INFECTIOUS DISEASE, AND PREVENTION Q&A WITH
RATIONALES STUDY GUIDE WITH COMPLETE
SOLUTION!!
1. A client presents with itchy, red papules between the fingers that worsen at
night. Which insect is responsible?
Answer: Sarcoptes scabiei.
Rationale: This organism is the mite that causes scabies, known for burrowing in
interdigital areas and causing intense nocturnal itching.
2. What is the primary function of the dermis?
Answer: To supply cells needed for wound healing.
Rationale: The dermis contains fibroblasts, collagen, and blood vessels essential
for tissue repair and regeneration.
3. Airborne precautions are required for which illness?
Answer: Chickenpox (varicella).
Rationale: Chickenpox spreads through airborne droplets and requires specialized
isolation.
4. A male client has penile discharge and possible gonorrhea. How should the
nurse obtain the culture?
Answer: Swab drainage directly from the urethral opening.
Rationale: Collecting the specimen at the source ensures accurate identification of
Neisseria gonorrhoeae.
,5. Which skin infections are caused by group A β-hemolytic streptococci? (Select
all that apply.)
Answer:
Impetigo
Erysipelas
Rationale: These infections are commonly linked to Streptococcus pyogenes,
which affects skin layers.
6. A client scheduled for colon resection with colostomy asks why antibiotics are
given before surgery. What is the primary purpose?
Answer: To reduce the number of bacteria in the bowel.
Rationale: Lowering intestinal flora decreases the chance of postoperative
infection.
7. A newborn has a fetal scalp monitor site visible at birth. What complication
should the nurse assess for?
Answer: Infection.
Rationale: Any break in the skin, especially from invasive monitoring, increases
the risk of bacterial entry.
8. A 13-year-old with an external fixator on the leg requires pin care. What is the
priority goal?
Answer: Prevent infection at pin sites.
, Rationale: Open areas around pins are susceptible to osteomyelitis and soft-tissue
infection.
9. Which sexually transmitted infection is caused by a virus?
Answer: Genital warts.
Rationale: Genital warts result from human papillomavirus (HPV) infection.
10. A child recovering from severe asthma is prescribed prednisone twice daily.
What is the priority nursing action?
Answer: Protect the child from infection.
Rationale: Corticosteroids suppress the immune system, increasing infection
susceptibility.
11. A burn patient with 36% TBSA involvement is receiving hydrotherapy. What
is the best nursing approach to wound care?
Answer: Use a consistent routine and encourage the patient’s involvement.
Rationale: Predictability and participation reduce anxiety and promote coping in
burn care.
12. Which skin condition is caused by bacteria?
Answer: Folliculitis.
Rationale: Folliculitis is a bacterial infection of the hair follicles, commonly caused
by Staphylococcus aureus.