Safety and Infection Control Exam Questions With
Complete Solutions.
Which nursing action would be included in the plan of care for a child with acute
post-streptococcal glomerulonephritis?
Monitoring for seizures
Cerebral edema from hypertension or cerebral ischemia may occur, which may result in
seizures
(Measure abdominal girth for children with nephrotic syndrome, in which
hypoalbuminemia that causes fluid to child from plasma to the abdominal cavity)
Which STI is most commonly reported?
Chlamydia
An adolescent girl with a seizure disorder refuses to wear a medical alert
bracelet. Which would the nurse tell the girl that may help her wear the bracelet
consistently?
Select a bracelet that is similar to one worn by peers
Which antibody forms FIRST, after exposure to an antigen?
IgM
first antibody formed by a newly sensitized B-lymphocyte plasma cell
IgA: very low circulating levels and is reponsible for preventing infection in the upper
and lower respiratory tracts, and the GI/GU tracts
IgE: variable concentrations in the blood and is associated with antibody-mediated
hypersensitivity reactions.
IgG: heavily expressed on second and subsequent exposures to antigen to provide
sustained, long-term immunity against invading microorganisms.
The school nurse is planning to teach the importance of hand washing to the
children in first grade. Which is the MOST effective approach for this age group?
Demonstrating hand washing and asking for return demonstrations
6 year olds are still in the perceptual phase of cognitive development. They base
judgments on what they see rather than on what they reason; reasoning begins around
age 7. These children are at the developmental stage where they want to show off their
accomplishments; just watching without feedback is not sufficient at this stage.
Which of these age groups has the highest incidence of lead poisoning?
Toddler
highest in late infancy and toddlerhood. increased level of oral activity, put objects into
their mouths
Adults: increased risk of cardiovascular and pulmonary disease
, Adolescents: drowning and motor vehicle accidents
School age: bike accidents
Which team member acts as a liaison between the healthcare facility and the
media?
Public information officer
Triage officer: applies disaster triage tags after evaluating the client's condition. The
medical command physician decides the number, acuity, and resource needs to clients.
The hospital incident commander assumes overall leadership for implementing the
emergency plan.
How do toddlers learn self-protection?
Through trial and error strategies
the toddler is developing autonomy, is curious, and learns self-protection from
experience.
toddlerhood play is parallel, not interactive.
the struggle for autonomy at this age limits learning from siblings, even though the
toddler attempts to copy their behavior.
Which reaction is an example of a type 1 hypersensitivity reaction?
Anaphylaxis
-Serum sickness is type 3 immune complex reaction.
-Contact dermatitis is type 4 delayed hypersensitivity reaction
-Blood transfusion is type 2 cytotoxic reaction
The nurse explains to the parents of a 6 year old child with a pinworm
infestations how pinworms are transmitted. Which statement indicates that the
teaching has been understood?
she needs to wash her hands before eating anything
Which STI causes condylomata acuminate?
HPV
they are genital warts that are caused by HPV.
A child becomes cyanotic during a generalized tonic-clonic seizure. Which is the
most appropriate action by the nurse?
Continuing to observe the seizure
- the child's status and the progression of the seizure should be monitored; the child will
not breathe until the seizure is over, and cyanosis should subside at that time.
For which client illness would airborne precautions be implemented?
Chickenpox
Droplet: influenza and pneumonia
Direct contact: RSV
Which intervention would the nurse encourage the parents of a child with
plumbism (lead poisoning) to do?
Assess the family's home environment for lead sources and have them removed
Complete Solutions.
Which nursing action would be included in the plan of care for a child with acute
post-streptococcal glomerulonephritis?
Monitoring for seizures
Cerebral edema from hypertension or cerebral ischemia may occur, which may result in
seizures
(Measure abdominal girth for children with nephrotic syndrome, in which
hypoalbuminemia that causes fluid to child from plasma to the abdominal cavity)
Which STI is most commonly reported?
Chlamydia
An adolescent girl with a seizure disorder refuses to wear a medical alert
bracelet. Which would the nurse tell the girl that may help her wear the bracelet
consistently?
Select a bracelet that is similar to one worn by peers
Which antibody forms FIRST, after exposure to an antigen?
IgM
first antibody formed by a newly sensitized B-lymphocyte plasma cell
IgA: very low circulating levels and is reponsible for preventing infection in the upper
and lower respiratory tracts, and the GI/GU tracts
IgE: variable concentrations in the blood and is associated with antibody-mediated
hypersensitivity reactions.
IgG: heavily expressed on second and subsequent exposures to antigen to provide
sustained, long-term immunity against invading microorganisms.
The school nurse is planning to teach the importance of hand washing to the
children in first grade. Which is the MOST effective approach for this age group?
Demonstrating hand washing and asking for return demonstrations
6 year olds are still in the perceptual phase of cognitive development. They base
judgments on what they see rather than on what they reason; reasoning begins around
age 7. These children are at the developmental stage where they want to show off their
accomplishments; just watching without feedback is not sufficient at this stage.
Which of these age groups has the highest incidence of lead poisoning?
Toddler
highest in late infancy and toddlerhood. increased level of oral activity, put objects into
their mouths
Adults: increased risk of cardiovascular and pulmonary disease
, Adolescents: drowning and motor vehicle accidents
School age: bike accidents
Which team member acts as a liaison between the healthcare facility and the
media?
Public information officer
Triage officer: applies disaster triage tags after evaluating the client's condition. The
medical command physician decides the number, acuity, and resource needs to clients.
The hospital incident commander assumes overall leadership for implementing the
emergency plan.
How do toddlers learn self-protection?
Through trial and error strategies
the toddler is developing autonomy, is curious, and learns self-protection from
experience.
toddlerhood play is parallel, not interactive.
the struggle for autonomy at this age limits learning from siblings, even though the
toddler attempts to copy their behavior.
Which reaction is an example of a type 1 hypersensitivity reaction?
Anaphylaxis
-Serum sickness is type 3 immune complex reaction.
-Contact dermatitis is type 4 delayed hypersensitivity reaction
-Blood transfusion is type 2 cytotoxic reaction
The nurse explains to the parents of a 6 year old child with a pinworm
infestations how pinworms are transmitted. Which statement indicates that the
teaching has been understood?
she needs to wash her hands before eating anything
Which STI causes condylomata acuminate?
HPV
they are genital warts that are caused by HPV.
A child becomes cyanotic during a generalized tonic-clonic seizure. Which is the
most appropriate action by the nurse?
Continuing to observe the seizure
- the child's status and the progression of the seizure should be monitored; the child will
not breathe until the seizure is over, and cyanosis should subside at that time.
For which client illness would airborne precautions be implemented?
Chickenpox
Droplet: influenza and pneumonia
Direct contact: RSV
Which intervention would the nurse encourage the parents of a child with
plumbism (lead poisoning) to do?
Assess the family's home environment for lead sources and have them removed
