C HAPTER 32: C HILDHOOD C OMMUNICABLE
D ISEASES , B IOTERRORISM , N ATURAL
D ISASTERS AND THE M ATERNAL -C HILD
P ATIENT
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. An infant is hospitalized for RSV bron chiolitis. Which t ype of precautions
would the nurse use when caring for the infant?
a. Large-droplet infection precautions
b. Airborne-infection precautions
c. Contact precautions
d. Protective precautions
ANS: C
Contact precautions are used when the condition tran smits organisms
via skin-to-skin contact or indirect touch of a contaminated fomite.
DIF: Cognitive Level: Application REF: Page 742 OBJ: 4
TOP: Medical Asepsis and Standard Precautions KEY:
Nursing Process Step: Implementation MSC: NC LEX: Safe,
Effective Care Environment: Safet y and Infection Control
,2. A 9-year-old child hospitalized for neutropenia is placed in protective
isolation. What is the most appropriate response for the nurse to make
when the child asks, Why do you have to wear a gown and ma sk when you
are in m y room?
a. Nurses and doctors wear gowns and masks because you have a
condition that could be spread to others.
b. The gown and mask are to protect you because you could get an
infection very easil y.
c. Im wearing this because there are a lot of bacteria in the hospital.
d. I might look scary but you wont need this after you have had
medication for 24 hours.
ANS: B
Protective isolation is used for patients who are not communicable but
have a lowered resistance and are highl y susceptible to infectio n.
DIF: Cognitive Level: Application REF: Page 743 TOP:
Protective Isolation KEY: Nursing Process Step:
Implementation MSC: NC LEX: Safe, Effective Care
Environment: Safet y and Infection Control
3. The nurse is planning to administer immunizations at a well-child visit
when a parent reports the 18 -month old child is allergic to eggs. Which
vaccine would be contraindicated?
a. Influenza
b. Inactivated polio vaccine
c. Diphtheria, tetanus, acellular pertussis
d. Hepatitis B
ANS: A
, The influenza vaccine should not b e given to children who are allergic
to eggs.
DIF: Cognitive Level: Knowledge REF: Page 745 TOP:
Nurses Role in Immunizations Allergy KEY: Nursing
Process Step: Planning MSC: NC LEX: Safe, Effective
Care Environment: Safet y and Infection Control
4. The nurse is preparing to administer immunizations at a well -child clinic.
Which method of administration will the nurse implement?
a. DTaP subcutaneously
b. Hib vaccine prepared in a separate syringe
c. Varicella intramuscularl y
d. Varicella 1 week after the MMR vaccine
ANS: B
Hib vaccine must be given in a separate syringe from other vaccines
administered at the same time.
DIF: Cognitive Level: Knowledge REF: Page 749 OBJ: 6
TOP: Hib KEY: Nursing Process Step: Evaluation
MSC: NC LEX: Physiological Integrit y: Basi c Care and
Comfort
5. A child was sent to the school nurse because of a rash. The nurse noted
the rash was present on the trunk, extremities, and face. The childs cheeks
D ISEASES , B IOTERRORISM , N ATURAL
D ISASTERS AND THE M ATERNAL -C HILD
P ATIENT
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. An infant is hospitalized for RSV bron chiolitis. Which t ype of precautions
would the nurse use when caring for the infant?
a. Large-droplet infection precautions
b. Airborne-infection precautions
c. Contact precautions
d. Protective precautions
ANS: C
Contact precautions are used when the condition tran smits organisms
via skin-to-skin contact or indirect touch of a contaminated fomite.
DIF: Cognitive Level: Application REF: Page 742 OBJ: 4
TOP: Medical Asepsis and Standard Precautions KEY:
Nursing Process Step: Implementation MSC: NC LEX: Safe,
Effective Care Environment: Safet y and Infection Control
,2. A 9-year-old child hospitalized for neutropenia is placed in protective
isolation. What is the most appropriate response for the nurse to make
when the child asks, Why do you have to wear a gown and ma sk when you
are in m y room?
a. Nurses and doctors wear gowns and masks because you have a
condition that could be spread to others.
b. The gown and mask are to protect you because you could get an
infection very easil y.
c. Im wearing this because there are a lot of bacteria in the hospital.
d. I might look scary but you wont need this after you have had
medication for 24 hours.
ANS: B
Protective isolation is used for patients who are not communicable but
have a lowered resistance and are highl y susceptible to infectio n.
DIF: Cognitive Level: Application REF: Page 743 TOP:
Protective Isolation KEY: Nursing Process Step:
Implementation MSC: NC LEX: Safe, Effective Care
Environment: Safet y and Infection Control
3. The nurse is planning to administer immunizations at a well-child visit
when a parent reports the 18 -month old child is allergic to eggs. Which
vaccine would be contraindicated?
a. Influenza
b. Inactivated polio vaccine
c. Diphtheria, tetanus, acellular pertussis
d. Hepatitis B
ANS: A
, The influenza vaccine should not b e given to children who are allergic
to eggs.
DIF: Cognitive Level: Knowledge REF: Page 745 TOP:
Nurses Role in Immunizations Allergy KEY: Nursing
Process Step: Planning MSC: NC LEX: Safe, Effective
Care Environment: Safet y and Infection Control
4. The nurse is preparing to administer immunizations at a well -child clinic.
Which method of administration will the nurse implement?
a. DTaP subcutaneously
b. Hib vaccine prepared in a separate syringe
c. Varicella intramuscularl y
d. Varicella 1 week after the MMR vaccine
ANS: B
Hib vaccine must be given in a separate syringe from other vaccines
administered at the same time.
DIF: Cognitive Level: Knowledge REF: Page 749 OBJ: 6
TOP: Hib KEY: Nursing Process Step: Evaluation
MSC: NC LEX: Physiological Integrit y: Basi c Care and
Comfort
5. A child was sent to the school nurse because of a rash. The nurse noted
the rash was present on the trunk, extremities, and face. The childs cheeks
