Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. An adolescent develops a fever, cough, and a maculopapular rash. Which question should
the nurse ask when completing the health history with this patient?
a. “Did you receive any vaccinations recently?”
b. “Do you usually eat cold pizza left on the counter overnight?”
c. “Do you forget to wash your hands after using the bathroom?”
d. “Have you been around anyone with a cold over the last 3 weeks?”
ANS: D
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 2. Outline critical components of history for a child or
adolescent with a communicable disease.
Page: 98
Heading: Viral Communicable Diseases > Varicella Zoster (Chickenpox) > Disease
Process Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Clinical Judgment Difficulty: Moderate
Feedback
A. This is incorrect. Receiving a vaccination does not cause the symptoms of a
fever, cough, and maculopapular rash.
B. This is incorrect. Foodborne viruses do not cause a cough, fever, or
maculopapular rash.
C. This is incorrect. Infections transmitted through the fecal-oral route do not cause
a fever, cough, and maculopapular rash.
D. This is correct. Foodborne viruses manifest with gastrointestinal distress.
Chickenpox is a respiratory-borne viral disease with an incubation period of
about 21 days.
PTS: 1 CON: Clinical Judgment
2. An older patient with weeping lesions caused by herpes zoster asks if a trip to visit small
grandchildren can still occur this upcoming weekend. Which should the nurse say to the
patient in response?
a. “There is no reason for you to cancel your trip.”
b. “You should not travel until all of the lesions are healed.”
c. “Be sure to keep the lesions covered until they crust over.”
, d. “As long as the lesions are kept uncovered, you can travel without any issues.
ANS: C
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 1. Describe the source and transmission of various
communicable diseases.
Page: 99
Heading: Critical Component: Shingles (Herpes Zoster) Integrated Processes:
Teaching and Learning
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying] Concept: Infection
Difficulty: Moderate
Feedback
A. This is incorrect. Shingles lesions must be covered to prevent spread. It is
contagious until all lesions are crusted over.
B. This is incorrect. The patient can travel as long as the lesions are covered until
they crust over.
C. This is correct. The lesions of shingles must be covered until they crust over to
prevent the transmission of chickenpox to the grandchildren.
D. This is incorrect. Weeping lesions caused by herpes zoster must be covered to
prevent transmission of chickenpox to others.
PTS: 1 CON: Infection
3. A nurse is caring for a school-age child who has inflammation of the right eye. Which
finding, if present, would indicate to the nurse that the child has bacterial conjunctivitis
rather than viral conjunctivitis?
a. Eye swelling
b. Red conjunctiva
c. Watery discharge
d. Purulent drainage
ANS: D
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 3. Describe the clinical presentation of major
communicable diseases. Page: 100
Heading: Bacterial Communicable Diseases > Conjunctivitis (Pinkeye) > Clinical
Presentation Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment; Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Infection Difficulty: Moderate
Feedback
, A. This is incorrect. Eye swelling or edema occurs with both bacterial and viral
conjunctivitis.
B. This is incorrect. Pink or red conjunctiva occurs in both bacterial and viral
conjunctivitis.
C. This is incorrect. Viral conjunctivitis causes a watery discharge from the effected
eye.
D. This is correct. Purulent drainage is a symptom of bacterial conjunctivitis.
PTS: 1 CON: Infection
4. A parent brings a 2-month-old baby in for a routine wellness examination. Which
vaccination should the nurse prepare to administer to this patient?
a. Hepatitis A
b. Hepatitis B
c. Inactivated poliovirus (IPV)
d. Measles, mumps, rubella
ANS: B
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 5. Outline recommended immunizations for infants,
children, and adolescents.
Page: 78
Heading: Immunizations > Immunizations From Birth to Age 18 Years > Hepatitis B
Integrated Processes: Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. This is incorrect. The hepatitis A vaccine is given to all children 12 months and
older.
B. This is correct. The hepatitis B vaccine is provided to all newborns. Three doses
of hepatitis B are given before age 2 years: at birth, at 1 to 2 months of age, and
at 9 to 12 months of age.
C. This is incorrect. The IPV is given in a series of four doses: at 2, 4, and 6 to 18
months as well as 4 to 6 years.
D. This is incorrect. The minimum age for receiving the measles, mumps, and
rubella immunization is 12 months.
PTS: 1 CON: Health Promotion
5. The nurse is caring for a 15-year-old patient who has been diagnosed with
mononucleosis. The patient asks how the infection was obtained. Which information
Identify the choice that best completes the statement or answers the question.
1. An adolescent develops a fever, cough, and a maculopapular rash. Which question should
the nurse ask when completing the health history with this patient?
a. “Did you receive any vaccinations recently?”
b. “Do you usually eat cold pizza left on the counter overnight?”
c. “Do you forget to wash your hands after using the bathroom?”
d. “Have you been around anyone with a cold over the last 3 weeks?”
ANS: D
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 2. Outline critical components of history for a child or
adolescent with a communicable disease.
Page: 98
Heading: Viral Communicable Diseases > Varicella Zoster (Chickenpox) > Disease
Process Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Clinical Judgment Difficulty: Moderate
Feedback
A. This is incorrect. Receiving a vaccination does not cause the symptoms of a
fever, cough, and maculopapular rash.
B. This is incorrect. Foodborne viruses do not cause a cough, fever, or
maculopapular rash.
C. This is incorrect. Infections transmitted through the fecal-oral route do not cause
a fever, cough, and maculopapular rash.
D. This is correct. Foodborne viruses manifest with gastrointestinal distress.
Chickenpox is a respiratory-borne viral disease with an incubation period of
about 21 days.
PTS: 1 CON: Clinical Judgment
2. An older patient with weeping lesions caused by herpes zoster asks if a trip to visit small
grandchildren can still occur this upcoming weekend. Which should the nurse say to the
patient in response?
a. “There is no reason for you to cancel your trip.”
b. “You should not travel until all of the lesions are healed.”
c. “Be sure to keep the lesions covered until they crust over.”
, d. “As long as the lesions are kept uncovered, you can travel without any issues.
ANS: C
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 1. Describe the source and transmission of various
communicable diseases.
Page: 99
Heading: Critical Component: Shingles (Herpes Zoster) Integrated Processes:
Teaching and Learning
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying] Concept: Infection
Difficulty: Moderate
Feedback
A. This is incorrect. Shingles lesions must be covered to prevent spread. It is
contagious until all lesions are crusted over.
B. This is incorrect. The patient can travel as long as the lesions are covered until
they crust over.
C. This is correct. The lesions of shingles must be covered until they crust over to
prevent the transmission of chickenpox to the grandchildren.
D. This is incorrect. Weeping lesions caused by herpes zoster must be covered to
prevent transmission of chickenpox to others.
PTS: 1 CON: Infection
3. A nurse is caring for a school-age child who has inflammation of the right eye. Which
finding, if present, would indicate to the nurse that the child has bacterial conjunctivitis
rather than viral conjunctivitis?
a. Eye swelling
b. Red conjunctiva
c. Watery discharge
d. Purulent drainage
ANS: D
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 3. Describe the clinical presentation of major
communicable diseases. Page: 100
Heading: Bacterial Communicable Diseases > Conjunctivitis (Pinkeye) > Clinical
Presentation Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment; Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Infection Difficulty: Moderate
Feedback
, A. This is incorrect. Eye swelling or edema occurs with both bacterial and viral
conjunctivitis.
B. This is incorrect. Pink or red conjunctiva occurs in both bacterial and viral
conjunctivitis.
C. This is incorrect. Viral conjunctivitis causes a watery discharge from the effected
eye.
D. This is correct. Purulent drainage is a symptom of bacterial conjunctivitis.
PTS: 1 CON: Infection
4. A parent brings a 2-month-old baby in for a routine wellness examination. Which
vaccination should the nurse prepare to administer to this patient?
a. Hepatitis A
b. Hepatitis B
c. Inactivated poliovirus (IPV)
d. Measles, mumps, rubella
ANS: B
Chapter: Chapter 6 Communicable Diseases
Chapter Learning Objective: 5. Outline recommended immunizations for infants,
children, and adolescents.
Page: 78
Heading: Immunizations > Immunizations From Birth to Age 18 Years > Hepatitis B
Integrated Processes: Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
A. This is incorrect. The hepatitis A vaccine is given to all children 12 months and
older.
B. This is correct. The hepatitis B vaccine is provided to all newborns. Three doses
of hepatitis B are given before age 2 years: at birth, at 1 to 2 months of age, and
at 9 to 12 months of age.
C. This is incorrect. The IPV is given in a series of four doses: at 2, 4, and 6 to 18
months as well as 4 to 6 years.
D. This is incorrect. The minimum age for receiving the measles, mumps, and
rubella immunization is 12 months.
PTS: 1 CON: Health Promotion
5. The nurse is caring for a 15-year-old patient who has been diagnosed with
mononucleosis. The patient asks how the infection was obtained. Which information
