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Questions 149

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Question 1 of 5

An outbreak of hepatitis has occurred at a local factory. Ten factory workers ages 16 to 18 years developed symptoms of hepatitis within 2 days of each other. The source of the illness is determined to be contaminated cafeteria food. The factory occupational health nurse should notify the CDC that which type of hepatitis outbreak likely occurred?

Correct Answer: A

Rationale: Hepatitis A is transmitted via the fecal-oral route, often through contaminated food, and can cause outbreaks, unlike B, C, or D.

Question 2 of 5

The school nurse is reviewing the immunization record of the 8-year-old incoming student. Which finding warrants further follow-up by the nurse?

Correct Answer: B

Rationale: Hepatitis B requires 3 doses for full immunization, so 2 doses warrant follow-up.

Question 3 of 5

To initiate a relationship with a child who may be autistic, the nurse would probably be most effective by using which of these approaches?

Correct Answer: C

Rationale: Sitting quietly with the child respects their social sensitivities, fostering trust without overwhelming them, unlike interactive games.

Question 4 of 5

A woman who has had surgery for colon cancer asks the nurse why the doctor has her come back for a blood test called CEA. What is the best response for the nurse to make?

Correct Answer: B

Rationale: CEA (carcinoembryonic antigen) is a tumor marker; low levels post-surgery suggest no recurrence of colon cancer, explaining the test's purpose.

Question 5 of 5

The 17-year-old student visits the high school nurse's office experiencing a sore throat, headache, fever of 101°F (38.3°C), malaise, and abdominal pain. How should the nurse plan to proceed?

Correct Answer: D

Rationale: These symptoms may indicate a serious infection (e.g., mononucleosis, strep throat). Sending the student home with a recommendation to see an HCP ensures proper evaluation.

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