NURS 3444 EXAM 3 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. Prodromal symptoms
Answer:
S/S of illness that appear before the S/S of the disease (Fever, Malaise, Anorexia)
Question:
2. Constitutional symptoms
Answer:
Symptoms that can affects multiple body systems (Fever, Irritability)
Question:
3. Incubation period
Answer:
Time between exposure and onset of symptoms (2-3 weeks, several days)
Question:
4. Chicken pox
Answer:
Agent (Varicella virus), Presents with small itching blisters that scab (fever, sore throat, malaise), Airborne
and Droplet transmission, lotion, baths, topical creams for pruritis, hydration, monitor for secondary
infections, remain at home. Vaccine presentable, highly contagious, can take 2-3 weeks after they are
contagious, more red spots in the center of the body, when every vesicle is dry and crusted over the child
can return to daycare or school, keep nails cut short and clean. NO Aspirin due to risk of rye syndrome
Question:
5. Measles
Answer:
Contact and Airborne, hydration and rest, tylenol as needs, infection period can come four days or five
days after the rash shows, prevented by MMR vaccine (at 12 months of age), hacking cough, cold, mucous
membranes have Koplik spots in mouth, rash is head to toe, eyes crusty, cool mist humidification, 2 week
recovery time, high dose vitamin A treatment to decrease symptoms, respiratory symptoms
Question:
6. Mumps
Answer:
Droplet and Contact, comfort care, goes away on own, auditory neuritis (cause hearing loss), testicle
inflammation in males, meningitis, encephalitis, pancreatitis, stomach ache, days later after stomach ache,
enlarged throat
Question:
7. MMR vaccine
, Answer:
Immunocompromised and pregnant women cannot get this vaccine. Weakened but still alive pathogen.
Given around 12 months of age
Question:
8. Varicella vaccine
Answer:
Live attenuated vaccine (weakened form of virus). Do not give to pregnant women or
immunocompromised. Given around 12 months of age
Question:
9. Impetigo
Answer:
Caused by staphylococcus (bacteria), treat with topical antibiotics --> mupirocin, oral antibiotics (if severe
oral), contact precautions, honey colored drainage noted, local vesicles (not all over body), totally dry and
crusted over to stop transmission
Question:
10. Periorbital cellulitis
Answer:
Bacterial infection enters break of skin (strep or staph), one eye effected, edema, pain, discomfort at site,
fever, enlarged lymph nodes, IV for infants or sever cases, and PO for older children. Trace area to see if
with antibiotics if it will get smaller, contact precautions
Question:
11. Ringworm
Answer:
Caused by fungus, contact precautions, center is more clear in the infection site, itchy, human to human
spread, inanimate object spreading, animal to human spread, antifungal topical agents (if severe oral).
Circular red scaly lesion, raised border with central clearing. Treatment: Topical antifungal medication
Question:
12. Scabies
Answer:
Caused by mite that burrows under the skin, make a line where the scabies is traveling (red tracings where
mite travels, looks white in darker skin tones), infants get it in their feet, extremely itching. Spreads
through skin-to skin contact, Intense itching worse at night, thin burrow lines in skin; treatment:
permethrin cream and treat all household contacts
Question:
13. Pinworm
Answer:
Intestinal parasite called enterobius vermicularis, spread from fecal-oral exposure (eggs on hand to mouth,
surfaces or bedding exposure), fecal smear to see the worms in stool, intense perianal itching at night,
treatment: anthelmintic medication (albendazole, mebendazole) and treat all household members
CORRECT ANSWERS
Question:
1. Prodromal symptoms
Answer:
S/S of illness that appear before the S/S of the disease (Fever, Malaise, Anorexia)
Question:
2. Constitutional symptoms
Answer:
Symptoms that can affects multiple body systems (Fever, Irritability)
Question:
3. Incubation period
Answer:
Time between exposure and onset of symptoms (2-3 weeks, several days)
Question:
4. Chicken pox
Answer:
Agent (Varicella virus), Presents with small itching blisters that scab (fever, sore throat, malaise), Airborne
and Droplet transmission, lotion, baths, topical creams for pruritis, hydration, monitor for secondary
infections, remain at home. Vaccine presentable, highly contagious, can take 2-3 weeks after they are
contagious, more red spots in the center of the body, when every vesicle is dry and crusted over the child
can return to daycare or school, keep nails cut short and clean. NO Aspirin due to risk of rye syndrome
Question:
5. Measles
Answer:
Contact and Airborne, hydration and rest, tylenol as needs, infection period can come four days or five
days after the rash shows, prevented by MMR vaccine (at 12 months of age), hacking cough, cold, mucous
membranes have Koplik spots in mouth, rash is head to toe, eyes crusty, cool mist humidification, 2 week
recovery time, high dose vitamin A treatment to decrease symptoms, respiratory symptoms
Question:
6. Mumps
Answer:
Droplet and Contact, comfort care, goes away on own, auditory neuritis (cause hearing loss), testicle
inflammation in males, meningitis, encephalitis, pancreatitis, stomach ache, days later after stomach ache,
enlarged throat
Question:
7. MMR vaccine
, Answer:
Immunocompromised and pregnant women cannot get this vaccine. Weakened but still alive pathogen.
Given around 12 months of age
Question:
8. Varicella vaccine
Answer:
Live attenuated vaccine (weakened form of virus). Do not give to pregnant women or
immunocompromised. Given around 12 months of age
Question:
9. Impetigo
Answer:
Caused by staphylococcus (bacteria), treat with topical antibiotics --> mupirocin, oral antibiotics (if severe
oral), contact precautions, honey colored drainage noted, local vesicles (not all over body), totally dry and
crusted over to stop transmission
Question:
10. Periorbital cellulitis
Answer:
Bacterial infection enters break of skin (strep or staph), one eye effected, edema, pain, discomfort at site,
fever, enlarged lymph nodes, IV for infants or sever cases, and PO for older children. Trace area to see if
with antibiotics if it will get smaller, contact precautions
Question:
11. Ringworm
Answer:
Caused by fungus, contact precautions, center is more clear in the infection site, itchy, human to human
spread, inanimate object spreading, animal to human spread, antifungal topical agents (if severe oral).
Circular red scaly lesion, raised border with central clearing. Treatment: Topical antifungal medication
Question:
12. Scabies
Answer:
Caused by mite that burrows under the skin, make a line where the scabies is traveling (red tracings where
mite travels, looks white in darker skin tones), infants get it in their feet, extremely itching. Spreads
through skin-to skin contact, Intense itching worse at night, thin burrow lines in skin; treatment:
permethrin cream and treat all household contacts
Question:
13. Pinworm
Answer:
Intestinal parasite called enterobius vermicularis, spread from fecal-oral exposure (eggs on hand to mouth,
surfaces or bedding exposure), fecal smear to see the worms in stool, intense perianal itching at night,
treatment: anthelmintic medication (albendazole, mebendazole) and treat all household members
