NCM 109 Medical Surgical Nursing 2 - Mock Boards

NCM 109 Medical Surgical Nursing 2 - Mock Boards Question 1 When the client is started on antiretroviral drugs for HIV, it will be important for the nurse to teach the client which of the following? This drug will cure the disease over a period of time. This drug is readily available all over the world for treatment. This type of drug will be used prior to vaccines. This drug will not cure the disease, but could extend the life expectancy. Question 2 1 / 1 pts Which of the following statements is the best description of the H5N1 influenza virus talked about in this session: The virus is highly pathogenic to birds The virus is highly pathogenic to humans The virus has low pathogenicity to birds Question 3 1 / 1 pts A child has been diagnosed with mumps and the mother has been given instructions on caring for the child during the acute period. Which statement by the mother indicates a need for additional education? MY child will be more comfortable if I give him fluids and soft foods I will give my child antibiotics every 4 hours around the clock. I should watch my child for headache and vomiting I can give my child acetaminophen for fever Question 4 1 / 1 pts A chest X-ray shows a client lung to be clear. His Mantoux test is positive with 10 mm of induration. His previous test was negative. These test results are possible because: He's a "tuberculin converter" which means he has been infected with TB since his last skin test. He was successfully treated for TB, but skin test always stays positive. He had tuberculosis in the past and no longer has it. He's a "seroconverter" meaning the TB has gotten to his bloodstream. Question 5 1 / 1 pts A client with acquired immunodeficiency syndrome who has Pneumocystis carinii is being admitted to the nursing unit. The nurse should institute which of the following? Droplet precautions Standard precautions Airborne precautions Contact precautions Question 6 1 / 1 pts Rico and Rachelle, a couple, both have HIV and asked you if they still need to use condom. Your best response would be? No. You both don't need to use condom since you have the same strain of virus. Yes. You need to use a condom and a spermicide to have an optimal protection. It depends on your preferences. Either or, it doesn't matter as long as you are monogamous to each other. Yes. People who have HIV still need protection from sexually transmitted diseases and may want to prevent pregnancy. Question 7 1 / 1 pts The nurse sees a child with mumps. The mother says that the child is not eating well and asks for suggestions. The nurse most appropriately makes which suggestion? Provide cool fluids with minimum of acids Provide a regular diet tray at frequent intervals Provide cool table foods with spices Provide warm, chopped foods Question 8 1 / 1 pts The nurse is explaining infectious terminology to a nurse assistant. One of the nurse assistants asks what makes bacteria able to cause disease in a person. The nurse includes an explanation of what concept in a response? Communicability Toxigenicity Pathogenicity Latency Question 9 1 / 1 pts A college student is required to be inoculated for hepatitis before beginning college. The nurse realizes this client will be inoculated to prevent the development of: Hepatitis D Hepatitis B Hepatitis C Hepatitis E Question 10 1 / 1 pts A college student was hospitalized following onset of a severe case of pertussis. In preparing for discharge, the nurse would correct which statement that indicates a misconception about post- discharge care? I will try to avoid being around people for a full week after going home so I don't spread this to others. c. I will be very careful to wash my hands often. It will still be important to try to drink a lot of fluids when I go home. Irritants that I breathe, such as smoke or dust, could make me have coughing spells again. Question 11 1 / 1 pts A young male college student comes to the clinic after contracting genital herpes. Which intervention by the nurse would be most appropriate? Encourage him to maintain bed rest for several days. Encourage him to use antifungal agents regularly. Monitor his temperature every 4 hours. Instruct him to avoid sexual contact during acute phases of illness. Question 12 1 / 1 pts Most plant and animal species: Cannot carry and transmit the Ebola virus Can be infected with one of the Ebola viruses Are responsible for new cases of Ebola viruses Can carry the Ebola virus but not become infected Question 13 1 / 1 pts An adult has a negative purified protein derivative (PPD)test when he was first employed two years ago. A year later, the client has a positive PPD test and a negative chest X-ray. This indicate that at that time the client: was harboring a mild tuberculosis infection in an organ other than the lung. had fought the Mycobacterium tuberculosis but had not developed active tuberculosis was less susceptible to a tuberculosis infection than the year before had acquired some degree of passive immunity to tuberculosis Question 14 1 / 1 pts A client admitted to the medical surgical unit with possible pulmonary tuberculosis asks the nurse why sputum specimens are needed if the skin test and chest x-ray indicate tuberculosis. The best response by the nurse would be: Sputum collection gives information about the progression of the disease. The sputum collection has nothing to do with the diagnosis of TB. Definitive diagnosis of the infection can only be made by the presence of the organism in sputum. The sputum helps to determine the presence of secondary infection. Question 15 Which of the following statements is correct about Staphylococcus? Penicillin is the drug of choice with erythromycin used for those allergic to penicillin. Staphylococcus is transmitted through hair follicles into blood stream. Staphylococcus is transmitted through respiratory droplets or direct contact with secretions Staphylococci produces toxins responsible for diseases such as meningitis and pneumonia Question 16 1 / 1 pts After reinforcing client teaching with the mother of a 4-year old child exposed to chickenpox, the nurse determines the mother needs additional information when the mother makes which statement? Chickenpox is a viral infection that can be spread to other children. During the prodromal period, my child will have pox all over his body. My child should not visit my pregnant sister at this time. I should monitor my child for Reyes's syndrome, which is a complication of chickenpox. Question 17 1 / 1 pts An adult is being treated with isoniazid and streptomycin for active tuberculosis Which of the following symptoms would suggest a toxic effect of INH? Paroxysmal tachycardia Peripheral neuritis Tinnitus and deafness Erythema multiforme Question 18 1 / 1 pts An adult client is being screened in the clinic today for tuberculosis. He reports having negative purified protein derivative (PPD) test results in the past. The nurse performs PPD test on his right forearm today. When should he return to have the test read? Right after performing the test 24 hours after performing the test 1 week performing the test 48 hours after performing test Question 19 1 / 1 pts When providing client and family education for the nucleoside reverse transcriptase inhibitor drug for HIV-AIDS, the nurse would include instructions: To take the medicine on an empty stomach. To take the medicine on a full stomach. To take the medicine with orange juice, to increase absorption. To take the medicine with apple juice, to decrease the taste. Question 20 1 / 1 pts Which of the following statement is correct about Chikungunya? Mosquitoes cause this disease. Chikungunya is a already a very old disease. Chikungunya virus came from chicken. Chikungunya can be transmitted by means of arthropod and by air. Question 21 1 / 1 pts Which of the following is highest priority when teaching a client about antituberculin medications? Eat a well-balanced diet Avoid exposure to crowds Get adequate rest when taking the medications Take all the medications as prescribed Question 22 1 / 1 pts A nurse researcher is interested in studying the type and incidence of risk behaviors for HIV in a given community and a nursing student is assisting with the research. The student will expect to collect data related to which of the following? Distribution of the disease in the population being studied Most effective treatment regimens and the CD4 cell counts of the study population Number of intravenous drug users Exploration of money spent on treatment for known cases of HIV Question 23 1 / 1 pts Condoms reduces the risk of getting HIV infection. Marion, an HIV patient, asked for your advice because he has latex allergy and you know that condoms are mostly latex. Which of the following can you recommend to Marion? Abstinence Polyurethane condom Both Lambskin condom Question 24 1 / 1 pts Which of the following statements related to Chikungunya is not correct? This disease is characterized by high fever and arthritis which last for more than 10 days. Chikungunya virus is indigenous to tropical Africa and Asia Chikungunya virus is transmitted to humans by Aedes mosquito. Real Time Polymerase Chain Reaction Test(RT-PCR) is a common test for Chikungunya. Question 25 1 / 1 pts The nurse is preparing discharge instructions for a client with hepatitis B. The discharge plan should include which of the following instructions for the client? Avoid all alcohol consumption for one month. Eat a low protein, high carbohydrate diet. Use a condom during sexual intercourse. Have all family members vaccinated for hepatitis. Question 26 1 / 1 pts The mother of a 3 year old child with measles calls the nurse at the clinic and asks what she can do to help decrease the redness and itching. The nurse responds that which action is likely to be helpful? Overdress the child and cause him to perspire Bathe the child in an oatmeal bath Keep the child out of drafts Provide adequate oral fluids Question 27 1 / 1 pts The nurse concludes client teaching about infection control measures has been effective when a client with tuberculosis makes which statement? I will need to use paper plates and cups to eat. Nurse, can you give me some gloves so I can blow my nose? I need to wear a special mask when I go to X-ray. I will flush the toilet twice after urinating. Question 28 1 / 1 pts A mother of a 5 -year old child noticed that her child experiences nocturnal perianal and perineal pruritus. As a nurse, you know that this is a specific nematode infection named as: Ascariasis Enterobiasis Trichinosis Hookworm disease Question 29 1 / 1 pts An adult is being treated with isoniazid and streptomycin for active tuberculosis. He is also receiving pyridoxine(Vitamin B6). Why is this medication prescribed for him? Pyridoxine is bacteriostatic against Mycobacterium tuberculosis To enhance his general status Pyridoxine acts to increase the effects of streptomycin To prevent side effects of INH Question 30 1 / 1 pts A child is being treated at home for chickenpox. The home-health nurse is visiting and notes an elevated temperature. To prevent a common complication of fever, the nurse recommends which of the following? Keep child well covered to prevent chilling Antibiotics as ordered Aspirin as needed for fever control Tepid sponge baths cha! Question 31 1 / 1 pts The wife of a client with active tuberculosis had a positive skin test for tuberculosis. She is to be started on prophylactic drug therapy. What is the drug of choice for prophylaxis of tuberculosis? Para-aminosalicylic acid(PAS) Ethambutol (Myambutol) Isoniazid(INH) Streptomycin Question 32 The most definitive test and is considered to be the gold standard for diagnosing Chikungunya: ELISA(enzyme-linked immunosorbent assay) Culture and sensitivity testing RT-PCR(Reverse transcription polymerase chain reaction) Virus isolation Question 33 1 / 1 pts A client was infected with tuberculosis bacillus 10 years ago but never developed the disease. He is now being treated for cancer. The client begins to develop signs of TB. This is known as which of the following types of infection? Primary infection Active infection Superinfection Tertiary infection Question 34 1 / 1 pts Which of the following factors contributed to the emergence and spread of the AIDS pandemic caused by HIV-1? Changes in sexual lifestyles increased risk of transmission of this virus between humans Movement of infected humans across continents allowed the virus to spread globally All options are correct Interaction of humans with chimpanzees led to the transmission of a simian immunodeficiency virus to humans Viral mutations allowed this virus to adapt to replicate and persist in humans Question 35 1 / 1 pts Nurse Lian is assessing a patient. The patient is experiencing fever and Nurse Lian noticed that the patient's regional lymph nodes are enlarged. Which type of organism most likely caused this infection? Fungal Protozoal Rickettsial Bacterial Question 36 1 / 1 pts Most diseases are caused by bacteria. Crystal is studying gram-positive and gram-negative bacteria differences. Gram-negative bacteria is a class of bacteria that does not retain the crystal violet stain used in the Gram staining method of bacterial differentiation She asked for your help and you know that one of these diseases is caused by a gram-negative bacteria. Tetanus Diphtheria Gonorrhea Botulism Question 37 1 / 1 pts Chelsey, a nursing student, approached you and asked when does a person with HIV infection have AIDS. Your correct response should be: The person's CD4 cell count is 500 or higher. The person's CD4 cell count falls below 300. The person's CD4 cell count falls below 400. The person's CD4 cell count falls below 200. Question 38 1 / 1 pts The nurse who reads the result of a client's tuberculin test notes that an induration is apparent. The client asks what this means. What is the nurse's best response? A positive TB test means that you are currently infectious and you will need to be started on medication immediately. A positive test that you have been exposed to the TB organism. It does not mean that you currently have active bacteria. Further testing will be needed. A positive TB test means that you currently have active TB, and you will need to be isolated immediately. Many false positives occur. You can expect to be retested in 6 months. Question 39 1 / 1 pts This nematode infection is common in a dense population with poor sanitation. Ascariasis Tapeworms Hookworms Flukes Question 40 1 / 1 pts The species most suspected as a potential Ebola virus reservoir is Birds Plants Bats Insects Question 41 1 / 1 pts Chlamydia is originally considered a virus but is now considered as a bacteria since it contains both RNA and DNA. Chlamydial infection can lead to: I) Pelvic inflammatory disease; II) Infertility; III) Ectopic pregnancy; IV) Chronic pelvic pain I only All options All except IV All except II Question 42 1 / 1 pts The client receiving drug therapy for HIV-AIDS should be aware that: HIV RNA counts will be performed every 3-6 months. Therapy over many years will not encourage viral resistance. Though the medications are expensive, the side effects are limited. Blood tests will be drawn at least every 6 weeks.