidemiological triangle (agent-host-environment) contributes most to the development of vaginal infections?

Accepted Answer

A)  Agent 
B)  Environment 
C)  Host 
D)  Agent and host 
A)  Agent 
B)  Environment 
C)  Host 
D)  Agent and host B

Question 3

Which infectious disease intervention best represents primary prevention?

Accepted Answer

A)  Giving a tetanus booster every 10 years 
B)  Giving a tetanus booster to a client after she steps on a nail 
C)  Giving tetanus immunoglobulin to a client after he steps on a nail 
D)  Giving antibiotics to a client who has tetanus and placing the client on seizure precautions 
A)  Giving a tetanus booster every 10 years 
B)  Giving a tetanus booster to a client after she steps on a nail 
C)  Giving tetanus immunoglobulin to a client after he steps on a nail 
D)  Giving antibiotics to a client who has tetanus and placing the client on seizure precautions A

Question 4

For what reason should the school nurse recommend that an HIV-infected child not be allowed to attend school?

Accepted Answer

A)  The child develops allergies with sneezing. 
B)  The school system requires students to receive routine immunizations. 
C)  There is an outbreak of chicken pox at the school. 
D)  There is strong objection from parents of well children. 
A)  The child develops allergies with sneezing. 
B)  The school system requires students to receive routine immunizations. 
C)  There is an outbreak of chicken pox at the school. 
D)  There is strong objection from parents of well children.

Question 5

A CHN asks a class to describe the ways in which HIV can be transmitted. Which student response indicates a need for additional teaching?

Accepted Answer

A)  "HIV can be transmitted by droplet spread from sneezing or coughing." 
B)  "HIV can be transmitted by having unprotected sex with someone who is infected." 
C)  "HIV can be transmitted by sharing needles when shooting up drugs." 
D)  "HIV can be transmitted through transfusions of blood products that are contaminated with HIV." 
A)  "HIV can be transmitted by droplet spread from sneezing or coughing." 
B)  "HIV can be transmitted by having unprotected sex with someone who is infected." 
C)  "HIV can be transmitted by sharing needles when shooting up drugs." 
D)  "HIV can be transmitted through transfusions of blood products that are contaminated with HIV."

Question 6

What would be a tertiary prevention measure implemented by the CHN to prevent TB?

Accepted Answer

A)  Administering a purified protein derivative (PP
D)  to the contacts of those infected with TB 
B)  Initiating directly observed therapy (DOT) for TB-positive clients 
C)  Providing education about the prevention of TB to members of the community 
D)  Using skin tests to screen all health workers for TB 
A)  Administering a purified protein derivative (PP
D)  to the contacts of those infected with TB 
B)  Initiating directly observed therapy (DOT) for TB-positive clients 
C)  Providing education about the prevention of TB to members of the community 
D)  Using skin tests to screen all health workers for TB

Question 7

What sexually transmitted infections (STIs) can be prevented through immunization?

Accepted Answer

A)  Chlamydia 
B)  Gonorrhea 
C)  Hepatitis B 
D)  Herpes 
A)  Chlamydia 
B)  Gonorrhea 
C)  Hepatitis B 
D)  Herpes

Question 8

A client with TB wants to know why DOT is required as part of the treatment. What CHN response would be the most appropriate one?

Accepted Answer

A)  "Clients with TB are often noncompliant; DOT will ensure that you take the drugs prescribed to you." 
B)  "This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment." 
C)  "This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain." 
D)  "TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the drugs regularly." 
A)  "Clients with TB are often noncompliant; DOT will ensure that you take the drugs prescribed to you." 
B)  "This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment." 
C)  "This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain." 
D)  "TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the drugs regularly."

Question 9

A communicable disease outbreak has occurred in a town. At a town meeting with public health officials, a community health nurse (CHN) is asked to explain the phrase "virulent organism." What definition of virulence is correct?

Accepted Answer

A)  Virulence is the ability to bypass normal immunological response mechanisms. 
B)  Virulence is the ability to invade major organ systems. 
C)  Virulence is the ability to produce toxins and poisons that weaken the body. 
D)  Virulence is the ability to produce severe physical reactions. 
A)  Virulence is the ability to bypass normal immunological response mechanisms. 
B)  Virulence is the ability to invade major organ systems. 
C)  Virulence is the ability to produce toxins and poisons that weaken the body. 
D)  Virulence is the ability to produce severe physical reactions.

Question 10

A student asks the school nurse how acquired immune deficiency syndrome (AIDS) is diagnosed. Which answer is correct?

Accepted Answer

A)  AIDS is diagnosed through the negative results of a screening test called an enzyme-linked immunosorbent assay (ELIS
A) . 
B)  Antibodies to HIV, which form in about 6 weeks to 3 months following infection with HIV, are detected in the blood. 
C)  Antibodies to HIV reach peak levels of 200/mL of blood. 
D)  AIDS is diagnosed through positive ELISA results and clinical signs of AIDS. 
A)  AIDS is diagnosed through the negative results of a screening test called an enzyme-linked immunosorbent assay (ELIS
A) . 
B)  Antibodies to HIV, which form in about 6 weeks to 3 months following infection with HIV, are detected in the blood. 
C)  Antibodies to HIV reach peak levels of 200/mL of blood. 
D)  AIDS is diagnosed through positive ELISA results and clinical signs of AIDS.

Question 11

Which statement about Salmonella made in a class about disease prevention indicates that additional teaching is needed?

Accepted Answer

A)  "Certain pets and farm animals may be Salmonella carriers." 
B)  "It is possible to transmit Salmonella through person-to-person contact." 
C)  "Salmonella may be spread through blood once the infected blood is exposed to air." 
D)  "Salmonella outbreaks are usually due to contaminated meat, poultry, and eggs." 
A)  "Certain pets and farm animals may be Salmonella carriers." 
B)  "It is possible to transmit Salmonella through person-to-person contact." 
C)  "Salmonella may be spread through blood once the infected blood is exposed to air." 
D)  "Salmonella outbreaks are usually due to contaminated meat, poultry, and eggs."

Question 12

Which infectious disease intervention is most representative of secondary prevention?

Accepted Answer

A)  Clients with human immunodeficiency virus (HIV) infection are encouraged to use condoms to protect their sexual partners. 
B)  Clients with HIV infection are given medications to improve immunological response. 
C)  Health care workers are encouraged to receive annual vaccinations for influenza. 
D)  Health care workers are required to have a tuberculosis (T
B)  skin test or chest X-ray. 
A)  Clients with human immunodeficiency virus (HIV) infection are encouraged to use condoms to protect their sexual partners. 
B)  Clients with HIV infection are given medications to improve immunological response. 
C)  Health care workers are encouraged to receive annual vaccinations for influenza. 
D)  Health care workers are required to have a tuberculosis (T
B)  skin test or chest X-ray.

Question 13

CHNs have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?

Accepted Answer

A)  Active immunization 
B)  Long-lasting immunity 
C)  Natural immunity 
D)  Passive immunization 
A)  Active immunization 
B)  Long-lasting immunity 
C)  Natural immunity 
D)  Passive immunization

What presents a challenge for human papillomavirus (HPV) prevention?

Which infectious disease intervention best represents primary prevention?

For what reason should the school nurse recommend that an HIV-infected child not be allowed to attend school?

A CHN asks a class to describe the ways in which HIV can be transmitted. Which student response indicates a need for additional teaching?

What would be a tertiary prevention measure implemented by the CHN to prevent TB?

What sexually transmitted infections (STIs) can be prevented through immunization?

A client with TB wants to know why DOT is required as part of the treatment. What CHN response would be the most appropriate one?

A communicable disease outbreak has occurred in a town. At a town meeting with public health officials, a community health nurse (CHN) is asked to explain the phrase "virulent organism." What definition of virulence is correct?

A student asks the school nurse how acquired immune deficiency syndrome (AIDS) is diagnosed. Which answer is correct?

Which statement about Salmonella made in a class about disease prevention indicates that additional teaching is needed?

Which infectious disease intervention is most representative of secondary prevention?

CHNs have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?

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The Evolution of Community Health Nursing in Canada

Community Health Nursing in Canada: Settings, Functions, and Roles

Health Promotion

Evidence-Informed Practice in Community Health Nursing

Ethics in Community Health Nursing Practice

Diversity and Relational Practice in Community Health Nursing

Epidemiological Applications

Working With the Community

Health Program Planning and Evaluation

Working With the Individual As Client: Health and Wellness Across the Lifespan

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Working With Groups, Teams, and Partners

Indigenous Health: Working With First Nations People, Inuit, and Métis

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Exam 16: Communicable and Infectious Disease Prevention and Control

What presents a challenge for human papillomavirus (HPV) prevention?

Which infectious disease intervention best represents primary prevention?

For what reason should the school nurse recommend that an HIV-infected child not be allowed to attend school?

A CHN asks a class to describe the ways in which HIV can be transmitted. Which student response indicates a need for additional teaching?

What would be a tertiary prevention measure implemented by the CHN to prevent TB?

What sexually transmitted infections (STIs) can be prevented through immunization?

A client with TB wants to know why DOT is required as part of the treatment. What CHN response would be the most appropriate one?

A communicable disease outbreak has occurred in a town. At a town meeting with public health officials, a community health nurse (CHN) is asked to explain the phrase "virulent organism." What definition of virulence is correct?

A student asks the school nurse how acquired immune deficiency syndrome (AIDS) is diagnosed. Which answer is correct?

Which statement about Salmonella made in a class about disease prevention indicates that additional teaching is needed?

Which infectious disease intervention is most representative of secondary prevention?

CHNs have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?

Community Health Nursing

The Evolution of Community Health Nursing in Canada

Community Health Nursing in Canada: Settings, Functions, and Roles

Health Promotion

Evidence-Informed Practice in Community Health Nursing

Ethics in Community Health Nursing Practice

Diversity and Relational Practice in Community Health Nursing

Epidemiological Applications

Working With the Community

Health Program Planning and Evaluation

Working With the Individual As Client: Health and Wellness Across the Lifespan

Working With Families

Working With Groups, Teams, and Partners

Indigenous Health: Working With First Nations People, Inuit, and Métis

Working With Vulnerable Populations

Environmental Health

Disaster Management

Filters