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The total number of deaths in a population due to a disease is the ________ rate.


A) morbidity
B) mortality
C) incidence
D) endemic
E) pandemic

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

Correct Answer

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________ are toxins that are the lipopolysaccharide of the outer membrane of gram-negative cell walls.


A) Exotoxins
B) Endotoxins
C) Enterotoxins
D) Leukocidins
E) Hemolysins

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

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Local edema, swollen lymph nodes, fever, soreness, and abscesses are indications of ________.


A) toxemia
B) inflammation
C) sequelae
D) a syndrome
E) latency

F) All of the above
G) B) and D)

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Endogenous infectious agents arise from microbes that are


A) in food.
B) the patient's own normal biota.
C) on fomites.
D) in the air.
E) transmitted from one person to another.

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

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Which of the following pairs is mismatched?


A) Secondary infection - infection spreads to several tissue sites
B) Mixed infection - several agents established at infection site
C) Acute infection - rapid onset of severe, short-lived symptoms
D) Local infection - pathogen remains at or near entry site
E) Toxemia - pathogen's toxins carried by the blood to target tissues

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

Correct Answer

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As the RN, you educate the new nurses about the prevalence of healthcare-associated infections. All of the following are frequent sources of patient infection, except ________.


A) urinary catheter
B) endotracheal tube
C) surgical incision
D) hospital beds

E) None of the above
F) A) and B)

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The greatest number of pathogens enter the body through the ________.


A) respiratory system
B) gastrointestinal system
C) urinary system
D) genital system
E) skin

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

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If the patient develops rabies infection, you know that it must be reported to local and state public health officials. Which of the following diseases is also reportable in the United States?


A) Pinworm infection
B) Fifth disease
C) EBV infection
D) Cholera

E) None of the above
F) A) and D)

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The patient's sputum culture returns a positive result for Streptococcus pneumoniae. As the RN, you are aware this capsule-forming bacterium possesses virulence factors to make it difficult to treat. In providing education to the patient regarding the disease process, which of the following statements is most appropriate?


A) "Fluid is building up in your lungs because of the body's persistent inflammatory response to the microbe."
B) "This bacterium secretes toxins that directly damage your lungs."
C) "Fragments of this bacterium's cell wall directly harm your lungs."
D) "Fluid is building up in your lungs because white blood cells are effectively lysing the encapsulated bacteria."

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

Correct Answer

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Koch's postulates are easily satisfied for viral diseases.

A) True
B) False

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Which of the following terms most appropriately describes the role of the raccoon in the patient's exposure to infection?


A) Living reservoir
B) Nonliving reservoir
C) Carrier
D) Biological vector

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

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The principal government agency responsible for tracking infectious diseases in the United States is the ________.


A) Centers for Disease Control and Prevention
B) World Health Organization
C) National Institutes of Health
D) United States Department of Agriculture
E) Infection Control Committee

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

Correct Answer

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A ________ is the presence of small numbers of bacteria in the blood.


A) bacteremia
B) septicemia
C) viremia
D) toxemia
E) None of the choices are correct.

F) B) and D)
G) All of the above

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Reservoirs include ________.


A) humans
B) animals
C) soil
D) water
E) All of the choices are correct.

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

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In an experiment to determine the infectious dose for a specific organism, 50% of the test subjects must develop the disease following a specific dose. This is quantified as the (ID50) and is a measure of the pathogenicity of that organism. Assess the following data from an experiment involving 200 mice and determine the ID50 for the infectious agent. Infectious Dose Living Mice Dead Mice 103 190 10 104 150 50 105 120 80 106 100 100 107 0 200


A) 103 organisms
B) 104 organisms
C) 105 organisms
D) 106 organisms

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

Correct Answer

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A sign is


A) an objective indication of disease.
B) a subjective indication of disease.
C) measurable by health care personnel.
D) temperature.
E) Both objective indication of disease and measurable by health care personnel are correct.

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

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Virulence factors include all the following except ________.


A) capsules
B) ribosomes
C) exoenzymes
D) endotoxins
E) exotoxins

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

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The Centers for Disease Control and Prevention assigns the most virulent microbes known to cause human disease to biosafety level 4.

A) True
B) False

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In 2003 over 500 people throughout the United States became ill with hepatitis A that was traced to green onions grown in Mexico. This is an example of ________.


A) a common-source epidemic
B) a propagated epidemic
C) a pandemic
D) an endemic disease

E) A) and B)
F) B) and D)

Correct Answer

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You are diligent to prevent the spread of disease to other patients. Which of the following is the most appropriate type of isolation for this patient, considering the portal of exit for the pathogen in this case?


A) Standard isolation (gloves)
B) Contact isolation (gown and gloves)
C) Droplet isolation (gown, gloves, and mask)
D) Airborne isolation (gown, gloves, mask, and negative airflow room)

E) None of the above
F) A) and B)

Correct Answer

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