Question 1

Which of the following symptoms suggests smallpox as opposed to the more common and much less dangerous chickenpox?

Accepted Answer

A)  Child appears only mildly ill until late stages in smallpox. 
B)  Lesions appear in various stages in the same area of the body rather than all at once. 
C)  Rash lesions are most abundant on the face and extremities, not on the trunk. 
D)  Rash occurs 2 to 4 days after sudden onset of fever rather than with the fever. 
A)  Child appears only mildly ill until late stages in smallpox. 
B)  Lesions appear in various stages in the same area of the body rather than all at once. 
C)  Rash lesions are most abundant on the face and extremities, not on the trunk. 
D)  Rash occurs 2 to 4 days after sudden onset of fever rather than with the fever. C,D

Question 2

Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?

Accepted Answer

A)  Answering parents' questions about the safety and importance of vaccines today 
B)  Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen 
C)  "No shots, no school" legislation, which legally requires children be immunized before school 
D)  Offering all immunizations to all children free of any charge 
A)  Answering parents' questions about the safety and importance of vaccines today 
B)  Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen 
C)  "No shots, no school" legislation, which legally requires children be immunized before school 
D)  Offering all immunizations to all children free of any charge C

Question 3

Which of the following best describes the current goal in relation to communicable diseases?

Accepted Answer

A)  To control political borders so diseases cannot spread further 
B)  To exterminate specific infectious agents one by one 
C)  To expand health care facilities to improve infectious disease treatment 
D)  To achieve worldwide immunization to control new cases 
A)  To control political borders so diseases cannot spread further 
B)  To exterminate specific infectious agents one by one 
C)  To expand health care facilities to improve infectious disease treatment 
D)  To achieve worldwide immunization to control new cases B

Question 4

A man loudly protests his increased property tax bill right after the public health department has made a plea for more funds."Why," he asks,"should my tax dollars be used to pay for their children to be immunized?" Which of the following would be the best response by the nurse?

Accepted Answer

A)  "Immunizations are required by law, and if their parents can't afford it, you and I will have to pay for it." 
B)  "It's just the right thing to do." 
C)  "Only by making sure most kids are immunized can we stop epidemics that might hurt all of us." 
D)  "We're a religious God-fearing community, and we take care of each other." 
A)  "Immunizations are required by law, and if their parents can't afford it, you and I will have to pay for it." 
B)  "It's just the right thing to do." 
C)  "Only by making sure most kids are immunized can we stop epidemics that might hurt all of us." 
D)  "We're a religious God-fearing community, and we take care of each other."

Question 5

Which of the following is the most common vector-borne disease worldwide?

Accepted Answer

A)  Dengue 
B)  Malaria 
C)  Onchocerciasis (river blindness) 
D)  Yellow fever 
A)  Dengue 
B)  Malaria 
C)  Onchocerciasis (river blindness) 
D)  Yellow fever

Question 6

There is great concern in the nurse's community over three local cases of West Nile virus.Which of the following actions should the nurse take to get the community involved in addressing this problem?

Accepted Answer

A)  Ask the state department of health for assistance 
B)  Demand that everyone over age 65 become immunized immediately 
C)  Encourage immunization of all children under 12 
D)  Have an educational campaign to remove any containers of standing water 
A)  Ask the state department of health for assistance 
B)  Demand that everyone over age 65 become immunized immediately 
C)  Encourage immunization of all children under 12 
D)  Have an educational campaign to remove any containers of standing water

Question 7

Which of the following best represents an example of infectious disease spreading via a vector?

Accepted Answer

A)  Being bitten by an infected mosquito 
B)  Disease spreading from infected mother to infant via the placenta 
C)  A group of partygoers hugging and shaking hands 
D)  Two persons, one of whom is infected, sharing a glass of soda 
A)  Being bitten by an infected mosquito 
B)  Disease spreading from infected mother to infant via the placenta 
C)  A group of partygoers hugging and shaking hands 
D)  Two persons, one of whom is infected, sharing a glass of soda

Question 8

Which of the following biological warfare agents poses the greatest bioterrorism threat to a community?

Accepted Answer

A)  Anthrax 
B)  Botulism 
C)  Smallpox 
D)  Tularemia 
A)  Anthrax 
B)  Botulism 
C)  Smallpox 
D)  Tularemia

Question 9

A student engages in unprotected sex under the influence of alcohol.The student decides to have an HIV test completed the next day.Which of the following results will most likely occur?

Accepted Answer

A)  The results will probably be negative for HIV. 
B)  The results will probably be positive for HIV. 
C)  The probability of disease is so low there is no reason to be tested. 
D)  The test results won't be reliable so soon after exposure. 
A)  The results will probably be negative for HIV. 
B)  The results will probably be positive for HIV. 
C)  The probability of disease is so low there is no reason to be tested. 
D)  The test results won't be reliable so soon after exposure.

Question 10

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?

Accepted Answer

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

Question 11

At a town meeting with public health officials to discuss a communicable disease outbreak,a nurse is asked to explain what is meant by the phrase "a virulent organism." The nurse explains that this means the organism causing the disease is able to do which of the following?

Accepted Answer

A)  Bypass normal immunological response mechanisms 
B)  Invade major organ systems 
C)  Produce toxins and poisons that weaken the body 
D)  Produce very severe physical reactions 
A)  Bypass normal immunological response mechanisms 
B)  Invade major organ systems 
C)  Produce toxins and poisons that weaken the body 
D)  Produce very severe physical reactions

Question 12

A client is using a primary prevention strategy to prevent infectious disease.Which of the following actions is the client most likely taking?

Accepted Answer

A)  A client receives a tetanus booster every 10 years. 
B)  A client receives a tetanus booster after stepping on a nail. 
C)  A client receives tetanus immunoglobulin after stepping on a nail. 
D)  A client with tetanus is given antibiotics and is placed on seizure precautions. 
A)  A client receives a tetanus booster every 10 years. 
B)  A client receives a tetanus booster after stepping on a nail. 
C)  A client receives tetanus immunoglobulin after stepping on a nail. 
D)  A client with tetanus is given antibiotics and is placed on seizure precautions.

Question 13

Which of the following is the number-one cause of death worldwide?

Accepted Answer

A)  Chronic diseases (heart disease, cancer, stroke) 
B)  Infectious diseases 
C)  Injuries (accidental or purposeful) 
D)  Terrorism 
A)  Chronic diseases (heart disease, cancer, stroke) 
B)  Infectious diseases 
C)  Injuries (accidental or purposeful) 
D)  Terrorism

Question 14

A student comes to the college health clinic with typical cold symptoms of fever,sneezing,and coughing,but the nurse also notes small white spots on the inside of the student's cheeks.Which of the following actions should be taken by the college health nurse?

Accepted Answer

A)  Inform all students, staff, and faculty of a possible rubella epidemic. 
B)  Inform all students, staff, and faculty of a possible measles epidemic. 
C)  Reassure the student that it is just a bad cold and will soon pass. 
D)  Tell the student to take two acetaminophen and drink lots of fluids. 
A)  Inform all students, staff, and faculty of a possible rubella epidemic. 
B)  Inform all students, staff, and faculty of a possible measles epidemic. 
C)  Reassure the student that it is just a bad cold and will soon pass. 
D)  Tell the student to take two acetaminophen and drink lots of fluids.

Question 15

The advanced practice nurse explains that the client has an upper respiratory infection (URI)and suggests several measures that might make the client more comfortable.Which of the following best describes why the nurse doesn't just prescribe antibiotics as the client repeatedly requests?

Accepted Answer

A)  Antibiotics are expensive, whereas the support measures would be almost free of cost. 
B)  Viral diseases are not affected by antibiotics. 
C)  Clinics cannot afford to continually give antibiotics to anyone who asks for them. 
D)  The more antibiotics are prescribed, the more infectious agents develop resistance to such drugs. 
A)  Antibiotics are expensive, whereas the support measures would be almost free of cost. 
B)  Viral diseases are not affected by antibiotics. 
C)  Clinics cannot afford to continually give antibiotics to anyone who asks for them. 
D)  The more antibiotics are prescribed, the more infectious agents develop resistance to such drugs.

Question 16

The nurse 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?

Accepted Answer

A)  Centers for Disease Control and Prevention Weekly Report 
B)  Communicable Diseases Weekly Report 
C)  Nationally notifiable infectious diseases on the CDC website 
D)  State health department website 
A)  Centers for Disease Control and Prevention Weekly Report 
B)  Communicable Diseases Weekly Report 
C)  Nationally notifiable infectious diseases on the CDC website 
D)  State health department website

Question 17

Which of the following places best describes where the incidence of Vancomycin-resistant Staphylococcus aureus (VRSA)and methicillin-resistant S.aureus (MRSA)is currently rising?

Accepted Answer

A)  Areas where people share dressing or bathing facilities 
B)  Daycare centers and schools 
C)  Long-term care facilities 
D)  Senior citizen centers 
A)  Areas where people share dressing or bathing facilities 
B)  Daycare centers and schools 
C)  Long-term care facilities 
D)  Senior citizen centers

Question 18

Which of the following data would most likely be collected in a syndromic surveillance system?

Accepted Answer

A)  Incidence of bioterrorism attacks 
B)  Number of air travelers 
C)  Incidence of school absenteeism 
D)  Number of influenza vaccines administered 
A)  Incidence of bioterrorism attacks 
B)  Number of air travelers 
C)  Incidence of school absenteeism 
D)  Number of influenza vaccines administered

Question 19

A nurse's Mantoux test is positive for exposure to tuberculosis.Which of the following conclusions should be drawn by the nurse?

Accepted Answer

A)  The nurse has been exposed to tuberculosis. 
B)  The nurse has tuberculosis. 
C)  The positive test result probably is due to a problem in the testing process. 
D)  The test is inaccurate and needs to be repeated. 
A)  The nurse has been exposed to tuberculosis. 
B)  The nurse has tuberculosis. 
C)  The positive test result probably is due to a problem in the testing process. 
D)  The test is inaccurate and needs to be repeated.

Question 20

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?

Accepted Answer

A)  Active immunity 
B)  Acquired immunity 
C)  Natural immunity 
D)  Passive immunity 
A)  Active immunity 
B)  Acquired immunity 
C)  Natural immunity 
D)  Passive immunity

Exam 26: Infectious Disease Prevention and Control

Which of the following symptoms suggests smallpox as opposed to the more common and much less dangerous chickenpox?

Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?

Which of the following best describes the current goal in relation to communicable diseases?

A man loudly protests his increased property tax bill right after the public health department has made a plea for more funds."Why," he asks,"should my tax dollars be used to pay for their children to be immunized?" Which of the following would be the best response by the nurse?

Which of the following is the most common vector-borne disease worldwide?

There is great concern in the nurse's community over three local cases of West Nile virus.Which of the following actions should the nurse take to get the community involved in addressing this problem?

Which of the following best represents an example of infectious disease spreading via a vector?

Which of the following biological warfare agents poses the greatest bioterrorism threat to a community?

A student engages in unprotected sex under the influence of alcohol.The student decides to have an HIV test completed the next day.Which of the following results will most likely occur?

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?

At a town meeting with public health officials to discuss a communicable disease outbreak,a nurse is asked to explain what is meant by the phrase "a virulent organism." The nurse explains that this means the organism causing the disease is able to do which of the following?

A client is using a primary prevention strategy to prevent infectious disease.Which of the following actions is the client most likely taking?

Which of the following is the number-one cause of death worldwide?

A student comes to the college health clinic with typical cold symptoms of fever,sneezing,and coughing,but the nurse also notes small white spots on the inside of the student's cheeks.Which of the following actions should be taken by the college health nurse?

The advanced practice nurse explains that the client has an upper respiratory infection (URI)and suggests several measures that might make the client more comfortable.Which of the following best describes why the nurse doesn't just prescribe antibiotics as the client repeatedly requests?

The nurse 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?

Which of the following places best describes where the incidence of Vancomycin-resistant Staphylococcus aureus (VRSA)and methicillin-resistant S.aureus (MRSA)is currently rising?

Which of the following data would most likely be collected in a syndromic surveillance system?

A nurse's Mantoux test is positive for exposure to tuberculosis.Which of the following conclusions should be drawn by the nurse?

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?

Community- and Prevention-Oriented Practice to Improve Population Health

The History of Public Health and Public and Community Health Nursing

The Changing Ushealth and Public Health Care Systems

Ethics in Public and Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Environmental Health

Government, The Law, and Policy Activism

Economic Influences

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Case Management

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Family Health Risks

Health Risks Across the Life Span

Vulnerability and Vulnerable Populations: An Overview

Rural Health and Migrant Health

Poverty, Homelessness, Teen Pregnancy, and Mental Illness

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

Nursing Practice at the Local, State, and National Levels in Public Health

The Faith Community Nurse

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

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