TOP RANK RIEILEW ACADEMY * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET* RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH COMPREHENSIVE PHASE ‘WORKBOOK COMMUNICABLE DISEASE NOV 2023 Philippine Nurse Licensure Examination Review T Leprosy or Hansen's disease has Been present in the’ Philippines even before the Spanish Era, The cause of this disease isa: 2. virus ». sprochete rietetsia d. bacillus 2. Since the disease affects the peripheral nerves, leprosy patients usually have: a. tremors b. anesthesia cramps 4. pan 3. Which of the folowing is not 2 protozoan? ‘a. Trichomonas vaginalis », Plasmodium faleparum c. Neisseria gonorrheae 4. Entamoeba histolytica 4, Ibis considered by the WHO as a major killer but is largely preventable and can be addressed with better water sanitation ‘and is common among developing nations with poor sanitation, 42. Hypertension b. Diarrhea Heart Disease 4. Respiratory Infection. 5. Drug of choice of Typhoid fever ‘2. Penicilin .Rifampcin Chioramphenico! 4. Ketoconazole 6. Amicrobial entity with either an RNA‘or a DNA but not: having both is: a. Virus . Chlamydia Spirochaete 4. Diplococeus 7, Rabies is caused by @t ‘a. Lentivirus b. Lyseavirus Togavirus d. Myxovius 8. Once signs and symptoms or rabies appeabitis:, ‘2. stil curable b. fatal setious 4, moderately advencea 9. The dog needs to be observed for this number of days before treatment stars unless the bite is considered high risk. a. 7-9 days b. 8-12 days 10-12 days 4. 14-17 days 10. Which of the following is a sign of tetenus ‘a. Chvostek’s sign ®. Charwick’s sign . Risus sardonicus 4. Trousseau’s sign 11. A disease with TB-like symptoms yet because of a parasitic flat worms harbored from eating inadequately cooked metacercariar-laden mountain cabs 2. Capillatiasis TOP RANK REVIEW ACADEMY, INC. D. Wichuriass c. Paragonimiasis d. Unciniasis 12. Malariais trensmitted by this type of mosquito a. Culex fatigans . Aedes aegypti c. Anopheles mangyanus d. Aedes pozcilus 13. The most severe type of malaria is caused by: a. Plasmodium malariae b, Plasinodium, vivax . Plamosdium ovale d. Plasmodium falciparum 14, Schistosomiasis is caused by a: 2, Snail . Fluke parasite .Cercaria . Miraciaium 15. Schistosomiasis effects the: 2a, Respiratory tract B.Urinary tract Gastrointestinal tract, d.Lymphaties system 16. Fileriasis ig the cause of eatrerre swelling of extremities, a Condition termed as: a. hydrocoe! b. elephantiasis d.lymphedema a7\Fleriasis caused by worm ike parasites called Wuchereria, bancrott imade the: 2. respiratory system ». gastrointestinal tract c urinary tract dd. lymphatic system 18. A dildhood disease caused by/a Virus ushered in by a Fespiratory symptom withyphotosensitivty and skin rash is: ‘a. measles Di chickenpox ‘e.mumps d.polionyeltis 19, Acompication of mufips in males is orchits: This can Fesult in: a sterility b. virility {candropause 4. elephantiosis. 20. Interest in the sexually transmitted disease has been intensified in the recent years due to the advent of AIDS. ‘Acquired Immune Deficiency Syndrome is caused by ‘a retrovirus b.enterovieus . thabdovius 4. myxovirus 21 Illness with pronounced skin ash manifestations. not caused by a virus but by @ bacteria pathogen is: a. measles b. scarlet fever €. Kawasaki disease Chickenpox Page 1522. The spedal membrane structure found in TB_pathogéh that is constantly mutating hence antibody production is not a very reliable future defense. ‘a. Tuberculin protein . Mycolic acid cd fast membrane 4. Cellulose SITUATION: In an orientation program of new nurses you were requested to update them on Hepatitis B, The discussion was on the followin 23. On the nature ofthe disease, the folowing stateaiits were correct except: ‘a. Most people get well completely and develop Hfe-long immunity b, The reservoir ofthe Hepatitis virus is man ©. The period of communicability is only during the clinical course of the disease 4. Some infants infected with this disease would nt develop immunity and become carriers 24, The mode of transmission ofthis disease is or are the following ‘a. Through sharing of unsterlized razors or personal tems b. Through sexual intercourse From mother-to-child during pregnancy or childbirth 4. Any of the above modes of transmission 25. What vaccine is safe to be given on pregnant. women? a. Measies vaccine b. Hepa vaccine MR 4. Zostavex/Verivax 26. Which ofthe following vaccine is given at 6-10-14 weeks? a. Hepa B 8. BCG OPV mmr 27. The dormant strains of plasrrodium larvae in the liver causing malarial réapses common to. vivax and P. malariae ‘a. Hypnozoites b. Merozaites © Schizont 4. Ockinete 28, Al but one are poliomyelitis viral strains. a. Brunhilde be Lansing Leon 4. Legio 29. an infection characterized by fever, anorexs, rose spot on the tunk and diarthea a. cholera b. hemorrhagic fever dysentery I. typhoid fever 30, A viral rash infection coupled with lymphadenopathy is a. Scarlet Fever 0. Measles Chickenpox d. German measles SITUATION: In the orientation of nursing Students who are afflicting in your health center you answered the following questions asked by them: 31. Under the National Tuberculesis (TB) control program, the standard diagnosis procedure for TB. government health centers isthe: ‘a. Sputum smear microscopy b. chest xray tuberculin testing 4. sputum smear culture 32. The symptomatic/suspecs are those patients with cough Of two weeks oF more in combination with, which of the following symptoms 2. fever of one month or more b. fever and skin rash hemoptysis and progressive weight loss 4. chest or back pain for one month or more 33, Putting together client with the same flness 2. Placarding . Cohorting TOP RANK REVIEW ACADEMY, INC. scelsolation d. Quarantine 34. Painless vesicles chafacterstc of syphilis <4. Concylomata lata 35, What measures would the city health officer do. to prevent the spread of disease to individuals exposed to 2 person with SARS? fBelsolation b. Quarantine € Give them Prophyjaxis 4. Provde health education BeyThe only ager in which Bordetella species) wil trve and is ‘confirmatory useful for the identifiation ofthis pertussis pathogen is '2 Chocolate Ager Blood Agar . Bordet-Gengou Agar 4. Mixed Agar 37. A fulminant diplococcal infection in which bacteremia is eked with acute vasculitis a. Leptospirosis Anthrax ‘c:Meningococcemia 4. Gonorrhea 38, Serious complicaton of diphtheria due to exotoxin in the bloodstream is: ‘2. Polyneutis b. Airway obstruction Endothelial injury d. Myocarditis 39, Disease with on and off occurrences in a said locality with ne spesic seasonal trends is said to be: 2. Pandemic D. Epidemic ‘.Sporadic Endemic 40. Senual stage of Plasmodium occurs inthe: ‘@. Mosquito gut bi Infected Human RBC Human Liver 4. Mosquitoes’ saliva 41. An example ofa spirochete is: ‘a Trichnella spiralis b: Spirastlla vagabunda Chlamydia trachomatis 4d. Treponema pallidum 42. Screening testf0r Typhoid fever is: ‘2 ELISA Test c. Typhidot b. Widal's Test cc. Typhidot 4. FTAtbs 43, Pathogromonie SGA of cholera is: ‘a: Washerwoman's hands b. Rice watery stool ‘. Aphoria r loss of voice! 4. Bloody macoi Feces 44, The following’afe the dinolagellates causing red tide excepts <2. Gonyaulax b Phesteria €. Peridinium 4.NOTA 45, Which ofthe following regarding the dengue vector fe true? ‘a. The vector is an infected female mosquito The vector is primarily a nightime feeder C. The vector lives near free-flowing, shaded water 4. The vector contains vius of the genus of Picornavirus 46. Human beings are the major reservoir of malaria, Which ofthe following strategies in malaria control is based on this faa? a. Stream seeding b. Stream daring €. Destruction of breeding places 4. Zooprophyaxis Page 2|547. In the Philippines, which specie of schistosoma is endemic in certain regions? a. S, mansoni b. S.japonicum ¢ S. malayensis 4, S. naematooium 48. The health center was tasked to survey thé Community for Passible incidence of poliomyelitis. Which ofthe folowing, Clinial presentations wil a client with the disease most likely present? a. Sezures ®. Sudden weight gain c. Lower extremity stiffness 4. Pabpitation 49, Which of the following microorganisms is the most common cause of pneumonia among children? a. Chiamydia trachomatis b. Haemophilus influenza type B Mycoplasma pneumonia 4. Preumocystis jroveci 50. Which of the fellawing is the diagnostic of choice for leptospirosis? ‘a. Derkfield meroscopy ». Microscopic agglutination test (MAT) Lepto-dipstick Assay 4. CBC 51. Which ofthe following statements best describes Communicable Disease? 2. Its applied to diseases that are easily spread direcily from ene person to another, b. Isan illness caused by an infectious agent or its toxic products that are transmitted directly or indirectly to a well person through an agency, and a vector or an inanimate object. A disease produced by the invasion of the body tissues with pathogenic microorganisms. which multiply and produce the signs and symptoms of disease 4. Alf the above 52, Microorganisms have the abilty te invade the body tissuse and proliferate causing infection. One factor is virulence of the organism, What is the othe: factor? ‘a. Weakness of the body ». Weakness of the organism c. Resistance of the body 4. Resistance of the organism 53, What type of immunity ic developed through introduction of antibodies that comes from other sources such as human serum or from animals? a. Natural active D. Natural passive «Artificial acte d. Artificial passive 54, The Immediate and continuous disinfection of ‘infected discharges and articles: ‘a. Concurrent disinfection », Terminal disinfection © Quarantine 4, Sterilization 55. Type of Immunoglobulin that is detectad first. after ‘exposure to an antigen: ‘a. IgM antibodies ».19G antibodies Ig antibodies 4. IgG antibodes 56. Legal responsibilities of the nurse regarding protection and control of CD I, Isolation of the CD case UL Carry out of quarantine laws IL. Assis in survellance and case finding IV. Report cases to the health authority a. Only 1&2 b. All of the above c Allexcept 2 d. None of the above 57. Itis a system that will isolate all moist and potentially infectious substance from al patient: ‘a. Standard precaution ». Body substance isolation. TOP RANK REVIEW ACADEMY, INC. sceHandwashing d. Transmission base precaution 58, Hospital waste management program is a new requirement before construction of a facility. The hospital Personnel required to train in waste management to prevent Which of tne following? 1, Crossiinfection . Communicable'disease ‘e. Nosocomial infection d. Transmission of disease 59, BéStiuaion of pathogenic microorganism outsid® the body by directly applying physical and chemical means but does not kelibacterial spores on inanimate objects 2 Steriization ». Fumigation ‘€:Dicinfection d. Antiseptic 160, Agents that hibit grBWth of some microorganism. It is safe to use in skin tissue a. Disinfectant. b. Aleohol c. Sanitizer d. Antiseptic 61. What do you call the objects that are contaminated with an infectious agent like Eacteria, Viruses, Fungi, Ricketts, Chlamydia, Protozoa or Parastes? a. Agent b. Fomites . Vector d. Vehicle 62. What stage of infection pertains to the interval between entrance of pathogenic microorganism to the appearance of the unique sian and symptom of a specific infection? a. Stage of illness . Prodromal stage c. Incubation period 4d, Convalescence 63. A 3 year old boy with tetrelogy of fallot after 7 days of fever has whitish to bluish specks on his buccal area after attending a chilcren’s party. As the pedatric nurse assigned to ths client you must. suspect that the child is in what stage of infection? ‘a, Convalescence b. Incubation period! c. Prodromal Stage i. Stage of illness 64. A 42 year old male cliant has Community Acquired Preumonia (CAP) hence the attending physician ordered aliborne precaution. The,ollowing are interventions for a client under airbome’ precaution except: ‘a: Wear an N95 respirator when visiting the patient i, Wear a mask when working within 3 feet away from the client Place the client in @ private room or @ client infected with the same organism d: Instruct family members and caregivers to wear respiratory devices 65. IF a disease & said to be highly communicable like SARS, Meningococcemia or Avianilffuenza isolation must be implemented by the | Cormmunicable Disease Nurse (CDN), Whicheamong the folowing definition best describe the word isolation? 2. Isolation is the separation of infected individual from those who are uninfected for the maximum, incubation period of a specific disease b. Isolation i the limitation of freedom of movement of a wall individual exposed to 2 specific disease for the maximum incubation period C. Isolation s the limitation of freedom of movement of a wall individual exposed toa specific disease for the maximum ‘communicabilty period d. Isolation is the separation of infected individual from those who are uninfected for ‘the maximum communicability period of specific disease. 66. The following are nota type of transmission based precaution except: ‘a. Borreliosis. Page 3| 5», Consumption Disease . Dandy's fever 4. Weil's Disease 67. Nurses should be aware that clinical features of amoebiasis include the following, except: 2. Bloody-mucoid stool b. Onsetis sudden Tenesmus 4. Diarchea and abdominal distention 68. Lia lives in Palawan, known to be endemic area for Filariasis, Endemic means that? ‘a. The pattern of occurrence and distribution is. continuous throughout a period of time. ®. The pattern of occurrence and distribution i intermittent of a few isdlated and unrelated cases i a given locality. The patter of occurrence and disttibution is unusually large number of cases in a relatively short period of time. 4. The pattern of occurence and distribution is simultaneous occurrence of the same disease several countries. 69, Mang Andtes, who is one of the attendees in_ you seminar, asks you what can be done to_prevent the spread of a disease. Your appropriate response would be based on the easiest lik to break, which is: a. Portal of Ext », Reservoir or Environment c. Mode of Transmission 4. Portal of Entry 70. As part of your duties as Community Health Nurse you conduct @ seminar about Immunization. One of your attendees ask you what type of immunity can an infant get through breast feeding your approprate response would be? b. Artifice: Active Naturakactive 4. Anificial:Passive 71, A 22-year male was bitten by a rebid dog. To confirm whether the cient is infected with rabies, what test isto be done? a. FAT (Fluorescent Antibody Test) b. MAT (Microscopic Agalutination Test) LAT (Leptospira Aggltination Test) 4. SSS (Sit Skin Smear) 72. Which ofthe following is NOT an appropriate Management of diphtheria: 2. Performing Moloney’s test to determine hypersensitivity to antidiphtheria antitoxin b. Removal of pseudomembrane to decrease the toxic effects of diphtheria toxin €. Performing emergency tracheostomy for suspected airwey obstruction 4. Aeroso|inhelations and postural drainage of pulmonary secretion upon doctor order 73. & common finang in patients with Diphtheria iS)the, presence of pseudomembranes cue to the necrosis of local tissues leading to fibrinopurulent. exudates. Which type of diphtheria is characterized by bull neck appearance? a. Nesal dphitheria b. Laryngeal diphtheria . Pharyngeal diphtheria 4. Cutaneous diphtheria 74, A nurse provides home care instructions to the parents of a chid hespitalized with Pertussis. The child is in convalescent stage and is being prepared for discharge. Which of the following will not be included in the teaching plan? ‘a. Maintain respiratory precautions and quiet environment for at least 2 weeks 5. Coughing spells may be triggered by dust or smoke Encourage fluid intake 4. Good handwashing techniques 7S, The nurse s wary of possible spread of pertussis among children because the period of areatest_communicablty is at what stage? ‘2. Incubation period b. Catarthal stage TOP RANK REVIEW ACADEMY, INC. sceParoxysmal stage d. Conwvalscent periog 76. If this is pertussis, the nurse wil prepare which of the folowing drugs: a. Ceptalosporins Deletracycines c-Erythromycin dd. Ciprofloxacin SITUATION: Malaria is one of the major heath problems in Palawan. Knowledge of the nature of this disease and its mode of transmission will help the nurse in planning and Implementing preventive control measures. 77. Human beings are the major reservoir of malaria. Which of the following strategies in malaria contol is based on this fact? ‘a-stream seeding b. stream dearing destruction of breeding places 4. zooprophiaxis 78, You are assigned in Palawan where thefélis e sudden increase in the cccurence of malaria. AS a. preventive measure toyour pregnant cients, you will: ‘a. Instruct the patient to wear long sleeve and pants all the time and apply mosquito repellants when going out of the house to protect themselves from mosquitoes. b. Tell the pregnant women to transfer to another place of restlence temporarily until there are no more cases of malaria in the locality. © Givethem each 2 chloroquine tabletsto be taken ‘every week as prophylaxis dd. Perform fumigation to destroy all mosquitoes 79. When monitoring laboratory results, the most important Parameter frequently checked in_patiert with Dengue is: ‘2, Hematocsit b. Platelet . Prothrombin time d. Hemoglobin 80. Mateo, 23 years old sought consultation due to high grade fever for three days unresponsive to oral paracetamd,, severe nausea andvoriting, headache and malaise. After taking the vital signs, the nurse performs a tourniquet test, Jumong is pesitive if: a. There are 20 orimofé petechiae noted in 2.5 cn square b. There are 20 or more petechiae noted in 1 inch square There are 20 or more petechiae noted in § em square d. Both aad b SITUATIONS Abigail, @ 12 year-old female, was broucht to Dr. San Diego's clinic because of generalized rashes and was, Subsequently diagnosed with chickenpox. £1, Nurse Sasuke recognizes the following as signs. and Symiptoms of chickerox: ‘a. Rashes which pass through stages of macule, papule, vesicle and crust b, Rashes which begin ontthe head and neck and ‘spread cephalocaudally c. Red blotchy reshes which appears on the 3rd_to the 7th day. dd. Rashes which begin on the head and spread etipherally and more abundant on covered body Darts. 82. The following nursing interventions are appropriate for the patient, except a, Increase oral fluid intake ». Apply calamine loton to thellesions to decrease pruritus Give aspirin for fever 4. Soap is omitted to prevant initation 83, A nurse's performing an assessment ona child with chicken pox. The mother of the chid tes the nurse that child keeps scratching at right, and the nurse teaches the mother about the measures that will prevent an alteration in skin integrity. Which statement of the mother indicates that the teaching is effective? a. Iwill apply generous amounts of a cortisone cream to prevent itching * Page 4| 5* Lneed to place white gloves on my child's hands at night. * €." Ineed to keep my child’ warm room at night 20 that covers will not cause my child to seratch. ~ 4.” Iwill give my child a glass of warm mik at bedtime to help my child sleep.” 84, The name for a comprehensive stategy which primary health services around the worlds using to detect and cure’ Ta patients 2. National TB program b. Direct Observe Treatment Short Course (Bors) Center for Communicable Dieses 4. International TB Control Organization 85, Tuberculosis is considered as the worlds deadliest disease remsine as a major public health problem in the Philippines. The infectious agent that causes this disease in cattle is known as: ‘a. Mycobacterium tuberculosis ®. Mycobacterium bovis © Whichereria bancroft 4. Mycobacterium leprae 86, One ofthe early preventions against tuberculosis is: a. Prompt diagnosis and treatment of infectious cases b. Improve socal condition . BCG vaccination of newbom 4. Make available medial ard laboratory facies for examination 87. As part of your duties as community nurse you are discussing abeut the neture of tuberculosis. Your attendees understand the discussion if they state that the primary diagnostic tool in tuberculosis to detect extent of lesion is: a. X-ray and culture b. Direct sputum smear microscopy PPD skin test @.x-ry 88, A Mantoux test or Purified Protein Derivative (PPD) is interpreted after: 2. 12 hous . 24 hours € 36hours 4.48-72 hours 89, Which cients are consider8d targets for DOTS Category @ a. Sputum necative cavtary cases b. Clients returning after a default « Relapses and fares of previous PTB treatment 4. Clients diagnosed forthe first time through a positive sputum exam 90, Teatment fallure and relapses fals under what recommended category of treatment regimen? a. Category I b. Category I Category II 4. Category 1v 91. Sauke stopped taking his medicatons prescribed in te hospital for PTB because hehad no money to buy for the next month's suppl. He stopped taking itfor 2 few morths then he goes to the nearest health center in their Baranggey for check-up and treatment. Mr, Carls will be placed ufider.DOTS treatment regimen? a. DHRZE / 2 HR b. 2 HRZE/ 4 HR © 2HRZES / 4 HRE |. 2HRZES / 1 HAZE / 5 HRE 92. The most adverse side effect of Ethambutd is: a. Stomach upset ®. Peripheral neuritis Vertigo 4. Optic Neuritis, 93, A nurse is reading 2 Mantoux skin test for a client with no documented health problems. The sitz hes no induration and a Imm area of ecchymosis. The nurse nterprets that the resut is: a. Positive b. Negative «Uncertain 4. Borderline TOP RANK REVIEW ACADEMY, INC. ‘94) Wich the following could be ordered to relieve the spasm ina patient suffering from tetanus? '2 Pen G Sodium Tetanus Antitoxin . Diazepam (Valium) jaeAnt-Tetanus serum 95. Nurse Shan Deok, who is caring fora chid with symptoms of tetanus responds to the chid's parents request to assist thee sons care by stating: ‘a. I can understand you wanting to help, but Jwe must avoid all unnecessary stimull at this time You may tal but con’ touch him since it could cause uncostrolled seizures c. Tell me more about your contéits, we realize you ust be so upset with the hospitalization. You may attend t6 your son as much asyou wish. 1d. We encourage you to speak to him and touch im even though he s unable fo respord you 96, Tetanus is an acute dsease caused by albacilus growing in wounds and at the site of the umbilicus among infants. The causative agent for tetanus s: 2. Gram (-)Aerobic b. Gram (-)Anaeobic Gram (+)Aerobie 4. Gram (+)Anaerobie 97. Lady Gaga was bitten by a doc during a jog in their community. Nurse Jang Gum asked Lady Gaga what she immedately after the incident. LG's response incicate correct Understanding of fst ald measure when she says that: ‘a Lranefte the dog and killed it before it can. bte agin. b.1 washed my wound immediately with soap and water. €. went tothe drug store and bought S000 antibiotic. 4. I went tothe police station and reported the incident. 98. The confirmatory diagnostic test for rabies: '2: Negri bodies antibody test b. Flourescent Rabies antibody test «. Immunodagnostic procedure di. Nasal and throat swab 99, Rabies is preventable but not curable. The patient was ‘olen rabies vaccines The doses are given on the following schedule: ‘2. Day, 3, 7, 14, 28 B.Day1, 2,3, 4,5, 6,7 fe. Day 3, 7,10 d. Day.4g7%10, 11, 16, 22 100. JengiGium interviewed Lady Gaga and her mother at the seriigency room to fake the history before seeing a doctor. She told LGs mother not to kil the dog because the dog will be: a. Injected With a vaccine bb; Confined at a veterinary clinic . Observed for 10 days d. Treated with antibiotic against rabies Page 5 | 5