CCN CCN Communicable Disease Management & Public Health 2

Question 1

Which sexually transmitted infection is most commonly reported in correctional facilities and requires mandatory reporting to public health authorities?

Accepted Answer

Chlamydia

Answer

Chlamydia is the most reported STI in correctional settings and is a nationally notifiable condition requiring reporting to state and local public health departments.

Question 2

An inmate with HIV has a CD4 count of 180 cells/mm³ and a detectable viral load. The nurse's priority is to:

Accepted Answer

Ensure antiretroviral therapy (ART) is initiated or continued and educate on adherence

Answer

A CD4 count below 200 indicates advanced HIV disease with AIDS-defining risk, making immediate ART initiation and adherence support the nursing priority.

Question 3

Which of the following correctional nursing actions best supports a public health approach to managing MRSA outbreaks in a jail?

Accepted Answer

Implement contact precautions, wound care, and educate inmates on hand hygiene and not sharing personal items

Answer

Contact precautions combined with hygiene education and restriction of personal item sharing are the cornerstone of MRSA outbreak control in congregate settings.

Question 4

An inmate presents with a painless genital ulcer and bilateral inguinal lymphadenopathy. Which STI should the correctional nurse suspect first?

Accepted Answer

Syphilis (primary stage)

Answer

A painless indurated genital ulcer (chancre) is the hallmark of primary syphilis, which must be ruled out first given its systemic complications and public health implications.

Question 5

A correctional nurse is administering directly observed therapy (DOT) for an inmate with active TB. What is the primary benefit of DOT in this setting?

Accepted Answer

It ensures medication adherence and reduces the risk of drug-resistant TB development

Answer

DOT guarantees each dose is taken as prescribed, which is essential to achieving cure and preventing the emergence of multidrug-resistant TB (MDR-TB).

(CCN) Certified Corrections Nurse Practice Test

(CCN) Certified Corrections Nurse Practice Test

CCN CCN Communicable Disease Management & Public Health 2