Chapter 10, Infectious Diseases
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which disease is spread from human to human via droplet infections through coughing or sneezing?
1. Mumps
2. Poliomyelitis
3. Herpes simplex
4. West Nile virus infection
2. Which diagnosis does the nurse recognize as a protozoan infection?
1. Enterobiasis
2. Creutzfeldt-Jakob disease
3. Giardiasis
4. Coccidiomycosis
3. The nurse in an acute care facility is assigned to care for a client diagnosed with
community-acquired Staphylococcus aureus manifested as osteomyelitis. Which nursing
intervention is most important?
1. Monitor for signs of septicemia
2. Initiate airborne precautions
3. Perform diligent hand washing
4. Carefully monitor culturNeUreRsS
ulI
tsNGTB.COM
4. Which is a key symptom of meningitis when the nurse is assessing a client suspected of the
condition?
1. Abdominal pain
2. Nuchal rigidity
3. Sensitivity to sound
4. Dysuria
5. The nurse is teaching a community program about prevention of vector-transmitted disease. Which
preventive measure does the nurse include for leishmaniasis?
1. Using insect repellant
2. Using vaccines
3. Avoiding vector-infested areas
4. Isolating the client
6. The nurse is notified a client has a bacterial infection. The health-care provider prescribes diagnostic
testing. For which diagnostic procedure does the nurse prepare the client?
1. Tissue biopsy
2. Ultrasonography
3. Serological test
4. Radiography
7. Which cellular structure secretes a natural antiviral defense?
1. Ciliated respiratory tract cells
, 2. Alveolar macrophages
3. Respiratory epithelial cells
4. Cervical lymph nodes
8. A nurse demonstrates understanding of predisposing factors to Pseudomonas aeruginosa by
selecting which option?
1. Urinary tract catheterization
2. Hospital food
3. Nebulizer
4. Hospital linens
9. Which diagnostic test is required to detect Legionnaire’s disease?
1. Neurological tests
2. Tissue sampling
3. Antibody titers
4. Arterial blood gases
10. Which description is appropriate for the distinctive rash of erythema infectiosum (fifth disease)?
1. Pinpoint red macules and petechiae
2. Dewdrops on a rose petal
3. Slapped-cheek appearance
4. Purpura and ecchymotic rash
11. Based on which manifestation does the nurse recognize that rubella causes teratogenic side effects?
1. Microcephaly in the fetuNsURSINGTB.COM
2. Retinitis in the fetus
3. Vision impairment in the fetus
4. Spontaneous abortion of the fetus
12. Which is the diagnostic goal for malaria considering that the pathogen multiplies in the red blood
cells (RBCs)?
1. Identify anemia
2. Determine level of bilirubin
3. Identify specific antibodies
4. Determine white blood cell (WBC) count
13. The nurse is aware that both a reservoir and a vector may be involved in infection transmission.
Which does the nurse recognize as a vector?
1. A dirty bathroom
2. A child with chickenpox
3. A living being not infected
4. Unsanitary food preparation
14. The nurse works in a college infirmary. Which reason does the nurse identify for the incidences of
Neisseria meningitides within the college population?
1. College living quarters are frequently unclean
2. College students experience high stress levels
3. College student nutrition is vitamin deficient
4. College living exists in close, crowded quarters
, 15. Which is the definition for prions?
1. They are bacterial spores.
2. They are abnormal proteins.
3. They are fungal agents.
4. They are helminths.
16. For which reason does the nurse classify both the Ebola and Marburg viruses as Category A
bioterrorism agents?
1. They cause hemorrhagic fevers.
2. They are virulent, stable, and infective as small-particle aerosols.
3. They are transmitted by direct contact through blood and body fluids.
4. Currently there is no standard treatment.
17. Which symptom does the nurse specifically expect in a client diagnosed with variant
Creutzfeldt-Jakob disease?
1. Mental confusion
2. Personality changes
3. Problems with hearing, seeing, and smelling
4. Jerky muscle movements
18. The nurse in a third world missionary hospital sees many clients with a self-diagnosis of “worms.”
The clients present with abdominal pain, nausea, anorexia, weight loss, and passage of eggs in the
stool. Which diagnostic test does the nurse use to confirm tapeworm infection?
1. Blood test
2. Stool test
NURSINGTB.COM
3. Urine test
4. Antibody titers
19. Coccidiomycosis is an airborne disease. Which conclusion does the nurse draw about its mode of
transmission?
1. Transmitted by fungal spores
2. Transmitted by vector bites
3. Transmitted by prions
4. Transmitted by contaminated food
20. The nurse is providing care for an older adult female diagnosed with vaginal candidiasis. The client
expresses dismay about having a sexually transmitted infection (STI). Which knowledge does the
nurse use to assure the client that vaginal candidiasis is a side effect of long-term antibiotic use?
1. It is an opportunistic infection.
2. It eradicates Lactobacillus in the vagina.
3. It is caused by an antibiotic-resistant bacteria in the vagina.
4. It is caused by decreased vaginal pH due to antibiotic use.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which disease is spread from human to human via droplet infections through coughing or sneezing?
1. Mumps
2. Poliomyelitis
3. Herpes simplex
4. West Nile virus infection
2. Which diagnosis does the nurse recognize as a protozoan infection?
1. Enterobiasis
2. Creutzfeldt-Jakob disease
3. Giardiasis
4. Coccidiomycosis
3. The nurse in an acute care facility is assigned to care for a client diagnosed with
community-acquired Staphylococcus aureus manifested as osteomyelitis. Which nursing
intervention is most important?
1. Monitor for signs of septicemia
2. Initiate airborne precautions
3. Perform diligent hand washing
4. Carefully monitor culturNeUreRsS
ulI
tsNGTB.COM
4. Which is a key symptom of meningitis when the nurse is assessing a client suspected of the
condition?
1. Abdominal pain
2. Nuchal rigidity
3. Sensitivity to sound
4. Dysuria
5. The nurse is teaching a community program about prevention of vector-transmitted disease. Which
preventive measure does the nurse include for leishmaniasis?
1. Using insect repellant
2. Using vaccines
3. Avoiding vector-infested areas
4. Isolating the client
6. The nurse is notified a client has a bacterial infection. The health-care provider prescribes diagnostic
testing. For which diagnostic procedure does the nurse prepare the client?
1. Tissue biopsy
2. Ultrasonography
3. Serological test
4. Radiography
7. Which cellular structure secretes a natural antiviral defense?
1. Ciliated respiratory tract cells
, 2. Alveolar macrophages
3. Respiratory epithelial cells
4. Cervical lymph nodes
8. A nurse demonstrates understanding of predisposing factors to Pseudomonas aeruginosa by
selecting which option?
1. Urinary tract catheterization
2. Hospital food
3. Nebulizer
4. Hospital linens
9. Which diagnostic test is required to detect Legionnaire’s disease?
1. Neurological tests
2. Tissue sampling
3. Antibody titers
4. Arterial blood gases
10. Which description is appropriate for the distinctive rash of erythema infectiosum (fifth disease)?
1. Pinpoint red macules and petechiae
2. Dewdrops on a rose petal
3. Slapped-cheek appearance
4. Purpura and ecchymotic rash
11. Based on which manifestation does the nurse recognize that rubella causes teratogenic side effects?
1. Microcephaly in the fetuNsURSINGTB.COM
2. Retinitis in the fetus
3. Vision impairment in the fetus
4. Spontaneous abortion of the fetus
12. Which is the diagnostic goal for malaria considering that the pathogen multiplies in the red blood
cells (RBCs)?
1. Identify anemia
2. Determine level of bilirubin
3. Identify specific antibodies
4. Determine white blood cell (WBC) count
13. The nurse is aware that both a reservoir and a vector may be involved in infection transmission.
Which does the nurse recognize as a vector?
1. A dirty bathroom
2. A child with chickenpox
3. A living being not infected
4. Unsanitary food preparation
14. The nurse works in a college infirmary. Which reason does the nurse identify for the incidences of
Neisseria meningitides within the college population?
1. College living quarters are frequently unclean
2. College students experience high stress levels
3. College student nutrition is vitamin deficient
4. College living exists in close, crowded quarters
, 15. Which is the definition for prions?
1. They are bacterial spores.
2. They are abnormal proteins.
3. They are fungal agents.
4. They are helminths.
16. For which reason does the nurse classify both the Ebola and Marburg viruses as Category A
bioterrorism agents?
1. They cause hemorrhagic fevers.
2. They are virulent, stable, and infective as small-particle aerosols.
3. They are transmitted by direct contact through blood and body fluids.
4. Currently there is no standard treatment.
17. Which symptom does the nurse specifically expect in a client diagnosed with variant
Creutzfeldt-Jakob disease?
1. Mental confusion
2. Personality changes
3. Problems with hearing, seeing, and smelling
4. Jerky muscle movements
18. The nurse in a third world missionary hospital sees many clients with a self-diagnosis of “worms.”
The clients present with abdominal pain, nausea, anorexia, weight loss, and passage of eggs in the
stool. Which diagnostic test does the nurse use to confirm tapeworm infection?
1. Blood test
2. Stool test
NURSINGTB.COM
3. Urine test
4. Antibody titers
19. Coccidiomycosis is an airborne disease. Which conclusion does the nurse draw about its mode of
transmission?
1. Transmitted by fungal spores
2. Transmitted by vector bites
3. Transmitted by prions
4. Transmitted by contaminated food
20. The nurse is providing care for an older adult female diagnosed with vaginal candidiasis. The client
expresses dismay about having a sexually transmitted infection (STI). Which knowledge does the
nurse use to assure the client that vaginal candidiasis is a side effect of long-term antibiotic use?
1. It is an opportunistic infection.
2. It eradicates Lactobacillus in the vagina.
3. It is caused by an antibiotic-resistant bacteria in the vagina.
4. It is caused by decreased vaginal pH due to antibiotic use.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
