Elsevier NCLEX Exam Review
Question: A 40-year-old woman has been diagnosed with hepatitis A and asks the nurse if other members of her family are at risk for "catching" the disease. The nurse's response should be based on the understanding that hepatitis A is transmitted primarily:
1. during sexual intercourse
2. by contact with infected body secretions.
3. through fecal contamination of food or water.
4. through kissing that involves contact with mucous membranes.
Answer: 3
Rationale: Hepatitis A is primarily transmitted through ingestion of organisms on fecally contaminated hands, food, or water. Care should be taken in the handling of food and water as well as contaminated items such as bed linens, bedpans, and toilets. Hand hygiene and personal protective equipment such as gloves are important to prevent the spread of infection for hospital personnel. In the home, hand hygiene and good personal hygiene are important to decrease transmission. Sexual intercourse (1), contact with infected body secretions (2), and contact through mucous membranes (4) all present higher risk for hepatitis B and C.
Cognitive Level: Application
Nursing Process: Implementation
NCLEX® Test Plan Category: Health Promotion and Maintenance
This week’s NCLEX exam practice question came from:
Manno: Mosby' s Review Cards for the NCLEX-RN® Examination, 3rd edition Card 537; question 128
Check out other great NCLEX exam review resources from Elsevier!
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