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133問 • 1年前
  • Kyla Angelique Son
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    問題一覧

  • 1

    What kills bacteria most effectively?

    Antiseptic handwash

  • 2

    Which of the following should the nurse identify as a bacterial normal flora in the vagina?

    Lactobacillus

  • 3

    The ability of a virus to infect an organism is regulated by

    the host species.

  • 4

    A nurse is caring for a postoperative client. Which nursing action will prevent infection?

    Remove dressing to assess wound only during needed dressing changes.

  • 5

    A drop of a client's blood splashes on a nurse's skin in an area where the nurse had a small, dried scab. The appropriate nursing action is to:

    Wash the site without disrupting the scab.

  • 6

    If a patient harbors a microorganism capable of being transmitted and causing disease in another while not exhibiting clinical manifestations of the disease, the nurse identifies the patient as a

    carrier

  • 7

    A patient considered as a reservoir only becomes a source of infection when:

    the agent leaves the reservoir through a portal of exit.

  • 8

    Of the following patients, who should the nurse classify as a susceptible host? Select all that apply.

    A newborn, An 85-year-old female patient, A teenager undergoing chemotherapy, An adult with chronic obstructive pulmonary disease

  • 9

    Which person should be restricted from visiting a client with TB microorganisms have the perfect living and breeding until at least 2 weeks of drug therapy has been completed?

    The client's 74-year-old mother.

  • 10

    One of the most common modes of transmission of diseases is through droplets. Because of these, nurses should be at least how many feet far from a patient whose disease is contracted via droplet?

    3 feet

  • 11

    To interrupt the transmission link in the chain of Infection, the nurse should

    Wash the hands before and after providing care

  • 12

    Which nursing action protects the patient as a susceptible host in the chain of infection?

    Administering childhood Immunizations

  • 13

    Which nursing action protects the patient from infection at the portal of entry?

    Positioning an Indwelling urine collection bag below the level of the patient's pelvis

  • 14

    When the nurse administers vaccines to an infant, she is breaking the chain of infection at what stage?

    Susceptibility of the host

  • 15

    There are commonalities in nursing care for patients receiving isolation precautions. Which of the following offers the nurse's availability in providing care while on Isolation precautions?

    Ensure patient understands how to use the call bell.

  • 16

    This is the set of precautions that nurses use for all patients regardless of absence of, suspicion of, or confirmed presence of infection.

    Standard precautions

  • 17

    After diagnosis, the physician has prescribed airborne precautions for the patient with pulmonary tuberculosis. In implementing this order, the nurse will do all of the following interventions, EXCEPT:

    Ban dried and fresh flowers and potted plants from the patient's room.

  • 18

    A patient is positive for Clostridium difficile. The nurse should institute the isolation precaution known as:

    Droplet

  • 19

    In caring for a client on contact precautions for a draining infected foot ulcer, which action should the nurse perform?

    Follow standard precautions in all interactions with the client.

  • 20

    Which of the following is NOT a principle of using personal protective equipment (PPE)?

    PPEs eliminate the risk of acquiring an infection.

  • 21

    When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?

    Goggles

  • 22

    While applying sterile gloves (open method), the cuff of the first glove rolls under itself about 1/4 inch. What is the best action for the nurse to take?ASA

    Leave the cuff rolled under

  • 23

    A nurse is collecting equipment for several procedures that need to be performed. For which procedure should the nurse wear sterile gloves?

    Collecting a urine specimen from a closed drainage system for a culture and sensitivity test.

  • 24

    When a client's family members come to visit, they would be adhering to respiratory isolation precautions when they

    Wash their hands when leaving.

  • 25

    The nurse understands that the skin as a primary liné of defense protects the body from infections because the:

    Cells of the skin are constantly being replaced, thereby eliminating external pathogens

  • 26

    The nurse understands that a secondary line of defense against infection is the:

    Immune response

  • 27

    The nurse understands that a rise in body temperature is associated with the presence of infection because:

    Phagocytic cells release pyrogens that stimulate the hypothalamus

  • 28

    What would the appropriate infection control technique be for changing a leg dressing on a client who has Pneumocystis jiroveci (formerly carini) pneumonia PCP?

    Wear a mask during the dressing change.

  • 29

    A nurse prepares to admit a child diagnosed with respiratory syncytial virus (RSV). Which infection control Measure would be most appropriate for this child ?

    Place child on contact precautions.

  • 30

    Ventilation systems should be designed and maintained to minimize microbial contamination. High-risk areas such as operating rooms, critical care units and transplant units require special ventilation systems such as HEPA filters. HEPA means:

    high efficiency particulate air

  • 31

    The health care facility should provide safe water. Where safe water is not available, the nurse should:

    boil water for 5 minutes

  • 32

    Routine cleaning is important to ensure a clean hospital environment. When supervising cleaning chores, which should the nurse question?

    dry sweeping

  • 33

    Hospital waste is a potential reservoir of pathogenic micro-organisms and requires appropriate, safe and reliable handling. Waste management should be conducted in coordination with the infection control team. The nurse knows that the first step in the management of hospital waste is

    generation

  • 34

    Which is the most effective nursing action for controlling the spread of infection?

    Thorough hand hygiene

  • 35

    In the skills laboratory, the student nurse is asked to perform hand decontamination using soap and water. The student nurse correctly does the procedure if she:

    cleans her hands for half a minute

  • 36

    In preparing for hand washing, the student nurse initially:

    removes jewellery and watches.

  • 37

    While rinsing hands, the student nurse uses whith motion?

    circular

  • 38

    The nurse understands that an example of an iatrogenic infection is a:

    Wound Infection caused by unwashed hands

  • 39

    The nurse understands that the factor that places a patient at the greatest risk for developing an infection is:

    Burns more than twenty percent of the body

  • 40

    The nurse is caring for a group of hospitalized patients. What should the nurse do first to prevent patient infections?

    Identify patients at risk

  • 41

    Which hospitalized client does the nurse identify to be at greatest risk for the development of a urinary tract HAI?

    A 60-year-old obese female with cholecystitis

  • 42

    Which of the following steps risks the hands from being recontaminated?

    Dipping the hands into a bowl of water to rinse

  • 43

    The nurse is working with a group of parents getting ready to send their children to day care for the first time. The nurse should instruct the parents that immunizations are

    an improved part of health promotion.

  • 44

    The nurse must collect the following specimens. Which specimen collection does not require the use of surgical aseptic technique?

    Stool for ova and parasites

  • 45

    The nurse instructs student nurses that the Department of Health recommends that isolation be based on which of the following?

    Method of disease transmission

  • 46

    The nurse instructs a group of nurses about the impact of infectious diseases in the childhood population of the world. The nurse should include which of the following statements in the discussion?

    Despite improved methods of treatment, infectious diseases continue to be a health concern

  • 47

    The nurse is instructing the adolescent client about birth control and sexually transmitted diseases. Which of the following methods of birth control should the nunse include that is 100% effective in protecting against sexually transmitted disease?

    Abstinence from sexual behavior

  • 48

    When instructing a client, which of the following statements should the nurse include in explaining communicable diseases?

    They are transmitted by direct or indirect contact.

  • 49

    The nurse should be aware that the following are documented possible modes of transmission of the Zika virus: (Select all that apply)

    Vector, Sexual intercourse

  • 50

    The specie of mosquito attributed for the transmission of this virus is:

    Aedes.

  • 51

    Pregnant clients need to be informed on how to prevent this infection since the Zika virus has reportedly been causing which congenital anomaly?

    Microcephaly

  • 52

    Which autoimmune complication has been associated with the surge of cases of the Zika Virus Infection?

    Guillain-Barre syndrome

  • 53

    All of the following statements about the Zika virus are NOT true, EXCEPT:

    The best form of prevention is protection against mosquito bites.

  • 54

    Dolores Umbridge, while on her way home from work, was bitten by a stray dog. Nurse Sirius asked Dolores what she did immediately after the incident. Dolores's response indicates understanding of first aid when she says that

    I washed my wound immediately with soap and water

  • 55

    Nurse Sirius interviewed Dolores and her mother at the Emergency Room to take the history before seeing a doctor. The nurse told Dolores's mother not to kill the dog because the dog will be:

    Observed for 14 days

  • 56

    it is the objective of the Department of Health (DOH) to reduce the incidence of Human Rabies from 7 per million to 1 per million population by:

    2020

  • 57

    What is the most common cause of death in patients with rabies?

    respiratory paralysis

  • 58

    Malaria continues to be a major health problem in the Philippines. It requires sustained and systematic efforts toward prevention of transmission through vector control, and early detection and treatment of malarial cases. Another term for malaria is:

    Ague

  • 59

    The Plasmodium species that is most common in the Philippines and accounts for 70% of all malarial cases:

    P. falciparum

  • 60

    When teaching a patient about drug therapy against Plasmodium falciparum, the nurse should include the fact that:

    The infection can generally be eliminated

  • 61

    Blackwater fever occurs in some patients with malaria. Therefore, the nurse should observe a patient with malaria for:

    Dark red urine

  • 62

    A diagnostic procedure that is a must in every case of Malaria in a certain community:

    Malarial Blood Smear

  • 63

    Capillary-Fragility test is a clinical diagnostic method performed to determine possible dengue infection. Which of the following steps, done by the nurse, would be considered incorrect?

    Inflate the blood pressure cuff on the lower arm to a point midway between the systolic and diastolic pressure for 5 minutes

  • 64

    In what stage of the acute febrile infection wherein tourniquet test, which may be positive on the 3" day, may become negative due to low or vasomotor collapse?

    hemorrhagic

  • 65

    Majority of patients with dengue are candidate for transfusion if their platelet level is:

    Below 50

  • 66

    To prevent hypovolemic shock for patients with dengue, the nurse understands that this management is aimed to prevent such case:

    Give ORS 75 ml/kg in 4 to 6 hours for children.

  • 67

    Supportive and symptomatic treatment should be provided to patients with dengue. This includes which of the following, except:

    For headache give analgesics such as aspirin

  • 68

    A 15-month-old infant is seen in a health center. Because the infant's family has recently came from a place where tuberculosis (TB) is endemic, a Mantoux test is needed to be performed. No one in the infant's family has currently or has in the past had tuberculosis. In per forming the Mantoux test, which injection route should the nurse use to inject tuberculin purified protein derivative (PPD)?

    Intracutaneous

  • 69

    Of the following steps done by the nurse in conducting a Mantoux test, which needs further reinforcement?

    The diameter of the erythema is measured in millimeters at its widest part.

  • 70

    Which of the following interpretation of the Mantoux test results is INCORRECT?

    An induration of 10 mm or greater is usually considered significant in people who have normal or mildly impaired immunity.

  • 71

    According to this infant's risk status and age, which is the smallest amount of induration that the nurse should consider a positive finding? An area of

    10 mm induration.

  • 72

    A laboratory technician has a 10.5-mm area of redness and induration in his left forearm after getting a Mantoux test hours before from the employee health nurse. The Mantoux test done by the same nurse 12 months ago was at 5 mm of induration. The technician has cough, night sweats, and weight loss. Which of the following is a true statement?

    A chest radiograph and sputum culture are indicated.

  • 73

    Which or the following is the preferred method of obtaining a sputum specimen for culture and smear from the patient?

    Sputum collected by elicited cough

  • 74

    The technician is diagnosed with pulmonary tuberculosis and must attend a clinic every week for treatment and follow-up health care. Which is most important to ensure that the patient is cured of tuberculosis when providing care in the community setting?

    Arrange home-based care if the patient is at risk for non-attendance at appointments.

  • 75

    The following are considered at higher risk for tuberculosis EXCEPT:

    A 22-year-old female recently diagnosed with asthma

  • 76

    The technician with active tuberculosis tells the nurse, "I am not going to take any more medications. I am tired of them.* Which statement is the nurse's best response?

    "You are tired of taking your tuberculosis medications."

  • 77

    Which action is unique to maintaining airborne precautions for a patient with a diagnosis of suspected primary tuberculosis?

    Maintaining negative air pressure in the room

  • 78

    The usual mode of transmission of the Ebola virus is through:

    Direct contact

  • 79

    This virus was first documented in which African country?

    Republic of Congo

  • 80

    If a patient is suspected to have the virus, which agency should the nurse contact to confirm diagnosis:

    Department of Health

  • 81

    Once diagnosis is confirmed, the patient should be Isolated. If in case there is no avallable isolation room in the facility, where should the nurse manager temporarily admit the patient with Ebola virus?

    Single room with head of bed near the external wall

  • 82

    Strict infection control precautions must be followed at all times when caring for all patients with the Ebola virus. Which PPE protects the nurse best from the virus when retrieving a specimen from the patient?

    Gloves

  • 83

    A 45-year-old male, diabetic with chronic Hepatitis B (HBV), is admitted because of pneumonia. Regular CBG monitoring was performed every 6 hours. While giving the insulin subcutaneously, the nurse accidentally pricked her finger. The nursepreviously received only one dose of hepatitis B vaccine. The female nurse sticks herself with a contaminated needle. Which action should the nurse implement first?

    Cleanse the area with soap and water.

  • 84

    Following a needle stick, what is used as prophylaxis against HBV?

    HBV vaccine and HBIG

  • 85

    The nurse taking care of the patient is correct in identifying which of the following statements as true regarding Hepatitis B virus transmission?

    The risk of transmission after needle stick injury is increased of the source is HBeAg+

  • 86

    Which statement by the client diagnosed with hepatitis warrants immediate intervention by the clinic nurse?

    "I took some cough syrup for this nasty head cold."

  • 87

    What is one of the most challenging nursing interventions to promote healing in the patient with yiral hepatitis?

    Providing pain relief without using liver-metabolized drugs

  • 88

    For a patient with hepatitis, the nurse would closely assess for indications of which of the following abnormal laboratory values?

    Prolonged prothrombin time

  • 89

    Nurse Granyels is taking care of patients diagnosed with chickenpox and shingles. The causative agent of chickenpox is:

    Human (alpha) herpesvirus 3 (varicella-zoster virus)

  • 90

    Nurse Granyels reviews the health care record of Dyomanji, age 10, diagnosed with varicella zoster. The following are findings the nurse expect to note as characteristic of this disorder, except:

    Painful vesicular eruptions along the route of inflamed nerves

  • 91

    Mr. Clottey, age 50, is seen by the physician and suspects herpes zoster. Nurse Granyels prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain?

    A culture swab and tube

  • 92

    What should Nurse Granyels expect to find during the initial assessment of Mr. Clottey?

    A painful vesicular eruption following a nerve pathway

  • 93

    Which pharmacological therapy would Nurse Granyels expect to be prescribed to treat Mr. Clottey's disorder?

    Acyclovir

  • 94

    The female client came to the emergency department complaining of severe abdominal cramping and at least 10 episodes of diarrhea every day for the last two (2) days. The client just returned from a trip to the province. Which intervention should the nurse implement?

    Explain the client should weigh herself daily.

  • 95

    The client is diagnosed with acute gastroenteritis. Which laboratory data warrant immediate intervention?

    A serum potassium level of 3.3 mEq/L.

  • 96

    The client diagnosed is admitted to the medical unit. Which task would be most appropriate for the nurse to delegate to the nursing aide?

    Take the client's vital signs.

  • 97

    Which statement indicates to the nurse the client diagnosed with acute gastroenteritis understands the discharge teaching?

    "I should reintroduce solid foods very slowly back into my diet”

  • 98

    The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis?

    Positive Kernig's sign and nuchal rigidity.

  • 99

    Which type of precautions should the nurse Implement for the client diagnosed with bacterial Meningitis

    Droplet Precautions.

  • 100

    Which collaborative intervention should be included in the plan of care for bacterial meningitis?

    Administer antibiotics.

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    19問 • 1年前
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    MCN INTRA

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    問題一覧

  • 1

    What kills bacteria most effectively?

    Antiseptic handwash

  • 2

    Which of the following should the nurse identify as a bacterial normal flora in the vagina?

    Lactobacillus

  • 3

    The ability of a virus to infect an organism is regulated by

    the host species.

  • 4

    A nurse is caring for a postoperative client. Which nursing action will prevent infection?

    Remove dressing to assess wound only during needed dressing changes.

  • 5

    A drop of a client's blood splashes on a nurse's skin in an area where the nurse had a small, dried scab. The appropriate nursing action is to:

    Wash the site without disrupting the scab.

  • 6

    If a patient harbors a microorganism capable of being transmitted and causing disease in another while not exhibiting clinical manifestations of the disease, the nurse identifies the patient as a

    carrier

  • 7

    A patient considered as a reservoir only becomes a source of infection when:

    the agent leaves the reservoir through a portal of exit.

  • 8

    Of the following patients, who should the nurse classify as a susceptible host? Select all that apply.

    A newborn, An 85-year-old female patient, A teenager undergoing chemotherapy, An adult with chronic obstructive pulmonary disease

  • 9

    Which person should be restricted from visiting a client with TB microorganisms have the perfect living and breeding until at least 2 weeks of drug therapy has been completed?

    The client's 74-year-old mother.

  • 10

    One of the most common modes of transmission of diseases is through droplets. Because of these, nurses should be at least how many feet far from a patient whose disease is contracted via droplet?

    3 feet

  • 11

    To interrupt the transmission link in the chain of Infection, the nurse should

    Wash the hands before and after providing care

  • 12

    Which nursing action protects the patient as a susceptible host in the chain of infection?

    Administering childhood Immunizations

  • 13

    Which nursing action protects the patient from infection at the portal of entry?

    Positioning an Indwelling urine collection bag below the level of the patient's pelvis

  • 14

    When the nurse administers vaccines to an infant, she is breaking the chain of infection at what stage?

    Susceptibility of the host

  • 15

    There are commonalities in nursing care for patients receiving isolation precautions. Which of the following offers the nurse's availability in providing care while on Isolation precautions?

    Ensure patient understands how to use the call bell.

  • 16

    This is the set of precautions that nurses use for all patients regardless of absence of, suspicion of, or confirmed presence of infection.

    Standard precautions

  • 17

    After diagnosis, the physician has prescribed airborne precautions for the patient with pulmonary tuberculosis. In implementing this order, the nurse will do all of the following interventions, EXCEPT:

    Ban dried and fresh flowers and potted plants from the patient's room.

  • 18

    A patient is positive for Clostridium difficile. The nurse should institute the isolation precaution known as:

    Droplet

  • 19

    In caring for a client on contact precautions for a draining infected foot ulcer, which action should the nurse perform?

    Follow standard precautions in all interactions with the client.

  • 20

    Which of the following is NOT a principle of using personal protective equipment (PPE)?

    PPEs eliminate the risk of acquiring an infection.

  • 21

    When caring for a single client during one shift, it is appropriate for the nurse to reuse only which of the following personal protective equipment?

    Goggles

  • 22

    While applying sterile gloves (open method), the cuff of the first glove rolls under itself about 1/4 inch. What is the best action for the nurse to take?ASA

    Leave the cuff rolled under

  • 23

    A nurse is collecting equipment for several procedures that need to be performed. For which procedure should the nurse wear sterile gloves?

    Collecting a urine specimen from a closed drainage system for a culture and sensitivity test.

  • 24

    When a client's family members come to visit, they would be adhering to respiratory isolation precautions when they

    Wash their hands when leaving.

  • 25

    The nurse understands that the skin as a primary liné of defense protects the body from infections because the:

    Cells of the skin are constantly being replaced, thereby eliminating external pathogens

  • 26

    The nurse understands that a secondary line of defense against infection is the:

    Immune response

  • 27

    The nurse understands that a rise in body temperature is associated with the presence of infection because:

    Phagocytic cells release pyrogens that stimulate the hypothalamus

  • 28

    What would the appropriate infection control technique be for changing a leg dressing on a client who has Pneumocystis jiroveci (formerly carini) pneumonia PCP?

    Wear a mask during the dressing change.

  • 29

    A nurse prepares to admit a child diagnosed with respiratory syncytial virus (RSV). Which infection control Measure would be most appropriate for this child ?

    Place child on contact precautions.

  • 30

    Ventilation systems should be designed and maintained to minimize microbial contamination. High-risk areas such as operating rooms, critical care units and transplant units require special ventilation systems such as HEPA filters. HEPA means:

    high efficiency particulate air

  • 31

    The health care facility should provide safe water. Where safe water is not available, the nurse should:

    boil water for 5 minutes

  • 32

    Routine cleaning is important to ensure a clean hospital environment. When supervising cleaning chores, which should the nurse question?

    dry sweeping

  • 33

    Hospital waste is a potential reservoir of pathogenic micro-organisms and requires appropriate, safe and reliable handling. Waste management should be conducted in coordination with the infection control team. The nurse knows that the first step in the management of hospital waste is

    generation

  • 34

    Which is the most effective nursing action for controlling the spread of infection?

    Thorough hand hygiene

  • 35

    In the skills laboratory, the student nurse is asked to perform hand decontamination using soap and water. The student nurse correctly does the procedure if she:

    cleans her hands for half a minute

  • 36

    In preparing for hand washing, the student nurse initially:

    removes jewellery and watches.

  • 37

    While rinsing hands, the student nurse uses whith motion?

    circular

  • 38

    The nurse understands that an example of an iatrogenic infection is a:

    Wound Infection caused by unwashed hands

  • 39

    The nurse understands that the factor that places a patient at the greatest risk for developing an infection is:

    Burns more than twenty percent of the body

  • 40

    The nurse is caring for a group of hospitalized patients. What should the nurse do first to prevent patient infections?

    Identify patients at risk

  • 41

    Which hospitalized client does the nurse identify to be at greatest risk for the development of a urinary tract HAI?

    A 60-year-old obese female with cholecystitis

  • 42

    Which of the following steps risks the hands from being recontaminated?

    Dipping the hands into a bowl of water to rinse

  • 43

    The nurse is working with a group of parents getting ready to send their children to day care for the first time. The nurse should instruct the parents that immunizations are

    an improved part of health promotion.

  • 44

    The nurse must collect the following specimens. Which specimen collection does not require the use of surgical aseptic technique?

    Stool for ova and parasites

  • 45

    The nurse instructs student nurses that the Department of Health recommends that isolation be based on which of the following?

    Method of disease transmission

  • 46

    The nurse instructs a group of nurses about the impact of infectious diseases in the childhood population of the world. The nurse should include which of the following statements in the discussion?

    Despite improved methods of treatment, infectious diseases continue to be a health concern

  • 47

    The nurse is instructing the adolescent client about birth control and sexually transmitted diseases. Which of the following methods of birth control should the nunse include that is 100% effective in protecting against sexually transmitted disease?

    Abstinence from sexual behavior

  • 48

    When instructing a client, which of the following statements should the nurse include in explaining communicable diseases?

    They are transmitted by direct or indirect contact.

  • 49

    The nurse should be aware that the following are documented possible modes of transmission of the Zika virus: (Select all that apply)

    Vector, Sexual intercourse

  • 50

    The specie of mosquito attributed for the transmission of this virus is:

    Aedes.

  • 51

    Pregnant clients need to be informed on how to prevent this infection since the Zika virus has reportedly been causing which congenital anomaly?

    Microcephaly

  • 52

    Which autoimmune complication has been associated with the surge of cases of the Zika Virus Infection?

    Guillain-Barre syndrome

  • 53

    All of the following statements about the Zika virus are NOT true, EXCEPT:

    The best form of prevention is protection against mosquito bites.

  • 54

    Dolores Umbridge, while on her way home from work, was bitten by a stray dog. Nurse Sirius asked Dolores what she did immediately after the incident. Dolores's response indicates understanding of first aid when she says that

    I washed my wound immediately with soap and water

  • 55

    Nurse Sirius interviewed Dolores and her mother at the Emergency Room to take the history before seeing a doctor. The nurse told Dolores's mother not to kill the dog because the dog will be:

    Observed for 14 days

  • 56

    it is the objective of the Department of Health (DOH) to reduce the incidence of Human Rabies from 7 per million to 1 per million population by:

    2020

  • 57

    What is the most common cause of death in patients with rabies?

    respiratory paralysis

  • 58

    Malaria continues to be a major health problem in the Philippines. It requires sustained and systematic efforts toward prevention of transmission through vector control, and early detection and treatment of malarial cases. Another term for malaria is:

    Ague

  • 59

    The Plasmodium species that is most common in the Philippines and accounts for 70% of all malarial cases:

    P. falciparum

  • 60

    When teaching a patient about drug therapy against Plasmodium falciparum, the nurse should include the fact that:

    The infection can generally be eliminated

  • 61

    Blackwater fever occurs in some patients with malaria. Therefore, the nurse should observe a patient with malaria for:

    Dark red urine

  • 62

    A diagnostic procedure that is a must in every case of Malaria in a certain community:

    Malarial Blood Smear

  • 63

    Capillary-Fragility test is a clinical diagnostic method performed to determine possible dengue infection. Which of the following steps, done by the nurse, would be considered incorrect?

    Inflate the blood pressure cuff on the lower arm to a point midway between the systolic and diastolic pressure for 5 minutes

  • 64

    In what stage of the acute febrile infection wherein tourniquet test, which may be positive on the 3" day, may become negative due to low or vasomotor collapse?

    hemorrhagic

  • 65

    Majority of patients with dengue are candidate for transfusion if their platelet level is:

    Below 50

  • 66

    To prevent hypovolemic shock for patients with dengue, the nurse understands that this management is aimed to prevent such case:

    Give ORS 75 ml/kg in 4 to 6 hours for children.

  • 67

    Supportive and symptomatic treatment should be provided to patients with dengue. This includes which of the following, except:

    For headache give analgesics such as aspirin

  • 68

    A 15-month-old infant is seen in a health center. Because the infant's family has recently came from a place where tuberculosis (TB) is endemic, a Mantoux test is needed to be performed. No one in the infant's family has currently or has in the past had tuberculosis. In per forming the Mantoux test, which injection route should the nurse use to inject tuberculin purified protein derivative (PPD)?

    Intracutaneous

  • 69

    Of the following steps done by the nurse in conducting a Mantoux test, which needs further reinforcement?

    The diameter of the erythema is measured in millimeters at its widest part.

  • 70

    Which of the following interpretation of the Mantoux test results is INCORRECT?

    An induration of 10 mm or greater is usually considered significant in people who have normal or mildly impaired immunity.

  • 71

    According to this infant's risk status and age, which is the smallest amount of induration that the nurse should consider a positive finding? An area of

    10 mm induration.

  • 72

    A laboratory technician has a 10.5-mm area of redness and induration in his left forearm after getting a Mantoux test hours before from the employee health nurse. The Mantoux test done by the same nurse 12 months ago was at 5 mm of induration. The technician has cough, night sweats, and weight loss. Which of the following is a true statement?

    A chest radiograph and sputum culture are indicated.

  • 73

    Which or the following is the preferred method of obtaining a sputum specimen for culture and smear from the patient?

    Sputum collected by elicited cough

  • 74

    The technician is diagnosed with pulmonary tuberculosis and must attend a clinic every week for treatment and follow-up health care. Which is most important to ensure that the patient is cured of tuberculosis when providing care in the community setting?

    Arrange home-based care if the patient is at risk for non-attendance at appointments.

  • 75

    The following are considered at higher risk for tuberculosis EXCEPT:

    A 22-year-old female recently diagnosed with asthma

  • 76

    The technician with active tuberculosis tells the nurse, "I am not going to take any more medications. I am tired of them.* Which statement is the nurse's best response?

    "You are tired of taking your tuberculosis medications."

  • 77

    Which action is unique to maintaining airborne precautions for a patient with a diagnosis of suspected primary tuberculosis?

    Maintaining negative air pressure in the room

  • 78

    The usual mode of transmission of the Ebola virus is through:

    Direct contact

  • 79

    This virus was first documented in which African country?

    Republic of Congo

  • 80

    If a patient is suspected to have the virus, which agency should the nurse contact to confirm diagnosis:

    Department of Health

  • 81

    Once diagnosis is confirmed, the patient should be Isolated. If in case there is no avallable isolation room in the facility, where should the nurse manager temporarily admit the patient with Ebola virus?

    Single room with head of bed near the external wall

  • 82

    Strict infection control precautions must be followed at all times when caring for all patients with the Ebola virus. Which PPE protects the nurse best from the virus when retrieving a specimen from the patient?

    Gloves

  • 83

    A 45-year-old male, diabetic with chronic Hepatitis B (HBV), is admitted because of pneumonia. Regular CBG monitoring was performed every 6 hours. While giving the insulin subcutaneously, the nurse accidentally pricked her finger. The nursepreviously received only one dose of hepatitis B vaccine. The female nurse sticks herself with a contaminated needle. Which action should the nurse implement first?

    Cleanse the area with soap and water.

  • 84

    Following a needle stick, what is used as prophylaxis against HBV?

    HBV vaccine and HBIG

  • 85

    The nurse taking care of the patient is correct in identifying which of the following statements as true regarding Hepatitis B virus transmission?

    The risk of transmission after needle stick injury is increased of the source is HBeAg+

  • 86

    Which statement by the client diagnosed with hepatitis warrants immediate intervention by the clinic nurse?

    "I took some cough syrup for this nasty head cold."

  • 87

    What is one of the most challenging nursing interventions to promote healing in the patient with yiral hepatitis?

    Providing pain relief without using liver-metabolized drugs

  • 88

    For a patient with hepatitis, the nurse would closely assess for indications of which of the following abnormal laboratory values?

    Prolonged prothrombin time

  • 89

    Nurse Granyels is taking care of patients diagnosed with chickenpox and shingles. The causative agent of chickenpox is:

    Human (alpha) herpesvirus 3 (varicella-zoster virus)

  • 90

    Nurse Granyels reviews the health care record of Dyomanji, age 10, diagnosed with varicella zoster. The following are findings the nurse expect to note as characteristic of this disorder, except:

    Painful vesicular eruptions along the route of inflamed nerves

  • 91

    Mr. Clottey, age 50, is seen by the physician and suspects herpes zoster. Nurse Granyels prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain?

    A culture swab and tube

  • 92

    What should Nurse Granyels expect to find during the initial assessment of Mr. Clottey?

    A painful vesicular eruption following a nerve pathway

  • 93

    Which pharmacological therapy would Nurse Granyels expect to be prescribed to treat Mr. Clottey's disorder?

    Acyclovir

  • 94

    The female client came to the emergency department complaining of severe abdominal cramping and at least 10 episodes of diarrhea every day for the last two (2) days. The client just returned from a trip to the province. Which intervention should the nurse implement?

    Explain the client should weigh herself daily.

  • 95

    The client is diagnosed with acute gastroenteritis. Which laboratory data warrant immediate intervention?

    A serum potassium level of 3.3 mEq/L.

  • 96

    The client diagnosed is admitted to the medical unit. Which task would be most appropriate for the nurse to delegate to the nursing aide?

    Take the client's vital signs.

  • 97

    Which statement indicates to the nurse the client diagnosed with acute gastroenteritis understands the discharge teaching?

    "I should reintroduce solid foods very slowly back into my diet”

  • 98

    The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis?

    Positive Kernig's sign and nuchal rigidity.

  • 99

    Which type of precautions should the nurse Implement for the client diagnosed with bacterial Meningitis

    Droplet Precautions.

  • 100

    Which collaborative intervention should be included in the plan of care for bacterial meningitis?

    Administer antibiotics.