Situation 13: Alternative medicines include the use of herbal medicines, and the practice of acupressure, acupuncture and aromatherapy.
61. The herbal plant used for the treatment of rheumatism and gout as it lowers uric acid level is:
a. Ulasimang bato c. Sambong
b. Akapulko d. Yerba Buena
62. Based on the principle that life is the result of Qi or life energy, what is the alternative medicine practice that maintains health, treats diseases, and alleviates pain by massaging certain points on the body surface?
a. Tai Chi c. Acupressure
b. Cupping d. Acupuncture
63. Which of the following refers to ear acupuncture?
a. Auriculotherapy c. Moxibustion
b. Homeopathy d. QiGong
64. Yoga, which is good for spiritual cleansing and rebirth, is an alternative health care that is used for the development of fitness wave. Which among the following is not included as a result of this physical fitness practice?
a. Strength c. Peace
b. Flexibility d. Endurance
65. Which of the following laws paved way for the creation of the Philippine Institute of Traditional and Alternative Health Care?
a. R.A. 7610 c. R.A. 7160
b. R.A. 8423 d. PD 965
Situation 14: All birth attendants shall ensure clean and safe deliveries at home or at the facilities (RHUs/hospitals) and proper nursing care during the post partum periods.
66. Which among the following criteria allows the nurse to perform home deliveries?
a. Mother with a gynecoid pelvis
b. Previous caesarian section
c. Grand multigravida
d. Breech presentation
67. All of the following are considered as pointers for safe home delivery, except:
a. Clean hands c. Clean cord
b. Clean surface d. Clean scissors
68. Nurse Noemi teaches a mother on breastfeeding, but the latter worries about her small breasts. Which of the following statements of the mother indicates that she needs no further instructions?
a. “I need to exercise in order to increase the size of my breast.”
b. “I will shift to infant formula.”
c. “The size of my breasts does not affect lactation.”
d. “My breasts will gradually increase as I breastfeed my baby.”
69. The law that provides mandate for newborn screening is which of the following?
a. R.A. 9288 c. R.A. 7600
b. R.A. 7846 d. R.A. 8749
70. Presidential Decree 651 refers to the Birth Registration Law. Which record should be submitted to the local civil registrar's office within 30 days after the mother's delivery?
a. Municipal Form 102
b. FHSIS/E-3
c. FHSIS/E-2
d. Community tax Certificate
Situation 15: The Department of Health launched in July 1976 the Expanded Program on Immunization (EPI) in cooperation with the World Health Organization (WHO) and the UNICEF.
71. Which law does not pertain to the practice of EPI in the Philippines?
a. P.D. 996 c. P.P. 1066
b. P.P. 773 d. R.A. 3573
72. The EPI is one of the programs being delivered by Community Health Nurses. Which among its principles is pro-people?
a. Case finding and treatment on site
b. A basic health service
c. Based on epidemiological situation
d. Mass approach rather than individuals
73. Among the vaccines, OPV and AMV are the most sensitive to heat. Kept on the freezer, what should be their storage temperature?
a. 15 to 25 c. -2 to -8
b. 2 to 8 d. -15 to -25
74. A child is said to be “Fully Immunized Child” when a child receives which of the following vaccines before a child's first birthday?
a. 1 BCG, 3 OPV, 3 DPT, 3 Hepa B, 1 AMV and 2 TT
b. 1 BCG, 3 OPV, 3 DPT and 3 Hepa B
c. 1 BCG, 3 OPV, 3 DPT, 3 Hepa B and 1 Measles Vaccine
d. 1 BCG, 3 OPV, 3 DPT, 3 Hepa B and 2 Tetanus Toxoid
75. Which among the following statements about immunization is not true?
a. A child with diarrhea who is due for OPV should receive an additional extra dose on the next visit
b. A child should be immunized in the health center before doing any referral
c. DPT2 and DPT3 is contraindicated to a child who has had convulsions or shock within 3 days the previous dose
d. No extra doses must be given to a child who missed any dose of vaccine
Situation 16: Care of children with pulmonary infections is one of the responsibilities of the public health nurse in the community, wherein Control of Acute Respiratory Infections (CARI) Program can be utilized.
76. Which of the following is the principal focus of CARI program of the DOH?
a. Enhance health team capabilities to assess patients
b. Teach mothers and community health workers how to detect and where to refer
c. Mortality reduction through early detection
d. Improve family and community practices and health system
77. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from pneumonia and other severe diseases?
a. Giving antibiotics as prompt treatment
b. Doing careful focused assessment
c. Taking temperature of the sick child
d. Weighing the sick child
78. Mianne, a public health nurse, was able to identify factors that lead to respiratory problems in the community where her health facility serve. Her primary role therefore in order to reduce morbidity due to pneumonia is:
a. Make a home visit to families with sick children
b. Seek assistance and mobilize health workers
c. Refer identified ARI problems to nearest hospital
d. Teach mothers how to recognize early signs and symptoms of pneumonia
79. In responding to the concerns of children with severe disease, referral to the hospital is essential especially if the child manifests which of the following?
a. Difficulty to awaken or sleeping abnormality
b. Lower chest indrawing
c. Wheezing with chest indrawing
d. Fast breathing with stridor
80. While on treatment, Jermel, 18 months old weighed 18 kgs and her temperature registered at 37°C. Her mother says she developed cough 3 days ago. Jermel has no general danger signs. She has 45 breaths/minute, no chest indrawing, no stridor. With Jermel's condition, what should the nurse do?
a. Classify the child's condition as severe pneumonia
b. Classify the child's condition as pneumonia
c. Give amoxicillin BID for 3 days
d. Assess further the condition of the child by giving a trial of rapid-acting inhaled bronchodilator
Situation 17: Keno Langot, 4 years old, has had diarrhea for 5 days. He weighs 15 kg. There is no blood in the stool, he is irritable. His eyes are sunken. Nurse Pangitaon offers fluid to Keno and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly.
81. Nurse Pangitaon should classify the child's condition as:
a. No dehydration
b. Some dehydration
c. Severe dehydration
d. Severe persistent diarrhea
82. In treating the condition of the child, nurse Pangitaon knows that she should utilize which treatment plan?
a. Plan A c. Plan C
b. Plan B d. Plan D
83. How many milliliter (ml) will be given to Keno in 4 hours?
a. 700-900 ml c. 1000-1200 ml
b. 800-1100 ml d. 900-1400 ml
84. If a child vomits while receiving ORS, what is the most appropriate action?
a. Discontinue taking the ORS
b. Wait for 10 minutes, then continue but more slowly
c. Measure the amount of vomitus
d. Switch the oral rehydration to fruit juices
85. After 4 hours of giving interventions to Keno, the child has one sign each both in the pink and yellow rows. Nurse Pangitaon should classify this condition as:
a. Severe dehydration c. Mild dehydration
b. Some dehydration d. No dehydration
Situation 18: The following conditions refer to conditions of sick children.
86. Clair who had recently traveled to a malaria-risk area developed fever with stiff neck. The child can be classifies by the public health nurse as:
a. Very Severe Febrile Disease/Malaria
b. Very Severe Febrile Disease
c. Malaria
d. Fever: Malaria Unlikely
87. If a child with a fever of 38.8°C is blood smear positive with no runny nose, the nurse should do the following as forms of specific treatment, except:
a. Treat the child with an oral antimalarial drug
b. Give first dose of quinine
c. Give one dose of paracetamol
d. Advise to follow up in 2 days if fever persists
88. Angeli is classified as having Measles with Eye or Mouth Complications should be given which of the following for pus draining from the eye?
a. Gentian violet
b. Tetracycline eye ointment
c. First dose of antibiotics
d. Vitamin A
89. Jeremy, who lived in a dengue risk area, develops fever and experienced bleeding episodes from the nose and was tested positive in tourniquet test. The nurse should classify the child under which card color?
a. Red c. Green
b. Yellow d. Pink
90. Bo Kugon who has visible severe wasting or severe palmar pallor should be classified as:
a. Severe malnutrition/anemia
b. Moderate malnutrition/anemia
c. Anemia or Very low weight for age
d. Malnutrition with severe anemia
Situation 19: Ear problems are among the common conditions found in children especially in poor communities.
91. If a child has an ear problem, the nurse should do the following for assessment, except:
a. Determine presence of ear pain
b. Ask if there is any fever
c. Look for ear discharges
d. Check for swelling behind the ears
92. Nurse Toto found out that the ear discharge has been present for less than 2 weeks. This can be classified by Nurse Toto as what condition?
a. Mastoiditis
b. Chronic ear infection
c. Acute ear infection
d. No ear infection
93. The ear discharge has been present for more than 14 days. After doing specific treatment, Nurse Toto counseled the mother to bring back her child to the center after how many days for follow-up check-up?
a. 2 days c. 5 days
b. 3 days d. 7 days
94. Upon focused ear assessment, Nurse Toto decides that the child has severe classification because of ear problem. Utilizing the pink card, the best thing that Nurse Toto should do is:
a. Urgently refer the child to the nearest hospital
b. Give amoxicillin for 3 days
c. Teach the mother how to dry the ear of the child by wicking
d. Instruct the mother to return her child in 5 days
95. If the child does not have ear problem, what should Nurse Toto do following the protocol of IMCI chart?
a. Check for other problems
b. Check for danger signs
c. Check for immunization status
d. Check for nutritional status
Situation 20: The nurse should know the following IMCI treatment standards using appropriate medications.
96. When giving an appropriate oral antibiotic for a child with pneumonia, acute ear infection, very severe disease, and mastoiditis, the nurse knows that the first line drug is:
a. Amoxicillin c. Nalidixic acid
b. Penicillin d. Cotrimoxazole
97. When treating dysentery, which one is considered as the first line of drug?
a. Nalidixic acid c.Tetracycline
b. Ciprofloxacin d. Cotrimoxazole
98. Which of the following antimalarial drugs is considered as the first line drug?
a. Sulfadoxine and Pyrimethamine
b. Primaquine
c. Chloroquine
d. Artemeter-Lumefantrine
99. Nurse Bella Dona knows that a child should be given albendazole as a single advised dose in the center, except if:
a. Hookworm/whipworm infection is a problem among children in the area
b. Child is 2 years of age or older
c. Child did not have a dose of the drug in the previous 6 months
d. Child complains of severe abdominal pain
100. To treat oral thrush, the mother should:
a. All mentioned below
b. Wash hands
c. Wash mouth with clean soft cloth wrapped around the finger and wet with salt water
d. Paint the mouth with half-strength gentian violet
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