o Carrier

Quiz no 1: CD
A nurse student is asked by her instructor on her o Contact
understanding on communicable disease. The student o Suspect
has corrected understanding if she states that: o Patient under investigation
o It is a disease cause by an infectious agent
This is done to disinfect and sterilize the patient supplies
which is acquired from an infected individual
and equipment after the patient is discharged from the
and transmitted to a susceptible host either
unit or hospital.
by direct/indirect contact or through direct
inoculation into a broken skin or membrane. o Terminal
o It is the entrance of microorganism through o Concurrent
mechanical means o Carrier
o It is the science of the patterns of disease, its o Contact
occurrence, distribution or spread and the
prevention and control among group of One way of destruction of microorganisms by the use of
individuals as in public health. fumes or gases is what we call?
o It is easily transmitted from person to person to o Delousing
another thru droplet, direct or indirect contact o Fumigation
o Mechanical
Infectious diseases are not easily transmitted from
o Chemical
person to person, it requires inoculation. Which of
the following is not included as infectious disease? Using of disinfectant and antiseptic in killing
o Dengue microorganisms is what we call?
o Chicken Pox o Delousing
o Filariasis o Fumigation
o Malaria o Mechanical
o Chemical
Which of the following is the least risk factor for
contracting a communicable disease? What do you call the limitation of freedom of movement
of persons or animals which have been exposed to
o Working as doctor
communicable disease for a period of time equivalent to
o Working as a medical volunteer in the hospital
the longest incubation period of that disease?
o Working as an aide in a nursing home o Isolation
o Working with a preschool aged children o Quarantine
What is the difference between a communicable o Lock down
disease and a non-communicable disease o Curfew

o Both types of disease can be passed from When the localities and resident are generally ordered
person to person, but communicable diseases to stay at home and restricted from traveling to other
require direct contact with bodily fluids. cities or barangays. This is what we call?
o A communicable disease cannot be passed from
o EECQ
person to person while a non communicable can
o ECQ
be.
o GCQ
o A communicable disease can be passed
o MGCQ
from person to person, a non communicable
disease cannot. This pattern of disease is constantly present in a certain
o Any of this locality is known as:
o Pandemic
All of the following are contagious diseases
EXCEPT: o Sporadic
o Epidemic
o COVID 19 o Endemic
o Tuberculosis
o Flu Which of the following is not included as pandemic
o Rabies pattern of disease?
o AIDS
This method of disinfection is done when the patient is o SARS
still the source of infection. o Malaria
o Bird Flu
o Terminal
o Concurrent When a communicable disease is sudden in
o Carrier increase in number of expected cases of a disease
o Contact in short period of time, then this is what we call?

If an individual who harbors organism and is capable of o Pandemic

transmitting it to susceptible host without showing o Sporadic
manifestations of disease. This is what we call? o Epidemic
 o Endemic o Indirect contact transmission
o Droplet transmission
When a patient termed as sub-clinically ill then, it has a
o Airborne transmission
characteristics of which of the following?
The time interval between the first exposure to the
o Manifesting all the signs but less dangerous
appearance of the first signs and symptoms is called:
o Manifesting all the signs and most dangerous
o Prodromal period
o Not manifesting signs and symptoms and less
o Incubation period
dangerous
o Stage of illness
o Manifesting mild signs and symptoms and
o Convalescence
less dangerous
The students nurse is asked by her instructor. “In what
The nurse student was asked by his instructor on the
stage of illness that the pathognomonic sign will be
characteristics of agents particularly on anti-genecity.
observed ?
The student is correct if she states that: Select all apply
o Incubation period
o It has the power, potentiate or to strengthened
o Prodromal period
the agent to cause a disease
o It has the ability to enter our body to move into o Stage of illness
tissues o Convalescence period
o It has the ability to stimulate antibody When the person manifests all the signs and symptoms,
response this is what stage of illness?
o It release toxic products that can be found o Incubation period
inside/outside the cell o Prodromal period
Any microbe that release toxic products that can be o Stage of illness
found inside/outside the cell and they are capable of o Convalescence period
producing a disease.
A male 19-year-old male client was exposed to a
o Agent
Measles. He asked the nurse on how he could develop
o MOT
antibodies on what particular type of immunity. The
o Reservoir
nurse correctly response by “it’s going to develop by:
o Host
o natural active immunity
Which agents are simple, one celled microbe with o artificial active immunity
double cell membrane and they reproduced rapidly and
o artificial passive immunity
the most common cause of fatal infectious disease?
o natural passive immunity
o Viruses
o Protozoa Once Immune serum from animal to human is injected to
o Bacteria give antibodies. This is called:
o Fungi o natural active immunity
o artificial active immunity
These agents are the smallest microbes and can’t
o artificial passive immunity
replicate independently in the host cells.
o natural passive immunity
o Viruses
A patient was admitted to the emergency room with a
o Protozoa
chief complaint of fever and lock jaw. As to his history,
o Bacteria
he has punctured wound 4 days ago. Based for this
o Fungi assessment, the resident physician ordered anti- tetanus
serum (ATS) 4500 IU IM. The nurse knows that this type
All of the following are forms of vehicle EXCEPT:
of immunity is:
o Milk
o Natural Active immunity
o Water
o Natural Passive immunity
o Soil
o Artificial Active immunity
o Dog
o Artificial Passive immunity
When fine microbial particles or dust particles
Which of the following statement is true regarding
containing microbes remain suspended in the air for
Natural passive Immunity?
a long period, this is referring to?
o it is acquired through exposure certain diseases
o Direct contact transmission
and formation of memory cells
o Indirect contact transmission
o it is acquired to maternal antibodies received
o Droplet transmission
by the fetus
o Airborne transmission
o it is attained through the introduction of antigen
When the agent is transmitted with respiratory secretions through artificial means
when the person cough, sneeze or talks, this is referring o it is the introduction of antibody;
to what transmission? immunoglobulin, plasma, gammaglobulin

o Direct contact transmission

A patient was admitted in the ER having high ladder like o instructing her to report such to the doctor during
fever, vomiting, bloody stool and slight splenomegaly. consultation
After necessary measure done, the nurse will place the o inquiring her if her child any allergies lately
patient is what type of isolation? o telling her that she should not worry
o Respiratory isolation At age of 9 months, Onyok will be back to the health
o Enteric isolation center for:
o Strict isolation
o BCG
o Reverse isolation
o OPV
The nursing staff has a team conference on AIDS and o Measles vaccine
discusses the routes of transmission of Human o DPT
immunodeficiency virus (HIV). The discussion reveals
that an individual has no risk of exposure to HIV when A mother complaints of her daughter having slight fever
that individual will be place on what type of isolation? after DPT injection. What should the nurse tell her?
o Strict isolation
o “it is good that you reported it, we have to
o Respiratory isolation
consult the doctor at once
o Body and Bloody Fluids isolation o “ Do not bother, your child will be fine.”
o Wound or skin precaution o “ A slight fever is usually experience by
Pharyngeal Diptheria, and Pneumonia and Varicella is children after receiving the DPT. You may
ideally place in what type of isolation? give her paracetamol that the doctor
prescribed.”
o Respiratory isolation o “Go on and observe your daughter and report to
o Enteric isolation me any toward incident.”
o Strict isolation
The following vaccines are intramuscular injections,
o Respiratory and strict isolation
EXCEPT:
Which of the following vaccine that are given for 3
o Hepa B
doses?
o Measles
o DPT, Measles, Hepa B vaccine
o DPT
o DPT, OPV and Hepa B
o Tetanus toxoid
o Hepa B and MMR vaccine
o DPT and Polio vaccine In response to client’s question as to the importance of
immunization, you will explain that immunization:
Under this decree, all children below 8 years old should
be fully immunized with one dose of BCG, 3 doses of o Reduces morbidity and mortality
Hepa B, DPT, OPV, and one dose of Measles vaccine of o Reduce mortality and cures disease
MMR. o Reduces morbidity and increase mortality
o PD 996 o Protects individuals from all types of illness
o PD 699 It is considered as the backbone of disease
o PD969 prevention.
o PD 369
o Sporadic
BCG is given for school entrants intradermal at Right o Epidemic
forearm at what dosage? o Pandemic
o 0.05ml o Epidemiology
o 0.5ml
o 0.1ml The sudden increase in the number of expected cases of
o 0.01ml a disease in short period of time is what we call?
o Sporadic
A mother asks the nurse why her child needs a BCG o Epidemic
vaccine. The best response of the nurse would be: o Pandemic
o to make sure that she will have protection from o Epidemiology
whooping cough
o to make sure that she gets a scar for proper Which of the following vaccine that should be given at
identification during entry into the school birth?
o to protect against possible infection from o BCG only
family members with PTB o MMR
o to comply with the DOH program o BCG and Hepa B 1
o Measles
Marivic brings her 2 weeks child Onyok to the clinic for
check up. Marivic expresses concern of her son’s scar at Which of the following vaccine that leave a scar?
the site of BCG immunization. The nurse response by:
o explain that the scar is normal occurrence o BCG
after BCG immunization o MMR
 o OPV
o Measles
Which of the following strategy to prevent a particular
communicable disease? Select all apply
o Health education
o Case finding
o Epidemiological investigation
o Specific protection
o Notification and prompt intervention
Strict isolation usually requires the following: Select all
that apply.
o Private room
o Gown and mask
o Double bag for soiled lines
o Mask and gown
A mother asks the nurse why her child needs a BCG
vaccine. The best response of the nurse would be:
o to make sure that she will have protection from
whooping cough
o to make sure that she gets a scar for proper
identification during entry into the school
o to protect against possible infection from
family members with PTB
o to comply with the DOH program
BCG is what type of vaccine content?
o Killed bacteria
o Live attenuated bacteria
o Weak toxin
o Live toxin
A mother complaints of her daughter having slight
fever after DPT injection. What should the nurse tell
her?
o “it is good that you reported it, we have to
consult the doctor at once
o “ Do not bother, your child will be fine.”
o “ A slight fever is usually experience by
children after receiving the DPT. You may
give her paracetamol that the doctor
prescribed.”
o “Go on and observe your daughter and report to
me any toward incident.”
Which of the following diseases have to be reported
within from the time of diagnosis to the health authority?
Select all that apply.
o Measles
o Poliomyelitis
o COVID 19
o Meningococcemia
Which of the following regarding EPI is not true?
o those persons who have acquired the
disease should be the only one given the
immunization’
o schedule are drawn on the basis of the
occurrence and characteristics of
epidemiological features of the disease
o immunization is integrated in the health services
of RHU
o EPI reduces cases against immunizable disease
If a patient case is Typhoid Fever, Amoebiasis and
Dysentery, what isolation you will use to isolate the
patient?
o Strict
o Respiratory
o Reverse
o Enteric
The best example of medical asepsis is:
o Hand washing
o Use of sterile instruments
o Drawing medication into syringe
o Autoclaving
Quiz no 2: CD
PTB is high active and communicable in which of the
following criteria? SATA
o Chest X-ray is generally progressive
o Symptoms are present
o Sputum is negative for tubercle bacilli
o Patient is discharging the organism and remains
untreated.
The causative agent of TB is transmitted through?
o Contact with contaminated foods or drinking
utensils
o Inhalation of organism directly into the lungs
o Direct or indirect discharges from the respiratory
tract
o All of these
A client with TB has been treated before with anti-TB
drugs, however, the treatment failed . The client is under
which category of TB patient:
o Category I
o Category II
o Category III
o Category IV
Which of the following are the sources of infection on
patient with TB? Select all that apply
o nasal discharge
o blood from hemoptysis
o Sputum
o Saliva
Which of the following that best describe far advance
TB?
o Lesions are more extensive greater than 4cm
o There is slight lesion without excavation in one
or both lungs
o One or both lungs involved, total diameter of the
lesion of the cavity less than four centimeters
o All of these
A patient with TB who is taking anti-TB drugs who calls
the nurse because of urine discoloration, according to
the client, his urine turn reddish orange. The nurse told Since patient is receiving streptomycin given via IM,
the client that the reddish orange discoloration of urine is which of the following is the primary side effect of the
the side effect of which anti-TB drugs? drug?
o Isoniazid
o Rifampicin o peripheral neuropathy
o Pyrazinamide o vertigo
o Ethambutol o joint pain
o optic neuritis and skin rash
When the patient’s category on TB is category 1, which
The nurse is going to collect the sputum as specimen to
anti-TB drugs for continuation phase under this category
a patient having PTB. Which of the following is
that the patient may take?
appropriate instruction in collecting the specimen?
o RIPE
Select all that apply
o RI
o RIPES o Instruct the patient to be to be on NPO
o RIE o Patient should take bronchodilator before
collection
When the patient’s category on TB is category III, which o Instruct the patient that the specimen will
start to be collected early in the morning
anti-TB drugs for intensive phase under this category o Patient can use Listerine as gargle
that the patient may take?
After the DSSM, the patient’s result was positive for
o RIPE
o RI PTB. Ideally the patient should ideally be place in what
o RIPES type of isolation?
o RIE
o Reverse isolation
Streptomycin is the only antibiotic given to patient with o Blood and body fluids isolation
o TB isolation
PTB on what category? o Enteric isolation
o Category I
o Category II How will you classify the type of TB case that is smear
o Category III positive and was previously treated, declared cure or
o Category IV
treatment completed, again found to be smear positive
When the patient is new (-) smear PTB with minimal again?
lesions on CXR, this patient belonged to what category? o New
o Category I o Relapse
o Category II o Failure
o Category III o Return by default
o Category IV
When the patient has sputum smear positive during five
If the patient is new (+) smear; (-) smear PTB with months or later during the course treatment, this is what
extensive parenchymal lesions on CXR; extra-pulmonary type of TB case?
TB, this patient belongs to what category? o New
o Category I o Relapse
o Category II o Failure
o Category III o Return by default
o Category IV
A 70-year-old female patient has been arrived to ED due
Under category I, the prescribed anti TB drugs would be:
o 4 mos Intensive Phase of RIPE and 2 mos to productive dry cough, hemoptysis and difficulty of
Continuation Phase of RI breathing. Her oxygen saturation dropped to 89%.
o IP for 3 mos of RIPE S and CP for 5 mos of RIE
o Intensive Phase for 2 months of RIPE and Based from these manifestations, which of the following
Continuation Phase for 2 months of RI is the highest nursing diagnosis?
o Any of this
o Ineffective Breathing pattern
If the patient is taking ethambutol, which of the following o Altered nutrition Less than Body Requirements
o Alteration in Comfort
you need to teach the client after discharge? o Fatigue
o Advise the patient to have her liver function test
o Advise the client to have her creatinine test Situation: Bobby, 3 years old, from a family of four older
o Advise the patient to have eye check up siblings, a mother and a father, was admitted to the
o Advised her to have SGPT
hospital with a temperature of 101 F, a sore throat of Which of the following is the primary prevention to
four days duration, with difficulty of swallowing and diphtheria among children?
breathing, and a moderate cervical adenitis. A diagnosis o DPT immunization
of pharyngeal diphtheria was made. Based from this o Respiratory Precaution Isolation
o avoid contact with children
situation, which of the following is the highest nursing o Cases should be reported
diagnosis?
o Altered tissue perfusion Which of the following is the common complication of
o Activity intolerance
diphtheria?
o Ineffective airway clearance o Polyneuritis
o Fear o Toxic Nephritis
o Toxic myocarditis
Which of the following is the incubation period of o Airway obstruction
Diphtheriae?
Which of the following is/are the synonym of
o 2-5 days
o 2-5 weeks Pertussis? Select all that apply
o 6- 10 days o Whooping cough
o 6-10 weeks o Tusperina
o No day cough
The primary causative agent of Diphtheriae belongs o Dry cough
to which of the following?
o Bacteria Pertussis is becoming communicable disease during
o Virus
which stage of illness?
o Protozoa o Catarrhal stage
o Fungi o Convalescense stage
o Paroxismal stage
The most fatal type of diphtheria is:
o Nasal
The mother of the infant with pertussis should be
o Laryngeal
o Pharyngeal instructed of the following except:
o Cutaneous o Provide abdominal support
o Feed the child during an attack
Which of the following is the confirmatory test for o Allow the child to rest
o Special attention to diet is needed when the
diphtheria? child vomits after cough paroxysms.
o Nose/throat swab
o Moloney’s test The organism causing whooping cough is:
o Schick’s test o hemolytic streptococcus
o All of these o hemophilus influenza
o hemophilus pertussis
The primary mode of transmission of the causative agent o streptococcus albus
of diphtheria is:
o Airborne During the second stage of the disease the
o Droplet characteristic paroxysmal cough is frequently
o Vehicle
o Vector accompanied by:
o involuntary micturation
o spontaneous epistaxis
Which of the following is the pathognomonic sign of
o vomiting
diphtheria? o expulsion of mucous from the trachea
o Bullneck appearance
o Discharges from the nose and throat Which of the following drugs is expected as the drug
o Presence of pseudomembrane in the tonsils
and throat of choice for Pertussis?
o Sore throat and fever o Erythromycin
o Ceftriaxone
Which of the following is the expected drug of choice to o Cefuroxime
o Sulfamethoxazole
be given to a patient who had diphtheria?
o Pen G One common complication of Pertussis is
o Erythromycin abdominal hernia due to intensive and continuous
o Diphtheria Antitoxin
o Doxycycline vomiting. Which of the following is the best
intervention to prevent abdominal hernia?
o Advised the client to take antitussive
 o Encourage the client not to cough
o Encourage the client to wear abdominal
binder
o Advise the client to remain on flat
A patient is knowledgeable enough to determine
the causative agent that cause tetanus if she says?
o “any of the virus can cause tetanus.”
o “a bacteria can cause tetanus.”
o “a clostridium tetanus is the main agent.”
o “I refer you to the physician in-charge.”
The incidence of tetanus in Community B has
increase, you decided to prepare a teaching program
on the preventing aspect of the disease. One
cardinal sign of this disease is:
o Extreme thirst
o Risus sardonicus
o Pain and swelling around the wound
o Body malaise
The patient has a history of punctured wound. Upon
arrival in the ER ward, he experience in difficulty in
swallowing and opening his mouth. Based from this
manifestation, the initial diagnosis is Tetanus. Based
from this findings, the nurse should anticipate that
the priority nursing diagnosis is:
o Pain
o Impaired physical mobility
o Disturbed body image
o Altered Nutrition Less Than body requirement
A day after his stay in the hospital, the patient has
severe facial spasm. Which of the following drugs
that the nurse should carry out as ordered by the
doctor to relieve the signs?
o ATS
o Pen G
o Diazepam
o TIG
The best way to prevent the incidence of Tetanus
among neonates are which of the following?
o DPT immunization
o TT among pregnant women
o Health education among mother in cleaning the
umbilical cord
o All of these
Which of the following drugs are expected to be given
within 3 days to a patient who had tetanus? Choose all
that applies.
o Antitoxin
o Tetanus toxoid
o Pen G (Benzyl) (Benzathine)
o ATS
o Diazepam
Which of the following are the mode of transmission of
Clostridium Tetani?
o punctured wound contaminated by soil, street
dust, animal/human feces.
o Umbilical stump in newborn for babies delivered
at home
o Dental extraction, circumcision, ear piercing
o All of these
Which of the following assessment you will expect if a
neonate has tetanus? Select all that apply
o Difficulty in feeding and sucking
o Cry excessively
o Stiffness of jaw and fever
o Spasm, cyanosis and convulsions
Which of the following are the mode of transmission
of Polio virus in order to cause Poliomyelitis?
o Via fecal-oral route
o Via direct contact through infected
oropharyngeal secretions
o Via indirect contact through contaminated
articles, flies, food, water and utensils
o All of these
One type of poliomyelitis is non- paralytic
poliomyelitis. Which of the following assessment for
you to include based on signs that you need to
include?
o Decreased DTR
o Positive (+) Hoyne’s sign
o Positive Kernig’s and Brunzinski sign
o Temporary paresis and positive nuchal
rigidity
During paralytic type of poliomyelitis, which of the
following manifestations that indicates a positive
Kernig’s sign?
o The patient knees and hips Flex, neck extended,
back arched lordotically, arms brought back
posteriorly
o Bent the head is toward the chest, results to
flexion of the legs and the knees toward the
abdomen.
o Inability to completely straighten the leg
when the knees and hip is fully flex at 90
degree angle due to severe stiffness of the
hamstring
o Muscle spasm on the hamstrings
One main problem in having polio is paralysis and
paresis. Which of the following is the priority nursing
diagnosis?
o Impaired physical mobility related to
paralysis
o Altered body comfort r/l to constipation and
abdominal distention
o Altered urinary elimination
o Risk for injury
Which of the following type of isolation be employ in Which of the following is the confirmatory test of Serum
case a patient had Poliomyelitis? Hepatitis?
o Enteric and Respiratory isolation o Increase SGOT
o Strict and reverse o Presence of bile in stool and urine
o Body fluids and Bloody isolation o Positive HBsAg
o All of these o Increase SGPT

Which of the following prevention and control to be
implemented for Polimyelitis? Select all that apply
o Administration of OPV vaccine
o Do hand washing frequently
o Practice isolation
o Proper disposal of GIT secretions and food
handling
Which of the following prevention and control that are
applicable for hepatitis? Select all that apply
o Hepa B immunization
o Sterilize instruments
o Screening of blood products
o ENTERIC precaution for A and E
o Universal/ Standard precaution for B C D

Which of the following is the causative agent of

Measles?
o Paramyxovirus
o HIV Virus
o C. Tetani
o Polio virus

Which of the following is the pathognomonic sign of

Measles?
o Coryza
o cough and colds
o Conjunctivitis
o Koplik’s Spots

A patient with measles had Fever 38.5 C, coryza, cough

and colds, conjunctivitis. You also notice that Koplik’s
spots are present in the inner check. Based from these
signs, which of the following nursing diagnoses were
applicable? Select all that apply
o Impaired skin integrity
o Altered Body Temperature
o Altered Body Comfort
o Disturbed Body Image

Infectious hepatitis is also known as:

o Hepatitis A
o Hepatitis B
o Hepatitis C
o hepatitis D
o Hepatitis E

Which of the following are the mode of transmission of

hepatitis A virus? Select all that apply.
o Fecal to oral
o Body and blood
o Infected food handlers
o Post blood transfusion

Which of the following assessment you need to include

to a patient under prodromal stage of hepatitis B?
Choose that apply
o Ascites
o Yellow-colored sclera
o Presence of purpura
o Dark-colored urine
o Steatorrhea