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National Council Licensure Examination(NCLEX-PN) Questions 406–410 (page: 83)

Updated On: 9-Feb-2026

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching.

Which of the following advisory comments should be given?

  1. The history and presentation might indicate chickenpox, a highly contagious disease.
  2. The lesions might indicate a noncontagious infection that does not require isolation.
  3. The history and presentation might indicate an infectious illness called impetigo.
  4. The lesions are not contagious unless others have open wounds or lesions themselves.

Answer(s): C

Explanation:

The scenario describes classic impetigo for which the physician is likely to order antibiotic therapy. Chickenpox is highly contagious but presents with a history of high fever followed by a vesicular rash.



The nurse is teaching a client about the use of Rifampin for prophylaxis after an exposure to meningitis. What change in bodily functions should the nurse advise the client about?

  1. The client’s urine might turn blue.
  2. The client remains infectious to others for 48 hours.
  3. The client’s contact lenses might be stained orange.
  4. The client’s skin might take on a crimson glow.

Answer(s): C

Explanation:

Rifampin has the unusual effect of turning body fluids an orange color. Soft contact lenses might become permanently stained.
Clients should be taught about these side effects to avoid unnecessary concern.



The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?

  1. There is no rash.
  2. The disorder is uncommon in adults.
  3. There is no fever.
  4. There is sometimes a “slapped face” appearance.

Answer(s): B

Explanation:

Fifth’s disease, erythema infectiosum, is uncommon in adults. All the other statements are correct.



Which isolation procedure will be followed for secretions and blood?

  1. Respiratory
  2. Standard Precautions
  3. Contact Isolation
  4. Droplet

Answer(s): B

Explanation:

Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and are designed to reduce the rate of transmission of microbes from one host to another or one source (environment such as the client’s bedside table) to another.



In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?

  1. ability to speak
  2. ability to hear
  3. oxygen saturation
  4. adventitious breath sounds

Answer(s): A

Explanation:

Ability to speak is a major way to identify an airway obstruction.



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