CCN CCN Communicable Disease Management & Public Health

Question 1

Which bloodborne pathogen poses the highest transmission risk in a correctional facility due to the prevalence of injection drug use history among the incarcerated population?

Accepted Answer

Hepatitis C virus (HCV)

Answer

HIV

Answer

Hepatitis B virus (HBV)

Answer

Hepatitis D virus (HDV)

Question 2

Upon intake, an inmate has a positive tuberculin skin test (TST) but no symptoms. Chest X-ray is negative. What is the correct classification and management?

Accepted Answer

Latent TB infection (LTBI) — offer treatment with isoniazid or rifampin regimen

Answer

Active TB — initiate airborne isolation immediately

Answer

False positive — no further action needed

Answer

Pulmonary TB — begin four-drug RIPE therapy

Question 3

A correctional nurse identifies an inmate with active pulmonary tuberculosis. What is the immediate infection control priority?

Accepted Answer

Place the inmate in airborne infection isolation in a negative-pressure room

Answer

Place the inmate in droplet precautions with a surgical mask

Answer

Transfer to a community hospital without isolation

Answer

Begin treatment and allow return to general population within 24 hours

Question 4

Which vaccine is recommended by the CDC for all incarcerated adults who lack documented immunity to hepatitis B?

Accepted Answer

Hepatitis B vaccine series (3-dose or 2-dose)

Answer

Hepatitis A vaccine only

Answer

Combined hepatitis A/B vaccine series

Answer

No hepatitis B vaccination is recommended in corrections

Question 5

An inmate reports a productive cough for 3 weeks, night sweats, and a 10-pound weight loss. Which nursing action takes priority?

Accepted Answer

Isolate the inmate and notify the provider for TB workup immediately

Answer

Schedule a routine sick call appointment for next week

Answer

Administer cough suppressant and reassess in 72 hours

Answer

Obtain a throat culture and return the inmate to their cell

Question 6

What is the primary goal of contact tracing when a new case of active TB is identified in a correctional facility?

Accepted Answer

Identify and test inmates and staff exposed to the index case to detect additional infections early

Answer

Determine who to criminally charge for spreading disease

Answer

Restrict all visitation immediately for 90 days

Answer

Transfer all inmates to another facility