NURSING PRACTICE II

Situation: Mariah is a 31 year old lawyer who has been married for 6 months.
She consults you for guidance in
relation with her menstrual cycle and her desire to get pregnant.
1. She wants to know the length of her menstrual cycle. Her previous menstrual
period is October 22 to 26. Her
LMB is November 21. Which of the following number of days will be your correct
response?
A. 29 B. 28 C. 30 D. 31
2. You advised her to observe and record the signs of Ovulation. Which of the
following signs will she likely note
down?
1. A 1 degree Fahrenheit rise in basal body temperature
2. Cervical mucus becomes copious and clear
3. One pound increase in weight
4. Mittelschmerz
A. 1,2,4 B. 1,2,3 C. 2,3,4 D. 1,3,4
3. You instruct Mariah to keep record of her basal temperature everyday, which
of the following instructions is
incorrect?
A. If coitus has occurred, this should be reflected in the chart
B. It is best to have coitus on the evening following a drop in BBT to become
pregnant
C. Temperature should be taken immediately after waking and before getting out
of bed
D. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings
about this change in her BBT?
A. Estrogen C. Gonadotropine
B. Progesterone D. Follicle stimulating hormone
5. The following month, Mariah suspects she is pregnant. Her urine is positive for
Human chorionic
gonadotrophin. Which structure produces Hcg?
A. Pituitary gland
B. Trophoblastic cells of the embryo
C. Uterine deciduas
D. Ovarian follicles
Situation: Mariah came back and she is now pregnant.
6. At 5 month gestation, which of the following fetal development would probably
be achieve?
A. Fetal movement are felt by Mariah
B. Vernix caseosa covers the entire body
C. Viable if delivered within this period
D. Braxton hicks contractions are observed
7. The nurse palpates the abdomen of Mariah. Now At 5 month gestation, What
level of the abdomen can the
fundic height be palpated?
A. Symphysis pubis
B. Midpoint between the umbilicus and the xiphoid process
C. Midpoint between the symphysis pubis and the umbilicus
D. Umbilicus
8. She worries about her small breasts, thinking that she probably will not be able
to breastfeed her baby. Which
of the following responses of the nurse is correct?
A. “The size of your breast will not affect your lactation”
B. “You can switch to bottle feeding”
C. “You can try to have exercise to increase the size of your breast”
D. “Manual expression of milk is possible”
9. She tells the nurse that she does not take milk regularly. She claims that she
does not want to gain too much
weight during her pregnancy. Which of the following nursing diagnosis is a
priority?
A. Potential self esteem disturbance related to physiologic changes in pregnancy
B. Ineffective individual coping related to physiologic changes in pregnancy
C. Fear related to the effects of pregnancy
D. Knowledge deficit regarding nutritional requirements of pregnancies related to
lack of information sources
10. Which of the following interventions will likely ensure compliance of Mariah?
A. Incorporate her food preferences that are adequately nutritious in her meal
plan
B. Consistently counsel toward optimum nutritional intake
C. Respect her right to reject dietary information if she chooses
D. Inform her of the adverse effects of inadequate nutrition to her fetus
Situation: Susan is a patient in the clinic where you work. She is inquiring about
pregnancy.
11. Susan tells you she is worried because she develops breasts later than most
of her friends. Breast
development is termed as:
A. Adrenarche C. Thelarche
B. Mamarche D. Menarche
12. Kevin, Susan’s husband tells you that he is considering vasectomy After the
birth of their new child.
Vasectomy involves the incision of which organ?
A. The testes C. The epididymis
B. The vas deferens D. The scrotum
13. On examination, Susan has been found of having a cystocele. A cystocele is:
A. A sebaceous cyst arising from the vulvar fold
B. Protrusion of intestines into the vagina
C. Prolapse of the uterus into the vagina
D. Herniation of the bladder into the vaginal wall
14. Susan typically has menstrual cycle of 34 days. She told you she had coitus
on days 8, 10, 15 and 20 of her
menstrual cycle. Which is the day on which she is most likely to conceive?
A. 8th day C. Day 15
B. 10th day D. Day 20
15. While talking with Susan, 2 new patients arrived and they are covered with
large towels and the nurse
noticed that there are many cameraman and news people outside of the OPD.
Upon assessment the nurse
noticed that both of them are still nude and the male client’s penis is still inside
the female client’s vagina and the
male client said that “I can’t pull it”. Vaginismus was your first impression. You
know that The psychological cause
of Vaginismus is related to:
A. The male client inserted the penis too deeply that it stimulates vaginal closure
B. The penis was too large that is why the vagina triggered it’s defense to
attempt to close it
C. The vagina do not want to be penetrated
D. It is due to learning patterns of the female client where she views sex as bad
or sinful
Situation: Overpopulation is one problem in the Philippines that causes economic
drain. Most Filipinos are
against in legalizing abortion. As a nurse, Mastery of contraception is needed to
contribute to the society and
economic growth.
16. Supposed that Dana, 17 years old, tells you she wants to use fertility
awareness method of contraception.
How will she determine her fertile days?
A. She will notice that she feels hot, as if she has an elevated temperature.
B. She should assess whether her cervical mucus is thin, copious, clear and
watery.
C. She should monitor her emotions for sudden anger or crying
D. She should assess whether her breasts feel sensitive to cool air
17. Dana chooses to use COC as her family planning method. What is the
danger sign of COC you would ask her to
report?
A. A stuffy or runny nose C. Slight weight gain
B. Arthritis like symptoms D. Migraine headache
18. Dana asks about subcutaneous implants and she asks, how long will these
implants be effective. Your best
answer is:
A. One month C. Five years
B. Twelve months D. 10 years
19. Dana asks about female condoms. Which of the following is true with regards
to female condoms?
A. The hormone the condom releases might cause mild weight gain
B. She should insert the condom before any penile penetration
C. She should coat the condom with spermicide before use
D. Female condoms, unlike male condoms, are reusable
20. Dana has asked about GIFT procedure. What makes her a good candidate
for GIFT?
A. She has patent fallopian tubes, so fertilized ova can be implanted on them
B. She is RH negative, a necessary stipulation to rule out RH incompatibility
C. She has normal uterus, so the sperm can be injected through the cervix into it
D. Her husband is taking sildenafil, so all sperms will be motile
Situation : Nurse Lorena is a Family Planning and Infertility Nurse Specialist and
currently attends to FAMILY
PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions
pertain to meeting the nursing needs of
this particular population group.
21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which
would be the best answer?
A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm can not enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
D. The ovary no longer releases ova as there is no where for them to go.
22. The Dators are a couple undergoing testing for infertility. Infertility is said to
exist when:
A. A woman has no uterus
B. A woman has no children
C. A couple has been trying to conceive for 1 year
D. A couple has wanted a child for 6 months
23. Another client named Lilia is diagnosed as having endometriosis. This
condition interferes with fertility
because:
A. Endometrial implants can block the fallopian tubes
B. The uterine cervix becomes inflamed and swollen
C. The ovaries stop producing adequate estrogen
D. Pressure on the pituitary leads to decreased FSH levels
24. Lilia is scheduled to have a hysterosalphingogram. Which of the following
instructions would you give her
regarding this procedure?
A. She will not be able to conceive for 3 months after the procedure
B. The sonogram of the uterus will reveal any tumors present
C. Many women experience mild bleeding as an after effect
D. She may feel some cramping when the dye is inserted
25. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks
what artificial insemination by
donor entails. Which would be your best answer if you were Nurse Lorena?
A. Donor sperm are introduced vaginally into the uterus or cervix
B. Donor sperm are injected intra-abdominally into each ovary
C. Artificial sperm are injected vaginally to test tubal patency
D. The husband’s sperm is administered intravenously weekly
Situation . You are assigned to take care of a group of patients across the
lifespan.
26. Pain in the elder persons require careful assessment because they:
A. experienced reduce sensory perception
B. have increased sensory perception
C. are expected to experience chronic pain
D. have a decreased pain threshold
27. Administration of analgesics to the older persons requires careful patient
assessment because older people:
A. are more sensitive to drugs
B. have increased hepatic, renal and gastrointestinal function
C. have increased sensory perception
D. mobilize drugs more rapidly
28. The elderly patient is at higher risk for urinary incontinence because of:
A. increased glomerular filtration C. decreased bladder capacity
B. diuretic use D. dilated urethra
29. Which of the following is the MOST COMMON sign of infection among the
elderly?
A. decreased breath sounds with crackles C. pain
B. fever D. change in mental status
30. Priorities when caring for the elderly trauma patient:
A. circulation, airway, breathing C. airway, breathing, disability (neurologic)
B. disability (neurologic), airway, breathing D. airway, breathing, circulation
31. Preschoolers are able to see things from which of the following perspectives?
A. Their peers C. Their own and their mother’s
B. Their own and their caregivers’ D. Only their own
32. In conflict management, the win-win approach occurs when:
A. There are two conflicts and the parties agree to each one
B. Each party gives in on 50% of the disagreements making up the conflict
C. Both parties involved are committed to solving the conflict
D. The conflict is settled out of court so the legal system and the parties win
33. According to the social-interactional perspective of child abuse and neglect,
four factors place the family
members at risk for abuse. these risk factors are the family members at risk for
abuse. These risk factors are the
family itself, the caregiver, the child, and
A. The presence of a family crisis C. The national emphasis on sex
B. Genetics D. Chronic poverty
34. Which of the following signs and symptoms would you most likely find when
assessing and infant with
Arnold-Chiari malformation?
A. Weakness of the leg muscles, loss of sensation in the legs, and restlessness
B. Difficulty swallowing, diminished or absent gag reflex, and respiratory distress
C. Difficulty sleeping, hypervigilant, and an arching of the back
D. Paradoxical irritability, diarrhea, and vomiting.
35. A parent calls you and frantically reports that her child has gotten into her
famous ferrous sulfate pills and
ingested a number of these pills. Her child is now vomiting, has bloody diarrhea,
and is complaining of abdominal
pain. You will tell the mother to:
A. Call emergency medical services (EMS) and get the child to the emergency
room
B. Relax because these symptoms will pass and the child will be fine
C. Administer syrup of ipecac
D. Call the poison control center
36. A client says she heard from a friend that you stop having periods once you
are on the “pill”. The most
appropriate response would be:
A. “The pill prevents the uterus from making such endometrial lining, that is why
periods may often be scant or
skipped occasionally.”
B. “If your friend has missed her period, she should stop taking the pills and get a
pregnancy test as soon as
possible.”
C. “The pill should cause a normal menstrual period every month. It sounds like
your friend has not been
taking the pills properly.”
D. “Missed period can be very dangerous and may lead to the formation of
precancerous cells.”
37. The nurse assessing newborn babies and infants during their hospital stay
after birth will notice which of the
following symptoms as a primary manifestation of Hirschsprung’s disease?
A. A fine rash over the trunk
B. Failure to pass meconium during the first 24 to 48 hours after birth
C. The skin turns yellow and then brown over the first 48 hours of life
D. High-grade fever
38. A client is 7 months pregnant and has just been diagnosed as having a
partial placenta previa. She is stable
and has minimal spotting and is being sent home. Which of these instructions to
the client may indicate a need
for further teaching?
Maintain bed rest with bathroom privileges
Avoid intercourse for three days.
Call if contractions occur.
Stay on left side as much as possible when lying down.
39. A woman has been rushed to the hospital with ruptured membrane. Which of
the following should the nurse
check first?
A. Check for the presence of infection
B. Assess for Prolapse of the umbilical cord
C. Check the maternal heart rate
D. Assess the color of the amniotic fluid
40. The nurse notes that the infant is wearing a plastic-coated diaper. If a topical
medication were to be
prescribed and it were to go on the stomachs or buttocks, the nurse would teach
the caregivers to:
avoid covering the area of the topical medication with the diaper
avoid the use of clothing on top of the diaper
put the diaper on as usual
apply an icepack for 5 minutes to the outside of the diaper
41. Which of the following factors is most important in determining the success of
relationships used in delivering
nursing care?
Type of illness of the client
Transference and counter transference
Effective communication
Personality of the participants
42. Grace sustained a laceration on her leg from automobile accident. Why are
lacerations of lower extremities
potentially more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone
release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins
43. In working with the caregivers of a client with an acute or chronic illness, the
nurse would:
Teach care daily and let the caregivers do a return demonstration just before
discharge
Difficulty swallowing, diminished or absent gag reflex, and respiratory distress.
Difficulty sleeping, hypervigilant, and an arching of the back
Paradoxical irritability, diarrhea, and vomiting
44. Which of the following roles BEST exemplifies the expanded role of the
nurse?
Circulating nurse in surgery
Medication nurse
Obstetrical nurse
Pediatric nurse practitioner
45. According to DeRosa and Kochura’s (2006) article entitled “Implement
Culturally Competent Health Care in
your workplace,” cultures have different patterns of verbal and nonverbal
communication. Which difference does
NOT necessarily belong?
Personal behavior C. Subject matter
Eye contact D. Conversational style
46. You are the nurse assigned to work with a child with acute
glomerulonephritis. By following the prescribed
treatment regimen, the child experiences a remission. You are now checking to
make sure the child does not
have a relapse. Which finding would most lead you to the conclusion that a
relapse is happening?
A. Elevated temperature, cough, sore throat, changing complete blood count
(CBC) with diiferential
B. A urine dipstick measurement of 2+ proteinuria or more for 3 days, or the child
found to have 3-4+
proteinutria plus edema.
C. The urine dipstick showing glucose in the urine for 3 days, extreme thirst,
increase in urine output, and a
moon face.
D. A temperature of 37.8 degrees (100 degrees F), flank pain, burning frequency,
urgency on voiding, and cloudy
urine.
47. The nurse is working with an adolescent who complains of being lonely and
having a lack of fulfillment in her
life. This adolescent shies away from intimate relationships at times yet at other
times she appears promiscuous.
The nurse will likely work with this adolescent in which of the following areas?
A. Isolation C. Lack of fulfillment
B. Loneliness D. Identity
48. The use of interpersonal decision making, psychomotor skills, and application
of knowledge expected in the
role of a licensed health care professional in the context of public health welfare
and safety is an example of:
A. Delegation C. Responsibility
b. Supervision D. Competence
49. The painful phenomenon known as “back labor” occurs in a client whose
fetus in what position?
A. Brow position C. Breech position
B. Right Occipito-Anterior Position D. Left Occipito-Posterior Position
50. FOCUS methodology stands for:
A. Focus, Organize, Clarify, Understand and Solution
B. Focus, Opportunity, Continuous, Utilize, Substantiate
C. Focus, Organize, Clarify, Understand, Substantiate
D. Focus, Opportunity, Continuous (process), Understand, Solution
SITUATION: The infant and child mortality rate in the low to middle income
countries is ten times higher than
industrialized countries. In response to this, the WHO and UNICEF launched the
protocol Integrated Management
of Childhood Illnesses to reduce the morbidity and mortality against childhood
illnesses.
51. If a child with diarrhea registers two signs in the yellow row in the IMCI chart,
we can classify the patient as:
A. Moderate dehydration C. Severe dehydration
B. Some dehydration D. No dehydration
52. Celeste has had diarrhea for 8 days. There is no blood in the stool, he is
irritable, his eyes are sunken, the
nurse offers fluid to Celeste and he drinks eagerly. When the nurse pinched the
abdomen it goes back slowly.
How will you classify Celeste’s illness?
A. Moderate dehydration C. Severe dehydration
B. Some dehydration D. No dehydration
53. A child who is 7 weeks has had diarrhea for 14 days but has no sign of
dehydration is classified as:
A. Persistent diarrhea C. Dysentery
B. Severe dysentery D. Severe persistent diarrhea
54. The child with no dehydration needs home treatment. Which of the following
is not included in the rules for
home treatment in this case?
A. Forced fluids
B. When to return
C. Give vitamin A supplement
D. Feeding more
55. Fever as used in IMCI includes:
A. Axillary temperature of 37.5 or higher
B. Rectal temperature of 38 or higher
C. Feeling hot to touch
D. All of the above
E. A and C only
Situation: Prevention of Dengue is an important nursing responsibility and
controlling it’s spread is a priority once
outbreak has been observed.
56. An important role of the community health nurse in the prevention and control
of Dengue H-fever includes:
A. Advising the elimination of vectors by keeping water containers covered
B. Conducting strong health education drives/campaign directed towards proper
garbage disposal
C. Explaining to the individuals, families, groups and community the nature of the
disease and its causation
D. Practicing residual spraying with insecticides
57. Community health nurses should be alert in observing a Dengue suspect.
The following is NOT an indicator for
hospitalization of H-fever suspects?
A. Marked anorexia, abdominal pain and vomiting
B. Increasing hematocrit count
C. Cough of 30 days
D. Persistent headache
58. The community health nurses primary concern in the immediate control of
hemorrhage among patients with
dengue is:
A. Advising low fiber and non-fat diet
B. Providing warmth through light weight covers
C. Observing closely the patient for vital signs leading to shock
D. Keeping the patient at rest
59. Which of these signs may NOT be REGARDED as a truly positive signs
indicative of Dengue H-fever?
A. Prolonged bleeding time
B. Appearance of at least 20 petechiae within 1cm square
C. Steadily increasing hematocrit count
D. Fall in the platelet count
60. Which of the following is the most important treatment of patients with
Dengue H-fever?
A. Give aspirin for fever
B. Replacement of body fluids
C. Avoid unnecessary movement of patient
D. Ice cap over the abdomen in case of melena
Situation: Health education and Health promotion is an important part of nursing
responsibility in the
community. Immunization is a form of health promotion that aims at preventing
the common childhood illnesses.
61. In correcting misconceptions and myths about certain diseases and their
management, the health worker
should first:
A. Identify the myths and misconceptions prevailing in the community
B. Identify the source of these myths and misconceptions
C. Explain how and why these myths came about
D. Select the appropriate IEC strategies to correct them
62. How many percent of measles are prevented by immunization at 9 months of
age?
A. 80% C. 99%
B. 90% D. 95%
63. After TT3 vaccination a mother is said to be protected to tetanus by around:
A. 80% C. 99%
B. 85% D. 90%
64. If ever convulsions occurs after administering DPT, what should the nurse
best suggest to the mother?
A. Do not continue DPT vaccination anymore
B. Advise mother to comeback after 1 week
C. Give DT instead of DPT
D. Give pertussis of the DPT and remove DT
65. These vaccines are given 3 doses at one month intervals:
A. DPT, BCG, TT C. OPV, HEP. B, DPT
B. DPT, TT, OPV D. Measles, OPV, DPT
Situation – With the increasing documented cases of CANCER the best
alternative to
treatment still remains to be PREVENTION. The following conditions apply.
66. Which among the following is the primary focus of prevention of cancer?
A. Elimination of conditions causing cancer
B. Diagnosis and treatment
C. Treatment at early stage
D. Early detection
67. In the prevention and control of cancer, which of the following activities is the
most important function of the
community health nurse?
A. Conduct community assemblies.
B. Referral to cancer specialist those clients with symptoms of cancer.
C. Use the nine warning signs of cancer as parameters in our process of
detection, control and treatment
modalities.
D. Teach woman about proper/correct nutrition.
68. Who among the following are recipients of the secondary level of care for
cancer cases?
A. Those under early case detection
B. Those under post case treatment
C. Those scheduled for surgery
D. Those undergoing treatment
69. Who among the following are recipients of the tertiary level of care for cancer
cases?
A. Those under early treatment C. Those under early detection
B. Those under supportive care D. Those scheduled for surgery
70. In Community Health Nursing, despite the availability and use of many
equipment and devices to facilitate the
job of the community health nurse, the best tool any nurse should be wel be
prepared to apply is a scientific
approach. This approach ensures quality of care even at the community setting.
This is nursing parlance is
nothing less than the:
A. nursing diagnosis C. nursing research
B. nursing protocol D. nursing process
Situation – Two children were brought to you. One with chest indrawing and the
other had diarrhea. The
following questions apply:
71. Using Integrated Management and Childhood Illness (IMCI) approach, how
would you classify the 1st child?
A. Bronchopneumonia C. Severe pneumonia
B. No pneumonia : cough or cold D. Pneumonia
72. The 1st child who is 13 months has fast breathing using IMCI parameters he
has:
A. 40 breaths per minute or more
B. 50 breaths per minute
C. 30 breaths per minute or more
D. 60 breaths per minute
73. Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool.
She is irritable, and her eyes are
sunken. The nurse offered fluids and and the child drinks eagerly. How would
you classify Nina’s illness?
A. Some dehydration C. Severe dehydration
B. Dysentery D. No dehydration
74. Nina’s treatment should include the following EXCEPT:
A. reassess the child and classify him for dehydration
B. for infants under 6 months old who are not breastfed, give 100-200 ml clean
water as well during this period
C. Give in the health center the recommended amount of ORS for 4 hours.
D. Do not give any other foods to the child for home treatment
74. While on treatment, Nina 18 months old weighed 18 kgs. and her
temperature registered at 37 degrees C.
Her mother says she developed cough 3 days ago. Nina has no general danger
signs. She has 45 breaths/minute,
no chest in-drawing, no stridor. How would you classify Nina’s manifestation.
A. No pneumonia C. Pneumonia
B. Severe pneumonia D. Bronchopneumonia
76. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her
mother says that Carol is not eating well
and unable to breastfeed, he has no vomiting, has no convulsion and not
abnormally sleepy or difficult to
awaken. Her temperature is 38.9 deg C. Using the integrated management of
childhood illness or IMCI strategy,
if you were the nurse in charge of Carol, how will you classify her illness?
A. a child at a general danger sign C. severe pneumonia
B. very severe febrile disease D. severe malnutrition
77. Why are small for gestational age newborns at risk for difficulty maintaining
body temperature?
A. their skin is more susceptible to conduction of cold
B. they are preterm so are born relatively small in size
C. they do not have as many fat stored as other infants
D. they are more active than usual so they throw off comes
78. Oxytocin is administered to Rita to augment labor. What are the first
symptoms of water intoxication to
observe for during this procedure?
A. headache and vomiting C. a high choking voice
B. a swollen tender tongue D. abdominal bleeding and pain
79. Which of the following treatment should NOT be considered if the child has
severe dengue hemorrhagic
fever?
A. use plan C if there is bleeding from the nose or gums
B. give ORS if there is skin Petechiae, persistent vomiting, and positive
tourniquet test
C. give aspirin
D. prevent low blood sugar
80. In assessing the patient’s condition using the Integrated Management of
Childhood Illness approach strategy,
the first thing that a nurse should do is to:
A. ask what are the child’s problem C. check for the four main symptoms
B. check the patient’s level of consciousness D. check for the general danger
signs
81. A child with diarrhea is observed for the following EXCEPT:
A. how long the child has diarrhea C. presence of blood in the stool
B. skin Petechiae D. signs of dehydration
82. The child with no dehydration needs home treatment. Which of the following
is NOT included in the care for
home management at this case?
A. give drugs every 4 hours C. give the child more fluids
B. continue feeding the child D. inform when to return to the health center
83. Ms. Jordan, RN, believes that a patient should be treated as individual. This
ethical principle that the patient
referred to:
A. beneficence C. respect for person
B. nonmaleficence D. autonomy
84. When patients cannot make decisions for themselves, the nurse advocate
relies on the ethical principle of:
A. justice and beneficence C. beneficence and nonmaleficence
B. fidelity and nonmaleficence D. fidelity and justice
85. Being a community health nurse, you have the responsibility of participating
in protecting the health of
people. Consider this situation: Vendors selling bread with their bare hands. They
receive money with these
hands. You do not see them washing their hands. What should you say/do?
A. “Miss, may I get the bread myself because you have not washed your hands”
B. All of these
C. “Miss, it is better to use a pick up forceps/ bread tong”
D. “Miss, your hands are dirty. Wash your hands first before getting the bread”
Situation : The following questions refers to common clinical encounters
experienced by an entry level nurse.
86. A female client asks the nurse about the use of a cervical cap. Which
statement is correct regarding the use of
the cervical cap?
It may affect Pap smear results.
It does not need to be fitted by the physician.
It does not require the use of spermicide.
It must be removed within 24 hours.
87. The major components of the communication process are:
A. Verbal, written and nonverbal
B. Speaker, listener and reply
C. Facial expression, tone of voice and gestures
D. Message, sender, channel, receiver and feedback
88. The extent of burns in children are normally assessed and expressed in
terms of:
A. The amount of body surface that is unburned
B. Percentages of total body surface area (TBSA)
C. How deep the deepest burns are
D. The severity of the burns on a 1 to 5 burn scale.
89. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes;
is always hungry; has no lunch
money; and is always tired. When the nurse asks the boy his tiredness, he talks
of playing outside until midnight.
The nurse will suspect that this child is:
A. Being raised by a parent of low intelligence quotient (IQ)
B. An orphan
C. A victim of child neglect
D. The victim of poverty
90. Which of the following indicates the type(s) of acute renal failure?
A. Four types: hemorrhagic with and without clotting, and nonhemorrhagic with
and without clottings
B. One type: acute
C. Three types: prerenal, intrarenal and postrenal
D. Two types: acute and subacute
Situation: Mike 16 y/o has been diagnosed to have AIDS, he worked as
entertainer in a cruise ship;
91. Which method of transmission is common to contract AIDS:
A. Syringe and needles A. Sexual contact
B. Body fluids B. Transfusion
92. Causative organism in AIDS is one of the following;
A. Fungus C. retrovirus
B. Bacteria D. Parasites
93. You are assigned in a private room of Mike. Which procedure should be of
outmost importance;
A. Alcohol wash C. Washing Isolation
B. Universal precaution D. Gloving technique
94. What primary health teaching would you give to mike;
A. Daily exercise C. reverse isolation
B. Prevent infection D. Proper nutrition
95. Exercise precaution must be taken to protect health worker dealing with the
AIDS patients . which among
these must be done as priority:
A. Boil used syringe and needles
B. Use gloves when handling specimen
C. Label personal belonging
D. Avoid accidental wound
Situation: Michelle is a 6 year old preschooler. She was reported by her sister to
have measles but she is at home
because of fever, upper respiratory problem and white sports in her mouth.
96. Rubeola is an Arabic term meaning Red, the rash appears on the skin in
invasive stage prior to eruption
behind the ears. As a nurse, your physical examination must determine
complication especially:
A. Otitis media C. Inflammatory conjunctiva
B. Bronchial pneumonia D. Membranous laryngitis
97. To render comfort measure is one of the priorities, Which includes care of the
skin, eyes, ears, mouth and
nose. To clean the mouth, your antiseptic solution is in some form of which one
below?
A. Water C. Alkaline
B. Sulfur D. Salt
98. As a public health nurse, you teach mother and family members the
prevention of complication of measles.
Which of the following should be closely watched?
A. Temperature fails to drop C. Inflammation of the nasophraynx
B. Inflammation of the conjunctiva D. Ulcerative stomatitis
99. Source of infection of measles is secretion of nose and throat of infection
person. Filterable virus of measles is
transmitted by:
A. Water supply C. Food ingestion
B. Droplet D. Sexual contact
100. Method of prevention is to avoid exposure to an infection person. Nursing
responsibility for rehabilitation of
patient includes the provision of:
A. Terminal disinfection C. Immunization
B. Injection of gamma globulin D. Comfort measures