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National Council Licensure Examination(NCLEX-PN) Questions 426–430 (page: 87)

Updated On: 9-Feb-2026

Which of the following clients require airborne precautions?

  1. a client with fever, chills, vomiting, and diarrhea
  2. a client suspected of varicella (chickenpox)
  3. a client with abdominal pain and purpura
  4. a client diagnosed with AIDS

Answer(s): B

Explanation:

Chickenpox (varicella) is an acute, infectious, airborne illness that requires others in direct contact to wear a respirator mask.



A stool culture reveals Shigella.

What corollary should the nurse recognize regarding this bacterial infection?

  1. People who have been in contact with the client need to be tested.
  2. Shigella is an airborne infection.
  3. Shigella is a bacteria sometimes found in stagnant water.
  4. The nurse should wear a one-way breathing apparatus when giving client care.

Answer(s): C

Explanation:

Shigella is a bacteria sometimes found in stagnant water.
Transmission of Shigella is typically oral-fecal, so good hand washing and the use of gloves are the best means of prevention when caring for a client with Shigella.
The bacteria can be found in food and water contaminated by fecal material. Incidences of Shigella are reportable in many states.



A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is ______________.

  1. Kawasaki disease.
  2. rheumatic disease.
  3. lupus erythematosus.
  4. fifth disease.

Answer(s): D

Explanation:

The child has Fifth disease, a parvovirus flulike illness that is self-limiting but is contagious for two-three weeks.



The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase.

Which type is it?

  1. hepatitis A
  2. hepatitis B
  3. hepatitis C
  4. hepatitis D

Answer(s): A

Explanation:

Hepatitis A does not produce a carrier state.
It is transmitted via contaminated water or food via the oral-fecal route and is not blood borne.



In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?

  1. ability to breathe
  2. pallor or cyanosis of the skin
  3. number of accompanying family members
  4. motor function

Answer(s): C

Explanation:

The least important factor (of those listed) during an emergency situation is the number of accompanying family members.



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