Question 1

The population health nurse is reviewing reporting requirements for communicable diseases. In which class should the nurse place the reporting of the common cold?

Accepted Answer

A)   Extremely urgent.
B)   Urgent.
C)   To be reported in the next cycle.
D)   Not to be reported. D

Question 2

The population health nurse is reviewing immunization records for a group of community members. For which clients should the nurse recommend an updated tetanus vaccination? (Select all that apply.)

Accepted Answer

A)   Over the age of 65.
B)   Smokes 1 ppd of cigarettes.
C)   History of using injection drugs.
D)   Being treated for type 2 diabetes.
E)   Recovering from pacemaker insertion. A,C,D

Question 3

There is an epidemic of influenza in a small, rural community. The leaders of the community are so concerned about the epidemic that they canceled all planned public events. This is an example of:

Accepted Answer

A)   Social distancing.
B)   Quarantine.
C)   Isolation.
D)   Restricting. A

Question 4

The population health nurse is planning strategies to prevent communicable diseases in a community. On which areas should the nurse focus? (Select all that apply.)

Accepted Answer

A)   Postexposure prophylaxis.
B)   Immunizations.
C)   Screening.
D)   Surveillance.
E)   Monitoring.

Question 5

The population health nurse is making a graph to show some of the common diseases that are transmitted through sexual contact. The diseases that should be on the graph are:

Accepted Answer

A)   Chlamydia, hepatitis A, and human immunodeficiency virus.
B)   Gonorrhea, hepatitis C, and hepatitis A.
C)   Genital herpes, hepatitis B, and syphilis.
D)   Syphilis, haemophilus influenzae type B, and gonorrhea.

Question 6

A client with an open wound was splashed with contaminated body fluid. The diseases the client is most at risk for developing include:

Accepted Answer

A)   All of the hepatitis diseases.
B)   HIV and only hepatitis C.
C)   Salmonellosis, typhoid, and HIV.
D)   HIV, and hepatitis B, C, and D.

Question 7

A client and the client's caretaker are talking with the nurse in the community chronic disease clinic. The caretaker is complaining that the client is more difficult to care for and has altered behavior. The nurse suspects dementia. What disease does this scenario most likely describe?

Accepted Answer

A)   Tuberculosis.
B)   HIV/AIDS.
C)   Hepatitis C.
D)   Hepatitis A.

Question 8

The population health nurse is observing care being given by a health care provider in the community. What should the nurse recommend to reduce the risk of spreading communicable diseases?

Accepted Answer

A)   Wearing gloves when listening for lung sounds.
B)   Not recapping needles after providing an injection.
C)   Having the client wash hands before being examined.
D)   Wearing a mask while conducting the client interview.

Question 9

The student is preparing a poster for a presentation in a community health class. Which communicable disease on the poster should the student explain has been completely eradicated from the world?

Accepted Answer

A)   Poliomyelitis.
B)   Smallpox.
C)   Rubella.
D)   Tetanus.
E)   Mumps.

Question 10

The population health nurse is preparing information to present during a community health fair. What should the nurse include to reduce the susceptibility to communicable diseases in this population? (Select all that apply.)

Accepted Answer

A)   Maintain an adequate diet.
B)   Get plenty of rest and sleep.
C)   Be sure to exercise every day.
D)   Learn strategies to reduce stress.
E)   Isolate family members who are ill.

Question 11

The population health nurse is working in a small rural community. For the last 12 months the community's population has experienced outbreaks of various gastrointestinal diseases. For which type of disease should the nurse plan care?

Accepted Answer

A)   Epidemic.
B)   Endemic.
C)   Outbreak.
D)   Pandemic.

Question 12

The population health nurse is working in a community that has significant problems with sanitation and disposal of both human and animal feces. Which communicable diseases is the community most at risk for developing?

Accepted Answer

A)   Hepatitis A, tetanus, and polio.
B)   Hepatitis A, botulism, and tuberculosis.
C)   Plague, malaria, and hepatitis E.
D)   Diphtheria, varicella, and tetanus.

Question 13

The population health nurse is following up on care provided to a client with a sexually transmitted disease. Which statement indicates that the client needs additional teaching?

Accepted Answer

A)   "I need to practice safe sex at all times."
B)   "Once treated I will never contract gonorrhea again."
C)   "Even after treatment I can contract the same disease."
D)   "Having had mumps does not increase my risk of developing a sexually transmitted illness."

Question 14

The nurse is explaining the action of botulism, a disease in which the causative organism is ingested with contaminated food or water. Contamination usually occurs by accident through inadequate canning and preserving processes, but it also could occur as a result of:

Accepted Answer

A)   Preservatives used on the food.
B)   Environmental contamination.
C)   Bioterrorist activity.
D)   Insecticides used on crops.

Question 15

A four year old child is seen in the emergency department for multiple tick bites over the abdomen and lower extremities. The child is most at risk for developing which communicable disease?

Accepted Answer

A)   Plague.
B)   Malaria.
C)   Rocky Mountain spotted fever.
D)   Rabies.

Question 16

A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:

Accepted Answer

A)   The client must return within 24 to 36 hours to have the test assessed.
B)   A positive reaction to the skin test is based upon redness around the injection site.
C)   An induration area of 15 mm or greater is significant in this client.
D)   An induration area of 10 mm or more is considered positive in this client.

Question 17

The population health nurse came to work in the nursery after being sick for 24 hours with an elevated temperature and diarrhea. After working the 12-hour shift, several of the newborns showed the same symptoms. This best describes a(n):

Accepted Answer

A)   Communicable disease.
B)   Epidemic.
C)   Outbreak.
D)   Nosocomial infection.

Exam 26: Communicable Diseases