COMMUNICABLE DISEASE PRACTICE EXAM PART 1

1. Which of the following is an example of a non-specific body defense? a. Cellular immunity b. Antibodies c. Inflammatory response d. Phagocytes ANSWER: C 2. Of the following bodily defenses against infection, which one is an example of a specific defense? a. Lymphocyte formation b. Intact skin c. Nasal cilia d. Stomach acid ANSWER: A 3. A foreign protein that invades the body is called an: a. Antigen b. Interferon c. Complement d. Antibody ANSWER: A 4. Which of the following describes humoral immunity? a. It is mediated by the T-cell system b. It primarily defends against fungal infections c. It aids in the production of lymphokines d. It is mediated by antibodies produced by B lymphocytes ANSWER: D 5. Immunity obtained as a result of experiencing an illness is known as: a. Active natural immunity b. Passive natural immunity c. Active acquired immunity d. Passive acquired immunity ANSWER: A 6. Microorganisms have the ability to invade the body tissues and proliferate causing infection. One factor is virulence of organism. What is the other factor?

a. Weakness of the body b. Resistance of the host c. Resistance of the organism d. Weakness of the organism ANSWER: B 7. As a result of sharing a needle with an HIV-positive Person A, Person B became infected. In the chain of infection, before person B became infected, the reservoir was: a. Person A b. Person B c. the dirty needle d. the hole made by the needle into Person Bs skin ANSWER: A 8. As a result of sharing a needle with an HIV-positive person (Person A), Person B becomes infected. In the chain of infection, before Person B became infected, the portal of exit for the virus was: a. Person As needle puncture site b. Person Bs needle puncture site c. Person As blood d. The needle ANSWER: A 9. Which of the following situations is an example of microorganism transmission via droplet contact? a. Infected wound drainage contacts the nurses hands b. A virus is transmitted through sexual intercourse c. Microorganisms contact a persons nasal mucus when someone coughs nearby d. A contaminated stethoscope touches the skin of a client ANSWER: C 10. Microorganisms are transmitted to a client when a contaminated stethoscope touches his skin. The stethoscope is a: a. Fomite b. Portal of exit c. Portal of entry d. Reservoir ANSWER: A 11. The nurse is caring for different clients in the hospital. Which of the following would be the most susceptible to acquiring an infection? a. A 45-year old female with an abdominal pain and intact skin

b. An 18-year old male with a casted or broken leg c. A 78-year old dehydrated male with an excoriated skin d. A 23-year old female recovering from facial injuries sustained in a car accident ANSWER: C 12. Which of the following groups of individuals is most susceptible to infection? a. middle-aged adults b. young adults c. young children d. newborn infants ANSWER: D 13. Which of the following situations is an example of a nosocomial infection? a. A urinary tract infection develops in a paralyzed client who voids without catheterization b. A confined debilitated client contracts influenza from his roommate c. An infection develops at an IV infusion site because of poor insertion technique d. A hospitalized child develops chicken pox lesions one day after admission ANSWER: B Tuberculosis has been declared an emergency for sometime in the country by the WHO. 14.DOTS is a comprehensive strategy to cure TB. The primary element of DOTS is: a. Health workers counsel and observe their patients swallow each anti-TB medications and monitor progress until cured b. Regular drug supply c. Political will in terms of manpower and funding d. Sputum microscopy services ANSWER: A 15. In the TB control program, the DOH has specific objectives, one of which is the prevention of TB among children. Which one below is this program? a. Sputum collection and examination b. Tuberculin skin testing c. EPI for BCG vaccine d. Maternal and child health nursing ANSWER: C 16. Category I of the PTB regimen is prescribed to all of the following, EXCEPT: a. A new sputum positive PTB patient b. Seriously ill patient with extensive parenchymal involvement c. Seriously ill patient with extra-pulmonary form of PTB d. Previously treated patient classified as relapse or failure

ANSWER: D 17. The source of PTB infection is through which of the following? a. Contamination of potable water b. Direct contact with infected person c. Crowded living patterns d. Sexual intercourse ANSWER: B 18. Which of the following statements is a primary preventive measure for PTB? a. Provide public health nursing outreach services b. BCG vaccination of newborns and grade 1 school entrants c. Make available medical and X-ray facilities d. Educate the public on the mode of transmission and methods of control of PTB ANSWER: B An increase in the incidence of communicable diseases is commonly observed among countries with young population. Communicable disease prevention program is an important function of the public health nurse in the improvement of the quality of life. 19. As a nursing intervention for preventing injury when a rabid patient is in convulsion, the nurse tells the family or watcher to: a. Call the nurse when the client suffers from convulsion b. Give sedative so the patient can sleep c. Stay with the patient all the time d. Restrain the patient and ring the bell ANSWER: A 20. Carlito is bitten by a dog. The nurse interviewed Carlito and his father to take the history before seeing the doctor. The nurse instructed the father not to kill the dog because the dog will be: a. Given a vaccine b. Confined c. Observed for 10 to 14 days d. Be examined ANSWER: C 21. Jun-Jun, 6 years old, developed mumps. As a PHN, you will perform the following EXCEPT: a. Put cold compress on swollen glands to ease pain b. Instruct Jun-Jun to avoid foods that require lots of chewing c. Advise Jun-Jun to eat sour foods such as citrus fruits or juices for the Vitamin C d. Encourage Jun-Jun to drink plenty of fluids

ANSWER: C 22. Marco is showing signs that necessitate tourniquet test. In doing a tourniquet test, what should the PHN look for to consider a Marco a TT positive case? a. BP > 130/90 mmHg b. BP <> 20 ANSWER: D 23. In a patient with Dengue, which of the following will the staff nurse give the patient as part of the nursing intervention? a. Water and salt solution b. Oresol c. Saline solution d. IV fluids ANSWER: D maintenance of circulating blood volume is the central feature of the case management of Dengue (WHO); ORS may given to clients with MODERATE DEHYDRATION caused by vomiting and high temperature 24. AB, 32 years old, has returned from Hong Kong and was admitted to a hospital with a tentative diagnosis of SARS. AB is expected to have which of the following symptoms? a. Fever, rapid progressive respiratory compromise b. Fever and dyspnea c. Fever and productive cough d. Fever and Cyanosis ANSWER: A 25. Incubation period of SARS is: a. 2-7 days b. 5-11 days c. 1-10 days d. 1-5 days ANSWER: A Incubation period of SARS is 2-7 days with a maximum of 10 days 26. The following countries where SARS originated include the following, EXCEPT: a. China b. Canada c. Philippines d. Hongkong ANSWER: C 27. What is the causative agent of SARS?

a. Corona virus b. Retro virus c. Rhabdo virus d. Influenza virus ANSWER: A 27. Which of the following is the most serious complication of SARS? a. Pulmonary congestion b. Atelectasis c. Respiratory distress d. Anaphylaxis ANSWER: C