INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 296
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural
Disasters and the Maternal-Child Patient
MULTIPLE CHOICE
1. Which classification of medication would make a child most susceptible to an opportunistic infection?
a. Anticonvulsant
b. Beta-adrenergic agent
c. Antibiotic
d. Corticosteroid
ANS: D
Steroids are immunosuppressive drugs that make the child very susceptible to opportunistic infections.
DIF: Cognitive Level: Knowledge REF: Page 741
TOP: Effect of Steroids KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
2. An 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough. What is
the nurses best explanation?
a. You received borrowed antibodies from another person who had whooping cough.
b. You were given a tiny case of whooping cough and then you made your own antibodies.
c. An immunization strengthened antibodies you were born with.
d. You received only temporary borrowed antibodies and you need to have another shot every 5 years.
ANS: B
Vaccines contain live weakened or dead organisms not strong enough to cause disease but they stimulate the
body to develop an immune reaction and antibodies. This is active acquired immunity.
NURSINGTB.COM
DIF: Cognitive Level: Comprehension REF: Page 744
OBJ: 4 TOP: Vaccines KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. How would the nurse document a rash that has erythematous, circular raised lesions?
a. Macular
b. Papular
c. Vesicular
d. Pustular
ANS: B
A papule is a circular, reddened elevated area on the skin.
DIF: Cognitive Level: Knowledge REF: Page 743
TOP: Rashes KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. Which finding would lead the nurse to delay the administration of DTaP for an infant?
a. Diarrhea
b. Temperature of 40.5 C (105 F) from the previous inoculation
c. Teething
d. Traveling to Europe in a week
ANS: B
A contraindication to giving the DTaP vaccine is a 40.5 C (105 F) temperature following the previous
vaccination.
DIF: Cognitive Level: Application REF: Page 747
TOP: Immunizations KEY: Nursing Process Step: Implementation
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:11 GMT -05:00
https://www.coursehero.com/file/63347249/TB-Chapter-32-Childhood-Communicable-Diseases-Bioterrorism-Natural-Disasters-and-the-Maternal-Chi/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 297
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
5. What type of precautions are necessary when caring for a toddler with varicella?
a. Contact
b. Protective
c. Airborne infection
d. Large droplet infection
ANS: C
Airborne-infection precautions are used for patients with conditions such as tuberculosis, varicella, and rubella.
Small airborne particles caught on floating dust in the room can be inhaled from anywhere in the room.
DIF: Cognitive Level: Application REF: Page 738
OBJ: 4 TOP: Medical Asepsis and Standard Precautions
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
6. Which statement assures the nurse that parents understand how long a child who has varicella is contagious?
a. My child should stay home from school for 6 days after the pox appear.
b. My child can return to school when the rash fades.
c. My child must stay away from other children until all of the lesions have healed.
d. My child is contagious as long as he has a fever.
ANS: A
The child with varicella is contagious for 6 days after the appearance of the rash.
DIF: Cognitive Level: Comprehension REF: Page 738
OBJ: 2 TOP: Common Varicella
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
NURSINGTB.COM
7. Which statement made by a sexually active adolescent girl indicates an understanding of the prevention of
sexually transmitted diseases?
a. I always douche after intercourse.
b. I think you can get a vaccination for STDs now.
c. I insist that my partner wear a condom.
d. I am protected because I take the pill.
ANS: C
The use of condoms to prevent STDs is not considered 100% effective but is recommended for sexual
intercourse.
DIF: Cognitive Level: Comprehension REF: Page 755
OBJ: 9 TOP: Sexually Transmitted Diseases
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
8. What is the priority nursing diagnosis for a hospitalized infant who is HIV positive?
a. Risk for injury
b. Altered nutrition
c. Impaired skin integrity
d. Risk for infection
ANS: D
The infant who is HIV positive has impaired immunologic functioning and is at high risk for infection.
DIF: Cognitive Level: Application REF: Page 758
OBJ: 10 TOP: Human Immunodeficiency Virus
KEY: Nursing Process Step: Nursing Diagnosis
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:11 GMT -05:00
https://www.coursehero.com/file/63347249/TB-Chapter-32-Childhood-Communicable-Diseases-Bioterrorism-Natural-Disasters-and-the-Maternal-Chi/
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 296
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural
Disasters and the Maternal-Child Patient
MULTIPLE CHOICE
1. Which classification of medication would make a child most susceptible to an opportunistic infection?
a. Anticonvulsant
b. Beta-adrenergic agent
c. Antibiotic
d. Corticosteroid
ANS: D
Steroids are immunosuppressive drugs that make the child very susceptible to opportunistic infections.
DIF: Cognitive Level: Knowledge REF: Page 741
TOP: Effect of Steroids KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
2. An 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough. What is
the nurses best explanation?
a. You received borrowed antibodies from another person who had whooping cough.
b. You were given a tiny case of whooping cough and then you made your own antibodies.
c. An immunization strengthened antibodies you were born with.
d. You received only temporary borrowed antibodies and you need to have another shot every 5 years.
ANS: B
Vaccines contain live weakened or dead organisms not strong enough to cause disease but they stimulate the
body to develop an immune reaction and antibodies. This is active acquired immunity.
NURSINGTB.COM
DIF: Cognitive Level: Comprehension REF: Page 744
OBJ: 4 TOP: Vaccines KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. How would the nurse document a rash that has erythematous, circular raised lesions?
a. Macular
b. Papular
c. Vesicular
d. Pustular
ANS: B
A papule is a circular, reddened elevated area on the skin.
DIF: Cognitive Level: Knowledge REF: Page 743
TOP: Rashes KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. Which finding would lead the nurse to delay the administration of DTaP for an infant?
a. Diarrhea
b. Temperature of 40.5 C (105 F) from the previous inoculation
c. Teething
d. Traveling to Europe in a week
ANS: B
A contraindication to giving the DTaP vaccine is a 40.5 C (105 F) temperature following the previous
vaccination.
DIF: Cognitive Level: Application REF: Page 747
TOP: Immunizations KEY: Nursing Process Step: Implementation
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:11 GMT -05:00
https://www.coursehero.com/file/63347249/TB-Chapter-32-Childhood-Communicable-Diseases-Bioterrorism-Natural-Disasters-and-the-Maternal-Chi/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 297
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
5. What type of precautions are necessary when caring for a toddler with varicella?
a. Contact
b. Protective
c. Airborne infection
d. Large droplet infection
ANS: C
Airborne-infection precautions are used for patients with conditions such as tuberculosis, varicella, and rubella.
Small airborne particles caught on floating dust in the room can be inhaled from anywhere in the room.
DIF: Cognitive Level: Application REF: Page 738
OBJ: 4 TOP: Medical Asepsis and Standard Precautions
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
6. Which statement assures the nurse that parents understand how long a child who has varicella is contagious?
a. My child should stay home from school for 6 days after the pox appear.
b. My child can return to school when the rash fades.
c. My child must stay away from other children until all of the lesions have healed.
d. My child is contagious as long as he has a fever.
ANS: A
The child with varicella is contagious for 6 days after the appearance of the rash.
DIF: Cognitive Level: Comprehension REF: Page 738
OBJ: 2 TOP: Common Varicella
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
NURSINGTB.COM
7. Which statement made by a sexually active adolescent girl indicates an understanding of the prevention of
sexually transmitted diseases?
a. I always douche after intercourse.
b. I think you can get a vaccination for STDs now.
c. I insist that my partner wear a condom.
d. I am protected because I take the pill.
ANS: C
The use of condoms to prevent STDs is not considered 100% effective but is recommended for sexual
intercourse.
DIF: Cognitive Level: Comprehension REF: Page 755
OBJ: 9 TOP: Sexually Transmitted Diseases
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
8. What is the priority nursing diagnosis for a hospitalized infant who is HIV positive?
a. Risk for injury
b. Altered nutrition
c. Impaired skin integrity
d. Risk for infection
ANS: D
The infant who is HIV positive has impaired immunologic functioning and is at high risk for infection.
DIF: Cognitive Level: Application REF: Page 758
OBJ: 10 TOP: Human Immunodeficiency Virus
KEY: Nursing Process Step: Nursing Diagnosis
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:11 GMT -05:00
https://www.coursehero.com/file/63347249/TB-Chapter-32-Childhood-Communicable-Diseases-Bioterrorism-Natural-Disasters-and-the-Maternal-Chi/
NURSINGTB.COM
