R.A. GAPUZ REVIEW CENTER, CO.

COMMUNICABLE DISEASE NURSING: INTEGUMENTARY

1.) Maria, 3 years old, with rubeola (measles) is being admitted to the hospital. In preparation for the
admission of the child, the nurse plans to place the child on which precautions?
A. Contact B. Enteric C. Respiratory D. Protective

2.) Several children have contracted rubeola (measles) in Marilag Elementary School. The school
nurse conducted a teaching session for the mothers of the schoolchildren. Which statement made
by a mother indicates a need for further teaching regarding this communicable disease?
A. “Respiratory symptoms such as a profuse runny nose, cough and fever occur before the
development of a rash.”
B. “Small blue-white spots with a red base may appear in the mouth.”
C. “The rash usually begins behind the ears and spreads downward toward the feet.”
D. “The communicable period ranges from 10 days before the onset of symptoms to 15 days
after the rash appears.”

3.) Kiana, the mother of a 15-month-old child, brings the child to a clinic and reports that the child
has a fever and has developed a rash on the neck and trunk. Roseola is diagnosed. Kiana is
concerned that her other children will contract the disease. A nurse provides which of the following
instructions to the mother regarding the prevention of transmission of the disease?
A. The disease is transmitted through the urine and feces, so the other children should use
a separate bathroom.
B. Disease transmission is unknown.
C. The disease is transmitted through the respiratory tract, so the child should be isolated
from the other children as much as possible.
D. The disease is transmitted by contact with body fluids, so any items contaminated with
body fluids need to be discarded in a separate receptacle.

4.) A nurse provides instructions to the mother of a child with mumps regarding respiratory
precautions. The mother asks the nurse about the length of time required for the respiratory
precautions. The nurse most appropriately responds:
A. Respiratory precautions are not necessary once the swelling appears.
B. Respiratory precautions are not necessary before the swelling begins.
C. Respiratory precautions are indicated during the period of communicability.
D. Respiratory precautions are indicated for 18 days following the onset of parotid swelling.

5.) Mrs. Shara Pengga mother brings her six years old child to the clinic because the child has
developed a rash on the trunk and on the scalp. Mrs. Pengga reports that the child has had a low
grade fever, has not felt like eating and generally has been tired. The child is diagnosed with
chickenpox. Mrs Shara inquires about the communicable period associated with chickenpox. A nurse
plans to base the response on which of the following?
A. The communicable period is unknown.
B. The communicable period s one to two days before the onset of rash to 6 days after the
first crop of vesicles, when crusts have formed.
C. The communicable period is 10 days before the onset of symptoms to 15 days after the
rash appears.
D. The communicable period ranges from 2 weeks or less to several months.

6.) A clinic nurse prepares to administer a measles, mumps, rubella (MMR) vaccine to a 5-year-old
child. The nurse administers this vaccine:
A. Intramuscularly in the anterolateral aspect of the thigh
B. Intramuscularly in the deltoid muscle
A. Subcutaneously in the outer aspect of the upper arm
C. Subcutaneously in the gluteal muscle.

7.) Krissa, six year old, is scheduled to receive a measles, mumps, rubella (MMR) vaccine. The
nurse preparing to administer the vaccine reviews the child’s record and questions the order if which
of the following is documented in the child’s record?
A. a local reaction at the site of injection of a previous MMR vaccine

“The only true happiness comes from squandering ourselves for a purpose.” --- Cowper 1
 B. a history of an anaphylactic reaction to neomycin
B. a history of frequent respiratory infections
C. recent recovery from a cold.

8.) Nurse Jonna is preparing to care for a child with rubella (German measles) and anticipates
contact with infectious material during care. She enters the supply closet where the masks, gloves,
gowns, and goggles are kept. Which item(s) does the nurse obtain to care for this child?
A. mask, goggles C. mask, gloves, goggles, gown
B. mask, gown and gloves D. gown, gloves, goggles
9.) The clinic nurse notes that the physician has documented a diagnosis of herpes zoster (shingles)
in the client’s chart. Based on an understanding of the cause of this disorder, the nurse would
determine that this definitive diagnosis was made following which diagnostic test?
A. Skin biopsy C. Culture of the lesion
B. Wood’s light examination D. Patch test
10.) The nurse is assigned to care for a client with herpes zoster (shingles). Which of the following
characteristics would the nurse expect to note when assessing the lesions of this infection?
A. a generalized body rash
B. small, blue-white spots with a red base
C. a fiery red, edematous rash on the cheeks
C. clustered skin vesicles
11.) Nurse Trisha is implementing a teaching plan to a group of adolescents regarding the causes of
acne. Which of the ff is the most appropriate nursing statement regarding the cause of this
disorder?
A. “Acne is cause by eating chocolate.”
B. “Acne is caused by oily skin.”
C. “The actual cause is not known.”
D. “Acne is caused by a result of exposure to heat and humidity.”
12.) Isotretinoin (Accutane) is prescribed for a client with severe cystic acne. The nurse provides
instructions to the client regarding administration of the medication. Which of the following if stated
by the client would indicate a need for further teaching regarding his medication?
A. “I need to continue to take my vitamin A supplements.”
B. “I need to use emollients and lip balms for my dry skin and lips.”
C. “The medication may cause dryness and burning in my eyes.”
D. “I will need to return for a blood test to check my triglyceride level.”
13.) The clinic nurse inspects the skin of a client suspected of having scabies. which of the following
assessment findings would the nurse note if this disorder was present?
A. the appearance of vesicles or pustules with a thick-honey colored crust.
B. The presence of white patches scattered about the trunk.
C. Multiple straight or wavy, threadlike lines beneath the skin.
D. Patchy hair loss and round red macules with scales.
14.) The home health nurse visits a client suspected of having scabies. which of the following
precautions will the nurse institute during the assessment of the client?
A. wear a mask and gloves
B. wear gloves only
D. wear a gown and gloves
C. avoid touching client’s home furnishings

Situation: Leprosy is a chronic skin and peripheral nerve disease caused by Mycobacterium leprae.
Prevalence rate was 65/1,000 and has increased by 10 years. This is also known as Hansens
Disease.

15.) During your health teaching class, one of the residents asked you how is Leprosy being
transmitted. You know that the mode of transmission of this disease is/are:
1. Skin Contact
2. Sexual contact
3. Droplet Infection
4. Sharing of Food
A. 1 and 2 B. 1, 2 and 3 C. 2 and 3 D.1 and 4

16.) A late sign of and symptom of leprosy in male patients is enlargement of the breast also known
as:
A. Mammonastia B. Lagophthalmos C. Exophthalmus D. Gynecomastsia
17.) When drug therapy is being implemented by the DOH in all regions of the country, where is the
control treatment done?
A. RHU B. BHS C. Barangay Captain’s Office D. Midwife’s residence
18.) To prevent the occurrence of the Hansen’s disease which among the following vaccines is being
administered?
A. DPT B. MMR C. OPV D. BCG

“The only true happiness comes from squandering ourselves for a purpose.” --- Cowper 2