COMMUNICABLE DISEASE NURSING
Situation: Ms Lora, a 50 y/o housewife is admitted to the hospital with a wound that is swollen and painful. The diagnosis
of tetanus is suspected.
1. The nurse must observe Ms. Lora for a symptom of tetanus that could be life threatening. The nurse should assess
Ms. Lora for:
A. Muscle rigidity
B. Restless and irritability
C. Spastic voluntary muscle contractions
D. Respiratory tract spasms
2. Ms. Lora started on tetracycline therapy. When giving oral tetracycline to Ms. Lora, the nurse should:
A. Provide orange or other citrus fruit juice with the medication.
B. Offer antacids 30 minutes after administration if GI side effects occur.
C. Provide medication an hour before or after milk products has been ingested.
D. Administer medication with meals or after milk
3. Ms. Lora asks the nurse about immunizations against tetanus. The nurse explains that the major benefit in using
tetanus antitoxin is that it:
A. Stimulates plasma cells directly.
B. Provides high titer of antibodies.
C. Provides immediate active immunity
D. Stimulates long lasting passive immunity
Situation: Ms. Sue Sy, a 22 y/o, is admitted to the hospital with a diagnosis of infectious hepatitis. Bedrest and diagnostic
studies are prescribed
4. An admission nursing assessment of Ms. Sue should reveal which of the following early symptoms of infectious
hepatitis
A. Loss of appetite
B. Jaundice
C. Left upper quadrant pain
D. Abdominal distention
5. The nurse should recognize which of the following factors in Ms. Sue history as most likely to be related to her
diagnosis?
A. Being bitten by an insect
B. Eating home-canned foods
C. Recent recovery from an upper respiratory infection
D. Contact with a person who was jaundiced
6. Bedrest is prescribed for Ms. Sue. The nurse should explain that the chief purpose of bedrest is to:
A. Minimize liver damage.
B. Control spread of the disease
C. Reduce the breakdown of fats for metabolic needs
D. Decrease the circulatory load to reduce cardiac effort
7. The nurse is planning care of Ms. Sue’s convalescent period. The nurse should expect that Ms. Sue will have the
most difficult with:
A. Relieving pain
B. Regulating bowel elimination
C. Maintaining a sense of well-being
D. Preventing respiratory complication
8. Tess, 17 years old came to the clinic because of fever and appearance of vesicular skin eruptions on her chest and
face. The physician gave a diagnosis of chicken pox. The nursing diagnosis to be considered in the presence of the
vesicles is/are the following:
A. Disturbance in body image and impairment of skin integrity
B. Disturbance in body image
C. Alteration in fluid volume
, A. 24 hours after treatment is started
B. All vesicular lesions have dried
C. Acute symptoms have subside
D. 48 hours after antibiotic treatment
10. When an AIDS patient is prescribed zidovudine (AZT), important patient teaching to be given by the nurse includes:
A. Discontinuing it if vomiting occurs
B. Must be taken exactly ordered
C. Having blood counts done every 2 weeks
D. Getting abortion if pregnancy occurs
11. Which of the ff. statements about diphtheria is False?
A. Immunity is acquired through complete immunization of Diphtheria toxoid
B. Infants born to immune mothers maybe protected up to 5 months
C. Diphtheria transmission is increased in hospitals households, schools and other crowded areas
D. Recovery from clinical attack is always followed by a lasting immunity to the disease.
12. Nursing care of patient with diphtheria should include the ff.
A. Encouragement of fluids
B. Early ambulation
C. Omission of bath in severe cases
D. Planned nursing care to conserve patient’s energy
13. The ff. Modes of transmission of leptospirosis , EXCEPT
A. Contact of skin mucus membrane with contaminated water
B. Ingestion of contaminated food
C. Direct contact with tissues of infected animals
D. Droplet infection
14. In the care of patients with leptospirosis, which of the ff. is important?
A. Immunization of contacts
B. Use of mask and apron
C. Patient should be in mosquito proof area at night
D. Concurrent disinfection of articles soiled with urine
15. In order to protect individual form acquiring leptospirosis, health teaching should include
A. Cutting finger nails short and wash hand before eating
B. Avoid wading or swimming in water contaminated with urine of infected animals
C. Using mosquito nets and protective clothing
D. Immunization of contacts
16. Syphilis is characterized by:
A. Chancre
B. Ladder like fever
C. Thick yellowish purulent discharge
D. Painless vesicular eruptions
17. The diagnostic test for syphilis is
A. Urinalysis
B. Cervical smear
C. Rapid Plasma Reagin
D. Tzanck smear
18. Which of the ff. is a major activity of the leprosy control program
A. Recording and reporting
B. Training and information dissemination on multi drug therapy
C. Monitoring and follow up of cases
D. Cases finding and treatment with effective drugs
19. In order to prevent deformities in leprosy, health teaching must include
A. good rest and sleep
B. regular health check up
Situation: Ms Lora, a 50 y/o housewife is admitted to the hospital with a wound that is swollen and painful. The diagnosis
of tetanus is suspected.
1. The nurse must observe Ms. Lora for a symptom of tetanus that could be life threatening. The nurse should assess
Ms. Lora for:
A. Muscle rigidity
B. Restless and irritability
C. Spastic voluntary muscle contractions
D. Respiratory tract spasms
2. Ms. Lora started on tetracycline therapy. When giving oral tetracycline to Ms. Lora, the nurse should:
A. Provide orange or other citrus fruit juice with the medication.
B. Offer antacids 30 minutes after administration if GI side effects occur.
C. Provide medication an hour before or after milk products has been ingested.
D. Administer medication with meals or after milk
3. Ms. Lora asks the nurse about immunizations against tetanus. The nurse explains that the major benefit in using
tetanus antitoxin is that it:
A. Stimulates plasma cells directly.
B. Provides high titer of antibodies.
C. Provides immediate active immunity
D. Stimulates long lasting passive immunity
Situation: Ms. Sue Sy, a 22 y/o, is admitted to the hospital with a diagnosis of infectious hepatitis. Bedrest and diagnostic
studies are prescribed
4. An admission nursing assessment of Ms. Sue should reveal which of the following early symptoms of infectious
hepatitis
A. Loss of appetite
B. Jaundice
C. Left upper quadrant pain
D. Abdominal distention
5. The nurse should recognize which of the following factors in Ms. Sue history as most likely to be related to her
diagnosis?
A. Being bitten by an insect
B. Eating home-canned foods
C. Recent recovery from an upper respiratory infection
D. Contact with a person who was jaundiced
6. Bedrest is prescribed for Ms. Sue. The nurse should explain that the chief purpose of bedrest is to:
A. Minimize liver damage.
B. Control spread of the disease
C. Reduce the breakdown of fats for metabolic needs
D. Decrease the circulatory load to reduce cardiac effort
7. The nurse is planning care of Ms. Sue’s convalescent period. The nurse should expect that Ms. Sue will have the
most difficult with:
A. Relieving pain
B. Regulating bowel elimination
C. Maintaining a sense of well-being
D. Preventing respiratory complication
8. Tess, 17 years old came to the clinic because of fever and appearance of vesicular skin eruptions on her chest and
face. The physician gave a diagnosis of chicken pox. The nursing diagnosis to be considered in the presence of the
vesicles is/are the following:
A. Disturbance in body image and impairment of skin integrity
B. Disturbance in body image
C. Alteration in fluid volume
, A. 24 hours after treatment is started
B. All vesicular lesions have dried
C. Acute symptoms have subside
D. 48 hours after antibiotic treatment
10. When an AIDS patient is prescribed zidovudine (AZT), important patient teaching to be given by the nurse includes:
A. Discontinuing it if vomiting occurs
B. Must be taken exactly ordered
C. Having blood counts done every 2 weeks
D. Getting abortion if pregnancy occurs
11. Which of the ff. statements about diphtheria is False?
A. Immunity is acquired through complete immunization of Diphtheria toxoid
B. Infants born to immune mothers maybe protected up to 5 months
C. Diphtheria transmission is increased in hospitals households, schools and other crowded areas
D. Recovery from clinical attack is always followed by a lasting immunity to the disease.
12. Nursing care of patient with diphtheria should include the ff.
A. Encouragement of fluids
B. Early ambulation
C. Omission of bath in severe cases
D. Planned nursing care to conserve patient’s energy
13. The ff. Modes of transmission of leptospirosis , EXCEPT
A. Contact of skin mucus membrane with contaminated water
B. Ingestion of contaminated food
C. Direct contact with tissues of infected animals
D. Droplet infection
14. In the care of patients with leptospirosis, which of the ff. is important?
A. Immunization of contacts
B. Use of mask and apron
C. Patient should be in mosquito proof area at night
D. Concurrent disinfection of articles soiled with urine
15. In order to protect individual form acquiring leptospirosis, health teaching should include
A. Cutting finger nails short and wash hand before eating
B. Avoid wading or swimming in water contaminated with urine of infected animals
C. Using mosquito nets and protective clothing
D. Immunization of contacts
16. Syphilis is characterized by:
A. Chancre
B. Ladder like fever
C. Thick yellowish purulent discharge
D. Painless vesicular eruptions
17. The diagnostic test for syphilis is
A. Urinalysis
B. Cervical smear
C. Rapid Plasma Reagin
D. Tzanck smear
18. Which of the ff. is a major activity of the leprosy control program
A. Recording and reporting
B. Training and information dissemination on multi drug therapy
C. Monitoring and follow up of cases
D. Cases finding and treatment with effective drugs
19. In order to prevent deformities in leprosy, health teaching must include
A. good rest and sleep
B. regular health check up
