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NUR 4251 EXAM QUESTIONS AND 100% CORRECT ANSWERS
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NUR 4251 EXAM QUESTIONS AND 100% CORRECT ANSWERSA nurse is working with clients who must be taught about the prevention of sexually
transmitted diseases. The nurse has revised her teaching plan and has included some
new guidelines provided by the Centers from Disease Control and Prevention. She
provides the following information in her revised teaching. Which of the following should
she include?
A) Spermicides are always to be used with condoms to lower the risk of chlamydia or
gonorrhea.
B) Condoms are useful in infections transmitted by fluids from mucosal surface, but may
not be useful in infections transmitted by direct skin-to-skin contact.
C) During oral sex there is no need to use condoms since they cannot prevent the
infection transmission.
D) During genital ulcers, use of condoms is recommended in order to prevent the
spread of infection. - ANSWER b
Although infectious disease epidemics are still the major cause of death worldwide, in
the United States they have subsided due to improvements in nutrition and sanitation,
discovery of antibiotics, and development of vaccines. Infectious diseases have not
vanished, however, and remain a continuing cause of concern. Because of the
morbidity, mortality, and costs associated with infectious diseases, Healthy People 2030
has a number of objectives aimed at reducing these illnesses. One such costly disease
trend related to an increase in the performance of invasive diagnostic and surgical
procedures, the use of broad-spectrum antibiotics, and treatment with
immunosuppressive drugs is the rise of:
A) Escherichia coli.
B) Multisyndrome effect.
C) Hospital acquired infections.
d) Severe acute respiratory syndrome - ANSWER c
Which of the following might be some of the factors operating singly or in combination in
the emergence of infectious diseases? (Select all that apply.)
A) Environmental changes.
,B) Host behavior.
C) Improved surveillance.
D) Microbial adaptation.
E) Public health infrastructure deterioration. - ANSWER a, b, d, e
A 6-year-old is brought to the emergency department with a rash all over his body and
fever. Which of the following nursing assessment findings would most assist the nurse in
identifying this as a potential case of smallpox exposure rather than varicella?
A) Fever has responded to acetaminophen and child is playful when the temperature is
not elevated
B) Fever of 101° F was present for several days before the onset of the rash.
C) A low-grade fever of 100° F or less has continued since the rash onset.
D) The rash primarily affects the trunk of the body. - ANSWER b
The school nurse determines that 60 children have missed days of high school due to
pertussis this past year and this rate has been relatively consistent for the past 5 years.
She plans to work with the community to raise awareness of the seriousness of this
disease for children younger than 6 months of age and to raise and maintain the
immunization rates because in this community the pertussis is:
A)Endemic
B)Epidemic
C)Pandemic
D)Sporadic.-ANSWER a
A nurse is concerned about the validity of the purified protein derivative (tuberculin) test
in appropriately identifying individuals with exposure to tuberculosis for follow up chest
radiography. The nurse's concern refers to which of the following aspects of the test's
validity?
A)Reliability
B)Sensitivity
C)Specificity
, D)Variability - ANSWER b
A state public health region has reported 39 cases of meningitis in children 15 years of
age and younger to date this year. Seven of those children died. The total population of
the region is 780,000 of which 84,000 are children age 15 years old and younger. Only
four cases of meningitis were reported in the public health region during the previous
year. No other state public health region exhibits an incidence of meningitis that is
greater than expected. Given this information, the relative frequency of meningitis for
the region above at this time is best characterized as:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic. - ANSWER b
Whenever there is a chance that blood or body fluids may come into contact with health
care workers, hand hygiene must be performed, and gloves, masks, protective clothing,
and other indicated personal protective barriers must be worn. These precautions,
termed universal precautions, are enforced for the underlying rational of the following:
A) Blood and body fluids of all clients should be treated as if they were infectious.
B) Infection control surveillance programs are effective
C) Health care settings serve as a reservoir of infection.
D) Health care workers do not practice effective hand hygiene. - ANWER a
A business executive develops the onset of flu-like symptoms 1 day after an air travel
return from a trans-Atlantic 2-day conference involving long meetings extending into the
evening. The scenario best describes the interaction of:
A) Host and agent.
B) Host, agent, and environment.
C) Risk and causality.
d) Morbidity and disease. - ANS b
A female client is seen at the community health center who has been experiencing
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