SITUATION:
The infant and child mortality rate in the low
to middle
income countries is ten times higher than
industrialized
countries. In response to this, the WHO
and UNICEF
launched the protocol Integrated
Management
of Childhood Illnesses to reduce the
morbidity
and mortality against childhood illnesses.
51. If a
child with diarrhea registers two signs in the
yellow row
in the IMCI chart, we can classify the
patient as:
A. Moderate
dehydration
B. Severe
dehydration
C.
Some dehydration
D. No
dehydration
52. Celeste
has had diarrhea for 8 days. There is no
blood in
the stool, he is irritable, his eyes are
sunken, the
nurse offers fluid to Celeste and he
drinks
eagerly. When the nurse pinched the
abdomen it
goes back slowly. How will you
classify
Celeste’s illness?
A. Moderate
dehydration
B. Severe
dehydration
C.
Some dehydration
D. No
dehydration
53. A child
who is 7 weeks has had diarrhea for 14
days but
has no sign of dehydration is classified
as:
A.
Persistent diarrhea
B.
Dysentery
C. Severe
dysentery
D.
Severe persistent diarrhea
54. The
child with no dehydration needs home
treatment.
Which of the following is not
included in
the rules for home treatment in this
case?
A. Forced
fluids
B. When to
return
C.
Give vitamin A supplement
D. Feeding
more
55. Fever
as used in IMCI includes:
A. Axillary
temperature of 37.5 or higher
B. Rectal
temperature of 38 or higher
C. Feeling
hot to touch
D.
All of the above
E. A and C
only
Situation:
Prevention of Dengue is an important nursing
responsibility
and controlling it’s spread is a priority once
outbreak
has been observed.
56. An
important role of the community health
nurse in
the prevention and control of Dengue
H-fever
includes:
A. Advising
the elimination of vectors by
keeping
water containers covered
B.
Conducting strong health education
drives/campaign
directed towards
proper
garbage disposal
C.
Explaining to the individuals, families,
groups
and community the nature of
the
disease and its causation
D.
Practicing residual spraying with
insecticides
57.
Community health nurses should be alert in
observing a
Dengue suspect. The following is
NOT an
indicator for hospitalization of H-fever
suspects?
A. Marked
anorexia, abdominal pain and
vomiting
B.
Increasing hematocrit count
C.
Cough of 30 days
D. Persistent
headache
58. The
community health nurses’ primary concern
in the
immediate control of hemorrhage among
patients
with dengue is:
A. Advising
low fiber and non-fat diet
B.
Providing warmth through light weight
covers
C.
Observing closely the patient for vital
signs
leading to shock
D.
Keeping the patient at rest
59. Which
of these signs may NOT be REGARDED as
a truly
positive signs indicative of Dengue Hfever?
A.
Prolonged bleeding time
B.
Appearance of at least 20 petechiae
within
1cm square
C. Steadily
increasing hematocrit count
D. Fall in
the platelet count
60. Which
of the following is the most important
treatment
of patients with Dengue H-fever?
A. Give
aspirin for fever
B.
Replacement of body fluids
C. Avoid
unnecessary movement of patient
D. Ice cap
over the abdomen in case of
melena
Situation:
Health education and Health promotion is an
important
part of nursing responsibility in the
community.
Immunization is a form of health promotion
that aims
at preventing the common childhood illnesses.
61. In
correcting misconceptions and myths about
certain
diseases and their management, the
health
worker should first:
A.
Identify the myths and misconceptions
prevailing
in the community
B. Identify
the source of these myths and
misconceptions
C. Explain
how and why these myths came
about
D. Select
the appropriate IEC strategies to
correct
them
62. How
many percent of measles are prevented by
immunization
at 9 months of age?
A.
80%
B. 99%
C. 90%
D. 95%
63. After
TT3 vaccination a mother is said to be
protected
to tetanus by around:
A. 80%
B. 99%
C. 85%
D.
90%
64. If ever
convulsions occur after administering
DPT, what
should the nurse best suggest to the
mother?
A. Do not
continue DPT vaccination
anymore
B. Advise
mother to comeback after 1 week
C.
Give DT instead of DPT
D. Give
pertussis of the DPT and remove DT
65. These
vaccines are given 3 doses at one month
intervals:
A. DPT,
BCG, TT
B.
OPV, HEP. B, DPT
C. DPT, TT,
OPV
D. Measles,
OPV, DPT
Situation –
With the increasing documented cases of
CANCER the
best alternative to treatment still remains to
be
PREVENTION. The following conditions apply.
66. Which
among the following is the primary focus
of
prevention of cancer?
A.
Elimination of conditions causing cancer
B.
Diagnosis and treatment
C. Treatment
at early stage
D. Early
detection
67. In the
prevention and control of cancer, which of
the
following activities is the most important
function of
the community health nurse?
A.
Conduct community assemblies.
B. Referral
to cancer specialist those clients
with
symptoms of cancer.
C. Use the
nine warning signs of cancer as
parameters
in our process of detection,
control and
treatment modalities.
D. Teach
woman about proper/correct
nutrition.
68. Who
among the following are recipients of the
secondary
level of care for cancer cases?
A.
Those under early case detection
B. Those
under post case treatment
C. Those
scheduled for surgery
D. Those
undergoing treatment
69. Who
among the following are recipients of the
tertiary
level of care for cancer cases?
A. Those
under early treatment
B. Those
under early detection
C.
Those under supportive care
D. Those
scheduled for surgery
70. In
Community Health Nursing, despite the
availability
and use of many equipment and
devices to
facilitate the job of the community
health
nurse, the best tool any nurse should be
wel be
prepared to apply is a scientific approach.
This
approach ensures quality of care even at the
community
setting. This is nursing parlance is
nothing
less than the:
A. nursing
diagnosis
B. nursing
research
C. nursing
protocol
D.
nursing process
Situation –
Two children were brought to you. One with
chest
indrawing and the other had diarrhea. The
following
questions apply:
71. Using
Integrated Management and Childhood
Illness
(IMCI) approach, how would you classify
the 1st
child?
A.
Bronchopneumonia
B.
Severe pneumonia
C. No
pneumonia : cough or cold
D.
Pneumonia
72. The 1st
child who is 13 months has fast
breathing
using IMCI parameters he has:
A.
40 breaths per minute or more
B. 50
breaths per minute
C. 30
breaths per minute or more
D. 60
breaths per minute
73. Nina,
the 2nd child has diarrhea for 5 days.
There is no
blood in the stool. She is irritable,
and her
eyes are sunken. The nurse offered
fluids and
and the child drinks eagerly. How
would you
classify Nina’s illness?
A.
Some dehydration
B. Severe
dehydration
C.
Dysentery
D. No
dehydration
74. Nina’s
treatment should include the following
EXCEPT:
A. reassess
the child and classify him for
dehydration
B. for
infants under 6 months old who are
not
breastfed, give 100-200 ml clean
water as
well during this period
C. Give in
the health center the
recommended
amount of ORS for 4
hours.
D.
Do not give any other foods to the child
for
home treatment
75. While
on treatment, Nina 18 months old
weighed 18
kgs. and her temperature registered
at 37
degrees C. Her mother says she developed
cough 3
days ago. Nina has no general danger
signs. She
has 45 breaths/minute, no chest indrawing,
no stridor.
How would you classify
Nina’s
manifestation?
A. No
pneumonia
B.
Pneumonia
C. Severe
pneumonia
D.
Bronchopneumonia
76. Carol
is 15 months old and weighs 5.5 kgs and it
is her
initial visit. Her mother says that Carol is
not eating
well and unable to breastfeed, he has
no
vomiting, has no convulsion and not
abnormally
sleepy or difficult to awaken. Her
temperature
is 38.9 deg C. Using the integrated
management
of childhood illness or IMCI
strategy,
if you were the nurse in charge of
Carol, how
will you classify her illness?
A. a child
at a general danger sign
B. severe
pneumonia
C.
very severe febrile disease
D. severe
malnutrition
77. Why are
small for gestational age newborns at
risk for
difficulty maintaining body temperature?
A. their
skin is more susceptible to
conduction
of cold
B. they are
preterm so are born relatively
small in
size
C.
they do not have as many fat stored as
other
infants
D. they are
more active than usual so they
throw off
comes
78.
Oxytocin is administered to Rita to augment
labor. What
are the first symptoms of water
intoxication
to observe for during this
procedure?
A.
headache and vomiting
B. a high
choking voice
C. a
swollen tender tongue
D.
abdominal bleeding and pain
79. Which
of the following treatment should NOT be
considered
if the child has severe dengue
hemorrhagic
fever?
A. use plan
C if there is bleeding from the
nose or
gums
B. give ORS
if there is skin Petechiae,
persistent
vomiting, and positive
tourniquet
test
C.
give aspirin
D. prevent
low blood sugar
80. In
assessing the patient’s condition using the
Integrated
Management of Childhood Illness
approach
strategy, the first thing that a nurse
should do
is to:
A.
ask what are the child’s problem
B. check
for the four main symptoms
C. check
the patient’s level of
consciousness
D. check
for the general danger signs
81. A child
with diarrhea is observed for the
following
EXCEPT:
A. how long
the child has diarrhea
B. presence
of blood in the stool
C.
skin Petechiae
D. signs of
dehydration
82. The
child with no dehydration needs home
treatment.
Which of the following is NOT
included in
the care for home management at
this case?
A.
give drugs every 4 hours
B. give the
child more fluids
C. continue
feeding the child
D. inform
when to return to the health
center
83. Ms.
Jordan, RN, believes that a patient should be
treated as
individual. This ethical principle that
the patient
referred to:
A.
beneficence
B.
respect for person
C.
nonmaleficence
D. autonomy
84. When
patients cannot make decisions for
themselves,
the nurse advocate relies on the
ethical
principle of:
A. justice
and beneficence
B.
beneficence and nonmaleficence
C. fidelity
and nonmaleficence
D. fidelity
and justice
85. Being a
community health nurse, you have the
responsibility
of participating in protecting the
health of
people. Consider this situation:
Vendors
selling bread with their bare hands.
They
receive money with these hands. You do
not see
them washing their hands. What should
you say/do?
A. “Miss,
may I get the bread myself
because you
have not washed your
hands”
B. All of
these
C.
“Miss, it is better to use a pick up
forceps/
bread tong”
D. “Miss,
your hands are dirty. Wash your
hands first
before getting the bread”
Situation:
The following questions refer to common
clinical
encounters experienced by an entry level nurse.
86. A
female client asks the nurse about the use of a
cervical
cap. Which statement is correct
regarding
the use of the cervical cap?
A.
It may affect Pap smear results.
B. It does
not need to be fitted by the
physician.
C. It does
not require the use of
spermicide.
D. It must
be removed within 24 hours.
87. The
major components of the communication
process
are:
A. Verbal,
written and nonverbal
B. Speaker,
listener and reply
C. Facial
expression, tone of voice and
gestures
D.
Message, sender, channel, receiver and
feedback
88. The
extent of burns in children are normally
assessed
and expressed in terms of:
A. The
amount of body surface that is
unburned
B.
Percentages of total body surface area
(TBSA)
C. How deep
the deepest burns are
D. The
severity of the burns on a 1 to 5
burn scale.
89. The
school nurse notices a child who is wearing
old, dirty,
poor-fitting clothes; is always hungry;
has no
lunch money; and is always tired. When
the nurse
asks the boy his tiredness, he talks of
playing
outside until midnight. The nurse will
suspect
that this child is:
A. Being
raised by a parent of low
intelligence
quotient (IQ)
B. An
orphan
C.
A victim of child neglect
D. The
victim of poverty
90. Which
of the following indicates the type(s) of
acute renal
failure?
A. Four
types: hemorrhagic with and
without
clotting, and nonhemorrhagic
with and
without clottings
B. One
type: acute
C.
Three types: prerenal, intrarenal and
postrenal
D. Two
types: acute and subacute
Situation:
Mike 16 y/o has been diagnosed to have AIDS;
he worked
as entertainer in a cruise ship;
91. Which
method of transmission is common to
contract
AIDS?
A. Syringe
and needles
B.
Sexual contact
C. Body
fluids
D.
Transfusion
92.
Causative organism in AIDS is one of the
following;
A. Fungus
B.
retrovirus
C. Bacteria
D.
Parasites
93. You are
assigned in a private room of Mike.
Which
procedure should be of outmost
importance;
A. Alcohol
wash
B. Washing
Isolation
C.
Universal precaution
D. Gloving
technique
94. What
primary health teaching would you give to
mike;
A. Daily
exercise
B. reverse
isolation
C.
Prevent infection
D. Proper
nutrition
95.
Exercise precaution must be taken to protect
health
worker dealing with the AIDS patients .
which among
these must be done as priority:
A. Boil
used syringe and needles
B.
Use gloves when handling specimen
C. Label
personal belonging
D. Avoid
accidental wound
Situation:
Michelle is a 6 year old preschooler. She was
reported by
her sister to have measles but she is at
home
because of fever, upper respiratory problem and
white
sports in her mouth.
96. Rubeola
is an Arabic term meaning Red, the rash
appears on
the skin in invasive stage prior to
eruption
behind the ears. As a nurse, your
physical
examination must determine
complication
especially:
A. Otitis
media
B.
Inflammatory conjunctiva
C.
Bronchial pneumonia
D.
Membranous laryngitis
97. To
render comfort measure is one of the
priorities,
Which includes care of the skin, eyes,
ears, mouth
and nose. To clean the mouth, your
antiseptic
solution is in some form of which one
below?
A. Water
B. Alkaline
C. Sulfur
D.
Salt
98. As a
public health nurse, you teach mother and
family
members the prevention of complication
of measles.
Which of the following should be
closely
watched?
A.
Temperature fails to drop
B.
Inflammation of the nasophraynx
C.
Inflammation of the conjunctiva
D.
Ulcerative stomatitis
99. Source
of infection of measles is secretion of
nose and
throat of infection person. Filterable
virus of
measles is transmitted by:
A. Water
supply
B. Food
ingestion
C.
Droplet
D. Sexual
contact
100. Method
of prevention is to avoid
exposure to
an infection person. Nursing
responsibility
for rehabilitation of patient
includes
the provision of:
A. Terminal
disinfection
B.
Immunization
C.
Injection of gamma globulin
D. Comfort measures
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