問題一覧
1
An individual is established as HIV positive after:
2 positive ELISA and 1 positive Western blot
2
Mers corona virus is believed to be transmitted by
Camels
3
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is a viral
respiratory illness caused by a coronavirus that has not been found in people before. The first cases were reported on
April 2012
4
Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. A patient suffering from MERS cov must be placed into a?
Respiratory isolation in negative room pressure
5
Who is high risk to acquire MERS cov infection?
Patient with Cancer
6
John Snow is
The father of Epidemiology
7
He isolated the specific causative agents of tuberculosis infection?
Robert Koch
8
It became a major threat to health during the 1800s causing a severe outbreak of a certain disease occurred near Broad Street in the Soho district of London, England.
Cholera
9
Ebola virus was first identified in 1976 and since then all outbreaks occurred in Africa. Ebola sources can be the following ;select all that applies
1.chimpanzees 3.fruit bats 5.antelope
2.gorillas 4.monkeys 6.porcupines
1,2,3,4,5,6
10
The most recent and largest outbreak of EBOLA as yet have been reported is from
West Africa
11
To prevent infection and transmission of Ebola, health workers or those caring for Ebola patients at home have to
All of the above
12
Which animal is considered a natural Ebola virus host?
Fruit bat
13
Which symptom is common in the later stages of Ebola?
Bleeding
14
As an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What law mandates reporting of cases of notifiable diseases?
R.A. 3573
15
In the year 1980, the World Health Organization declared the Philippines, together with some other countries inthe Western Pacific Region, “free” of which disease?
Small pox
16
A major symptom of cholera is:
rice water diarrhea
17
The Black Death was also known as
Bubonic Plague
18
Pelvic inflammatory disease can produce acute symptoms and result in infertility, ectopic pregnancy, and chronic pelvic pain. It includes inflammation of the fallopian tubes, ovaries and the pelvis which is also secondary brought by another type of infection like?
Chlamydia
19
The most common STD?
Chlamydia
20
Nurse John is aware that the herbal medicine appropriate for parasitic infestation use as antihelminthic is:
Niyog niyogan
21
The interval of deworming of antihelminthic drugs for uderfive children is;
6 months
22
Sputum Specimens collected under the supervision of a DOTS facility staff if the nurse is assigned to collect sputum specimen to a client for DSSM she must instruct the patient to expectorate and collect at least how many ml of sputum
3-5 ml
23
Treatment of leptospirosis is symptomatic but this drug is prescribed at 200 mg.orally once a week for prevention. What is the drug of choice?
Doxycycline
24
Which medication would the nurse give to a patient with HIV/AIDS before meals that needs appetite stimulation to treat HIV wasting syndrome?
Megestrol Acetate
25
A nurse is providing instructions to a pregnant client with genital herpes about measures that need to be implemented to protect the fetus. The nurse tells the client that:
A cesarean section will be necessary if vaginal lesions are present at the time of labor
26
While the nurse is counseling a group of mothers about sexually transmitted diseases, one mother asks the nurse which sexually transmitted disease is most detrimental to their baby's safety during pregnancy? The nurse should respond that it would be:
Syphilis
27
During an infection control seminar, the speaker specified that prevention of the spread of HIV include the following measures EXCEPT:
Patients with AIDS should be isolated
28
A nurse is giving health education to a client diagnosed with HIV. The nurse determines that the client does not need further teaching if the client states that the most effective method known to control the spread of HIV infection is:
Sex education about preventive behaviors.
29
The following are preventions of gonorrhea transmission EXCEPT:
Administration of ophthalmic prophylaxis, as ordered
30
A child is diagnosed with scarlet fever. The nurse assesses the child knowing that which of the following is not a clinical manifestation associated with this disease?
Koplik spots
31
A 6-month-old infant receives DPT immunization at the well-baby clinic. The mother returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. The nurse tells the mother to:
Apply an ice pack to the injection site
32
A nurse is preparing the plan of care for a patient with herpes genitalis. What would be the priority nursing diagnosis for the patient?
Alteration in Comfort: Pain
33
The nurse on duty, based on her assessment findings suspects the presence of diphtheria. Which of the following will confirm her suspicion?
Grayish membrane at hard palate
34
In order to confirm the diagnosis of Snail fever, you advise patient to have, which of these examination:
Stool examination
35
You know that the mode of transmission of Katayama fever is:
Contact with water infected with cercaria
36
Which among the following is the drug of choice for Bilhariasis?
Biltricide
37
The following are preventive measures for Schistosomiasis EXCEPT:
Elimination of breeding sites of mosquitoes
38
Which of the following is NOT a complication of Bilhariasis?
Meningitis and hepatomegally
39
Endemic malaria occurs in the topic and subtopic areas where
socioeconomic condition is very poor.
During your assessment, which among the following signs and symptoms need referral to a secondary or tertiary facility?
Icterus and shock
40
Laboratory confirmation of malaria is done on a blood film. What do you expect to see in the film?
Malarial parasites
41
Endemic malaria occurs in the topic and subtopic areas where
socioeconomic condition is very poor
The mode of transmission of this disease is through the bite of an infected female mosquito called:
Anopheles
42
Which of the following is NOT an anti-malarial drug?
Amoxicillin
43
As a preventive measure for malarais, you ecucate people living in malaria endemic areas to do which of the following?
A. Avoid going out between 12nn to 3am
B. Take chloroquine tablets once a day
C. Apply insect repellant on house walls
D. Use long sleeved shirts when going out at night
E. Plant neem tree in their backyards
F. Clear hanging branches nears rivers
C, D, E, F
44
A nurse is having her duty in a public health clinic. She encounters multiple cases of sexually transmitted diseases.
A nurse is collecting data from a prenatal client. The nurse determines that which of the following places the client into the high risk category for contracting human immunodeficiency virus?
A history of IV drug use in the past year
45
Which among the following informations is true of HIV?
Blood, semen, and breast milk have higher concentrations of HIV than urine, saliva, vomitus and stool
46
Hepatitis B infection is established by the presence of hepatitis B antigen-antibody systems in the blood. Which of the following is NOT true?
If the serological marker is present in the blood after 3 months, it indicates a carrier state or chronic hepatitis.
47
The nurse is talking to a young female client in the health clinic who is concerned she may have sexually transmitted disease. The nurse commends her for seeking medical care. The nurse explains that the major reason treatment of majority of STDs is delayed because:
Client is embarrassed
48
The nurse is very active in contact tracing and epidemiologic treatment of all gonococcal identified contacts to prevent:
Asymptomatic infections
49
Avian Influenza is an infectious disease of birds that can cause serious illness in humans.
The importation of chicken from countries with outbreak of avian flu is banned by which law?
EO 280
50
The major causes of death in avian flu are the following except:
Dehydration from severe vomiting and diarrhea
51
A suspected case of avian flu would be identified if a person exhibits which of the following manifestations?
Fever, body weakness cough, dyspnea, and sore throat
52
It is necessary to institute which of the following measures to birds suspected of being exposed to the virus?
Killing of all infected or exposed birds
53
Incubation period for avian influenza is:
3 days
54
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
In the prevention of dengue fever, which of the following measures is included?
Removal of small collections of water such as flower vases
55
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
The most effective control measure for dengue hemorrhagic fever is:
Mosquito control
56
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
The treatment and control of dengue hemorrhagic fever include all of the following EXCEPT:
Encourage vaccination
57
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
The best nursing intervention in the management of dengue fever among patients admitted in the hospital would be:
Observation
58
Which is an independent nursing intervention for a patient with Dengue Hemorrhagic Fever?
Put ice bag over forehead if patient has nose bleed
59
The BHW of Barangay Jacinto reported series of adults having cases of spasmodic coughing and fever for the past two weeks. The CHN in the area alarmed by the reports decided to investigate the community.
Which among the following diagnostic tests does NOT indicate active tuberculosis?
An induration of 10 post tuberculin test
60
The BHW of Barangay Jacinto reported series of adults having cases of spasmodic coughing and fever for the past two weeks. The CHN in the area alarmed by the reports decided to investigate the community.
Mang Jose, 42 years old, went to the Chest Center to avail of the free Direct Sputum Smear Microscopy. Which among the following is a contraindication for sputum collection?
Hemoptysis
61
Mang Jose began his treatment regimen for tuberculosis. He complains of frequent tingling sensation of his feet. Which among the following diets shout be encouraged?
Kangkong
62
As a nurse working in the Barangay Health Center, it is essential to counsel the client on the side effects of the treatment regimen for TB Which among the following side effects should be reported immediately to the physician?
Yellowish palms
63
Which among the following is considered as the most important health teaching given to clients with Tuberculosis?
Strict compliance to treatment regimen
64
The nurse is aware of the misuse of antibiotics , which resulted to the
emergence of new strains of microorganisms that proves to effect a catastophic effect on human health.
The period between the first exposure and multiplication of the SARS causative agent would be:
2-10 days
65
SARS remains to be an enigma among health practitioners and had proven its virulence. The nurse knows that the virus could be categorized as:
Coronavirus
66
Which of the following best defines standards precaution?
It is a strategy of assuming that all patients are infectious, and using barrier protections during nurse-client interactions
67
In managing individuals with SARS, the nurse should be aware of the different signs and symptoms of the disease. Which among the following characterize the prodromal phase:
The patient is usually not infectious at this time.
68
Handwashing deters the spread of microorganisms. A nurse involved in the care of a patient diagnosed with SARS should:
Perform handwashing before client contact
69
Filariasis is endemic in some parts of the Philippines. The disease often progresses to become chronic, debilitating and often unfamiliar to health workers.
Effective methods that the government would likely to pursue to eliminate filariasis in the country are all of the following EXCEPT:
Vaccination of all susceptible in high risk areas and high risk populations
70
A 36-year-old man is brought by his wife to a doctor's clinic to be tested for filariasis. The most likely diagnostic test that he will undergo is:
Immunochromatographic test (ICT)
71
Filariasis is endemic in some parts of the Philippines. The disease often progresses to become chronic, debilitating and often unfamiliar to health workers.
A client in the acute stage of the disease will include which of the following clinical findings?
Lymphangitis, lymphadenitis, epidydimitis
72
Specific defenses of the body involve the immune system. Nurses should be knowledgeable on the importance of immunity in the prevention of communicable diseases.
Ayisha is given the hepatitis B immune globulin serum, which will provide her with passive immunity. One advantage of passive immunity is that it:
Offers immediate protection
73
Nurse Keith explains to a mother whose child just received a tetanus toxoid injection that the toxoid confers which of the following immunity?
Long-lasting active immunity
74
Simon, who is suspected of having tetanus, asks Nurse Benny about immunizations against tetanus. Nurse Benny explains that the major benefit in using tetanus antitoxin is that it:
Provides a high titer of antibodies
75
Justin, who was exposed to hepatitis A is given gamma globulin to provide passive immunity, which:
Accelerates antigen-antibody union at the hepatic sites
76
Gino is a chronic carrier of infection. To prevent the spread of the infection to other clients or health care providers, the nurse emphasizes interventions that do which of the following?
Block the portal of exit from the reservoir
77
The most effective nursing action for controlling the spread of infection includes which of the following?
Thorough hand cleansing
78
In caring for Mark who is on contact precautions for a draining infected foot ulcer, Nurse Bong should perform which of the following?
Follow standard precautions in all interactions with the client
79
When caring for a single client during one shift, it is appropriate for the nurse to reuse which of the following personal protective equipment?
Goggles
80
After teaching a client and family strategies to prevent infection, which statement by the client would indicate effective learning has occurred?
“We must wash or peel all raw fruits and vegetables before eating.”
81
Leprosy is an ancient disease and is a leading cause of permanent
physical disability among the communicable diseases. It is a chronic mildly communicable disease that mainly affects the skin, the peripheral nerves, the eyes and mucosa of the upper respiratory tract.
Assessment is done upon seeing a patient with leprosy. The following are early signs and symptoms, except:
1. Appearance of a skin patch
2. Loss of sensation on skin lesion
3. Inability to close eyelids
4. Hair growth over the lesion
5. Painful nerves
6. Loss of eyebrow
7. Ulcers that do not heal
8. Sinking of the nose bridge
3, 6 and 8
82
A person can get leprosy through the following except:
1. Inhalation of the infectious organism through a broken skin
2. Repeated skin to skin contact with untreated individual
3. Inhalation of the infectious organism from the nasal discharges of an untreated individual
4. Contact with articles soiled with discharges from lesions of leprosy patient
1 only
83
Philip is a 55 year-old resident who is affected by leprosy and is on schedule for Multidrug Therapy. Which daily treatment is usually prescribed by a physician for lepromatous and borderline type in 28 days?
Clofazimine 50 mg and Dapsone 100 mg
84
Only in rare instances is there really a need to use laboratory and other investigations to confirm a diagnosis. However, when a clinical diagnosis is doubtful. This optional procedure is done to prevent misclassification and wrong treatment.
Slit Skin Smear (SSS) examination
85
Preventive aspect of care is a priority consideration. Which of the following vaccine is also preventive measure?
BCG
86
Nurse Lorie is taking care of Anne, 15 months old, who is admitted to the hospital with Rubeola. She has conjunctivitis, coryza, cough, rashes and temperature of 38ºC.
Which of the following statements is true of Rubeola?
1. It is caused by a filterable virus
2. The prodrome period lasts for about 2 weeks
3. The rashes doesn't end in a branny desquamation
4. It is an acute highly communicable infection
5. The rash usually begins behind the ears and neck
6. The cause of death is usually from complications
7. Serum antibodies appear on the third day of the incubation period
8. A morbilliform rash appears on the 3rd or 4th day
1, 4, 5, 6 and 8
87
Nurse Lorie knows that the incubation period of Rubeola is:
10 days from exposure to appearance of fever and about 14 days until rash appears
88
Anne's immunity from her mother lasted only 6 months. She was brought by her mother because of spots in her buccal mucosa. What do you call these spots?
Koplik spots
89
The characteristic signs of measles are which of the following group?
Rashes which spread from the face to the trunk and limbs, conjunctivitis, high fever and tiny white spots in the mucosa inside the cheek
90
A nursing intervention that is important in caring for Anne who has measles would include the following, except:
Ensuring that the room is well lighted
91
Vangie is a 15 year-old child who is spending Christmas Vacation in
Pangasinan. A week before the vacation ends, she developed fever, diarrhea and rose spots on her abdomen.
Based on Vangie's clinical findings, Nurse Ulysses will suspect Vangie to have contacted which infection?
Typhoid fever
92
Typhoid fever
Vangie's condition is caused by a:
Bacteria
93
Typhoid fever
Nurse Ulysses provided the family with health education to prevent transmission of infection as the disease can be transmitted to family members through the following, except:
Airborne transmission
94
Typhoid fever
The characteristic signs of the said condition are:
1. Intermittent fever
2. Continued fever
3. Loss of appetite
4. Slow pulse
5. Rose spots on trunk and abdomen
6. Diarrhea
7. Rice watery stool
8. Bloody stool
2, 3, 4, 5 and 6
95
As a preventive control measure for the TYPHOID FEVER, which of the following must be discussed in the health education program for the pubic?
1. Sanitary disposal of human feces and maintenance of fly proof latrine
2. Proper food handling and preparation
3. Removal of stagnant water in empty water drums and flower pots
4. Use of repellants and insecticides
1 and 2
96
Antihelminthic drugs used include:
Albendazole and Mebendazole
97
It is a parasitic disease that has similar manifestation with Pulmonary Tuberculosis. What is it?
Paragonimiasis
98
The treatment of choice for the condition in Paragonimiasis is:
Praziquantel
99
The three major causes of intestinal parasitic infections in the Philippines are the following, except:
Taeniasis
100
This parasite enters the intestinal mucosa and could be spread through autoinfection. This is typically exemplify by:
pinworm
Astignars random QS
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12問 • 1年前問題一覧
1
An individual is established as HIV positive after:
2 positive ELISA and 1 positive Western blot
2
Mers corona virus is believed to be transmitted by
Camels
3
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is a viral
respiratory illness caused by a coronavirus that has not been found in people before. The first cases were reported on
April 2012
4
Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. A patient suffering from MERS cov must be placed into a?
Respiratory isolation in negative room pressure
5
Who is high risk to acquire MERS cov infection?
Patient with Cancer
6
John Snow is
The father of Epidemiology
7
He isolated the specific causative agents of tuberculosis infection?
Robert Koch
8
It became a major threat to health during the 1800s causing a severe outbreak of a certain disease occurred near Broad Street in the Soho district of London, England.
Cholera
9
Ebola virus was first identified in 1976 and since then all outbreaks occurred in Africa. Ebola sources can be the following ;select all that applies
1.chimpanzees 3.fruit bats 5.antelope
2.gorillas 4.monkeys 6.porcupines
1,2,3,4,5,6
10
The most recent and largest outbreak of EBOLA as yet have been reported is from
West Africa
11
To prevent infection and transmission of Ebola, health workers or those caring for Ebola patients at home have to
All of the above
12
Which animal is considered a natural Ebola virus host?
Fruit bat
13
Which symptom is common in the later stages of Ebola?
Bleeding
14
As an epidemiologist, the nurse is responsible for reporting cases of notifiable diseases. What law mandates reporting of cases of notifiable diseases?
R.A. 3573
15
In the year 1980, the World Health Organization declared the Philippines, together with some other countries inthe Western Pacific Region, “free” of which disease?
Small pox
16
A major symptom of cholera is:
rice water diarrhea
17
The Black Death was also known as
Bubonic Plague
18
Pelvic inflammatory disease can produce acute symptoms and result in infertility, ectopic pregnancy, and chronic pelvic pain. It includes inflammation of the fallopian tubes, ovaries and the pelvis which is also secondary brought by another type of infection like?
Chlamydia
19
The most common STD?
Chlamydia
20
Nurse John is aware that the herbal medicine appropriate for parasitic infestation use as antihelminthic is:
Niyog niyogan
21
The interval of deworming of antihelminthic drugs for uderfive children is;
6 months
22
Sputum Specimens collected under the supervision of a DOTS facility staff if the nurse is assigned to collect sputum specimen to a client for DSSM she must instruct the patient to expectorate and collect at least how many ml of sputum
3-5 ml
23
Treatment of leptospirosis is symptomatic but this drug is prescribed at 200 mg.orally once a week for prevention. What is the drug of choice?
Doxycycline
24
Which medication would the nurse give to a patient with HIV/AIDS before meals that needs appetite stimulation to treat HIV wasting syndrome?
Megestrol Acetate
25
A nurse is providing instructions to a pregnant client with genital herpes about measures that need to be implemented to protect the fetus. The nurse tells the client that:
A cesarean section will be necessary if vaginal lesions are present at the time of labor
26
While the nurse is counseling a group of mothers about sexually transmitted diseases, one mother asks the nurse which sexually transmitted disease is most detrimental to their baby's safety during pregnancy? The nurse should respond that it would be:
Syphilis
27
During an infection control seminar, the speaker specified that prevention of the spread of HIV include the following measures EXCEPT:
Patients with AIDS should be isolated
28
A nurse is giving health education to a client diagnosed with HIV. The nurse determines that the client does not need further teaching if the client states that the most effective method known to control the spread of HIV infection is:
Sex education about preventive behaviors.
29
The following are preventions of gonorrhea transmission EXCEPT:
Administration of ophthalmic prophylaxis, as ordered
30
A child is diagnosed with scarlet fever. The nurse assesses the child knowing that which of the following is not a clinical manifestation associated with this disease?
Koplik spots
31
A 6-month-old infant receives DPT immunization at the well-baby clinic. The mother returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. The nurse tells the mother to:
Apply an ice pack to the injection site
32
A nurse is preparing the plan of care for a patient with herpes genitalis. What would be the priority nursing diagnosis for the patient?
Alteration in Comfort: Pain
33
The nurse on duty, based on her assessment findings suspects the presence of diphtheria. Which of the following will confirm her suspicion?
Grayish membrane at hard palate
34
In order to confirm the diagnosis of Snail fever, you advise patient to have, which of these examination:
Stool examination
35
You know that the mode of transmission of Katayama fever is:
Contact with water infected with cercaria
36
Which among the following is the drug of choice for Bilhariasis?
Biltricide
37
The following are preventive measures for Schistosomiasis EXCEPT:
Elimination of breeding sites of mosquitoes
38
Which of the following is NOT a complication of Bilhariasis?
Meningitis and hepatomegally
39
Endemic malaria occurs in the topic and subtopic areas where
socioeconomic condition is very poor.
During your assessment, which among the following signs and symptoms need referral to a secondary or tertiary facility?
Icterus and shock
40
Laboratory confirmation of malaria is done on a blood film. What do you expect to see in the film?
Malarial parasites
41
Endemic malaria occurs in the topic and subtopic areas where
socioeconomic condition is very poor
The mode of transmission of this disease is through the bite of an infected female mosquito called:
Anopheles
42
Which of the following is NOT an anti-malarial drug?
Amoxicillin
43
As a preventive measure for malarais, you ecucate people living in malaria endemic areas to do which of the following?
A. Avoid going out between 12nn to 3am
B. Take chloroquine tablets once a day
C. Apply insect repellant on house walls
D. Use long sleeved shirts when going out at night
E. Plant neem tree in their backyards
F. Clear hanging branches nears rivers
C, D, E, F
44
A nurse is having her duty in a public health clinic. She encounters multiple cases of sexually transmitted diseases.
A nurse is collecting data from a prenatal client. The nurse determines that which of the following places the client into the high risk category for contracting human immunodeficiency virus?
A history of IV drug use in the past year
45
Which among the following informations is true of HIV?
Blood, semen, and breast milk have higher concentrations of HIV than urine, saliva, vomitus and stool
46
Hepatitis B infection is established by the presence of hepatitis B antigen-antibody systems in the blood. Which of the following is NOT true?
If the serological marker is present in the blood after 3 months, it indicates a carrier state or chronic hepatitis.
47
The nurse is talking to a young female client in the health clinic who is concerned she may have sexually transmitted disease. The nurse commends her for seeking medical care. The nurse explains that the major reason treatment of majority of STDs is delayed because:
Client is embarrassed
48
The nurse is very active in contact tracing and epidemiologic treatment of all gonococcal identified contacts to prevent:
Asymptomatic infections
49
Avian Influenza is an infectious disease of birds that can cause serious illness in humans.
The importation of chicken from countries with outbreak of avian flu is banned by which law?
EO 280
50
The major causes of death in avian flu are the following except:
Dehydration from severe vomiting and diarrhea
51
A suspected case of avian flu would be identified if a person exhibits which of the following manifestations?
Fever, body weakness cough, dyspnea, and sore throat
52
It is necessary to institute which of the following measures to birds suspected of being exposed to the virus?
Killing of all infected or exposed birds
53
Incubation period for avian influenza is:
3 days
54
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
In the prevention of dengue fever, which of the following measures is included?
Removal of small collections of water such as flower vases
55
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
The most effective control measure for dengue hemorrhagic fever is:
Mosquito control
56
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
The treatment and control of dengue hemorrhagic fever include all of the following EXCEPT:
Encourage vaccination
57
Ralph, a student nurse began to feel joint pains and eye pains associated with high fever. He noticed some pinpoint rashes on his legs. He is diagnosed with Dengue fever.
The best nursing intervention in the management of dengue fever among patients admitted in the hospital would be:
Observation
58
Which is an independent nursing intervention for a patient with Dengue Hemorrhagic Fever?
Put ice bag over forehead if patient has nose bleed
59
The BHW of Barangay Jacinto reported series of adults having cases of spasmodic coughing and fever for the past two weeks. The CHN in the area alarmed by the reports decided to investigate the community.
Which among the following diagnostic tests does NOT indicate active tuberculosis?
An induration of 10 post tuberculin test
60
The BHW of Barangay Jacinto reported series of adults having cases of spasmodic coughing and fever for the past two weeks. The CHN in the area alarmed by the reports decided to investigate the community.
Mang Jose, 42 years old, went to the Chest Center to avail of the free Direct Sputum Smear Microscopy. Which among the following is a contraindication for sputum collection?
Hemoptysis
61
Mang Jose began his treatment regimen for tuberculosis. He complains of frequent tingling sensation of his feet. Which among the following diets shout be encouraged?
Kangkong
62
As a nurse working in the Barangay Health Center, it is essential to counsel the client on the side effects of the treatment regimen for TB Which among the following side effects should be reported immediately to the physician?
Yellowish palms
63
Which among the following is considered as the most important health teaching given to clients with Tuberculosis?
Strict compliance to treatment regimen
64
The nurse is aware of the misuse of antibiotics , which resulted to the
emergence of new strains of microorganisms that proves to effect a catastophic effect on human health.
The period between the first exposure and multiplication of the SARS causative agent would be:
2-10 days
65
SARS remains to be an enigma among health practitioners and had proven its virulence. The nurse knows that the virus could be categorized as:
Coronavirus
66
Which of the following best defines standards precaution?
It is a strategy of assuming that all patients are infectious, and using barrier protections during nurse-client interactions
67
In managing individuals with SARS, the nurse should be aware of the different signs and symptoms of the disease. Which among the following characterize the prodromal phase:
The patient is usually not infectious at this time.
68
Handwashing deters the spread of microorganisms. A nurse involved in the care of a patient diagnosed with SARS should:
Perform handwashing before client contact
69
Filariasis is endemic in some parts of the Philippines. The disease often progresses to become chronic, debilitating and often unfamiliar to health workers.
Effective methods that the government would likely to pursue to eliminate filariasis in the country are all of the following EXCEPT:
Vaccination of all susceptible in high risk areas and high risk populations
70
A 36-year-old man is brought by his wife to a doctor's clinic to be tested for filariasis. The most likely diagnostic test that he will undergo is:
Immunochromatographic test (ICT)
71
Filariasis is endemic in some parts of the Philippines. The disease often progresses to become chronic, debilitating and often unfamiliar to health workers.
A client in the acute stage of the disease will include which of the following clinical findings?
Lymphangitis, lymphadenitis, epidydimitis
72
Specific defenses of the body involve the immune system. Nurses should be knowledgeable on the importance of immunity in the prevention of communicable diseases.
Ayisha is given the hepatitis B immune globulin serum, which will provide her with passive immunity. One advantage of passive immunity is that it:
Offers immediate protection
73
Nurse Keith explains to a mother whose child just received a tetanus toxoid injection that the toxoid confers which of the following immunity?
Long-lasting active immunity
74
Simon, who is suspected of having tetanus, asks Nurse Benny about immunizations against tetanus. Nurse Benny explains that the major benefit in using tetanus antitoxin is that it:
Provides a high titer of antibodies
75
Justin, who was exposed to hepatitis A is given gamma globulin to provide passive immunity, which:
Accelerates antigen-antibody union at the hepatic sites
76
Gino is a chronic carrier of infection. To prevent the spread of the infection to other clients or health care providers, the nurse emphasizes interventions that do which of the following?
Block the portal of exit from the reservoir
77
The most effective nursing action for controlling the spread of infection includes which of the following?
Thorough hand cleansing
78
In caring for Mark who is on contact precautions for a draining infected foot ulcer, Nurse Bong should perform which of the following?
Follow standard precautions in all interactions with the client
79
When caring for a single client during one shift, it is appropriate for the nurse to reuse which of the following personal protective equipment?
Goggles
80
After teaching a client and family strategies to prevent infection, which statement by the client would indicate effective learning has occurred?
“We must wash or peel all raw fruits and vegetables before eating.”
81
Leprosy is an ancient disease and is a leading cause of permanent
physical disability among the communicable diseases. It is a chronic mildly communicable disease that mainly affects the skin, the peripheral nerves, the eyes and mucosa of the upper respiratory tract.
Assessment is done upon seeing a patient with leprosy. The following are early signs and symptoms, except:
1. Appearance of a skin patch
2. Loss of sensation on skin lesion
3. Inability to close eyelids
4. Hair growth over the lesion
5. Painful nerves
6. Loss of eyebrow
7. Ulcers that do not heal
8. Sinking of the nose bridge
3, 6 and 8
82
A person can get leprosy through the following except:
1. Inhalation of the infectious organism through a broken skin
2. Repeated skin to skin contact with untreated individual
3. Inhalation of the infectious organism from the nasal discharges of an untreated individual
4. Contact with articles soiled with discharges from lesions of leprosy patient
1 only
83
Philip is a 55 year-old resident who is affected by leprosy and is on schedule for Multidrug Therapy. Which daily treatment is usually prescribed by a physician for lepromatous and borderline type in 28 days?
Clofazimine 50 mg and Dapsone 100 mg
84
Only in rare instances is there really a need to use laboratory and other investigations to confirm a diagnosis. However, when a clinical diagnosis is doubtful. This optional procedure is done to prevent misclassification and wrong treatment.
Slit Skin Smear (SSS) examination
85
Preventive aspect of care is a priority consideration. Which of the following vaccine is also preventive measure?
BCG
86
Nurse Lorie is taking care of Anne, 15 months old, who is admitted to the hospital with Rubeola. She has conjunctivitis, coryza, cough, rashes and temperature of 38ºC.
Which of the following statements is true of Rubeola?
1. It is caused by a filterable virus
2. The prodrome period lasts for about 2 weeks
3. The rashes doesn't end in a branny desquamation
4. It is an acute highly communicable infection
5. The rash usually begins behind the ears and neck
6. The cause of death is usually from complications
7. Serum antibodies appear on the third day of the incubation period
8. A morbilliform rash appears on the 3rd or 4th day
1, 4, 5, 6 and 8
87
Nurse Lorie knows that the incubation period of Rubeola is:
10 days from exposure to appearance of fever and about 14 days until rash appears
88
Anne's immunity from her mother lasted only 6 months. She was brought by her mother because of spots in her buccal mucosa. What do you call these spots?
Koplik spots
89
The characteristic signs of measles are which of the following group?
Rashes which spread from the face to the trunk and limbs, conjunctivitis, high fever and tiny white spots in the mucosa inside the cheek
90
A nursing intervention that is important in caring for Anne who has measles would include the following, except:
Ensuring that the room is well lighted
91
Vangie is a 15 year-old child who is spending Christmas Vacation in
Pangasinan. A week before the vacation ends, she developed fever, diarrhea and rose spots on her abdomen.
Based on Vangie's clinical findings, Nurse Ulysses will suspect Vangie to have contacted which infection?
Typhoid fever
92
Typhoid fever
Vangie's condition is caused by a:
Bacteria
93
Typhoid fever
Nurse Ulysses provided the family with health education to prevent transmission of infection as the disease can be transmitted to family members through the following, except:
Airborne transmission
94
Typhoid fever
The characteristic signs of the said condition are:
1. Intermittent fever
2. Continued fever
3. Loss of appetite
4. Slow pulse
5. Rose spots on trunk and abdomen
6. Diarrhea
7. Rice watery stool
8. Bloody stool
2, 3, 4, 5 and 6
95
As a preventive control measure for the TYPHOID FEVER, which of the following must be discussed in the health education program for the pubic?
1. Sanitary disposal of human feces and maintenance of fly proof latrine
2. Proper food handling and preparation
3. Removal of stagnant water in empty water drums and flower pots
4. Use of repellants and insecticides
1 and 2
96
Antihelminthic drugs used include:
Albendazole and Mebendazole
97
It is a parasitic disease that has similar manifestation with Pulmonary Tuberculosis. What is it?
Paragonimiasis
98
The treatment of choice for the condition in Paragonimiasis is:
Praziquantel
99
The three major causes of intestinal parasitic infections in the Philippines are the following, except:
Taeniasis
100
This parasite enters the intestinal mucosa and could be spread through autoinfection. This is typically exemplify by:
pinworm