Title EVAL EXAM - CD (KEY) ✅

TOPRANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE EVALUATIVE EXAMINATION COMMUNICABLE DISEASE NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. Which of the following information about a client who has meningococcal meningitis has the best indicator that you can discontinue droplet precautions?  A. Pupils are equal and reactive to light  B. Temperature is lower than 100°F (37.8°C)  C. Appropriate antibiotics have been given for 24 hours  D. Cough is productive of clear, non-purulent mucus 2. You are preparing to care for a 6-year-old who has just undergone allogeneic stem cell transplantation and will need protective environment isolation. Which nursing tasks will you delegate to a nursing assistant? Select all that apply.  A. Teaching the client to perform thorough hand washing after using the bathroom.  B. Talking to the family members about the reasons for the isolation.  C. Stocking the client’s room with the needed PPE items. D. Reminding visitors to wear a respirator mask, gloves, and gown.  E. Posting the precautions for protective isolation on the door of the client’s room.  A. C, D, E  B. A, C, D  C. C, D, A  D. All of the above 3. You are preparing to insert a PICC line in a client's left forearm. Which solution will be best for cleaning the skin prior to the PICC insertion?  A. 70% isopropyl alcohol  B. Povidone-iodine (Betadine)  C. 0.5% chlorhexidine in alcohol  D. Betadine followed by 70% isopropyl alcohol 4. While working in a pediatric clinic, you receive a telephone call from the parent of a 10-year-old who is receiving chemotherapy for leukemia. The client’s sibling has chickenpox.  Which of these actions will you anticipate taking next?  A. Administer varicella-zoster immune globulin to the client  B. Educate the parent about the correct use of acyclovir (Zovirax)  C. Prepare the client for admission to a private room in the hospital  D. Teach the parents regarding contact and airborne precaution 5. Which action will you take to most effectively reduce the incidence of hospital-associated urinary tract infections? A. Ensure that clients have enough adequate fluid intake B. Teach assistive personnel how to provide good perineal hygiene  C. Perform dipstick urinalysis for clients with risk factors for UTI  D. Limit the use of indwelling foley catheter (IFC) 6. The drug of choice in filariasis is  A. Praziquantel   B. Zovirax  C. Hetrazan  D. Penicillin 7. A client comes to the center consultation with the following complaints: itchiness and eruptive lesions of legs and arms especially body folds like breast groin. History reveals that she is living on a tenement. The nurse will suspect  A. Anthrax  B. Scabies  C. Psoriasis  D. Chickenpox 8. Category II treatment regimen is directed towards client with the following condition except  A. Extrapulmonary TB  B. Previously treated patient with relapses  C. Previously treated patients with failures  D. None of the above 9. Which of the following is considered chronic signs and symptoms of filariasis  A. Splenomegaly  B. Chills and fever  C. Elephantiasis  D. Lymphadenitis 10. Category I treatment regimen is for patients who are considered  A. Relapsed cases  B. New pulmonary TB sputum positive  C. Newly diagnosed by smear negative for 3x  D. Not serious extra pulmonary cases 11. Which of the following are the sign and symptoms of schistosomiasis. 1. Diarrhea, bloody stools  2. Splenomegaly and inflamed liver  3. Anemia and weakness  4. Epididymitis and orchitis  5. Lymphangitis and lymphadenitis A. 1, 2, 3  B. 3, 4, 5  C. 2, 4, 5  D. 1, 3, 4 12. Four clients with infections arrive at the emergency department with some existing infection, however, only one private room is available. Which of the following clients is the most appropriate to assign to the private room?  A. A client with toxic shock syndrome and a temperature of 102.4°F (39.1°C).  B. A client with diarrhea caused by C. difficile.  C. A client with a wound infected with VRE.  D. A client with a cough who may have Koch disease 13. You are caring for four clients who are receiving IV infusions of normal saline. Which client is at highest risk for bloodstream infections?  A. A client who has a non-tunneled central line in the left internal jugular vein.  B. A client with an implanted port in the right subclavian vein. C. A client with a peripherally inserted central catheter (PICC) line in the right upper arm.  D. A client who has a midline IV catheter in the left antecubital fossa. 14. You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected with vancomycin resistant S. aureus (VRSA). Which of these nursing actions can you delegate to the nurse assistant?   * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH


TOPRANK REVIEW ACADEMY, INC. Page 4 | C. Polio  D. Influenza 47. Filiarisis is transmitted to man through bites from A. Snail  B. Infected male mosquito   C. Infected female mosquito   D. Rats 48. The age group with the highest risk for TB of developing the disease is between  A. Children under three years old  B. Children entering grade one  C. 8-12 years old  D. 13-15 years old 49. A newly admitted client with streptococcal pharyngitis (tonsillitis) has been placed on droplet precaution. Which of the following statements indicates the best understanding for this type of isolation? A. Must maintain a spatial distance of 3 feet B. The client can be placed in a room with another client with measles (rubeola)  C. A special mask (N95) should be worn when working with the client  D. Gloves should be only worn when giving direct care 50. This a cutaneous infection that can be contacted uncontaminated wool, fur. The exposed part of skin begins to itch and papules appear in the inoculation sites. The papules become vesicles and developed into black eschars A. Anthrax  B. Scabies  C. Psoriasis  D. Chickenpox