Chapter 32: Childhood Communicable Diseases,
Bioterrorism, Natural Disasters, and the
Maternal–Child Patient
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse is preparing to administer immunizations at a well-child clinic. Which method of
administration will the nurse implement?
a. DTaP subcutaneously
b. Hib vaccine prepared in a separate syringe
c. Varicella intramuscularly
d. Varicella 1 week after the MMR vaccine
ANS: B
Hib vaccine must be given in a separate syringe from other vaccines administered at the same
time.
DIF: Cognitive Level: Knowledge REF: p. 757 OBJ: 7
TOP: Hib KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. A child was sent to the school nurse because of a rash. The nurse noted the rash was present on
the trunk, extremities, and face. The child‘s cheeks were bright red. With what is the nurse aware
this type of rash is consistent?
a. Measles
b. Roseola
c. Varicella
d. Fifth disease
ANS: D
, In fifth disease, the child has a generalized rash and the cheeks have a slapped-cheek
appearance.
DIF: Cognitive Level: Comprehension REF: p. 745 | Health Promotion Box
OBJ: 2 TOP: Fifth Disease
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. What statement leads the nurse to determine that a child‘s parent understands information related
to tick bites?
a. “I‘ll have my son wear dark clothing on his hike.”
b. “We should all get the Lyme disease vaccine before our trip.”
c. “I‘ll get a prescription for amoxicillin to take with us.”
d. “We will wear long pants and long-sleeved shirts in the woods.”
ANS: D
People should keep skin covered by wearing protective clothing in wooded areas to prevent
tick bites.
DIF: Cognitive Level: Application REF: p. 747 | Health Promotion
OBJ: 4 TOP: Prevention of Tick Bites
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
4. An adolescent is taking tetracycline for a sexually transmitted disease. What would the nurse
stress when providing instruction about this medication?
a. Finish all of the medication.
b. Get plenty of fresh air and sunlight.
c. Take the medication with food.
d. Take an antacid if the medication causes an upset stomach.
ANS: A
The nurse would teach the adolescent to take all of the prescribed medication to avoid
making the microorganism resistant to tetracyclines.
DIF: Cognitive Level: Comprehension REF: p. 761 | Table 32.4
OBJ: 10 TOP: Sexually Transmitted Diseases
Bioterrorism, Natural Disasters, and the
Maternal–Child Patient
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse is preparing to administer immunizations at a well-child clinic. Which method of
administration will the nurse implement?
a. DTaP subcutaneously
b. Hib vaccine prepared in a separate syringe
c. Varicella intramuscularly
d. Varicella 1 week after the MMR vaccine
ANS: B
Hib vaccine must be given in a separate syringe from other vaccines administered at the same
time.
DIF: Cognitive Level: Knowledge REF: p. 757 OBJ: 7
TOP: Hib KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. A child was sent to the school nurse because of a rash. The nurse noted the rash was present on
the trunk, extremities, and face. The child‘s cheeks were bright red. With what is the nurse aware
this type of rash is consistent?
a. Measles
b. Roseola
c. Varicella
d. Fifth disease
ANS: D
, In fifth disease, the child has a generalized rash and the cheeks have a slapped-cheek
appearance.
DIF: Cognitive Level: Comprehension REF: p. 745 | Health Promotion Box
OBJ: 2 TOP: Fifth Disease
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. What statement leads the nurse to determine that a child‘s parent understands information related
to tick bites?
a. “I‘ll have my son wear dark clothing on his hike.”
b. “We should all get the Lyme disease vaccine before our trip.”
c. “I‘ll get a prescription for amoxicillin to take with us.”
d. “We will wear long pants and long-sleeved shirts in the woods.”
ANS: D
People should keep skin covered by wearing protective clothing in wooded areas to prevent
tick bites.
DIF: Cognitive Level: Application REF: p. 747 | Health Promotion
OBJ: 4 TOP: Prevention of Tick Bites
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
4. An adolescent is taking tetracycline for a sexually transmitted disease. What would the nurse
stress when providing instruction about this medication?
a. Finish all of the medication.
b. Get plenty of fresh air and sunlight.
c. Take the medication with food.
d. Take an antacid if the medication causes an upset stomach.
ANS: A
The nurse would teach the adolescent to take all of the prescribed medication to avoid
making the microorganism resistant to tetracyclines.
DIF: Cognitive Level: Comprehension REF: p. 761 | Table 32.4
OBJ: 10 TOP: Sexually Transmitted Diseases
