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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are a school nurse at a public elementary school in your town. By lunch time, you have had four students visit your office complaining of itchy, watery eyes featuring red and inflamed sclera and conjunctiva. All students had clear drainage; three of the students had it in both eyes, while the fourth only had it in one eye. They all complained that their eyes felt “glued-shut” when they awoke this morning, and one student was very sensitive to light. -One student came back to school the next day with a note from her mother stating her child's doctor had prescribed oral ceftriaxone.She is really not comfortable with the use of antibiotics.What is the best response to the mother's question?


A) "Antibiotics are effective at clearing viral infections."
B) "Antibiotics are often given prophylactically,even if viral conjunctivitis is suspected."
C) "Antibiotics are needed to reduce her daughter's chances of contracting MRSA."
D) "Antibiotics were not indicated in her daughter's case;she actually needed an antiprotozoal drug for treatment."

E) A) and B)
F) A) and C)

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All Staphylococci can be differentiated from all Streptococci because only Staphylococci produce the enzyme _____ that is easily detected in the lab.


A) staphlokinase
B) exfoliative toxin A
C) exfoliative toxin B
D) catalase
E) lactase

F) A) and C)
G) B) and D)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A mother brings in her unimmunized, otherwise healthy, 7-year-old daughter to the pediatric office where you are the charge nurse. The child has nearly 100 lesions all over her body, mainly localized to her trunk. Most of the lesions are vesicular, but a few have scabbed over. According to the mother, her daughter broke out in this rash about 5 days ago. She never experienced a fever, but the rash seems to be incurably itchy. As the mother is telling you this, you see her daughter itch open one of the vesicles, revealing a clear fluid. -You discover the child shares a bedroom with her 12-year-old sister,who has not had chickenpox and has not been vaccinated against it either.She is supposed to go to summer camp in 1 week.The mother wants to know if it is safe to let her go to camp.How will you best respond to her question?


A) "Yes,it is safe for her to go.Since chickenpox has an incubation period of 3-5 days,she would have exhibited symptoms of the disease already if she had contracted it."
B) "Yes,it is safe for her to go.Chickenpox is rarely contracted by children older than 10 years of age."
C) "No,it is not safe for her to go.Since chickenpox has an incubation period of 10-20 days,she could begin exhibiting symptoms at camp."
D) "No,it is not safe for her to go.Since she was exposed to her sister,she will be contagious to other kids at camp but will probably not exhibit symptoms."

E) A) and D)
F) A) and C)

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What is the only way to prevent conjunctivitis?


A) wear insect repellent
B) good hygiene
C) trifluridine or acyclovir treatment
D) ivermectin treatment
E) prophylactic antibiotics

F) A) and C)
G) C) and E)

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The enzyme that coagulates plasma is


A) catalase.
B) coagulase.
C) hyaluronidase.
D) staphylokinase.
E) kinase.

F) C) and E)
G) A) and B)

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What material in skin cells provides protection from abrasions,water damage,and microorganism entry?


A) lysozyme
B) keratin
C) sweat
D) sebum
E) salt

F) C) and D)
G) B) and C)

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Measles is described as a ______ skin lesion.


A) purpura
B) bulla
C) papule
D) macule
E) maculopapular

F) A) and E)
G) C) and D)

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Which of the following is not true of rubeola?


A) causative agent is a member of the Morbillivirus genus
B) it is a single-stranded,nonenveloped RNA virus
C) it is in the Paramyxovirus family
D) causes cell membranes to fuse to form syncytia
E) transmitted by respiratory droplets

F) B) and D)
G) None of the above

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All of the following pertain to Streptococcus pyogenes except


A) is often from an endogenous source.
B) secretes streptokinase.
C) causes impetigo.
D) coats itself with host proteins.
E) causes gas gangrene.

F) A) and B)
G) C) and E)

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