Situation 1: Mariah is a 31 year old lawyer who has
A. %etal de&elopment are felt by Mariah
been married for 6 moths. She consults you for
. 4erni5 caseosa co&ers the entire body
guidance in relation with her menstrual cycle and her
". 4iable if deli&ered within this period
desire to get pregnant.
$. ra5ton ics contractions are obser&ed
1. She wants to know the length of her menstrual
. )he nurse palpates the abdomen of M ariah.
cycle. Her periodic menstrual period is October
!ow at + month gestation' what le"el of the
22 to 26. Her LM is !o"ember 21. #hich of the
abdomen can be the fundic height be palpated$
following number of days will be your correct
A. Symphysis pubis
response$
. Midpoint between the umbilicus and the 5iphoid
A. 29
process
. 2!
". Midpoint between the symphysis pubis the umbilicus
". 3#
$. mbilicus
$. 31
. She worries about her small breast' thinking
2. %ou ad"ised her to obser"e and record the
that she probably will incapable to br eastfeed
signs of o"ulation. #hich of the following signs
her baby. baby. #hich of the following responses of the
will she likely note down$
nurse is correct$
1. A 1 degree %ahrenheit rise in basal body temperature
A. -he si)e of your breast will not a7ect your
2. "er&ical mucus becomes copious and clear
lactation.8
3. 'ne pound increase in weight
. ou can switch to bottle feeding.8
(. Mittelschmer)
". ou can try to ha&e e5ercise to increase the si)e of
A. 1*2*(
your breast.8
. 1*2*3
$. Manual e5pression of mil is possible.8
". 2*3*(
3. She tells the nurse that she does not take milk
$. 1*3*(
regularly.. She claims that she does not want to regularly
&. %ou instruct Mariah to keep record of her basal
gain too much weight during her pregnancy.
temperature e"eryday' e"eryday' which of the following
#hich of the following nursing diagnosis is a
instructions is incorrect$
priority$
A. +f coitus has occurred* this should be re,ected in the
A. 0otential selfesteem disturbance related to
chart
physiologic changes in pregnancy
. +t is best to ha&e coitus on the e&ening following a
. +ne7ecti&e indi&idual coping related to physiologic
drop in - to become pregnant
changes in pregnancy
". -emperature should be taen immediately after
". %ear related to the e7ects of pregnancy
waing and before getting put of bed
$. ;nowledge de
$. - is lowest during the secretory phase
pregnancies pregnanci es related to lac of information sources.
(. She reports an increase in ) on *ecember
14. #hich of the following inter"entions will
16. #hich hormone brings about this change in
likely ensure compliance of Mariah$
her )$
A. +ncorporate her food preferences that are ade=uately
A. /strogen
nutritious in her meal plan.
. 0rogesterone
. "onsistently counsel toward optimum nutritional
". onadootrophine
intae
$. %ollicle Stimulating ormone
". >espect her right to re?ect dietary information if she
+. )he following month' Mariah suspects she is
chooses
pregnant. Her urine is positi"e for Human
$. +nformation of the ad&erse e7ects of inade=uate
,horionic -onadotrophin. #hich structure
nutrition to her fetus
produce H,-$
Situation 3: Susan is a patient in the clinic where you
A. 0ituitary land
wor. She is in=uiring about pregnancy.
. -rophoblastic cells of the embryo
11. Susan tells you she is worried because she
". terine deciduas
de"elops breast later than most of her friends.
$. '&arian follicles
reast de"elopment is termed as0
Situation 2: Mariah came bac and she is now
A. Adrenarche
pregnant.
. Mamarche
6. t + months gestation' which of the following
". -helarche
fetal de"elopment would probably be e/pected0
$. Menarche
12. 5e"in' Susans husband' tells you that he is
$. She should assess whether her breast feel sensiti&e
considering "asectomy. "asectomy. fter the birth of their
to cool air.
new child. 7asectomy in"ol"es the incision of
1. *ana chooses to use ,O, as her family
which organ$
planning method' what is the danger sign of ,O,
A. -he testes
you would ask her to report$
. -he &as deferens
A. A stu7y or runny nose
". -he epididymis
. Arthritis lie symptoms
$. -he scrotum
". Slight weight gain
1&. On e/amination' Susan has been found of
$. Migraine headache
ha"ing a cystocele. cystocele is0
1. *ana asks about subcutaneous implants and
A. A sebaceous cyst arising from the &ul&ar fold.
she asks how long will these implants be
. 0rotrusion of intestines into the &agina
e>ecti"e. %our %our best answer is0
". 0rolapse of the uterus into the &agina
A. 'ne month
$. erniation of the bladder into the &aginal wall.
. -wel&e month
1(. Susan typically has menstrual cycle of &(
". %i&e years
days. She told you she had a coitus on days ' 1 4
$. 1# years
and 24 of her menstrual cycle. #hich is the day
13. *ana asks about female condoms. #hich of
on which she is most likely to concei"e$
the following is true with regards to female
A. !th day
condoms$
. 1#th day
A. -he hormone the condom releases might cause mild
". $ay 1@
weight gain.
$. $ay 2#
. She should insert the condom before any penile
1+. #hile talking with Susan' 2 new patients
penetration
arri"ed and they are co"ered with large towels
". She should coat the condom with spermicid spermicide e before
and the nurse noticed that there are many
use
cameraman and news people outside of the O8*.
$. %emale condoms unlie male condoms are reusable.
9pon assessment the nurse noticed that both of
24. *ana has asked about -;?) procedure. #hat
them are still nude and the male clients penis is
makes her a good candidate for -;?)$
still inside the female clients "agina and the
A. She has patent fallopian tubes* so fertili)ed o&a can
male client said that :; cant pull it.< 7aginismus
be implanted on them.
was your =rst impression. %ou know that the
. She is > negati&e* a necessary stipulation to rule
psychological cause of 7aginismus is related to0
out > incompatibility.
A. -he male client inserted the penis too deeply that it
". She has normal uterus* so the sperm can be in?ected
stimulates &aginal closure
through the cer&i5 into it.
. -he penis was too large thats why the &agina
$. er husband is taing sildena
triggered its defense to attempt to close
sperms will be motile.
". -he &agina do not want to be penetrated
Situation @ D Eurse Forena is a %amily 0lanning and
$. +t is due to learning patterns of the female client
+nfertility Eurse Specialist and currently attends to
where she &iews se5 as bad or sinful.
%AM+F 0FAEE+E "F+/E-S AE$ +E%/>-+F/ "'0F/S.
Situation (: '&erpopulation is one problem in the
-he following conditions pertain pertain to meeting the the nursing
0hilippines that case economic drain. Most %ilipinos are
needs of this particular population group.
against in legali)ing abortion. As a nurse* Mastery of
21. *ina' 1 years old' asks you how a tubal
contraception is needed to contribute to the society
ligation pre"ents pregnancy. pregnancy. #hich would be the
and economic growth.
best answer$
16. Supposed that *ana' 1 years old' tells you
A. 0rostaglandins released from the cut fallopian tubes
she wants to use fertility awareness method of
can ill sperm
contraception. How will she determine her fertile
. Sperm can not enter the uterus because the cer&ical
days$
entrance is bloced.
A. She will notice that she feels hot as if she has an
". Sperm can no longer reach the o&a* because the
ele&ated temperature
fallopian tubes are bloced
. She should assess whether her cer&ical mucus is thin
$. -he o&ary no longer releases o&a as there is
colour* clear and watery.
nowhere for them to go.
". She should monitor her emotions fro sudden anger
22. )he *ators are a couple undergoing testing
or crying
for infertility. ;nfertility is said to e/ist when0
12. 5e"in' Susans husband' tells you that he is
$. She should assess whether her breast feel sensiti&e
considering "asectomy. "asectomy. fter the birth of their
to cool air.
new child. 7asectomy in"ol"es the incision of
1. *ana chooses to use ,O, as her family
which organ$
planning method' what is the danger sign of ,O,
A. -he testes
you would ask her to report$
. -he &as deferens
A. A stu7y or runny nose
". -he epididymis
. Arthritis lie symptoms
$. -he scrotum
". Slight weight gain
1&. On e/amination' Susan has been found of
$. Migraine headache
ha"ing a cystocele. cystocele is0
1. *ana asks about subcutaneous implants and
A. A sebaceous cyst arising from the &ul&ar fold.
she asks how long will these implants be
. 0rotrusion of intestines into the &agina
e>ecti"e. %our %our best answer is0
". 0rolapse of the uterus into the &agina
A. 'ne month
$. erniation of the bladder into the &aginal wall.
. -wel&e month
1(. Susan typically has menstrual cycle of &(
". %i&e years
days. She told you she had a coitus on days ' 1 4
$. 1# years
and 24 of her menstrual cycle. #hich is the day
13. *ana asks about female condoms. #hich of
on which she is most likely to concei"e$
the following is true with regards to female
A. !th day
condoms$
. 1#th day
A. -he hormone the condom releases might cause mild
". $ay 1@
weight gain.
$. $ay 2#
. She should insert the condom before any penile
1+. #hile talking with Susan' 2 new patients
penetration
arri"ed and they are co"ered with large towels
". She should coat the condom with spermicid spermicide e before
and the nurse noticed that there are many
use
cameraman and news people outside of the O8*.
$. %emale condoms unlie male condoms are reusable.
9pon assessment the nurse noticed that both of
24. *ana has asked about -;?) procedure. #hat
them are still nude and the male clients penis is
makes her a good candidate for -;?)$
still inside the female clients "agina and the
A. She has patent fallopian tubes* so fertili)ed o&a can
male client said that :; cant pull it.< 7aginismus
be implanted on them.
was your =rst impression. %ou know that the
. She is > negati&e* a necessary stipulation to rule
psychological cause of 7aginismus is related to0
out > incompatibility.
A. -he male client inserted the penis too deeply that it
". She has normal uterus* so the sperm can be in?ected
stimulates &aginal closure
through the cer&i5 into it.
. -he penis was too large thats why the &agina
$. er husband is taing sildena
triggered its defense to attempt to close
sperms will be motile.
". -he &agina do not want to be penetrated
Situation @ D Eurse Forena is a %amily 0lanning and
$. +t is due to learning patterns of the female client
+nfertility Eurse Specialist and currently attends to
where she &iews se5 as bad or sinful.
%AM+F 0FAEE+E "F+/E-S AE$ +E%/>-+F/ "'0F/S.
Situation (: '&erpopulation is one problem in the
-he following conditions pertain pertain to meeting the the nursing
0hilippines that case economic drain. Most %ilipinos are
needs of this particular population group.
against in legali)ing abortion. As a nurse* Mastery of
21. *ina' 1 years old' asks you how a tubal
contraception is needed to contribute to the society
ligation pre"ents pregnancy. pregnancy. #hich would be the
and economic growth.
best answer$
16. Supposed that *ana' 1 years old' tells you
A. 0rostaglandins released from the cut fallopian tubes
she wants to use fertility awareness method of
can ill sperm
contraception. How will she determine her fertile
. Sperm can not enter the uterus because the cer&ical
days$
entrance is bloced.
A. She will notice that she feels hot as if she has an
". Sperm can no longer reach the o&a* because the
ele&ated temperature
fallopian tubes are bloced
. She should assess whether her cer&ical mucus is thin
$. -he o&ary no longer releases o&a as there is
colour* clear and watery.
nowhere for them to go.
". She should monitor her emotions fro sudden anger
22. )he *ators are a couple undergoing testing
or crying
for infertility. ;nfertility is said to e/ist when0
A. a woman has no uterus
A. +ncreased glomerular
. a woman has no children
. $iuretic use
". a couple has been trying to concei&e for 1 year
". $ecreased bladder capacity
$. a couple has wanted a child for 6 months
$. $ecreased glomerular
2&. nother client named Lilia is diagnosed as
23. #hich of the following is the MOS) ,OMMO!
ha"ing endometriosis. )his condition interferes
sign of infection among the elderly$
with fertility because0
A. $ecreased breath sounds with cracles
A. endometrial implants can bloc the fallopian tubes
. %e&er
. the uterine cer&i5 becomes in,amed and swollen
". 0ain
". the o&aries stop producing ade=uate estrogen
$. "hange in the mental status
$. pressure on the pituitary leads to decreased %S
&4. 8riorities when caring for the elderly trauma
le&els
patient0
2(. Lilia is scheduled to ha"e a
A. "irculation* airway* breathing
hysterosalpingogram. #hich of the following
. $isabilityBEeurologicC* airway* breathing
instructions would you gi"e her regarding this
". Airway* reathing* $isabilityBEeurologicC*
procedure$
$. Airway* breathing* "irculation
A. She will not be able to concei&e for 3 months after
&1. 8reschoolers are able to see things from
the procedure
which of the following perspecti"es$
. -he sonogram of the uterus will re&eal any tumors
A. -heir peers
present
. -heir own and their caregi&ers
". Many women e5perience mild bleeding as an after
". -heir own and their mothers
e7ect
$. 'nly their own
$. She may feel some cramping when the dye is
&2. ;n conBict management' the winCwin
inserted
approach occurs when0
2+. Lilias cousin on the other hand' knowing
A. -here are two con,icts and the parties agree to each
nurse Lorenas speciali@ation asks what arti=cial
one
insemination by donor entails. #hich would be
. /ach party gi&es in on @#G of the disagreement
your best answer if you were !urse Lorena$
maing the con,ict
A. $onor sperm are introduced &aginally into the uterus
". oth parties in&ol&ed are committed in sol&ing the
or cer&i5
con,ict
. $onor sperm are in?ected intraabdominally intraabdominally into
$. -he con,ict is settled out of court so the legal
each o&ary
system mandates parties win.
". Arti
&&. ccording to the socialC;nternational
patency
perspecti"e of child abuse and neglect' four
$. -he husbands sperm is administered intra&enously
factors place the family members at risk for
weely
abuse' these risk factors are the family members
Situation 6: ou are assigned to tae care of a group of
at risk for abuse. )hese risk factors are the
patients across the lifespan.
family itself' the caregi"er caregi"er'' the child and0
26. 8ain in the elder persons reAuire careful
A. -he presence of a family crisis
assessment because they0
. enetics
A. /5perienced reduce sensory perception
". -he national emphasis on se5
. a&e increased sensory perception
$. "hronic po&erty
". Are e5pected to e5perience chronic pain
&(. #hich of the following signs and symptoms
$. a&e decreased pain threshold
would you most likely =nd when assessing an
2. dministration of analgesics to the older
infant with rnoldC,hiari malformation$
persons reAuire careful patient assessment
A. Heaness of the leg muscles* loss of sensation in the
because older people0
legs* and restlessness
A. Are more sensiti&e drugs
. $iIculty swallowing* diminished or absent gag re,e5
. a&e increased hepatic* renal* and gastrointestinal
and respiratory distress
function
". $iIculty sleeping* hyper&igilant hyper&igilant and an arching of
". a&e increased sensory perception
the bac
$. Mobili)e drugs more rapidly
$. 0arado5ical irritability* diarrhea and &omiting
2. )he elderly patient is at higher risk for
&+. parent calls you and frantically reports that
urinary incontinence because0
her child has gotten into her famous ferrous
sulfate pills and ingested a number of these pills.
stomachs or buttocks' the nurse would teach the
Her child is now "omiting' has bloody diarrhea
caregi"ers to0
and is complaining of abdominal pain. %ou will
A. A&oid co&ering the area of the topical medication
tell the mother to0
with the diaper
A. "all emergency medical ser&ices B/MSC and get the
. A&oid A&oid the use of clothing on top of the diaper
child to the emergency room
". 0ut the diaper on as usual
. >ela5 because these symptoms will pass and the
$. Apply an icepac for @ minutes to the outside of the
child will be
diaper
". Administer syrup of ipecac
(1. #hich of the following factors is most
$. "all the poison control center
important in determining the success of
&6. client says she heard f rom a friend that you
relationships used in deli"ering nursing care$
stop ha"ing periods once you are on the :pill.<
A. -ype of illness of the client
)he most appropriate response would be0
. -ransference and countertransference
A. -he pill pre&ents the uterus from maing such
". /7ecti&e communication
endometrial lining* that is why period may often be
$. 0ersonality of the participants
scant or sipped occasionally.8
(2. -race sustained a laceration on her l eg from
. +f your friend has missed her period* she should
automobile accident. #hy are lacerations of
stop taing the pills and get a pregnancy test.8
lower e/tremities potentially more serious
". -he pill should cause a normal menstrual period
among pregnant women than other$
e&ery month. +t sounds lie your friend has not been
A. lacerations can pro&oe allergic responses due to
taing the pills properly.8
gonadotropic hormone release
$. Missed period can be &ery dangerous and may lead
. a woman is less able to eep the laceration clean
to the formation of precancerous cells.8
because of her fatigue
&. )he nurse assessing newborn babies and
". healing is limited during pregnancy so these will not
infants during their hospital stay notice which of
heal until after birth
the following symptoms as a primary
$. increased bleeding can occur from uterine pressure
manifestation of Hirschsprungs disorder$
on leg &eins
A. A
(&. ;n working with the caregi"ers of a client
. %ailure to pass meconium during the
with an cute or chronic illness' the nurse would0
after birth
A. -each care daily and let the caregi&ers do a return
". -he sin turns yellow and then brown o&er the
demonstration ?ust before discharge
2( hours to (6 hours after birth.
. $iIculty swallowing* diminished or absent gag re,e5
$. igh grade fe&er.
and respiratory distress
&. client is months pregnant and has Dust
". $iIculty sleeping* hyper&igilant hyper&igilant and arching of the
been diagnosed as ha"ing a partial placenta
bac
pre"ia. She is able and has minimal spotting and
$. 0arado5ical irritability* diarrhea and &omiting
is being sent home. #hich of t hese instructions
((. #hich of the following roles ES) e/empli=es
to the client may indicate a need for further
the e/panded role of the nurse$
teaching$
A. "irculating nurse in surgery
A. Maintain bed rest with bathroom pri&ileges
. Medication nurse
. A&oid intercourse for three days
". 'bstetrical nurse
". "all if contractions occur.
$. 0ediatric nurse practitioner
$. Stay on left side as much as possible when lying
(+. ccording to *e Fosa and 5ochuras G2446
down.
article entitled :;mplement ,ulturally Health
&3. woman has been rushed to the hospital
,are in your workplace'< cultures ha"e di>erent
with ruptured membrane. #hich of the following
patterns of "erbal and non"erbal communication.
should the nurse check =rst$
#hich di>erence does !O) necessarily belong$
A. "hec for the presence of infarction.
A. 0ersonal beha&iour
. Assess for 0rolapse of the umbilical cord
. /ye contact
". "hec the maternal heart rate r ate
". Sub?ect Matter
$. Assess the color of the amniotic ,uid
$. "on&ersational style
(4. )he nurse notes that the infant is wearing a
(6. %ou %ou are the nurse assigned to work with a
plasticCcoated diaper. diaper. ;f a topical medication
child with acute glomerulonephritis. y following
were to be prescribed and it were to go on the
the prescribed treatment regimen' the child
e/periences a remission. %ou are now checking
+1. ;f a child with diarrhea registers two signs in
to make sure the child does not ha"e a relapse.
the yellow row in the ;M,; chart' we can classify
#hich =nding most lead you to the conclusion
the patient as0
that a relapse is happening$
A. Moderate dehydration
A. /le&ated temperature* cough* sore throat* changing
. Some dehydration
complete blood count B""C with di7erential count
". Se&ere dehydration
. A urine dipstic measurement of 2J proteinuria or
$. Eo dehydration
more for 3 days or the child found to ha&e 3(J
+2. ,eleste has had diarrhea for days. )here is
proteinuria plus edema.
no blood in the stool' he is irritable' his eyes are
". -he urine dipstic showing glucose in the urine for 3
sunken' the nurse o>ers Buid to ,eleste and he
days* e5treme thirst* increase in urine output and a
drinks eagerly. #hen the nurse pinched the
moon face.
abdomen it goes back slowly. How will you
$. A temperature of 3K.! degrees B1## degrees %C ,an
classify ,elestes ;llness$
pain* burning fre=uency* urgency on &oiding and cloudy
A. Moderate dehydration
urine.
. Some dehydration
(. )he nurse is working with an adolescent who
". Se&ere dehydration
complains of being lonely and ha"ing a lack of
$. Eo dehydration
ful=lment in her life. )his adolescent shies away
+&. child who is weeks has had diarrhea for
from intimate relationships at times yet at other
1( days but has no sign of dehydration is
times she appears promiscuous. )he nurse will
classi=ed as$
likely work with this adolescent in which of the
A. 0ersistent diarrhea
areas$
. Se&ere dysentery
A. +solation
". $ysentery
. Foneliness
$. Se&ere 0ersistent diarrhea
". Fac of ful
+(. )he child with no dehydration needs home
$. +dentity
treatment. #hich of the following is not included
(. )he use of interpersonal decision making
in the rules for home treatment in this case$
psychomotor skills and application of knowledge
A. %orced ,uids
e/pected in the role of a
. Hhen to return
licensed healthcare professional in the conte/t of
". i&e 4itamin A supplement
public health welfare and safety as an e/ample
$. %eeding more
of$
++. ?e"er as used in ;M,; includes0
A. $elegation
A. A5illary temperature of 3K.@ or higher
. Super&ision
. >ectal temperature of 3! or higher
". >esponsibility
". %eeling hot to touch
$. "ompetence
$. All of the abo&e
(3. )he painful phenomenon known as back labor
/. A and " only
occurs in a client whose fetus in what position$
Situation: 0re&ention of $engue is an important nursing
A. row position
responsibility and controlling its spread is priority once
. >ight occipitoAnterior 0osition
outbrea has been obser&ed.
". reech position
+6. n important role of the community health
$. Feft occipito0osterior 0osition
nurse in the pre"ention and control of *engue HC
+4. ?ocus methodology stands for$
fe"er includes0
A. %ocus* 'rgani)e* "larify* nderstand and Solution
A. Ad&ising the elimination of &ectors by eeping water
. %ocus* 'pportunity* "ontinuous* tili)e* Substantiate
containers co&ered
". %ocus* 'rgani)e* "larify* nderstand* Substantiate
. "onducting strong health education dri&esLcampaign
$. %ocus* 'pportunity* "ontinuous BprocessC*
directed toward proper garbage disposal
nderstand* Solution
". /5plaining to the indi&iduals* families* groups and
Situation K: -he infant and child mortality rate in the
community the nature of the disease and its causation.
low to middle income countries is ten times higher than
$. 0racticing residual spraying with insecticides
industriali)ed countries. +n response to this the H'
+. ,ommunity health nurses should be alert in
and E+"/% launched protocol +ntegrated Management
obser"ing a *engue suspect. )he following is
of "hildhood +llness to reduce the morbidity and
!O) an indicator for hospitali@ation of HCfe"er
mortality against childhood illnesses.
suspects$
A. Mared anore5ia* abdominal pain and &omiting
6(. ;f e"er con"ulsion occurs after administering
. +ncreasing hematocrit count
*8)' what should nurse best suggest to the
". "ough of 3# days
mother$
$. 0ersistent headache
A. $o not continue $0- &accination anymore
+. )he community health nurses primary
. Ad&ise mother to come bac aster 1 wee
concern in the immediate control of hemorrhage
". i&e $- instead of $0-
among patients with dengue is0
$. i&e pertussis of the $0- and remo&e $-
A. Ad&ising low
6+. )hese "accines are gi"en & doses at one
. 0ro&iding warmth through light weight co&ers
month inter"als0
". 'bser&ing closely the patient for &ital signs leading
A. $0-* "* --
to shoc
. $0-* --* '04
$. ;eeping the patient at rest.
". '04* ep. * $0-
+3. #hich of these signs m ay !O) be FE-F*E*
$. Measles* '04* $0-
as a truly positi"e signs indicati"e of *engue HC
Situation 1#: Hith the increasing documented cases of
fe"er$
"AE"/> the best alternati&e to treatment still remains
A. 0rolonged leeding -ime
to be 0>/4/E-+'E. -he following conditions apply.
. Appearance of at least 2# petechiae within 1 cm
66. #hich among the following is the primary
s=uare
focus of pre"ention of cancer$
". Steadily increasing hematocrit count
A. /limination of conditions causing cancer
$. %all in the platelet count
. $iagnosis and treatment
64. #hich of the following is the most important
". -reatment at early stage
treatment of patients with *engue HCfe"er$
$. /arly detection
A. i&e aspirin for fe&er
6. ;n the pre"ention and control of cancer'
. >eplacement of body ,uids
which of the following acti"ity is the most
". A&oid unnecessary mo&ement
important function of the community health
$. +ce cap o&er abdomen in case of melena
nurse$
Situation 9: ealth education and ealth 0romotion is
A. "onduct community assemblies
an important part of nursing responsibility in the
. >eferral to cancer specialist those clients with
community. +mmuni)ation is a form of health promotion
symptoms of cancer
that aims at pre&enting the common childhood
". se the nine warning signs of cancer as parameters
illnesses.
in our process of detection control and treatment
61. ;n correcting misconceptions and myths
modalities.
about certain diseases and their management'
$. -each women about properLcorrect nutrition.
the health worker should =rst0
6. #ho among the following are recipi ents of
A. +dentify the myths and misconceptions pre&ailing in
the secondary le"el of care for cancer cases$
the community
A. -hose under early case detection
. +dentify the source of these myths and
. -hose under supporti&e care
misconceptions
". -hose scheduled for surgery
". /5plain how and why these myths came about
$. -hose under going treatment
$. Select the appropriate +/" strategies to correct
69. Hho among the following are recipients of the
them.
tertiary le&el of care for cancer casesN
62. How many percent of measles are pre"ented
A. -hose under early treatment
by immuni@ation at 3 months age$
. -hose under supporti&e care
A. !# G
". -hose under early detection
. 9#G
$. -hose scheduled for surgery
". 99 G
4. ;n ,ommunity Health !ursing' despite the
$. 9@ G
a"ailability and use of many eAuipment and
6&. fter ))& "accination a mother is said to be
de"ices to facilitate the Dob of the community
protected to tetanus by around$
health nurse' the nurse should be prepared to
A. !# G
apply is a scienti=c approach. )his approach
. !@ G
ensures Auality of care e"en at t he community
". 99 G
setting. )his nursing parlance is nothing less
$. 9# G
than the0
A. Eursing diagnosis
abnormally sleepy or diKcult to awaken. Her
. Eursing protocol
temperature is &.3 deg ,. 9sing the integrated
". Eursing research
management of childhood illness or ;M,;
$. Eursing process
strategy' if you were the nurse in charge of
Situation 11 D -wo children were brought to you. 'ne
,arol' how will you classify her illness$
with chest indrawing and the other had diarrhea. -he
A. a child at a general danger sign
following =uestions apply:
. &ery se&ere febrile disease
1. 9sing ;ntegrated Management and ,hildhood
". se&ere pneumonia
;llness G;M,; approach' how would you classify
$. se&ere malnutrition
the 1st child$
. #hy are small for gestational age newborns
A. ronchopneumonia
at risk for diKculty maintaining body
. Eo pneumonia: cough or cold
temperature$
". Se&ere pneumonia
A. their sin is more susceptible to conduction of cold
$. 0neumonia
. they are preterm so are born relati&ely small in si)e
2. )he 1st child who is 1& months has fast
". they do not ha&e as many fat stored as other infants
breathing using ;M,; parameters he has0
$. they are more acti&e than usual so they throw o7
A. (# breaths per minute or more
comes
. @# breaths per minute
. O/ytocin is administered to Fita to augment
". 3# breaths per minute or more
labor. #hat are the =rst symptoms of water
$. 6# breaths per minute
into/ication to obser"e for during this
&. !ina' the 2nd child has diarrhea for + days.
procedure$
)here is no blood in the stool. She is irritable and
A. headache and &omiting
her eyes are sunken. )he nurse o>ered Buids and
. a swollen tender tongue
the child drinks eagerly. How would you classify
". a high choing &oice
!inas illness$
$. abdominal bleeding and pain
A. Some dehydration
3. #hich of the following treatment should !O)
. $ysentery
be considered if the child has se"ere dengue
". Se&ere dehydration
hemorrhagic fe"er$
$. Eo dehydration
A. use plan " if there is bleeding from the nose or gums
(. !inas treatment should include the following
. gi&e '>S if there is sin petechiae* persistent
EI,E8)0
&omiting* and positi&e tourni=uet test
A. >eassess the child and classify him for dehydration
". gi&e aspirin
. %or infants under 6 months old who are not
$. pre&ent low blood sugar
breastfed* gi&e 1##2## ml clean water as well during
4. ;n assessing the patients condition using the
this period.
;ntegrated Management of ,hildhood ;llness
". i&e in the health center the recommended amount
approach strategy' the =rst thing that a nurse
of '>S for ( hours.
should do is to0
$. $o not gi&e any other foods to the child for home
. ask what are the childs problem
treatment
. chec the patients le&el of consciousness
+. #hile on treatment' !ina 1 months old
". chec for the four main symptoms
weighed 1 kgs and her temperature registered
$. chec for the general danger signs
at & degrees ,. Her mother says she de"eloped
1. child with diarrhea is obser"ed for the
cough & days ago. !ina has no general danger
following EI,E8)0
signs. She has (+ breathsJminute' no chest
A. how long the child has diarrhea
indrawing' no stridor. How would you classify
. sin petechiae
!inas manifestation.
". presence of blood in the stool
A. Eo pneumonia
$. signs of dehydration
. Se&ere pneumonia
2. )he child with no dehydration needs home
". 0neumonia
treatment. #hich of the following is !O)
$. ronchopneumonia
included in the care for home management at
6. ,arol is 1+ months old and weighs +.+ kgs
this case$
and it is her initial "isit. Her mother says that
A. gi&e drugs e&ery ( hours
,arol is not eating well and unable to breastfeed'
. continue feeding the child
he has no "omiting' has no con"ulsion and not
". gi&e the child more ,uids
#hen the nurse asks the boy his tiredness' he
$. inform when to return to the health center
talks of playing outside until midnight. )he nurse
&. Ms. ordan' F!' belie"es that a patient should
will suspect that this child is0
be treated as indi"idual. )his ethical principle
A. eing raised by a parent of low intelligence B+OC
that the patient referred to0
. An orphan
A. bene
". A &ictim of child neglect
. nonmale
$. -he &ictim of po&erty
". respect for person
34. #hich of the following indicates t he typeGs
$. autonomy
of acute renal failure$
(. #hen patients cannot make decisions for
A. %our types: hemorrhagic with and without clotting*
themsel"es' the nurse ad"ocate relies on the
and nonhemorrhagic with and without clotting
ethical principle of0
. 'ne type: Acute
A. ?ustice and bene
". -hree types: 0rerenal* intrarenal* postrenal
.
$. -wo types: Acute and subacute
". bene
Situation 13: Milo 16 yLo has been diagnosed to ha&e
$.
A+$S* he wored as entertainer in a cruise ship:
+. eing a community health nurse' you ha"e
31. #hich method of transmission is common to
the responsibility of participating in protecting
contract ;*S0
the health of people. ,onsider this sit uation0
A. Syringe and needles
7endors selling bread with their bare hands.
. ody ,uids
)hey recei"e money with these hands. %ou do not
". Se5ual contact
see them washing their hands. #hat should you
$. -ransfusion
say or do$
32. ,ausati"e organism in ;*S is one of the
A. Miss* may + get the bread myself because you ha&e
following0
not washed your hands8
A. %ungus
. All of these
. acteria
". Miss* it is better to use a pic up forcepsL bread
". >etro&irus
tong8
$. 0arasites
$. Miss* your hands are dirty. Hash your hands
3&. %ou are assigned in a pri" ate room of Milo.
before getting the bread8
#hich procedure should be of utmost
Situation 12: -he following =uestions refer to common
importance0
clinical encounters e5perienced by an entry le&el nurse.
A. Alcohol wash
6. female client asks the nurse about the use
. ni&ersal precaution
of cer"ical cap. #hich statement is correct
". Hashing isolation
regarding the use of the cer"ical cap$
$. lo&ing techni=ue
A. +t may a7ect 0ap smear results
3(. #hat primary health teaching would you gi"e
. +t does not need to be
to Milo$
". +t does not re=uire the use of spermicide
A. $aily e5ercise
$. +t must be remo&ed within 2( hours
. 0re&ent infection
. )he maDor components of the communication
". >e&ersal +solation
process are$
$. 0roper nutrition
A. 4erbal* written* and non&erbal
3+. E/ercise precaution must be taken to protect
. Speaer* Fistener and reply
health worker dealing with the ;*S patients'
". %acial e5pression* tone of &oice and gestures
which among these must be done as priority$
$. Message* sender* channel* >ecei&er and %eedbac
A. oil used syringes and needles
. )he e/tent of burns in children are normally
. se glo&es when handling specimen
assessed and e/pressed in terms of0
". Fabel personal belonging
A. -he amount of body surface that is unburned
$. A&oid accidental wound
. 0ercentages of total body surface area B-SAC
Situation 1(: Michelle is a 6 year old preschooler. She
". ow deep the deepest burns are
was reported by her sister to ha&e measles but she was
$. -he se&erity of the burns on a 1 to @ burn scale
at home because of fe&er* upper respiratory problem
3. )he school nurse notices a child who is
and white sports in her mouth.
wearing old' dirty' poorC=tting clothes is always
36. Fubeola is an rabic term meaning Fed' the
hungry has no lunch money and is always tired.
rash appears on the skin in in"asi"e stage prior
to eruption. s a nurse' your physical
2. !urse Feese is re"iewing the record of a
e/amination must determine complication
pregnant client for her =rst prenatal "isit. #hich
especially0
of the following data' if noted on the clients
A. 'titis media
record' would alert the nurse that the client is at
. ronchial pneumonia
risk for a spontaneous abortion$
". +n,ammatory con?uncti&a $. Membranous laryngitis
a. Age 36 years
3. )o render comfort measure is one of the
b. istory of syphilis
priorities' which includes care of the skin' eyes'
c. istory of genital herpes
ears' mouth and nose. )o clean the mouth' your
d. istory of diabetes mellitus
antiseptic is in some form of which one below$
A. Hater . Sulfur ". Alaline $. Salt 3. s a public health nurse' you teach mother and family members the pre"ention of complication of measles. #hich of the following should be closely watched$
A. -emperature fails to drop . +n,ammation of the con?uncti&a ". +n,ammation of the nasopharyn5 $. lcerati&e stomatitis 33. Source of infection of measles is secretion of nose and throat of infection person. ?ilterable of measles is transmitted by0
A. Hater supply . $roplet
&. !urse Ha@el is preparing to care for a client who is newly admitted to the hospital with a possible diagnosis of ectopic pregnancy. !urse Ha@el de"elops a plan of care for the client and determines that which of the following nursing actions is the priority$
a. Monitoring weight b. Assessing for edema c. Monitoring apical pulse d. Monitoring temperature (. !urse Oli"er is teaching a diabetic pregnant client about nutrition and insulin needs during pregnancy. )he nurse determines that the client understands dietary and insulin needs if the client states that the second half of pregnancy reAuire0
". %ood ingestion $. Se5ual contact
a. $ecreased caloric intae
144. Method of pre"ention is to a"oid e/posure
b. +ncreased caloric intae
to an infection person. !ursing responsibility for
c. $ecreased +nsulin
rehabilitation of patient includes the pro"ision
d. +ncrease +nsulin
of0
A. -erminal disinfection
+. !urse Michelle is assessing a 2( year old client
. +n?ection of gamma globulin
with a diagnosis of hydatidiform mole. She is
". +mmuni)ation
aware that one of the following is unassociated
$. "omfort measures
with this condition$
1. May arri"es at the health care clinic and tells
a. /5cessi&e fetal acti&ity.
the nurse that her last menstrual period was 3
b. Farger than normal uterus for gestational age.
weeks ago. She also tells the nurse that a home
c. 4aginal bleeding
pregnancy test was positi"e but she began to
d. /le&ated le&els of human chorionic gonadotropin.
ha"e mild cramps and is now ha"ing moderate "aginal bleeding. *uring the physical
6. pregnant client is r ecei"ing magnesium
e/amination of the client' the nurse notes that
sulfate for se"ere pregnancy induced
May has a dilated cer"i/. )he nurse determ ines
hypertension G8;H. )he clinical =ndings that
that May is e/periencing which type of abortion$
would warrant use of the antidote ' calcium gluconate is0
a. +ne&itable b. +ncomplete
a. rinary output 9# cc in 2 hours.
c. -hreatened
b. Absent patellar re,e5es.
d. Septic
c. >apid respiratory rate abo&e (#Lmin. d. >apid rise in blood pressure.
. *uring "aginal e/amination of anna who is in
c. /ncourage the mother to hold the child.
labor' the presenting part is at station plus two.
d. +gnore the crying and screaming.
!urse' correctly interprets it as0 12. aby )ina a & month old infant Dust had a
a. 0resenting part is 2 cm abo&e the plane of the ischial
cleft lip and palate repair. #hat should the nurse
spines.
do to pre"ent trauma to operati"e site$
b. iparietal diameter is at the le&el of the ischial spines.
a. A&oid touching the suture line* e&en when cleaning.
c. 0resenting part in 2 cm below the plane of the ischial
b. 0lace the baby in prone position.
spines.
c. i&e the baby a paci
d. iparietal diameter is 2 cm abo&e the ischial spines.
d. 0lace the infants arms in soft elbow restraints.
. pregnant client is recei"ing o/ytocin
1&. #hich action should nurse Marian include in
G8itocin for induction of labor. condition that
the care plan for a 2 month old with heart
warrant the nurse inCcharge to discontinue ;.7.
failure$
infusion of 8itocin is0
a. %eed the infant when he cries. a. "ontractions e&ery 1 P minutes lasting K#!#
b. Allow the infant to rest before feeding.
seconds.
c. athe the infant and administer medications before
b. Maternal temperature 1#1.2
feeding.
c. /arly decelerations in the fetal heart rate.
d. Heigh and bathe the infant before feeding.
d. %etal heart rate baseline 1(#16# bpm. 1(. !urse Ha@el is teaching a mother who plans 3. ,alcium gluconate is being administered to a
to discontinue breast feeding after + months.
client with pregnancy induced hypertension
)he nurse should ad"ise her to include which
G8;H. nursing action that must be initiated as
foods in her infants diet$
the plan of care throughout inDection of the drug is0
a. Sim mil and baby food. b. Hhole mil and baby food.
a. 4entilator assistance
c. +ronrich formula only.
b. "40 readings
d. +ronrich formula and baby food.
c. /; tracings d. "ontinuous "0>
1+. Mommy Linda is playing with her infant' who is sitting securely alone on the Boor of the clinic.
14. trial for "aginal deli"ery after an earlier
)he mother hides a toy behind her back and the
caesareans' would likely to be gi"en to a gra"ida'
infant looks for it. )he nurse is aware that
who had0
estimated age of the infant would be0
a. %irst low trans&erse cesarean was for acti&e herpes
a. 6 months
type 2 infections &aginal culture at 39 wees
b. ( months
pregnancy was positi&e.
c. ! months
b. %irst and second caesareans were for cephalopel&ic
d. 1# months
disproportion. c. %irst caesarean through a classic incision as a result of se&ere fetal distress. d. %irst low trans&erse caesarean was for breech position. %etus in this pregnancy is in a &erte5 presentation. 11. !urse Fyan is aware that the best initial approach when trying to take a crying toddlers temperature is0
16. #hich of the following is the most prominent feature of public health nursing$
a. +t in&ol&es pro&iding home care to sic people who are not con
a. -al to the mother
curati&e* ser&ices.
1. #hen the nurse determines whether
22. !urse )ina is aware that the disease declared
resources were ma/imi@ed in implementing
through 8residential 8roclamation !o. ( as a
Ligtas )igdas GMeasles 8re"ention' she is
target for eradication in the 8hilippines is$
e"aluating0
a. 0oliomyelitis a. /7ecti&eness
b. Measles
b. /Iciency
c. >abies
c. Ade=uacy
d. Eeonatal tetanus
d. Appropriateness 2&. May knows that the step in community 1. 7angie is a new .S.!. graduate. She w ants
organi@ing that in"ol"es training of potential
to become a 8ublic Health !urse. #here should
leaders in the community is0
she apply$
a. +ntegration a. $epartment of ealth
b. "ommunity organi)ation
b. 0ro&incial ealth 'Ice
c. "ommunity study
c. >egional ealth 'Ice
d. "ore group formation
d. >ural ealth nit 2(. eth a public health nurse t akes an acti"e 13. )ony is aware the ,hairman of the Municipal
role in community participation. #hat is t he
Health oard is0
primary goal of community organi@ing$
a. Mayor
a. -o educate the people regarding community health
b. Municipal ealth 'Icer
problems
c. 0ublic ealth Eurse
b. -o mobili)e the people to resol&e community health
d. Any =uali
problems c. -o ma5imi)e the communitys resources in dealing
24. Myra is the public health nurse in a
with health problems.
municipality with a total population of about
d. -o ma5imi)e the communitys resources in dealing
24'444. )here are & rural health midwi"es among
with health problems.
the FH9 personnel. How many more midwife items will the FH9 need$
2+. )ertiary pre"ention is needed in which stage of the natural history of disease$
a. 1 b. 2
a. 0repathogenesis
c. 3
b. 0athogenesis
d. -he > does not need any more midwife item.
c. 0rodromal d. -erminal
21. ccording to ?reeman and Heinrich' community health nursing is a de"elopmental
26. )he nurse is caring for a primigra"id client in
ser"ice. #hich of the following best illustrates
the labor and deli"ery area. #hich condition
this statement$
would place the client at risk for disseminated intra"ascular coagulation G*;,$
a. -he community health nurse continuously de&elops himself personally and professionally.
a. +ntrauterine fetal death.
b. ealth education and community organi)ing are
b. 0lacenta accreta.
necessary in pro&iding community health ser&ices.
c. $ysfunctional labor.
c. "ommunity health nursing is intended primarily for
d. 0remature rupture of the membranes.
health promotion and pre&ention and treatment of disease.
2. full term client is in labor. !urse etty is
d. -he goal of community health nursing is to pro&ide
aware that the fetal heart rate would be0
nursing ser&ices to people in their own places of residence.
a. !# to 1## beatsLminute b. 1## to 12# beatsLminute
c. 12# to 16# beatsLminute
c. Mastitis
d. 16# to 1!# beatsLminute
d. 0hysiologic anemia
2. )he skin in the diaper area of a month old
&(. !urse Lynette is working in the triage area of
infant is e/coriated and red. !urse Ha@el should
an emergency department. She sees that se"eral
instruct the mother to0
pediatric clients arri"e simultaneously. )he client who needs to be treated =rst is0
a. "hange the diaper more often. b. Apply talc powder with diaper changes.
a. A crying @ year old child with a laceration on his
c. Hash the area &igorously with each diaper change.
scalp.
d. $ecrease the infants ,uid intae to decrease
b. A ( year old child with a baring coughs and ,ushed
saturating diapers.
appearance. c. A 3 year old child with $own syndrome who is pale
23. !urse ,arla knows that the common cardiac
and asleep in his mothers arms.
anomalies in children with *own Syndrome
d. A 2 year old infant with stridorous breath sounds*
Gtrisomy 21 is0
sitting up in his mothers arms and drooling.
a. Atrial septal defect
&+. Maureen in her third trimester arri"es at the
b. 0ulmonic stenosis
emergency room with painless "aginal bleeding.
c. 4entricular septal defect
#hich of the following conditions is suspected$
d. /ndocardial cushion defect a. 0lacenta pre&ia &4. Malou was diagnosed with se"ere
b. Abruptio placentae
preeclampsia is now recei"ing ;.7. magnesium
c. 0remature labor
sulfate. )he ad"erse e>ects associated with
d. Se5ually transmitted disease
magnesium sulfate is0 &6. young child named Fichard is suspected of
a. Anemia
ha"ing pinworms. )he community nurse collects
b. $ecreased urine output
a stool specimen to con=rm the diagnosis. )he
c. yperre,e5ia
nurse should schedule the collection of this
d. +ncreased respiratory rate
specimen for0
&1. 2& year old client is ha"ing her menstrual
a. Qust before bedtime
period e"ery 2 weeks that last for 1 week. )his
b. After the child has been bathe
type of menstrual pattern is bets de=ned by0
c. Any time during the day d. /arly in the morning
a. Menorrhagia b. Metrorrhagia
&. ;n doing a childs admission assessment'
c. $yspareunia
!urse etty should be alert to note which signs
d. Amenorrhea
or symptoms of chronic lead poisoning$
&2. annah is admitted to the labor and deli"ery
a. +rritability and sei)ures
unit. )he critical laboratory result for this client
b. $ehydration and diarrhea
would be0
c. radycardia and hypotension d. 0etechiae and hematuria
a. '5ygen saturation b. +ron binding capacity
&. )o e"aluate a womans understanding about
c. lood typing
the use of diaphragm for family planning' !urse
d. Serum "alcium
)rish asks her to e/plain how she will use the appliance. #hich response indicates a need for
&&. !urse -ina is aware that the most common
further health teaching$
condition found during the secondCtrimester of pregnancy is0
a. + should chec the diaphragm carefully for holes e&ery time + use it8
a. Metabolic alalosis b. >espiratory acidosis
b. + may need a di7erent si)e of diaphragm if + gain or
lose weight more than 2# pounds8
a. Stable blood pressure
c. -he diaphragm must be left in place for at least 6
b. 0atent fontanelles
hours after intercourse8
c. Moros re,e5
d. + really need to use the diaphragm and ?elly most
d. 4oided
during the middle of my menstrual cycle8. ((. !urse ,arla should know that the most &3. Hypo/ia is a common complication of
common causati"e factor of dermatitis in infants
laryngotracheobronchitis. !urse Oli"er should
and younger children is0
freAuently assess a child with laryngotracheobronchitis for0
a. aby oil b. aby lotion
a. $rooling
c. Faundry detergent
b. MuRed &oice
d. 0owder with cornstarch
c. >estlessness d. Fowgrade fe&er
(+. *uring tube feeding' how far abo"e an infants stomach should the nurse hold the
(4. How should !urse Michelle guide a child who
syringe with formula$
is blind to walk to the playroom$
a. 6 inches a. Hithout touching the child* tal continuously as the
b. 12 inches
child wals down the hall.
c. 1! inches
b. Hal one step ahead* with the childs hand on the
d. 2( inches
nurses elbow. c. Hal slightly behind* gently guiding the child
(6. ;n a mothers class' !urse Lynnette discussed
forward.
childhood diseases such as chicken po/. #hich of
d. Hal ne5t to the child* holding the childs hand.
the following statements about chicken po/ is correct$
(1. #hen assessing a newborn diagnosed with ductus arteriosus' !urse Oli"ia should e/pect
a. -he older one gets* the more susceptible he
that the child most likely would ha"e an0
becomes to the complications of chicenpo5. b. A single attac of chicenpo5 will pre&ent future
a. Foud* machinerylie murmur.
episodes* including conditions such as shingles.
b. luish color to the lips.
c. -o pre&ent an outbrea in the community* =uarantine
c. $ecreased 0 reading in the upper e5tremities
may be imposed by health authorities.
d. +ncreased 0 reading in the upper e5tremities.
d. "hicen po5 &accine is best gi&en when there is an impending outbrea in the community.
(2. )he reason nurse May keeps the neonate in a neutral thermal en"ironment is that when a
(. arangay 8inoy had an outbreak of -erman
newborn becomes too cool' the neonate
measles. )o pre"ent congenital rubella' what is
reAuires0
the ES) ad"ice that you can gi"e to women in the =rst trimester of pregnancy in the arangay
a. Fess o5ygen* and the newborns metabolic rate
8inoy$
increases. b. More o5ygen* and the newborns metabolic rate
a. Ad&ise them on the signs of erman measles.
decreases.
b. A&oid crowded places* such as marets and mo&ie
c. More o5ygen* and the newborns metabolic rate
houses.
increases.
c. "onsult at the health center where rubella &accine
d. Fess o5ygen* and the newborns metabolic rate
may be gi&en.
decreases.
d. "onsult a physician who may gi&e them rubella immunoglobulin.
(&. efore adding potassium to an infants ;.7. line' !urse Fon must be sure to assess whether
(. Myrna a public health nurse knows that to
this infant has0
determine possible sources of se/ually transmitted infections' the ES) method that may be undertaken is0
a. "ontact tracing
a. 3 seconds
b. "ommunity sur&ey
b. 6 seconds
c. Mass screening tests
c. 9 seconds
d. +nter&iew of suspects
d. 1# seconds
(3. &&Cyear old female client came for
+(. ;n ;ntegrated Management of ,hildhood
consultation at the health center with the chief
;llness' the nurse is aware that the se"ere
complaint of fe"er for a week. ccompanying
conditions generally reAuire urgent referral to a
symptoms were muscle pains and body malaise.
hospital. #hich of the following se"ere
week after the start of fe"er' the client noted
conditions *OES !O) always reAuire urgent
yellowish discoloration of his sclera. History
referral to a hospital$
showed that he waded in Bood waters about 2 weeks before the onset of symptoms. ased on
a. Mastoiditis
her history' which disease condition will you
b. Se&ere dehydration
suspect$
c. Se&ere pneumonia d. Se&ere febrile disease
a. epatitis A b. epatitis
++. Myrna a public health nurse will conduct
c. -etanus
outreach immuni@ation in a barangay Masay with
d. Feptospirosis
a population of about 1+44. )he estimated number of infants in the barangay would be0
+4. Mickey a &Cyear old client was brought to the health center with the chief complaint of se"ere
a. (@ infants
diarrhea and the passage of :riceCwatery< stools.
b. @# infants
)he client is most probably su>ering from which
c. @@ infants
condition$
d. 6@ infants
a. iardiasis
+6. )he community nurse is aware that the
b. "holera
biological used in E/panded 8rogram on
c. Amebiasis
;mmuni@ation GE8; should !O) be stored in the
d. $ysentery
free@er$
+1. )he most pre"alent form of meningitis among
a. $0-
children aged 2 months to & years is caused by
b. 'ral polio &accine
which microorganism$
c. Measles &accine d. MM>
a. emophilus in,uen)ae b. Morbilli&irus
+. ;t is the most e>ecti"e way of controlling
c. Streptococcus pneumoniae
schistosomiasis in an endemic area$
d. Eeisseria meningitidis a. se of molluscicides +2. )he student nurse is aware that the
b. uilding of foot bridges
pathognomonic sign of measles is 5opliks spot
c. 0roper use of sanitary toilets
and you may see 5opliks spot by inspecting the0
d. se of protecti&e footwear* such as rubber boots
a. Easal mucosa
+. Se"eral clients is newly admitted and
b. uccal mucosa
diagnosed with leprosy. #hich of the following
c. Sin on the abdomen
clients should be classi=ed as a case of
d. Sin on nec
multibacillary leprosy$
+&. ngel was diagnosed as ha"ing *engue fe"er.
a. 3 sin lesions* negati&e slit sin smear
%ou will say that there is slow capillary re=ll
b. 3 sin lesions* positi&e slit sin smear
when the color of the nail bed that you pressed
c. @ sin lesions* negati&e slit sin smear
does not return within how many seconds$
d. @ sin lesions* positi&e slit sin smear
+3. !urses are aware that diagnosis of leprosy is
d. Fet the child rest for 1# minutes then continue gi&ing
highly dependent on recognition of symptoms.
'resol more slowly.
#hich of the following is an early sign of leprosy$
6(. !ikki a +Cmonth old infant was brought by his mother to the health center because of diarrhea
a. Macular lesions
for ( to + times a day. Her skin goes back slowly
b. +nability to close eyelids
after a skin pinch and her eyes are sunken. 9sing
c. -hicened painful ner&es
the ;M,; guidelines' you will classify this infant in
d. Sining of the nosebridge
which category$
64. Marie brought her 14 month old infant for
a. Eo signs of dehydration
consultation because of fe"er' started ( days
b. Some dehydration
prior to consultation. ;n determining malaria risk'
c. Se&ere dehydration
what will you do$
d. -he data is insuIcient.
a. 0erform a tourni=uet test.
6+. ,hris a (Cmonth old infant was brought by
b. As where the family resides.
her mother to the health center because of
c. et a specimen for blood smear.
cough. His respiratory rate is (2 Jminute. 9sing
d. As if the fe&er is present e&eryday.
the ;ntegrated Management of ,hild ;llness G;M,; guidelines of assessment' his breathing is
61. Susie brought her ( years old daughter to the
considered as0
FH9 because of cough and colds. ?ollowing the ;M,; assessment guide' which of the following is
a. %ast
a danger sign that indicates the need for urgent
b. Slow
referral to a hospital$
c. Eormal d. +nsigni
a. +nability to drin b. igh grade fe&er
66. Maylene had Dust recei"ed her (th dose of
c. Signs of se&ere dehydration
tetanus to/oid. She is aware that her baby will
d. "ough for more than 3# days
ha"e protection against tetanus for
62. immy a 2Cyear old child re"ealed :baggy
a. 1# year
pants<. s a nurse' using the ;M,; guidelines'
b. @ years
how will you manage immy$
c. 3 years d. Fifetime
a. >efer the child urgently to a hospital for con
6. !urse Fon is aware that unused ,- should
b. "oordinate with the social worer to enroll the child
be discarded after how many hours of
in a feeding program.
reconstitution$
c. Mae a teaching plan for the mother* focusing on menu planning for her child.
a. 2 hours
d. Assess and treat the child for health problems lie
b. ( hours
infections and intestinal parasitism.
c. ! hours d. At the end of the day
6&. -ina is using Oresol in the management of diarrhea of her &Cyear old child. She asked you
6. )he nurse e/plains to a breastfeeding mother
what to do if her child "omits. s a nurse you will
that breast milk is suKcient for all of the babys
tell her to0
nutrient needs only up to0
a. ring the child to the nearest hospital for further
a. @ months
assessment.
b. 6 months
b. ring the child to the health center for intra&enous
c. 1 year
,uid therapy.
d. 2 years
c. ring the child to the health center for assessment by the physician.
63. !urse Fon is aware that the gestational age
+. #hich symptom would indicate the aby
of a conceptus that is considered "iable Gable to
le/andra was adapting appropriately to e/traC
li"e outside the womb is0
uterine life without diKculty$
a. ! wees
a. Easal ,aring
b. 12 wees
b. Fight audible grunting
c. 2( wees
c. >espiratory rate (# to 6# breathsLminute
d. 32 wees
d. >espiratory rate 6# to !# breathsLminute
4. #hen teaching parents of a neonate the
6. #hen teaching umbilical cord care for
proper position for the neonates sleep' the nurse 8atricia stresses the importance of placing
ennifer a new mother' the nurse enny would include which information$
the neonate on his back to reduce t he risk of which of the following$
a. Apply pero5ide to the cord with each diaper change b. "o&er the cord with petroleum ?elly after bathing
a. Aspiration
c. ;eep the cord dry and open to air
b. Sudden infant death syndrome BS+$SC
d. Hash the cord with soap and water each day during
c. Su7ocation
a tub bath.
d. astroesophageal re,u5 B/>C . !urse ohn is performing an assessment on a 1. #hich =nding might be seen in baby ames a
neonate. #hich of the following =ndings is
neonate suspected of ha"ing an infection$
considered common in the healthy neonate$
a. %lushed chees
a. Simian crease
b. +ncreased temperature
b. "on?uncti&al hemorrhage
c. $ecreased temperature
c. "ystic hygroma
d. +ncreased acti&ity le&el
d. ulging fontanelle
2. aby enny who is smallCforCgestation is at
. *r. Este"es decides to arti=cially rupture the
increased risk during the transitional period for
membranes of a mother who is on labor.
which complication$
?ollowing this procedure' the nurse Ha@el checks the fetal heart tones for which the following
a. Anemia probably due to chronic fetal hypo5ia
reasons$
b. yperthermia due to decreased glycogen stores c. yperglycemia due to decreased glycogen stores
a. -o determine fetal wellbeing.
d. 0olycythemia probably due to chronic fetal hypo5ia
b. -o assess for prolapsed cord c. -o assess fetal position
&. MarDorie has Dust gi"en birth at (2 weeks
d. -o prepare for an imminent deli&ery.
gestation. #hen the nurse assessing the neonate' which physical =nding is e/pected$
3. #hich of the following would be least likely to indicate anticipated bonding beha"iors by new
a. A sleepy* lethargic baby
parents$
b. Fanugo co&ering the body c. $es=uamation of the epidermis
a. -he parents willingness to touch and hold the
d. 4erni5 caseosa co&ering the body
newborn. b. -he parents e5pression of interest about the si)e of
(. fter re"iewing the Myrnas maternal history
the newborn.
of magnesium sulfate during labor' which
c. -he parents indication that they want to see the
condition would nurse Fichard anticipate as a
newborn.
potential problem in the neonate$
d. -he parents interactions with each other.
a. ypoglycemia
4. ?ollowing a precipitous deli"ery' e/amination
b. Qitteriness
of the clients "agina re"eals a fourthCdegree
c. >espiratory depression
laceration. #hich of the following would be
d. -achycardia
contraindicated when caring for this client$
a. Applying cold to limit edema during the
c. Monitor partial pressure of o5ygen B0ao2C le&els.
hours.
d. umidify the o5ygen.
b. +nstructing the client to use two or more peri pads to cushion the area.
+. #hich of the following is normal newborn
c. +nstructing the client on the use of sit) baths if
calorie intake$
ordered. d. +nstructing the client about the importance of perineal BegelC e5ercises.
a. 11# to 13# calories per g. b. 3# to (# calories per lb of body weight. c. At least 2 ml per feeding
1. pregnant woman accompanied by her
d. 9# to 1## calories per g
husband' seeks admission to the labor and deli"ery area. She states that shes in labor and says she attended the facility clinic for prenatal care. #hich Auestion should the nurse Oli"er ask her =rst$
a. $o you ha&e any chronic illnessesN8 b. $o you ha&e any allergiesN8 c. Hhat is your e5pected due dateN8 d. Hho will be with you during laborN8 2. neonate begins to gag and turns a dusky color. #hat should the nurse do =rst$
6. !urse ohn is knowledgeable that usually indi"idual twins will grow appropriately and at the same rate as singletons until how many weeks$
a. 16 to 1! wees b. 1! to 22 wees c. 3# to 32 wees d. 3! to (# wees . #hich of the following classi=cations applies to mono@ygotic twins for whom the clea"age of the fertili@ed o"um occurs more than 1& days
a. "alm the neonate.
after fertili@ation$
b. Eotify the physician. c. 0ro&ide o5ygen &ia face mas as ordered d. Aspirate the neonates nose and mouth with a bulb syringe.
a. con?oined twins b. diamniotic dichorionic twins c. diamniotic monochorionic twin d. monoamniotic monochorionic twins
&. #hen a client states that her :water broke'< which of the following actions would be inappropriate for the nurse to do$
. )yra e/perienced painless "aginal bleeding has Dust been diagnosed as ha"ing a placenta pre"ia. #hich of the following procedures is
a. 'bser&ing the pooling of strawcolored ,uid.
usually performed to diagnose placenta pre"ia$
b. "hecing &aginal discharge with nitra)ine paper. c. "onducting a bedside ultrasound for an amniotic ,uid inde5. d. 'bser&ing for ,aes of &erni5 in the &aginal discharge. (. baby girl is born weeks premature. t birth' she has no spontaneous respirations but is successfully resuscitated. #ithin se"eral hours she de"elops respiratory grunting' cyanosis' tachypnea' nasal Baring' and retractions. Shes diagnosed with respiratory distress syndrome' intubated' and placed on a "entilator. #hich nursing action should be included in the babys plan of care to pre"ent retinopathy of prematurity$
a. "o&er his eyes while recei&ing o5ygen. b. ;eep her body temperature low.
a. Amniocentesis b. $igital or speculum e5amination c. /5ternal fetal monitoring d. ltrasound 3. !urse rnold knows that the f ollowing changes in respiratory functioning during pregnancy is considered normal0
a. +ncreased tidal &olume b. +ncreased e5piratory &olume c. $ecreased inspiratory capacity d. $ecreased o5ygen consumption 34. Emily has gestational diabetes and it is usually managed by which of the following therapy$
a. $iet b. Fongacting insulin
c. 'ral hypoglycemic
c. 0yelonephritis
d. 'ral hypoglycemic drug and insulin
d. rinary tract infection B-+C
31. Magnesium sulfate is gi"en to emma with
36. Fh isoimmuni@ation in a pregnant client
preeclampsia to pre"ent which of the f ollowing
de"elops during which of the following
condition$
conditions$
a. emorrhage
a. >hpositi&e maternal blood crosses into fetal blood*
b. ypertension
stimulating fetal antibodies.
c. ypomagnesemia
b. >hpositi&e fetal blood crosses into maternal blood*
d. Sei)ure
stimulating maternal antibodies. c. >hnegati&e fetal blood crosses into maternal blood*
32. ,ammile with sickle cell anemia has an
stimulating maternal antibodies.
increased risk for ha"ing a sickle cell crisis
d. >hnegati&e maternal blood crosses into fetal blood*
during pregnancy. ggressi"e management of a
stimulating fetal antibodies.
sickle cell crisis includes which of the following measures$
3. )o promote comfort during labor' the nurse ohn ad"ises a client to assume certain positions
a. Antihypertensi&e agents
and a"oid others. #hich position may cause
b. $iuretic agents
maternal hypotension and fetal hypo/ia$
c. +.4. ,uids d. Acetaminophen B-ylenolC for pain
a. Fateral position b. S=uatting position
3&. #hich of the following drugs is the antidote
c. Supine position
for magnesium to/icity$
d. Standing position
a. "alcium gluconate B;alcinateC
3. ,eleste who used heroin during her
b. ydrala)ine BApresolineC
pregnancy deli"ers a neonate. #hen assessing
c. Ealo5one BEarcanC
the neonate' the nurse Lynnette e/pects to =nd0
d. >ho B$C immune globulin B>hoAMC a. Fethargy 2 days after birth. 3(. Marlyn is screened for tuberculosis during
b. +rritability and poor sucing.
her =rst prenatal "isit. n intradermal inDection
c. A ,attened nose* small eyes* and thin lips.
of puri=ed protein deri"ati"e G88* of the
d. "ongenital defects such as limb anomalies.
tuberculin bacilli is gi"en. She is considered to ha"e a positi"e test for which of the following
33. )he uterus returns to the pel"ic ca"ity in
results$
which of the following time frames$
a. An indurated wheal under 1# mm in diameter
a. Kth to 9th day postpartum.
appears in 6 to 12 hours.
b. 2 wees postpartum.
b. An indurated wheal o&er 1# mm in diameter appears
c. /nd of 6th wee postpartum.
in (! to K2 hours.
d. Hhen the lochia changes to alba.
c. A ,at circumcised area under 1# mm in diameter appears in 6 to 12 hours. d. A ,at circumcised area o&er 1# mm in diameter appears in (! to K2 hours.
144. Maureen' a primigra"ida client' age 24' has Dust completed a diKcult' forcepsCassisted deli"ery of twins. Her labor was unusually long and reAuired o/ytocin G8itocin augmentation.
3+. *ianne' 2( yearCold is 2 weeks pregnant
)he nurse whos caring for her should stay alert
arri"es at her physicians oKce wit h complaints
for0
of fe"er' nausea' "omiting' malaise' unilateral Bank pain' and costo"ertebral angle tenderness.
a. terine in&ersion
#hich of the following diagnoses is most likely$
b. terine atony c. terine in&olution
a. Asymptomatic bacteriuria b. acterial &aginosis
d. terine discomfort
Situation : Eurse Macarena is a %amily 0lanning and +nfertility Eurse Specialist and currently attends to %AM+F 0FAEE+E "F+/E-S AE$ +E%/>-+F/ "'0F/S. -he following conditions pertain to meeting the nursing needs of this particular population group. 1. $aphne* 19 years old* ass nurse Macarena how can pregnancy be pre&ented through tubal ligation. Hhich would be the best answerN A. 0rostaglandins released from the cut fallopian tubes will lead to permanent closure of the &agina. . Sperm can not enter the uterus because the cer&ical entrance is bloced. ". Sperm can no longer reach the o&a* because the fallopian tubes are bloced $. -he o&ary no longer releases o&a as there is no where for them to go. 2. -he Ste&ens are a couple undergoing testing for infertility. +nfertility is said to e5ist when: A. A woman has no uterus . A woman has no children ". A couple has been trying to concei&e for 1 year $. A couple has wanted a child for 6 months 3. Another client named "indy is diagnosed as ha&ing endometriosis. -his condition interferes with fertility because: A. /ndometrial implants can bloc the fallopian tubes . -he uterine cer&i5 becomes in,amed and swollen ". -he endometrial lining becomes in,amed leading to narrowing of the cer&i5. $. +n,ammation of the endometrium causes release of substance 0 which ills the sperm. (. "indy submits herself to %atima Medical "enter and is scheduled to ha&e a hysterosalpingogram. Hhich of the following instructions would you gi&e her regarding this procedureN A. Menstruation will be irregular for few months as an e7ect of the dye but it is ?ust normal . -he sonogram of the uterus will re&eal any tumors present ". -he women may e5perience some itchiness in the &agina as an after e7ect. $. "ramping may be felt when the dye is inserted @. "indys cousin on the other hand* nowing nurse Macarenas speciali)ation ass what arti
$. mobili)e drugs more rapidly !. /lder clients are often at ris of ha&ing impaired sin integrity. 'ne factor is that they often e5perience urinary incontinence. -he elderly patient is at higher ris for urinary incontinence because of: A. increased glomerular estlessness* confusion* irritability 1#. 0rioriti)ation is important to test a nurses good ?udgment towards di7erent situations. 0riorities when caring for the elderly trauma patient: A. circulation* airway* breathing . disability BneurologicC* airway* breathing ". airway* breathing* disability BneurologicC $. airway* breathing* circulation 11. -he nurse assessing newborn babies and infants during their hospital stay after birth will notice which of the following symptoms as a primary manifestation of AchalasiaN A. 'li&e shaped mass on abdomen . %ailure to pass meconium during the
16. race sustained a laceration on her leg from automobile accident. Hhy are lacerations of lower e5tremities potentially more serious among pregnant women than otherN A. lacerations can pro&oe allergic responses due to gonadotropic hormone release . a woman is less able to eep the laceration clean because of her fatigue ". healing is limited during pregnancy so these will not heal until after birth $. increased bleeding can occur from uterine pressure on leg &eins 1K. ou are the nurse assigned to wor with a child with acute glomerulonephritis. y following the prescribed treatment regimen* the child e5periences a remission. ou are now checing to mae sure the child does not ha&e a relapse. Hhich ight 'ccipitoAnterior 0osition ". reech position $. Feft 'ccipito0osterior 0osition 19. Hhich among the following is the primary focus of pre&ention of cancerN A. /limination of conditions causing cancer . $iagnosis and treatment ". -reatment at early stage $. /arly detection 2#. +n the pre&ention and control of cancer* which of the following acti&ities is the most important function of the community health nurseN A. "onduct community assemblies. . >eferral to cancer specialist those clients with symptoms of cancer. ". se the nine warning signs of cancer as parameters in our process of detection* control and treatment modalities. $. -each women about properLcorrect nutrition. 21. Hho among the following are recipients of the secondary le&el of care for cancer casesN A. -hose under early case detection . -hose under post case treatment ". -hose scheduled for surgery $. -hose undergoing treatment 22. Hho among the following are recipients of the tertiary le&el of care for cancer casesN A. -hose under early treatment ". -hose under early detection . -hose under supporti&e care $. -hose scheduled for surgery 23. eing a community health nurse* you ha&e the responsibility of participating in protecting the health of people. "onsider this situation: 4endors selling bread with their bare hands. -hey recei&e money with these
hands. ou do not see them washing their hands. Hhat should you sayLdoN A. Miss* may + get the bread myself because you ha&e not washed your hands8 . All of these ". Miss* it is better to use a pic up forcepsL bread tong8 $. Miss* your hands are dirty. Hash your hands e&erse isolation $. 0roper nutrition 31. /5ercise precaution must be taen to protect health worer dealing with the A+$S patients. Hhich among these must be done as priority: A. oil used syringe and needles . se glo&es when handling specimen ". Fabel personal belonging $. A&oid accidental wound Situation: Michelle is a 6 year old preschooler. She was reported by her sister to ha&e measles but she is at
home because of fe&er* upper respiratory problem and white sports in her mouth. 32. >ubeola is an Arabic term meaning >ed* the rash appears on the sin in in&asi&e stage prior to eruption behind the ears. As a nurse* your physical e5amination must determine complication especially: A. 'titis media . ronchial pneumonia ". +n,ammatory con?uncti&a $. Membranous laryngitis 33. -o render comfort measure is one of the priorities* Hhich includes care of the sin* eyes* ears* mouth and nose. -o clean the mouth* your antiseptic solution is in some form of which one belowN A. Hater . Sulfur ". Alaline $. Salt 3(. As a public health nurse* you teach mother and family members the pre&ention of complication of measles. Hhich of the following should be closely watchedN A. -emperature fails to drop . +n,ammation of the con?uncti&a ". +n,ammation of the nasopharyn5 $. lcerati&e stomatitis 3@. Source of infection of measles is secretion of nose and throat of infection person. %ilterable &irus of measles is transmitted by: A. Hater supply . $roplet ". %ood ingestion $. Se5ual contact 36. Method of pre&ention is to a&oid e5posure to an infected person. Eursing responsibility for rehabilitation of patient includes the pro&ision of: A. -erminal disinfection . +n?ection of gamma globulin ". +mmuni)ation $. "omfort measures S+-A-+'E: Se5ually -ransmitted $iseases are important to identify during pregnancy because of their potential e7ect on the pregnancy* fetus* or newborn. -he following =uestions pertain to S-$s. 3K. Ms. >eynaldita is a promiscuous woman in Manila submits herself to the clinic for certain e5aminations. She is e5periencing &aginal irritation* redness* and a thic cream cheese &aginal discharge. As a nurse* you will suspect that Ms. >eynaldita is ha&ing what diseaseN A. ardnerella 4aginalis . "andida Albicans ". -reponema 0allidum $. Moniliasis 3!. As a nowledgeable nurse* you now that the doctor may prescribe a certain medications for Ms. >eynaldita. Hhat is the drug of choice for >eynalditas infectionN A. haloperidol . micona)ole ". ben)athine penicillin $. metronida)ole 39. ased on your learnings* you now that the causati&e agent of >eynalditas infection is: A. Monistat "andida . "andida Albicans ". Albopictus "andidiasis $. Monaii
(#. -he microorganism that causes >eynalditas infection is a: A. acteria . 0roto)oa ". %ungus $. 4irus (1. Another client in the Maternal "linic was Ms. "elbong. er doctor e5amined Ms. "elbongs &aginal secretions and found out that she has a -richomoniasis infection. -richomoniasis is diagnosed through which of the following methodN A. 4aginal secretions are e5amined on a wet slide that has been treated with potassium hydro5ide. . 4aginal speculum is used to obtain secretions from the cer&i5. ". A litmus paper is used to test if the &aginal secretions are infected with trichomoniasis. $. 4aginal secretions are e5amined on a wet slide treated with )ephiran solution. (2. $aphne who is on her F . Hestern blot ". 0SA $. /F+SA (6. Qarischer5heimer reaction may be e5perienced by the client with syphilis after therapy with ben)athine penicillin . -he characteristic manifestations of Qarischer5heimer reaction are: A. >ashes* itchiness* hi&es and pruritus . "onfusion* drowsiness and numbness of e5tremities ". sudden episode of hypotension* fe&er* tachycardia* and muscle aches $. /pisodes of nausea and &omiting* with bradypnea and bradycardia (K. A pregnant woman is in the clinic for consultation with regards to S-$s. She in=uires about 4enereal warts and ass you about its speci
(!. ased on your past learnings in communicable diseases* you now that the causati&e agent of &enereal warts is: A. "hlamydia -rachomatis . "andida Moniliasis ". uman 0apilloma&irus $. Staphylococcus Aureus (9. As a nurse in charge for this woman* you anticipate that the doctor will prescribe what medication for this type of infectionN A. 0odophyllum B0odo
has in&aginated into the cecum. -he nurse will suspect what disease conditionN A. +ntussusception . 0yloric stenosis ". irschsprungs disease $. 4aginismus @6. +n intussusceptions* children suddenly draw up their legs and cry as if they are in se&ere pain and possibly &omit. Another manifestation of such disease is the presence of blood in the stool. Hhat is the characteristic stool of client with intussusceptionN A. "o7ee ground . lac and -arry ". "urrant ?elly stool $. Hatery stool @K. A (yearold child is hospitali)ed because of persistent &omiting. As a nurse* you must monitor the child closely for: A. $iarrhea . Metabolic Acidosis ". Metabolic Alalosis $. yperacti&e bowel sounds @!. A nurse is monitoring for signs of dehydration in a 1yearold child who has been hospitali)ed for diarrhea. -he nurse prepares to tae the childs temperature and a&oids which method of measurementN A. -ympanic . A5illary ". >ectal $. /lectronic @9. A home care nurse pro&ides instructions to the mother of an infant with cleft palate regarding feeding. Hhich statement if made by the mother indicates a need for further instructionsN A. + will use a nipple with a small hole to pre&ent choing.8 . + will stimulate sucing by rubbing the nipple on the lower lip.8 ". + will allow the infant time to swallow.8 $.8 + will allow the infant to rest fre=uently to pro&ide time for swallowing what has been placed in the mouth.8 6#. An infant has ?ust returned to the nursing unit following a surgical repair of a cleft lip located at the right side of the lip. -he nurse places the infant in which most appropriate positionN A. 'n the right side . 'n the left side ". 0rone $. Supine 61. A clinic nurse re&iews the record of an infant seen in the clinic. -he nurse notes that a diagnosis of esophageal atresia with tracheoesophageal
A. Hhen the spermato)oon passes into the o&um and the nuclei fuse into a single cell. . Hhen the o&um is discharged from the o&ary near the eleasing ormone Bn>C 66. ow long is the gestational period of a full term pregnancyN A. >anging from 2(@ days to 2@9 days . around @*@@( hours to @*!!# hours ". More than 29( days $. A&eraging of 266 to 29( days 6K. An 1! year old woman in her 1!th wee of pregnancy is being e&aluated. Hhich positi&e sign of pregnancy should the nurse e5pect to be presentN A. %etal heart tones detectable by $oppler stethoscope . %etal mo&ement detectable by palpation ". 4isuali)ation of the fetus by ultrasound e5amination. $. %etal heart tones detectable by a fetoscope. 6!. $uring her prenatal &isit* a 2! year old client e5presses concern about nutrition during pregnancy. She wants to now what foods she should be eating to ensure the proper growth and de&elopment of her baby. Hhich step should the nurse tae
$. 4it. 9 K1. A 22 year old client is at 2# wees gestation. She ass the nurse about the de&elopment of her fetus at this stage. Hhich of the following de&elopments occurs at 2# wees gestationN A. -he pancreas starts producing insulin and the idneys produce urine. . -he fetus follows a regular schedule of turning* sleeping* sucing* and icing. ". Swallowing re,e5 has been mastered* and the fetus sucs its thumb. $. Surfactant forms in the lungs. S+-A-+'E: $e&eloping countries such as the 0hilippines su7er from high infant and child mortality rates. -hus* as a management to the e5isting problem* the H' and E+"/% launched the +M"+. K2. A 6 month old baby Fen was brought to the health center because of fe&er and cough for 2 days. She weighs @ g. er temperature is 3!.@ taen a5illary. %urther e5amination re&ealed that she has general rashes* her eyes are red and she has mouth ulcers non deep and non e5tensi&e* -here was no pus draining from her eyes. Most probably aby Fen has: a. Se&ere complicated measles b. %e&er: Eo MAFA>+A c. 4ery se&ere febrile disease d. Measles e. Measles with eye or mouth complications K3. -he dosage of 4it. A supplement gi&en to aby Fen would be: a. 1##*### + b. 1#*### + c. 2##*### + d. 2#*### + K(. sing +M"+ "hart* this child can be manage with: a. -reat the child with paracetamol and follow up in 2 days if the fe&er persist b. i&e the ed @. $ry the ear by wicing 6. @ days antibiotic K. rgent referral with
a. $ry the ear by wicing b. i&e antibiotics for @ days c. %ollow up in @ days d. A and c only e. All of the abo&e K!. A child with ear problem should be assessed for the following* e5cept: a. /ar pain b. +f discharge is present for how longN c. /ar discharge d. +s there any fe&erN e. Eone of the abo&e K9. +f the child does not ha&e ear problem* using +M"+* what should you do as a nurseN a. o to the ne5t =uestion* chec for malnutrition b. "hec for ear pain c. "hec for tender swelling behind the ear d. "hec for ear discharge !#. An ear discharge that has been present for more than 1( days can be classiefer urgently d. +nstruct mother when to return immediately Situation: 0rimary ealth "are B0"C is deussia ". 4ienna $. ene&a Situation: -he national ob?ecti&e for maintaining the health of all %ilipinos is a primary responsibility of the $'. !(. -he following are mission of the $' e5cept: a. /nsure accessibility b.Ouality of health care c.ealth for all %ilipinos d.Ouality of Fife of all %ilipinos e. Eone of the abo&e !@. -he basic principles to achie&e impro&ement in health include all -: a. ni&ersal access to basic health ser&ices must be ensured b. -he health and nutrition of &ulnerable groups must be prioriti)ed c. 0erformance of the health sector must be enhanced d. Support the frontline worers and the local health system e. Eone of the abo&e !6. Hhich of the following is not a primary strategy to achie&e health goals:
a. Support of local health system de&elopment b. $e&elopment of national standards for health c. Assurance of health care for all d. Support the frontline worers e. Eone of the abo&e !K. According to the H' health is: A. state of complete physical* mental and social well being not merely the absence of disease . A science and art of pre&enting disease and prolonging life ". A science that deals the optimum le&el of functioning of the +ndi&idual* family and community $. All of the abo&e !!. Assistance in physical therapy of a trauma patient is a: A. 0rimary le&el of pre&ention . Secondary le&el of pre&ention ". -ertiary le&el of pre&ention $. Speciali)ed le&el of pre&ention !9. Focal health boards were established at the pro&incial* city and municipal le&els. At the municipal le&el*the chairman of the board is the: A.>ural ealth physician .o&ernor ".Mayor $."hairman of the "ommittee on ealth 9#. -he emphasis of community health nursing is on: A. -reatment of health problems . 0re&enting health problems and promoting optimum health ". +denti+ program of the $epartment of ealthN a. -each other community health worers how to assess patients b. Mortality reduction through early detection c. -each mothers how to detect signs and where to refer d. /nhancement of health team capabilities 93. ou were able to identify factors that lead to respiratory problems in the community where your health facility ser&es. our primary role therefore in order to reduce morbidity due to pneumonia is toN a. See assistance and mobili)e the Hs to ha&e a meeting with mothers b. >efer cases to hospitals c. Mae home &isits to sic children d. -each mothers how to recogni)e early signs and symptoms of pneumonia 9(. Hhich of the following is the most important responsibility of a nurse in the pre&ention of unnecessary deaths from pneumonia and other se&ere diseaseN a. Heighing of the child b. 0ro&ision of careful assessment c. -aing of the temperature of the sic child d. i&ing of antibiotics
9@. A (monthold child was brought to your clinic because of cough and colds. Hhich of the following is your primary actionN a. -each the mother how to count her childs breathingN b. >efer to the doctor c. Assess the patient using the chart on management of children with cough d. i&e cotrimo5a)ole tablet or syrup e. All of the abo&e 96. +n responding to the care concerns to children with se&ere disease* referral to the hospital is of the essence especially if the child manifests which of the followingN a. Stopped feeding well b. %ast breathing c. Hhee)ing d. $iIculty to awaen S+-A-+'E: /l&ira is a 26 year old woman you admit to a birthing room. Shes been ha&ing contractions (@ seconds long and 3 minutes apart for the last 6 hours. She tells you she wants to ha&e her baby naturally8 without any analgesia or anesthesia. er husband is in the Army and assigned o&erseas* so he is not with her. Although her sister li&es only two blocs from the hospital* /l&ira doesnt want her called. She ass if she can tal to her mother on the telephone instead. 9K. /l&ira didnt recogni)e for o&er an hour that she was in labor. A sign of true labor is: A. Sudden increase energy from epinephrine release . Eagging8 but constant pain in the lower bac. ". rinary urgency from increased bladder pressure. $. Show8 or release of the cer&ical mucus plug. 9!. /l&ira ass you which fetal position and presentation are ideal. our best answer would be: A. >ight occipitoanterior with full ,e5ion. . Feft trans&erse anterior in moderate ,e5ion. ". >ight occipitoposterior with no ,e5ion. $. Feft sacroanterior with full ,e5ion. 99. /l&ira is ha&ing long and hard uterine contractions. Hhat length of contraction would you report as abnormalN A. Any length o&er 3# seconds. . A contraction o&er K# seconds in length. ". A contraction that peas at 2# seconds. $. A contraction shorter than 6# seconds. 1##. ou assess /l&iras uterine contractions. +n relation to the contraction* when does a late deceleration beginN A. %orty<&e seconds after the contraction is o&er. . -hirty seconds after the start of a contraction. ". After e&ery tenth or more contraction. $. After a typical contraction ends. Situation 1 D Eurse Minette is an independent nurse practitioner followingup referred clients in their respecti&e homes. ere she handles a case of 0'S-0A>-M M'-/> AE$ %AM+F focusing on 'M/ "A>/. 1. Eurse Minette needs to schedule a
a. /at more fre=uent small meals instead of three large one daily b. Hal for at least half an hour daily to stimulate peristalsis c. $rin more mil* increased calcium intae pre&ents constipation d. $rin eight full glasses of ,uid such as water daily 3. +f you were Minette* which of the following actions* would alert you that a new mother is entering a postpartum at tainghold phaseN a. She urges the baby to stay awae so that she can breastfeed him in her b. She tells you she was in a lot of pain all during labor c. She says that she has not selected a name for the baby as yet d. She sleeps as if e5hausted from the e7ort of labor (. At 6wee postpartum &isit what should this postpartum mothers fundic height beN a. +n&erted and palpable at the cer&i5 b. Si5 .A. K61# b. >.A. 223 c. >.A. 91K3 d. >.A. K16( K. y force of law* therefore* the 0>"oard of Eursing released >esolution Eo. 1( Series of the entitled: Adoption of a Eursing Specialty "ertiegulatory 0ower c. OuasiLFegislati&e 0ower d. /5ecuti&eL0romulgation 0ower !. nder the 0>"oard of Eursing >esolution promulgating the adoption of a Eursing Specialty "erti
imposed by the national laws of countries all o&er the world and BcC Awareness of this de&elopment should impel the nursing sector to prepare our people in the ser&ices sector to meet .the abo&e challenges and BdC "urrent trends of speciali)ation in nursing practice recogni)ed by the +nternational "ouncil of Eurses B+"EC of which the 0hilippines is a member for the bene.A. K16( in order to adopt the creation of the Eursing Specialty "ertiegulatory oard b. -he "hairperson and members of the >egulatory oard ipso facto acts as the "0/ "ouncil c. A "hairperson* chosen from among the >egulatory oard Members* a 4ice "hairperson appointed by the 'E atlarge two other members also chosen atlarge and one representing the consumer group d. A "hairperson who is the 0resident of the Association from the Academe a member from the >egulatory oard* and the last member coming from the A0' Situation 3 D Eurse Anna is a new S/E graduate and has ?ust passed her Ficensure /5amination for Eurses in the 0hilippines. She has liewise been hired as a new "ommunity ealth Eurse in one of the >ural ealth nits in their "ity* which of the following conditions may be acceptable ->-S applied to "ommunity ealth Eursing 0ractice. 11. Hhich of the following is the primary focus of community health nursing practiceN a. "ure of illnesses b. 0re&ention of illness c. >ehabilitation bac to health d. 0romotion of health 12. +n "ommunity ealth Eursing* which of the following is our unit of ser&ice as nursesN a. -he community. b. -he e5tended members of e&ery family. c. -he indi&idual members of the arangay. d. -he family.
13. A &ery important part of the "ommunity ealth Eursing Assessment 0rocess includes: a. the application of professional ?udgment in estimating importance of facts to family and community. b. e&aluation structures arid =uali
21. $ina* 1K years old* ass you how a tubal ligation pre&ents pregnancy. Hhich would be the best answerN a. 0rostaglandins released from the cut fallopian tubes can ill sperm b. Sperm cannot enter the uterus* because the cer&ical entrance is bloced c. Sperm can no longer reach the o&a* because the fallopian tubes are bloced d. -he o&ary no longer releases o&a* as there is no where for them to go 22. -he McMichaels are a couple undergoing testing for infertility. +nfertility is said to e5ist when: a. a woman has no uterus b. a woman has no children c. a couple has been trying to concei&e for 1 year d. a couple has wanted a child for 6 months 23. Another client names Filia is diagnosed as ha&ing endometriosis. -his condition interferes with the fertility because: a. endometrial implants can bloc the fallopian tubes b. the uterine cer&i5 becomes in,amed and swollen c. o&aries stop producing ade=uate estrogen d. pressure on the pituitary leads to decreased %S le&els 2(. Filia is scheduled to ha&e a hysterosalpingogram. Hhich of the following* instructions would you gi&e her regarding this procedureN a. She will not be able to concei&e for 3 months after the procedure b. -he sonogram of the uterus will re&eal any tumors present c. Many women e5perience mild bleeding as an after e7ect d. She may feel some cramping when the dye is inserted 2@. Filias cousin on the other hand* nowing nurse Forenas speciali)ation ass what artiEA recombinants: a. Measles b. -etanus to5oids
c. epatitis &accines d. $029. -his is the &accine needed before a child reaches one B1C year in order for himLher to =ualify as a fully immuni)ed child8. a. $0b. Measles c. epatitis d. " 3#. Hhich of the following dose of tetanus to5oid is gi&en to the mother to protect her infant from neonatal tetanus and liewise pro&ide 1# years protection for the motherN a. -etanus to5oid 3 b. -etanus to5oid 2 c. -etanus to5oid 1 d. -etanus to5oid ( Situation K D >ecords contain those* comprehensi&e descriptions of patients health conditions and needs and at the same ser&e as e&idences of e&ery nurses accountability in the* caregi&ing process. Eursing records normally di7er from institution to* institution nonetheless they follow similar patterns of meeting needs for speciecord d. $ischarge Summary 32. -hese* are sheetsLforms which pro&ide an eIcient and time sa&ing way to record information that must be obtained repeatedly at regular andLor short inter&als* of time. -his does not replace the progress notes instead this record of information on &ital signs* intae and output* treatment* postoperati&e care* postpartum care* and diabetic regimen* etc.* this is used whene&er speciecord 33. -hese records show all medications and treatment pro&ided on a repeated basis. Hhat do you call this recordN a. Eursing ealth istory and Assessment Horsheet b. $ischarge Summary c. Eursing ;arde5 d. Medicine and -reatment >ecord 3(. -his ,ipo&er card is usually ept in a portable
a. $ischarge Summary b. Medicine and -reatment >ecord c. Eursing ealth istory and Assessment Horsheet d. Eursing ;arde5 3@. Most nurses regard this as con&entional recording of the date* time and mode by which the patient lea&es a healthcare unit but this record includes importantly* directs of planning for discharge that starts soon after the person is admitted to a healthcare institution* it is accepted that collaboration or multidisciplinary in&ol&ement Bof all members of the health teamC in discharge results in comprehensi&e care. Hhat do you call thisN a. $ischarge Summary b. Eursing ;arde5 c. Medicine and -reatment >ecord d. Eursing ealth istory and Assessment Horsheet Situation ! D As %ilipino 0rofessional Eurses we must be nowledgeable* about the "ode of /thics for %ilipino Eurses and practice these by heart. -he ne5t =uestions pertain to this "ode of /thics. 36. Hhich of the following is ->/ about the "ode of /thics of %ilipino EursesN a. -he 0hilippine Eurses Association for being the accredited professional organi)ation was gi&en the pri&ilege to formulate a "ode of /thics which the oard of Eurses promulgated b. "ode of Eurses was egistration of registered nurses may be re&oed or suspended for &iolations of any pro&isions of the "ode of /thics 3K. ased on the "ode of /thics for %ilipino Eurses* what is regarded as the hallmar of nursing responsibility and accountabilityN a. uman rights of clients* regardless of creed and gender b. -he pri&ilege of being a registered professional nurses c. ealth* being a fundamental right of e&ery indi&idual d. Accurate documentation of actions and outcomes 3!. Hhich of the following nurses beha&ior is regarded as a &iolation of the "ode of /thics of %ilipino EursesN a. A nurse withholding harmful information to the family members of a patient b. A nurse declining commission sent by a doctor for her referral c. A nurse endorsing a person running for congress d. Eurse >e&iewers andLor nurse re&iew center managers who pays a considerable amount of cash for re&iewees who would memori)e items from the Ficensure e5ams and submit these to them after the e5amination 39. A nurse should be cogni)ant that professional programs for specialty certiegulation "ommission b. Eursing Specialty "erti.E. wors in a nursing home* and he nows that one of his duties is to be an ad&ocate for his patients. Mr. Santos nows a primary duty of an ad&ocate is to:
a. act as the patients legal representati&e b. complete all nursing responsibilities on time c. safeguard the wellbeing of e&ery patient d. maintain the patients right to pri&acy Situation 9 D Eurse Qoanna wors as an 'yn Eurse and attends to se&eral +>+S; 0>/EAE"+/S: 0articularly women with pree5isting or newly ac=uired illness. -he following conditions apply. (1. ernadette is a 22year old woman. Hhich condition would mae her more prone than others to de&eloping a "andida infection during pregnancyN a. er husband plays golf 6 days a wee b. She was o&er 3@ when she became pregnant c. She usually drins tomato ?uice for breafast d. She has de&eloped gestational diabetes (2. ernadette de&elops a deep&ein thrombosis following an auto accident and is prescribed heparin subO. Hhat should Qoanna educate her about in regard to thisN a. Some infants will be born with allergic symptoms to heparin b. er infant will be born with scattered petechiae on his trun c. eparin can cause darened sin in newborns d. eparin does not cross the placenta and so does not a7ect a fetus (3. -he cousin of ernadette with siclecell anemia alerted Qoanna that she may need further instruction on prenatal care. Hhich statement signi/ '% "+F$>/E H+- 0FM'EA> A%%/"-+'ES. (6. Qosie brought her 3months old child to your clinic because of cough and colds. Hhich of the following is your primary actionN a. i&e cotrimo5a)ole tablet or syrup
b. Assess the patient using the chart on management of children with cough c. >efer to the doctor d. -each the mother how to count her childs bearing (K. +n responding to the care concerns of children with se&ere disease* referral to the hospital of the essence especially if the child manifests which of the followingN a. Hhee)ing b. Stopped bleeding c. %ast breathing d. $iIculty to awaen (!. Hhich of the following is the most important responsibility of a nurse in the pre&ention of necessary deaths from pneumonia and other se&ere diseasesN a. i&ing of antibiotics b. -aing of the temperature of the sic child c. 0ro&ision of "areful Assessment d. Heighing of the sic child (9. ou were able to identify factors that lead to respiratory problems in the community where your health facility ser&es. our primary role therefore in order to reduce morbidity due to pneumonia is to: a. -each mothers how to recogni)e early signs and symptoms of pneumonia b. Mae home &isits to sic children c. >efer cases to hospitals d. See assistance and mobili)e the Hs to ha&e a meeting with mothers @#. Hhich of the following is the principal focus on the "A>+ program of the $epartment of ealthN a. /nhancement of health team capabilities b. -each mothers how to detect signs and where to refer c. Mortality reduction through early detection d. -each other community health worers how to assess patients Situation 11 D ou are woring as a 0ediatric Eurse in your own "hild ealth Eursing "linic* the following cases pertain to ASS/SSM/E- AE$ "A>/ '% -/ E/H'>E A- >+S; conditions. @1. -heresa* a mother with a 2 year old daughter ass* At what are can + be able to tae the blood pressure of my daughter as a routine procedure since hypertension is common in the familyN8 our answer to this is: a. At 2 years you may b. As early as 1 year old c. Hhen shes 3 years old d. Hhen shes 6 years old @2. ou typically gag children to inspect the bac of their throat. Hhen is it important E'- to solicit a gag re,e5N a. when a girl has a geographic tongue b. when a boy has a possible inguinal hernia c. when a child has symptoms of epiglottitis d. when children are under @ years of age @3. aby Qohn was gi&en a drug at birth to re&erse the e7ects of a narcotic gi&en to his mother in labor. Hhat drug is commonly used for thisN a. Ealo5one BEarcanC b. Morphine Sulfate c. Sodium "hloride d. 0enicillin @(. Hhy are smallforgestationalage newborns at riss for diIculty maintaining body temperatureN a. -hey do not ha&e as many fat stores as other infants b. -hey are more acti&e than usual so throw o7 co&ers c. -heir sin is more susceptible to conduction of cold
d. -hey are preterm so are born relati&ely small in si)e @@. aby Qohn de&elops hyperbilirubinemia. Hhat is a method used to treat hyperbilirubinemia in a newbornN a. ;eeping infants in a warm arid dar en&ironment b. Administration of a cardio&ascular stimulant c. entle e5ercise to stop muscle breadown d. /arly feeding to speed passage of meconium Situation 12 D ou are the nurse in the 'ut0atient $epartment and during your shift you encountered multiple childrens condition. -he following =uestions apply. @6. ou assessed a child with &isible se&ere wasting* he has: a. edema b. FM c. washioror d. marasmus @K. Hhich of the following conditions is E'- true about contraindication to immuni)ationN a. do not gi&e $0-2 or $0-3 to a child who has con&ulsions within 3 days of $0-1 b. do not gi&e ' if the child has nown hepatitis . c. do not gi&e '0- to a child who has recurrent con&ulsion or acti&e neurologic disease d. do not gi&e " if the child has nown A+$S @!. Hhich of the following statements about immuni)ation is E'- true: a. A child with diarrhea who is due for ' 04 should recei&e the '04 and mae e5tra dose on the ne5t &isit b. -here is no contraindication to immuni)ation if the child is well enough to go home c. -here is no contraindication to immuni)ation if the child is well enough to go home and a child should be immuni)ed in the health center before referrals are both correct d. A child should be immuni)ed in the center before referral @9. A child with &isible se&ere wasting or se&ere palmar pallor may be classi
b. -he hands of the nurse should be cold so that abdominal muscles would contract and tighten c. e certain that your hands are warm Bby washing them in warm water hoAM is gi&en to >hnegati&e women to pre&ent maternal sensiti)ation from occurring. -he nurse is aware that in addition to pregnancy* >hnegati&e women would also recei&e this medication after which of the followingN a. nsuccessful arti
d. /5plain that she should a&oid steroids during her pregnancy K#. Hhich of the following conditions would cause an insulindependent diabetic client the most diIculty during her pregnancyN a. >h incompatibility b. 0lacenta pre&ia c. yperemesis gra&idarum d. Abruptio placentae Situation 1@ D 'ne important toot a community health nurse uses in the conduct of hisLher acti&ities is the "E ag. Hhich of the following /S- $/S">+/S the use of this &ital facility for our practiceN K1. -he "ommunityL0ublic ealth ag is: a. a re=uirement for home &isits b. an essential and indispensable e=uipment of the community health nurse c. contains basic medications and articles used by the community health nurse d. a tool used by the "ommunity health nurse is rendering e7ecti&e nursing procedure during a home &isit K2. Hhat is the rationale in the use of bag techni=ue during home &isitN a. +t helps render e7ecti&e nursing care to clients or other members of the family b. +t sa&es time and e7ort of the nurse in the performance of nursing procedures c. +t should minimi)e or pre&ent the spread of infection from indi&iduals to families d. +t should not o&ershadow concerns for the patient K3. Hhich among the following is important in the use of the bag techni=ue during home &isitN a. Arrangement of the bags contents must be con&enient to the nurse b. -he bag should contain all necessary supplies and e=uipment ready for use c. e sure to thoroughly clean your bag especially when e5posed to communicable disease cases d. Minimi)e if not totally pre&ent the spread of infection K(. -his is an important procedure of the nurse during home &isitsN a. protection of the "E bag b. arrangement of the contents of the "M bag c. cleaning of the "E bag d. proper handwashing K@. +n consideration of the steps in applying the bag techni=ue* which side of the paper lining of the "E bag is considered clean to mae a noncontaminated wor areaN a. -he lower lip b. -he outer surface c. -he upper lip d. -he inside surface Situation 16 D As a "ommunity ealth Eurse relating with people in di7erent communities* and in the implementation of health programs and pro?ects you e5perience &i&idly as well the &arying forms of leadership and management from the arangay Fe&el to the Focal o&ernmentLMunicipal "ity Fe&el. K6. -he following statements can correctly be made about 'rgani)ation and managementN A. An organi)ation Bor companyC is people. 4alues mae people persons: &alues gi&e &itality* meaning and direction to a company. As the people of an organi)ation &alue* so the company becomes.
. Management is the process by which administration achie&es its mission* goals* and ob?ecti&es ". Management e7ecti&eness can be measured in terms of accomplishment of the purpose of the organi)ation while management eIciency is measured in terms of the satisfaction of indi&idual moti&es $. Management principles are uni&ersal therefore one need not be concerned about people* culture* &alues* traditions and human relations. a. and " only b. A* and $ only c. A and $ only d. * A* and " only KK. Management by %ilipino &alues ad&ocates the consideration of the %ilipino goals trilogy according to the %ilipino priority&alues which are: a. %amily goals* national goals* organi)ational goals b. 'rgani)ational goats* national goals* family goals c. Eational goals* organi)ational goals* family goals d. %amily goals* organi)ational goals* national goals K!. Since the ad&ocacy for the utili)ation of %ilipino &aluesystem in management has been encouraged* the Eursing sector is no e5cept* management needs to e5amine %ilipino &alues and disco&er its positi&e potentials and harness them to achie&e: a. /mployee satisfaction b. 'rgani)ational commits .ants* organi)ational ob?ecti&es and employee satisfaction c. /mployee ob?ecti&esLsatisfaction* commitments and organi)ational ob?ecti&es d. 'rgani)ational ob?ecti&es* commitments and employee ob?ecti&eLsatisfaction K9. -he following statements can correctly be made about an e7ecti&e and eIcient community or e&en agency managerialleader. A. "onsiders the achie&ement and ad&ancement of the organi)ation sheLhe represents as well as his people . "onsiders the recognition of indi&idual e7orts toward the reali)ation of organi)ational goals as well as the welfare of his people ". "onsiders the welfare of the organi)ation abo&e all other consideration by higher administration $. "onsiders its own recognition by higher administration for purposes of promotion and prestige a. 'nly " and $ are correct b. A* " and $ are correct c. * "* and $ are correct d. 'nly A and are correct !#. Hhether management at the community or agency le&el* there are 3 essential types of sills managers must ha&e* these are: A. uman relation sills* technical sills* and cogniti&e sills . "onceptual sills* human relationLbeha&ioral sills* and technical sills ". -echnical sills* budget and accounting sills* sills in fundraising $. Manipulati&e sills* technical sills* resource management sills a. A and $ are correct b. is correct c. A is correct d. " and $ are correct Situation 1K D ou are acti&ely practicing nurse who ?ust esearch and would lie to utili)e the nowledge and
sills gained in the application of research to Eursing ser&ice. -he following =uestions apply to research. !1. Hhich type of research +n=uiry in&estigates the issue of human comple5ity Be.g. understanding the human e5pertiseC a. Fogical position b. Eaturalistic in=uiry c. 0ositi&ism d. Ouantitati&e >esearch !2. Hhich of the following studies is based on =uantitati&e researchN a. A study e5amining the berea&ement process in spouses of clients with terminal cancer b. A study e5ploring factors in,uencing weight control beha&ior c. A study measuring the e7ects of sleep depri&ation on wound healing d. A study e5amining clients feelings before* during and after a bone marrow aspiration !3. Hhich of the following studies is based on =ualitati&e researchN a. A study e5amining clients reactions to stress after open heart surgery b. A study measuring nutrition and weight* lossLgain in clients with cancer c. A study e5amining o5ygen le&els after endotracheal suctioning d. A study measuring di7erences in blood pressure before during and after a procedure !(. An !@ year old client in a nursing home tells a nurse* + signed the papers for that research study because the doctor was so insistent and + want: him to continue taing care of me.8 Hhich client right is being &iolatedN a. >ight of self determination b. >ight to pri&acy and conight to full disclosure d. >ight not to be harmed !@. A supposition or system of ideas that is proposed to e5plain a gi&en phenomenon*8 best de/ '0 -/ %AM+F+/S 0>/S"''F/>S. !6. >onnie ass constant =uestions. ow many does a typical 3yearold as in a days timeN a. 1*2## or more b. Fess than @# c. 1##2## d. 3##(## !K. >onnie will need to change to a new bed because his baby sister will need >onnies old crib. Hhat measure would you suggest that his parents tae to help decrease sibling ri&alry between >onnie and his new sisterN a. Mo&e him to the new bed before the baby arri&es b. /5plain that new sisters grow up to become best friends c. -ell him he will ha&e to share with the new baby d. As him to get his crib ready for the new baby !!. >onnies parents want to now how to react to him when he begins to masturbate while watching tele&ision. Hhat would you suggestN
a. -hey refuse to allow him to watch tele&ision b. -hey schedule a health checup for se5related disease c. -hey remind him that some acti&ities are pri&ate d. -hey gi&e him timeout8 when this begins !9. ow many words does a typical 12monthold infant useN a. About 12 words b. -wenty or more words c. About @# words d. -wo* plus mama8 and dada8 9#. As a nurse. ou re&iewed infant safety procedures with ryans mother. Hhat are two of the most common types of accidents among infantsN a. Aspiration and falls b. %alls and auto accidents c. 0oisoning and burns d. $rowning and homicide Situation 19 D Among common conditions found in children especially among poor communities are ear infectionLproblems. -he following =uestions apply. 91. A child with ear problem should be assessed for the following /U"/0-: a is there any fe&erN b. ear discharge c. if discharge is present for how longN d. ear pain 92. +f the child does not ha&e ear problem* using +M"+* what should you as the nurse doN a. "hec for ear discharge b. "hec for tender swellings* behind the ear c. "hec for ear pain d. o to the ne5t =uestion* chec for malnutrition 93. An ear discharge that has been present for more than 1( days can be classi
9!. A child who has had diarrhea for 1( days but has no sign of dehydration is classieddish with some mucus $. Serous with some brown tinged mucus 3. Fochia normally disappears after how many days postpartumN A. @ days . K1# days ". 1!21 days $. 2!3# days (. After an >hBC mother has deli&ered her >h BJC baby* the mother is gi&en >hoam. -his is done in order to: A. 0re&ent the recurrence of >hBJC baby in future pregnancies . 0re&ent the mother from producing antibodies against the >hBJC antigen that she may ha&e gotten when she deli&ered to her >hBJC baby ". /nsure that future pregnancies will not lead to maternal illness $. -o pre&ent the newborn from ha&ing problems of incompatibility when it breastfeeds @. -o enhance mil production* a lactating mother must do the following inter&entions /U"/0-: A. +ncrease ,uid intae including mil . /at foods that increases lactation which are called galactagues ". /5ercise ade=uately lie aerobics $. a&e ade=uate nutrition and rest 6. -he nursing inter&ention to relie&e pain in breast engorgement while the mother continues to breastfeed is A. Apply cold compress on the engorged breast . Apply warm compress on the engorged breast ". Massage the breast $. Apply analgesic ointment
K. A woman who deli&ered normally per &agina is e5pected to &oid within VVV hours after deli&ery. A. 3 hrs . ( hrs. ". 6! hrs $. 122( hours !. -o ensure ade=uate lactation the nurse should teach the mother to: A. reast feed the baby on selfdemand day and night . %eed primarily during the day and allow the baby to sleep through the night ". %eed the baby e&ery 3( hours following a strict schedule $. reastfeed when the breast are engorged to ensure ade=uate supply 9. An appropriate nursing inter&ention when caring for a postpartum mother with thrombophlebitis is: A. /ncourage the mother to ambulate to relie&e the pain in the leg . +nstruct the mother to apply elastic bondage from the foot going towards the nee to impro&e &enous return ,ow ". Apply warm compress on the a7ected leg to relie&e the pain $. /le&ate the a7ected leg and eep the patient on bedrest 1#. -he nurse should anticipate that hemorrhage related to uterine atony may occur postpartally if this condition was present during the deli&ery: A. /5cessi&e analgesia was gi&en to the mother . 0lacental deli&ery occurred within thirty minutes after the baby was born ". An episiotomy had to be done to facilitate deli&ery of the head $. -he labor and deli&ery lasted for 12 hours 11. According to >ubins theory of maternal role adaptation* the mother will go through 3 stages during the post partum perio$. -hese stages are: A. oing through* ad?ustment period* adaptation period . -aingin* tainghold and lettinggo ". Attachment phase* ad?ustment phase* adaptation phase $. -ainghold* lettinggo* attachment phase 12. -he neonate of a mother with diabetes mellitus is prone to de&eloping hypoglycemia because: A. -he pancreas is immature and unable to secrete the needed insulin . -here is rapid diminution of glucose le&el in the babys circulating blood and his pancreas is normally secreting insulin ". -he baby is reacting to the insulin gi&en to the mother $. is idneys are immature leading to a high tolerance for glucose 13. Hhich of the following is an abnormal &ital sign in postpartumN A. 0ulse rate between @#6#Lmin . 0 diastolic increase from !# to 9@mm g ". 0 systolic between 1##12#mm g $. >espiratory rate of 162#Lmin 1(. -he uterine fundus right after deli&ery of placenta is palpable at A. Fe&el of Uyphoid process . Fe&el of umbilicus ". Fe&el of symphysis pubis $. Midway between umbilicus and symphysis pubis
1@. After how many wees after deli&ery should a woman ha&e her postpartal checup based on the protocol followed by the $' 0hilippinesN A. 2 wees . 3 wees ". 6 wees $. 12 wees 16. +n a woman who is not breastfeeding* menstruation usually occurs after how many weesN A. 2( wees . 6! wees ". 6 months $. 12 months 1K. -he following are nursing measures to stimulate lactation /U"/0A. %re=uent regular breast feeding . reast pumping ". reast massage $. Application of cold compress on the breast 1!. Hhen the uterus is
. 2#(# breaths per minute* abdominal breathing with acti&e use of intercostals muscles ". 3#6# breaths per minute with apnea lasting more than 1@ seconds* abdominal breathing $. 3#@# breaths per minute* acti&e use of abdominal and intercostal muscles 2(. -he anterior fontanelle is characteri)ed as: A. 3( cm anteroposterior diameter and 23 cm trans&erse diameter* diamond shape . 23 cm anteroposterior diameter and 3( cm trans&erse diameter and diamond shape ". 23 cm in both anteroposterior and trans&erse diameter and diamond shape $. none of the abo&e 2@. -he ideal site for &itamin ; in?ection in the newborn is: A. >ight upper arm . Feft upper arm ". /ither right or left buttocs $. Middle third of the thigh 26. At what A0A> score at @ minutes after birth should resuscitation be initiatedN A. 13 . K! ". 91# $. 6K 2K. >ight after birth* when the sin of the babys trun is pinish but the soles of the feet and palm of the hands are bluish this is called: A. Syndactyly . Acrocyanosis ". 0eripheral cyanosis $. "ephalocaudal cyanosis 2!. -he minimum birth weight for full term babies to be considered normal is: A. 2*###gms . 1*@##gms ". 2*@##gms $. 3*###gms 29. -he procedure done to pre&ent ophthalmia neonatorum is: A. Marmets techni=ue . "redes method ". >itgens method $. 'phthalmic wash 3#. Hhich of the following characteristics will distinguish a postmature neonate at birthN A. 0lenty of lanugo and &erni5 caseosa . Fanugo mainly on the shoulders and &erni5 in the sin folds ". 0inish sin with good turgor $. Almost leatherlie* dry* craced sin* negligible &erni5 caseosa 31. According to the 0hilippine Eursing Faw* a registered nurse is allowed to handle mothers in labor and deli&ery with the following considerations: 1. -he pregnancy is normal. 2. -he labor and deli&ery is uncomplicated 3. Suturing of perineal laceration is allowed pro&ided the nurse had special training (. As a deli&ery room nurse she is not allowed to insert intra&enous ,uid unless she had special training for it. A. 1 and 2 . 1* 2* and 3 ". 3 and ( $. 1* 2* and ( 32. irth "ontrol Methods and +nfertility:
+n basal body temperature B-C techni=ue* the sign that o&ulation has occurred is an ele&ation of body temperature by A. 1.#1.( degrees centigrade . #.2#.( degrees centigrade ". 2.#(.# degrees centigrade $. 1.#(.# degrees centigrade 33. Factation Amenorrhea MethodBFAMC can be an e7ecti&e method of natural birth control if A. -he mother breast feeds mainly at night time when o&ulation could possibly occur . -he mother breastfeeds e5clusi&ely and regularly during the / statement about normal o&ulationN A. +t occurs on the 1(th day of e&ery cycle . +t may occur between 1(16 days before ne5t menstruation ". /&ery menstrual period is always preceded by o&ulation $. -he most fertile period of a woman is 2 days after o&ulation (#. +f a couple would lie to enhance their fertility* the following means can be done:
1. Monitor the basal body temperature of the woman e&eryday to determine pea period of fertility 2. a&e ade=uate rest and nutrition 3. a&e se5ual contact only during the dry period of the woman (. ndergo a complete medical checup to rule out any debilitating disease A. 1 only . 1 T ( ". 1*2*( $. 1*2*3*( (1. +n symptothermal method* the parameters being monitored to determine if the woman is fertile or infertile are: A. -emperature* cer&ical mucus* cer&ical consistency . >elease of o&um* temperature and &agina ". -emperature and wetness $. -emperature* endometrial secretion* mucus (2. -he following are important considerations to teach the woman who is on low dose BminipillC oral contracepti&e /U"/0-: A. -he pill must be taen e&eryday at the same time . +f the woman fails to tae a pill in one day* she must tae 2 pills for added protection ". +f the woman fails to tae a pill in one day* she needs to tae another temporary method until she has consumed the whole pac $. +f she is breast feeding* she should discontinue using minipill and use the progestinonly type (3. -o determine if the cause of infertility is a blocage of the fallopian tubes* the test to be done is A. uhners test . >ubins test ". 0ostcoital test $. Eone of the abo&e ((. +nfertility can be attributed to male causes such as the following /U"/0-: A. "ryptorchidism . 'rchitis ". Sperm count of about 2# million per milliliter $. 0remature e?aculation (@. Spinnabareit is an indicator of o&ulation which is characteri)ed as: A. -hin watery mucus which can be stretched into a long strand about 1# cm . -hic mucus that is detached from the cer&i5 during o&ulation ". -hin mucus that is yellowish in color with ight after the menstrual period so that the breast is not being a7ected by the increase in hormones particularly estrogen $. Qust before the menstrual period to determine if o&ulation has occurred
(!. A woman is considered to be menopause if she has e5perienced cessation of her menses for a period of A. 6 months . 12 months ". 1! months $. 2( months (9. Hhich of the following is the correct practice of self breast e5amination in a menopausal womanN A. She should do it at the usual time that she e5periences her menstrual period in the past to ensure that her hormones are not at its pea . Any day of the month as long it is regularly obser&ed on the same day e&ery month ". Anytime she feels lie doing it ideally e&ery day $. Menopausal women do not need regular self breast e5am as long as they do it at least once e&ery 6 months @#. +n assisted reproducti&e technology BA>-C* there is a need to stimulate the o&aries to produce more than one mature o&A. -he drug commonly used for this purpose is: A. romocriptine . "lomiphene ". 0ro&era $. /strogen 1. Hhich of the following conditions will lead to a small forgestational age fetus due to less blood supply to the fetusN A. $iabetes in the mother . Maternal cardiac condition ". 0remature labor $. Abruptio placenta 2. -he lower limit of &iability for infants in terms of age of gestation is: A. 212( wees . 2@2K wees ". 2!3# wees $. 3!(# wees 3. Hhich pro&ision of our 19!K constitution guarantees the right of the unborn child to life from conception is A. Article ++ section 12 . Article ++ section 1@ ". Article U+++ section 11 $. Article U+++ section 1@ (. +n the 0hilippines* if a nurse performs abortion on the mother who wants it done and she gets paid for doing it* she will be held liable because A. Abortion is immoral and is prohibited by the church . Abortion is both immoral and illegal in our country ". Abortion is considered illegal because you got paid for doing it $. Abortion is illegal because ma?ority in our country are catholics and it is prohibited by the church @. -he preferred manner of deli&ering the baby in a gra&idocardiac is &aginal deli&ery assisted by forceps under epidural anesthesiA. -he main rationale for this is: A. -o allow atraumatic deli&ery of the baby . -o allow a gradual shifting of the blood into the maternal circulation ". -o mae the deli&ery e7ort free and the mother does not need to push with contractions $. -o pre&ent perineal laceration with the e5pulsion of the fetal head 6. Hhen gi&ing narcotic analgesics to mother in labor* the special consideration to follow is:
A. -he progress of labor is well established reaching the transitional stage . terine contraction is progressing well and deli&ery of the baby is imminent ". "er&ical dilatation has already reached at least ! cm. and the station is at least BJC2 $. terine contractions are strong and the baby will not be deli&ered yet within the ne5t 3 hours. K. -he cer&ical dilatation taen at !:## AM in a 10# patient was 6 centimeters. A repeat +./. done at 1# A. M. showed that cer&ical dilation was K cm. -he correct interpretation of this result is: A. Fabor is progressing as e5pected . -he latent phase of Stage 1 is prolonged ". -he acti&e phase of Stage 1 is protracted $. -he duration of labor is normal !. Hhich of the following techni=ues during labor and deli&ery can lead to uterine in&ersionN A. %undal pressure applied to assist the mother in bearing down during deli&ery of the fetal head . Strongly tugging on the umbilical cord to deli&er the placenta and hasten placental separation ". Massaging the fundus to encourage the uterus to contract $. Applying light traction when deli&ering the placenta that has already detached from the uterine wall 9. -he fetal heart rate is checed following rupture of the bag of waters in order to: A. "hec if the fetus is su7ering from head compression . $etermine if cord compression followed the rupture ". $etermine if there is uteroplacental insuIciency $. "hec if fetal presenting part has ade=uately descended following the rupture 1#. pon assessment* the nurse got the following W !# bpm* fundus soft and boundaries not well deC decreased during a contraction and persists e&en after the uterine contraction ends . -he %> is less than 12# bpm or o&er 16# bpm ". -he precontraction %> is 13# bpm* %> during contraction is 11! bpm and %> after uterine contraction is 126 bpm $. %> is 16# bpm* wea and irregular 12. +f the labor period lasts only for 3 hours* the nurse should suspect that the following conditions may occur: 1.Faceration of cer&i5 2.Faceration of perineum 3."ranial hematoma in the fetus (.%etal ano5ia A. 1 T 2 . 2 T ( ". 2*3*( $. 1*2*3*( 13. -he primary power in&ol&ed in labor and deli&ery is A. earing down ability of mother . "er&ical e7acement and dilatation ". terine contraction $. 4alsal&a techni=ue
1(. -he proper techni=ue to monitor the intensity of a uterine contraction is A. 0lace the palm of the hands on the abdomen and time the contraction . 0lace the
". -he rate should not be a7ected by the uterine contraction. $. -he heart rate will decelerate at the middle of a contraction and remain so for about a minute after the contraction 21. -he mechanisms in&ol&ed in fetal deli&ery is A. $escent* e5tension* ,e5ion* e5ternal rotation . $escent* ,e5ion* internal rotation* e5tension* e5ternal rotation ". %le5ion* internal rotation* e5ternal rotation* e5tension $. +nternal rotation* e5tension* e5ternal rotation* ,e5ion 22. -he
". Stage 3 $. Stage ( 3#. -he second stage of labor begins with VVV and ends with VVN A. egins with full dilatation of cer&i5 and ends with deli&ery of placenta . egins with true labor pains and ends with deli&ery of baby ". egins with complete dilatation and e7acement of cer&i5 and ends with deli&ery of baby $. egins with passage of show and ends with full dilatation and e7acement of cer&i5 31. -he following are signs that the placenta has detached /U"/0-: A. Fengthening of the cord . terus becomes more globular ". Sudden gush of blood $. Mother feels lie bearing down 32. Hhen the shiny portion of the placenta comes out itgens ". $uncan $. Marmets 33. Hhen the babys head is out* the immediate action of the nurse is A. "ut the umbilical cord . Hipe the babys face and suction mouth itgens techni=ue ". $uncan maneu&er $. Schult)e maneu&er 3@. -he basic deli&ery set for normal &aginal deli&ery includes the following instrumentsLarticles /U"/0-: A. 2 clamps . 0air of scissors ". ;idney basin $. >etractor 36. As soon as the placenta is deli&ered* the nurse must do which of the following actionsN A. +nspect the placenta for completeness including the membranes . 0lace the placenta in a receptacle for disposal ". Fabel the placenta properly $. Fea&e the placenta in the idney basin for the nursing aide to dispose properly 3K. +n &aginal deli&ery done in the hospital setting* the doctor routinely orders an o5ytocin to be gi&en to the mother parenterally. -he o5ytocin is usually gi&en after the placenta has been deli&ered and not before because: A. '5ytocin will pre&ent bleeding . '5ytocin can mae the cer&i5 close and thus trap the placenta inside ". '5ytocin will facilitate placental deli&ery $. i&ing o5ytocin will ensure complete deli&ery of the placenta 3!. +n a gra&idocardiac mother* the
A. -here is a ,uid shift from the placental circulation to the maternal circulation which can o&erload the compromised heart. . -he maternal heart is already wea and the mother can die ". -he deli&ery process is strenuous to the mother $. -he mother is tired and wea which can distress the heart 39. -he drug usually gi&en parentally to enhance uterine contraction is: A. -erbutalline . 0itocin ". Magnesium sulfate $. Fidocaine (#. -he partograph is a tool used to monitor labor. -he maternal parameters measuredLmonitored are the following /U"/0-: A. 4ital signs . %luid intae and output ". terine contraction $. "er&ical dilatation (1. -he following are natural childbirth procedures /U"/0-: A. Fama)e method . $ic>ead method ". >itgens maneu&er $. 0sychoprophylactic method (2. -he following are common causes of dysfunctional labor. Hhich of these can a nurse* on her own manageN A. 0el&ic bone contraction . %ull bladder ". /5tension rather than ,e5ion of the head $. "er&ical rigidity (3. At what stage of labor is the mother is ad&ised to bear downN A. Hhen the mother feels the pressure at the rectal area . $uring a uterine contraction ". +n between uterine contraction to pre&ent uterine rupture $. Anytime the mother feels lie bearing down ((. -he normal dilatation of the cer&i5 during the '0 ". F'0 $. >'A (K. -he following are types of breech presentation /U"/0-: A. %ootling . %ran ". "omplete $. +ncomplete
(!. Hhen the nurse palpates the suprapubic area of the mother and found that the presenting part is still mo&able* the right term for this obser&ation that the fetus is A. /ngaged . $escended ". %loating $. +nternal >otation (9. -he placenta should be deli&ered normally within VVV minutes after the deli&ery of the baby. A. @ minutes . 3# minutes ". (@ minutes $. 6# minutes @#. Hhen sha&ing a woman in preparation for cesarean section* the area to be sha&ed should be from VVV to VVV A. nder breast to midthigh including the pubic area . -he umbilicus to the midthigh ". Uyphoid process to the pubic area $. Abo&e the umbilicus to the pubic area 1. %or the client who is using oral contracepti&es* the nurse informs the client about the need to tae the pill at the same time each day to accomplish which of the followingN A. $ecrease the incidence of nausea . Maintain hormonal le&els ". >educe side e7ects $. 0re&ent drug interactions 2. Hhen teaching a client about contraception. Hhich of the following would the nurse include as the most e7ecti&e method for pre&enting se5ually transmitted infectionsN A. Spermicides . $iaphragm ". "ondoms $. 4asectomy 3. Hhen preparing a woman who is 2 days postpartum for discharge* recommendations for which of the following contracepti&e methods would be a&oidedN A. $iaphragm . %emale condom ". 'ral contracepti&es $. >hythm method (. %or which of the following clients would the nurse e5pect that an intrauterine de&ice would not be recommendedN A. Homan o&er age 3@ . Eulliparous woman ". 0romiscuous young adult $. 0ostpartum client @. A client in her third trimester tells the nurse* +m constipated all the timeX8 Hhich of the following should the nurse recommendN A. $aily enemas . Fa5ati&es ". +ncreased
K. -he client tells the nurse that her last menstrual period started on Qanuary 1( and ended on Qanuary 2#. sing Eageles rule* the nurse determines her /$$ to be which of the followingN A. September 2K . 'ctober 21 ". Eo&ember K $. $ecember 2K !. Hhen taing an obstetrical history on a pregnant client who states* + had a son born at 3! wees gestation* a daughter born at 3# wees gestation and + lost a baby at about ! wees*8the nurse should record her obstetrical history as which of the followingN A. 2 -2 0# A# F2 . 3 -1 01 A# F2 ". 3 -2 0# A# F2 $. ( -1 01 A1 F2 9. Hhen preparing to listen to the fetal heart rate at 12 wees gestation* the nurse would use which of the followingN A. Stethoscope placed midline at the umbilicus . $oppler placed midline at the suprapubic region ". %etoscope placed midway between the umbilicus and the 5iphoid process $. /5ternal electronic fetal monitor placed at the umbilicus 1#. Hhen de&eloping a plan of care for a client newly diagnosed with gestational diabetes* which of the following instructions would be the priorityN A. $ietary intae . Medication ". /5ercise $. lucose monitoring 11. A client at 2( wees gestation has gained 6 pounds in ( wees. Hhich of the following would be the priority when assessing the clientN A. lucosuria . $epression ". andLface edema $. $ietary intae 12. A client 12 wees pregnant come to the emergency department with abdominal cramping and moderate &aginal bleeding. Speculum e5amination re&eals 2 to 3 cms cer&ical dilation.-he nurse would document these is for infection . 0ain ". ;nowledge $e
". /ncourage her to wear a nursing brassiere $. se soap and water to clean the nipples 16. -he nurse assesses the &ital signs of a client* ( hours postpartum that are as follows: 0 9#L6# temperature 1##.(Y% pulse 1## wea* thready > 2# per minute. Hhich of the following shouldthe nurse do eport the temperature to the physician . >echec the blood pressure with another cu7 ". Assess the uterus for
". ou should discuss this with your doctor. +t could be a malignancy8 $. -he tissue has hypertrophied while the baby was in the uterus8 2(. +mmediately after birth the nurse notes the following on a male newborn: respirations K! apical hearth rate 16# 0M* nostril ,aring mild intercostal retractions and grunting at the end of e5piration. Hhich of the following shouldthe nurse doN A. "all the assessment data to the physicians attention . Start o5ygen per nasal cannula at 2 FLmin. ". Suction the infants mouth and nares $. >ecogni)e this as normal espiratory problems . astrointestinal problems ". +ntegumentary problems $. /limination problems 2!. Hhen measuring a clients fundal height* which of the following techni=ues denotes the correct method of measurement used by the nurseN A. %rom the 5iphoid process to the umbilicus . %rom the symphysis pubis to the 5iphoid process ". %rom the symphysis pubis to the fundus $. %rom the fundus to the umbilicus 29. A client with se&ere preeclampsia is admitted with of 0 16#L11#* proteinuria* and se&ere pitting edema. Hhich of the following would be most important to include in the clients plan of careN A. $aily weights . Sei)ure precautions ". >ight lateral positioning $. Stress reduction 3#. A postpartum primipara ass the nurse* Hhen can we ha&e se5ual intercourse againN8 Hhich of t he following would be the nurses best responseN A. Anytime you both want to.8 . As soon as choose a contracepti&e method.8 ". Hhen the discharge has stopped and the incision is healed.8 $. After your 6 wees e5amination.8 31. Hhen preparing to administer the &itamin ; in?ection to a neonate* the nurse would select which of the following sites as appropriate for the in?ectionN A. $eltoid muscle . Anterior femoris muscle ". 4astus lateralis muscle
$. luteus ma5imus muscle 32. Hhen performing a pel&ic e5amination* the nurse obser&es a red swollen area on the right side of the &aginal orieduce the ris of fetal distress by increasing uteroplacental perfusion ". %acilitate rela5ation* possibly reducing the perception of pain $. /liminate pain so that less analgesia and anesthesia are needed 3!. After ( hours of acti&e labor* the nurse notes that the contractions of a primigra&ida client are not strong enough to dilate the cer&i5. Hhich of the following would the nurse anticipate doingN A. 'btaining an order to begin +4 o5ytocin infusion . Administering a light sedati&e to allow t he patient to rest for se&eral hour ". 0reparing for a cesarean section for failure to progress $. +ncreasing the encouragement to the patient when pushing begins 39. A multigra&ida at 3! wees gestation is admitted with painless* bright red bleeding and mild contractions
e&ery K to 1# minutes. Hhich of the following assessments should be a&oidedN A. Maternal &ital sign . %etal heart rate ". "ontraction monitoring $. "er&ical dilation (#. Hhich of the following would be the nurses most appropriate response to a client who ass why she must ha&e a cesarean deli&ery if she has a complete placenta pre&iaN A. ou will ha&e to as your physician when he returns.8 . ou need a cesarean to pre&ent hemorrhage.8 ". -he placenta is co&ering most of your cer&i5.8 $. -he placenta is co&ering the opening of the uterus and blocing your baby.8 (1. -he nurse understands that the fetal head is in which of the following positions with a face presentationN A. "ompletely ,e5ed . "ompletely e5tended ". 0artially e5tended $. 0artially ,e5ed (2. Hith a fetus in the leftanterior breech presentation* the nurse would e5pect the fetal heart rate would be most audible in which of the following areasN A. Abo&e the maternal umbilicus and to the right of midline . +n the lowerleft maternal abdominal =uadrant ". +n the lowerright maternal abdominal =uadrant $. Abo&e the maternal umbilicus and to the left of midline (3. -he amniotic ,uid of a client has a greenish tint. -he nurse interprets this to be the result of which of the followingN A. Fanugo . ydramnio ". Meconium $. 4erni5 ((. A patient is in labor and has ?ust been told she has a breech presentation. -he nurse should be particularly alert for which of the followingN A. Ouicening . 'phthalmia neonatorum ". 0ica $. 0rolapsed umbilical cord (@. Hhen describing di)ygotic twins to a couple* on which of the following would the nurse base the e5planationN A. -wo o&a fertili)ed by separate sperm . Sharing of a common placenta ". /ach o&a with the same genotype $. Sharing of a common chorion (6. Hhich of the following refers to the single cell that reproduces itself after conceptionN A. "hromosome . lastocyst ". ygote $. -rophoblast (K. +n the late 19@#s* consumers and health care professionals began challenging the routine use of analgesics and anesthetics during childbirth. Hhich of the following was an outgrowth of this conceptN A. Fabor* deli&ery* reco&ery* postpartum BF$>0C . Eursemidwifery ". "linical nurse specialist $. 0repared childbirth
(!. A client has a midpel&ic contracture from a pre&ious pel&ic in?ury due to a motor &ehicle accident as a teenager. -he nurse is aware that this could pre&ent a fetus from passing through or around which structure during childbirthN A. Symphysis pubis . Sacral promontory ". +schial spines $. 0ubic arch (9. Hhen teaching a group of adolescents about &ariations in the length of the menstrual cycle* the nurse understands that the underlying mechanism is due to &ariations in which of the following phasesN A. Menstrual phase . 0roliferati&e phase ". Secretory phase $. +schemic phase @#. Hhen teaching a group of adolescents about male hormone production* which of the following would the nurse include as being produced by the Feydig cellsN A. %olliclestimulating hormone . -estosterone ". Feuteini)ing hormone $. onadotropin releasing hormone 1. Hhile performing physical assessment of a 12 monthold* the nurse notes that the infants anterior fontanel is still slightly open. Hhich of the following is the nurses most appropriate actionN A. Eotify the physician immediately because there is a problem. . 0erform an intensi&e neurological e5amination. ". 0erform an intensi&e de&elopmental e5amination. $. $o nothing because this is a normal
6. Hhen assessing an 1!monthold* the nurse notes a characteristic protruding abdomen. Hhich of the following would e5plain the rationale for this ead him a story and allow him to play =uietly in his bed until he falls asleep.8 12. Hhen pro&iding therapeutic play* which of the following toys would best promote imaginati&e play in a (yearoldN A. Farge blocs . $ressup clothes ". Hooden pu))le $. ig wheels 13. Hhich of the following acti&ities* when &oiced by the parents following a teaching session about the characteristics of schoolage cogniti&e de&elopment would indicate the need for additional teachingN A. "ollecting baseball cards and marbles . 'rdering dolls according to si)e ". "onsidering simple problemsol&ing options $. $e&eloping plans for the future 1(. A hospitali)ed schoolager states: +m not afraid of this place* +m not afraid of anything.8 -his statement is most liely an e5ample of whichof the followingN A. >egression . >epression ". >eaction formation $. >ationali)ation
1@. After teaching a group of parents about accident pre&ention for schoolagers* which of the following statements by the group would indicate the need for more teachingN A. Schoolagers are more acti&e and ad&enturous than are younger children.8 . Schoolagers are more susceptible to home ha)ards than are younger children.8 ". Schoolagers are unable to understand potential dangers around them.8 $. Schoolargers are less sub?ect to parental control than are younger children.8 16. Hhich of the following sills is the most signieading $. Sorting 1K. A child age K was unable to recei&e the measles* mumps* and rubella BMM>C &accine at the recommended scheduled time. Hhen would the nurse e5pect to administer MM> &accineN A. +n a month from now . +n a year from now ". At age 1# $. At age 13 1!. -he adolescents inability to de&elop a sense of who he is and what he can become results in a sense of which of the followingN A. Shame . uilt ". +nferiority $. >ole di7usion 19. Hhich of the following would be most appropriate for a nurse to use when describing menarche to a 13 yearoldN A. A females
. Hell wor with his teachers and counselors at school.8 ". Hell try to encourage him to tal about his problem.8 $. Hell discuss possible solutions with him and his counselor.8 23. Hhen de&eloping a teaching plan for a group of high school students about teenage pregnancy* the nurse would eep in mind which of the followingN A. -he incidence of teenage pregnancies is increasing. . Most teenage pregnancies are planned. ". $enial of the pregnancy is common early on. $. -he ris for complications during pregnancy is rare. 2(. Hhen assessing a child with a cleft palate* the nurse is aware that the child is at ris for more fre=uent episodes of otitis media due to whichof the followingN A. Fowered resistance from malnutrition . +ne7ecti&e functioning of the /ustachian tubes ". 0lugging of the /ustachian tubes with food particles $. Associated congenital defects of the middle ear. 2@. Hhile performing a neurode&elopmental assessment on a 3monthold infant* which of the following characteristics would be e5pectedN A. A strong Moro re,e5 . A strong parachute re,e5 ". >olling from front to bac $. Fifting of head and chest when prone 26. y the end of which of the following would the nurse most commonly e5pect a childs birth weight to tripleN A. ( months . K months ". 9 months $. 12 months 2K. Hhich of the following best describes parallel play between two toddlersN A. Sharing crayons to color separate pictures . 0laying a board game with a nurse ". Sitting near each other while playing with separate dolls $. Sharing their dolls with two di7erent nurses 2!. Hhich of the following would the nurse identify as the initial priority for a child with acute lymphocytic leuemiaN A. +nstituting infection control precautions . /ncouraging ade=uate intae of ironrich foods ". Assisting with coping with chronic illness $. Administering medications &ia +M in?ections 29. Hhich of the following information* when &oiced by the mother* would indicate to the nurse that she understands home care instructions following the administration of a diphtheria* tetanus* and pertussis in?ectionN A. Measures to reduce fe&er . Eeed for dietary restrictions ". >easons for subse=uent rash $. Measures to control subse=uent diarrhea 3#. Hhich of the following actions by a community health nurse is most appropriate when noting multiple bruises and burns on the posterior trun of an 1! monthold child during a home &isitN A. >eport the childs condition to 0rotecti&e Ser&ices immediately. . Schedule a followup &isit to chec for more bruises. ". Eotify the childs physician immediately. $. $on nothing because this is a normal
31. Hhich of the following is being used when the mother of a hospitali)ed child calls the student nurse and states* ou idiot* you ha&e no idea how to care for my sic child8N A. $isplacement . 0ro?ection ". >epression $. 0sychosis 32. Hhich of the following should the nurse e5pect to note as a fre=uent complication for a child with congenital heart diseaseN A. Susceptibility to respiratory infection . leeding tendencies ". %re=uent &omiting and diarrhea $. Sei)ure disorder 33. Hhich of the following would the nurse do elease the traction $. Monitor him e&ery @ minutes 36. At which of the following ages would the nurse e5pect to administer the &aricella )oster &accine to childN A. At birth . 2 months ". 6 months $. 12 months 3K. Hhen discussing normal infant growth and de&elopment with parents* which of the following toys would the nurse suggest as most appropriate for an ! montholdN A. 0ushpull toys . >attle ". Farge blocs $. Mobile 3!. Hhich of the following aspects of psychosocial de&elopment is necessary for the nurse to eep in mind when pro&iding care for the preschool childN A. -he child can use comple5 reasoning to thin out situations. . %ear of body mutilation is a common preschool fear ". -he child engages in competiti&e types of play $. +mmediate grati
