Professional Documents
Culture Documents
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NURSING PRACTICE B:
DIRECTION: Choose the letter of the BEST answer by shading the corresponding
3. A nurse may keep opened vials of OPV for use in the next session if:
A. you have taken out the vaccine at the health center for some other reasons
C. the vaccines have been stored at a temperature between 0 deg C and 8 deg C
mental patient. On reporting to work, she observes numerous bruise and red marks
on her patients face. Her patient seems upset. Ms. Amodia suspects that either
C. wake her son and ask him who would hurt his mother
6. If there develops severe pre-eclampsia, what would be the drug you would
7. As a community health nurse you always bear in mind that the purpose of
C. help clients become aware that they have control over their lives
8. Maria is developing constipation from being on bed rest. What measure would
C. eat more frequent small meals instead of three large ones daily
D. walk for at least half an hour daily to stimulate peristalsis
9. A bilateral amputee is assisted by his wife and children to the commode for
bowel evacuation. This example best demonstrates the family’s assistance to meet
which need?
10. Which of the following is the most important reason for doing a literature
11. Martina develops endometritis. What would be the best activity for her?
12. Grace sustained a laceration on her leg from automobile accident. Why are
than other?
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
13. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very
slowly, and she is drinking poorly and irritable. She is not able to drink and
there is no blood in the stool. How will you classify Fely’s illness?
15. Your client, who happens to be female resident of the barangay you are
covering, is an adult survivor who states: “Why couldn’t I make him stop the
abuse? If I were stronger person, I would have been able to make him stop. Maybe
maturity. What instructions would you give her before this procedure?
B. no more amniotic fluid forms afterward, that is why only a small amount is
removed
C. the intravenous fluid infused to dilate your uterus does not hurt the fetus
D. the x-ray used to reveal your fetus position has no long-term effects
17. When planning teaching strategy for a pregnant woman, the nurse should do
A. give information about how the woman can manage the specific problems she
C. provide all information to the woman in a group session with other pregnant
to discuss it with
D. during the first prenatal visit, teach a woman the care measures necessary
18. Which of the following symptoms is LESS commonly noted in EARLY pregnancy?
19. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The
A. eat more dairy products and green leafy vegetables to provide an additional
metabolism
C. eat whenever she feels hungry because her body will let her know when she
needs nutrients and extra calories
20. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the
home setting. Which of the following supplies should be readily available for
21. Which of the following could be included in the outcome criteria for a
disease”?
B. fetal heart rate will remain between 120 and 160 beats a minute
B. fetal activity stimulates the nerves of the legs and causes weakness
23. When a nurse uses the IMCI model, the IMCI chart uses illness
24. Which of the four signs of good attachment is true in this statement?
A. the chin should touch the breast while the mouth is wide open and while the
lower lip is turned inward more areola is visible above than below
B. the chin should touch the breast, the mouth is wide open while the lower lip
C. the chin should touch the breast while the mouth is wide open while the lower
lip turned outward and more areola visible below than above
D. the chin should touch the breast while the mouth is wide open and the lower
25. Which type of research inquiry investigates the issues of human complexity (
26. 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
illness or IMCI strategy, if you were the nurse in charge of Carol, how will you
classify her illness?
27. Why are small for gestational age newborns at risk for difficulty
D. they are more active than usual so they throw off comes
28. Oxytocin is administered to Rita to augment labor. What are the first
29. Which of the following treatment should NOT be considered if the child has
tourniquet test
C. give aspirin
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
A. how long the child has diarrhea C. presence of blood in the stool
32. The child with no dehydration needs home treatment. Which of the following
B. continue feeding the child D. inform when to return to the health center
33. Ms. Jordan, RN, believes that a patient should be treated as individual.
B. nonmaleficence D. autonomy
34. When patients cannot make decisions for themselves, the nurse advocate
35. Being a community health nurse, you have the responsibility of participating
bread with their bare hands. They receive money with these hands. You do not see
A. “Miss, may I get the bread myself because you have not washed your hands”
B. All of these
D. “Miss, your hands are dirty. Wash your hands first before getting the bread”
36. If a child with diarrhea has 2 or more signs in the IMCI pink row chart, the
37. If the capillary refill takes more than 3 seconds it may mean:
38. Leprosy is a chronic disease of the skin and peripheral nerves. Which of the
39. In asking the mother about her child’s problem the following communication
B. give time for the mother to answer the question D. ask checking questions
40. Patients eligible under the short term chemotherapy (STC) are the following
EXCEPT:
B. those with cavitary lung findings after two successive negative sputum
examination
C. patients without having been given consent for anti-TB treatment
41.When planning comfort measures to help the woman in active labor to tolerate
A. early labor contractions are usually regular, coordinated, and very painful
C. pain medication given during the latent phase of labor is not likely to
impair contractions
D. the acceleration phase of labor can be a time of true discomfort and high
anxiety
42. Francis is admitted in active labor. The nurse locates fetal heart sounds in
the upper left quadrant of the mother’s abdomen. The nurse would recognize which
of the following?
43. While interviewing a woman in labor, the nurse would address which of the
following?
A. whether the pregnancy was planned C. maternal concerns regarding fetal health
44. If a woman will be placing her baby for adoption, which of the following
nursing measures should be implemented during the labor stages?
A. avoid discussing the baby during the historical assessment to minimize the
woman’s anxiety
B. support the woman as needed by accepting the decisions she makes regarding
C. protect the woman from visitors and family members who might try to change
her mind
D. take the baby away as soon as possible after birth to prevent bonding from
occurring
45. During the third stage of labor, the nurse may have which of the following
responsibilities?
B. monitoring for blood loss greater than 100 cc, which would indicate gross
hemorrhage
complication
D. pushing down on the relaxed uterus to aid in the removal of the placenta
46. Immediately following episiotomy repair, the nurse would do which of the
following?
A. cleanse the woman’s anal area, then perineum and vulva, to remove any fecal
B. monitor the woman for shaking and complaints of chill sensations, which may
C. palpate the uterus fundus for size, consistency and position and take vital
D. remove all coverings except a clean, light hospital gown to prevent the
47. Mr. Tony has been hospitalized for months following special spinal cord
surgery. The boys club in his hometown was renamed the Tony boys club, and a
parade is planned to honor Mr. Tony. Such community action should positively
immunization?
C. do not give DPT to a child who has recurrent convulsion or active neurologic
disease
D. do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of
DPT1
49. Which of the following might prevent the conduct of a research study?
required
B. costs for conducting the study are low compared to the potential benefits
from the researcher
50. Marsha is concerned she may loose an excessive amount of blood with cesarean
surgery. What is the usual amount of blood loss with cesarean birth?
51. If the child is 4 months, which of the following questions SHOULD NOT be
A. ask if the child is eating well during illness C. ask if the child has had no
convulsion
B. ask if the child is able to breastfeed D. ask if the child vomits everything
52. Arnie, like all newborns, can loose body heat by conduction. Under which
bassinet
B. if the infant is wet from amniotic fluid D. if there is a breeze from an open
window
53. You have just entered Mr. Tiangco’s room and observed him lying on the floor
next to the bed. The side rails on the bed are down. When you asked Mr. Tiangco
what happened, he replies. “I was asleep and the next thing I knew I was on the
this situation?
A. Lying on floor next to bed. No complaints verbalized. Side rails down.
while asleep.
B. Mr. Tiangco was found lying on the floor next to his bed. When asked what
happened, he stated “ I was asleep and the next thing I knew I was on the
floor”.
C. Lying on the floor, side rails down. Rolled out of bed while asleep.
D. Mr. Tiangco fell out of bed while asleep; both side rails were left down.
56. The Santiago Family lives in a makeshift house in Julugan, Tanza, Cavite.
Composed of 8 members, the eldest son Rhio is 7 years old. Rhean is 6, Queenie
and Quency are twins 5, Peter is 4 and the youngest is 6 months old named Oscar.
Aling Rosa works in a laundry earning Php 1,500.00 a month and husband Mang Sony
works as fish vendor earning Php 150.00 per day. Peter and the twins are
enrolled in the day care. Rhio and Rhean stopped studying to help their parents
for their younger brothers and sisters. With the current condition besetting the
C. give Aling Rosa’s family a Php 2,000.00 worth of capital for them to put a
fishball stand
57. Every year we discover new methods or gadgets to improve man’s life. The
A. applied C. experimental
B. developmental D. quantitative
58. When should the mother give complementary foods to a 5 months old infant?
60. The nurse wants to immunize a 1 year old child for measles. The child has
been classified as having pneumonia and no anemia and not very low weight. The
child’s mother does not want her child to be immunized and instead they will
just return as soon as the child is better. How will the nurse explain the
importance of immunizing the child with measles now?
B. all persons of all ages above 1 year with symptoms indicative of tuberculosis
D. all persons ages 10 years and over with progressive loss of weight
62. Mr. Barmonte was brought home with an advance directive, but the nurse is
not sure that she can follow his wishes. The nurse should:
A. follow the directive even though the nurse is uncomfortable with the
directives
C. discuss with the interdisciplinary team in charge of Mr. Barmonte and the
63. A term concerning body resistance which refers to protein present in the
A. antibodies C. antigen
B. antitoxin D. allergen
64. A health care service in which risk factors are identified, occupational
65. A community health nurse (CHN) visits the Gomez family weekly. Although
family income seems adequate, Mrs. Gomez is unable to budget it over a 4-week
period. The nurse asks what may be done to help Mrs. Gomez shrugs her shoulders
and says, “Tomorrow may never come.” Mrs. Gomez’s reaction is described as:
C. her belief that income may not be adequate as perceived by the CHN
a/an:
A. merit C. moral
B. value D. attitude
67. When the nurse assists the clients in understanding personal values, this is
an example of value:
A. validation C. clarification
B. discovery D. choice
health nurse determines the family’s diet is inadequate in protein content. The
nurse could suggest which of the following foods to increase protein content
with little increase in food expenditure?
69. A new mother who is breast-feeding her baby asks the nurse when she should
start her feeding baby vegetables. The nurse would suggest the MOST APPROPRIATE
A. 3 to 4 months C. 6 to 8 months
B. 4 to 5 months D. 9 to 12 months
70. Assessment areas for the nurse is working with the family on health
A. the television shows that they watch C. the perceived health status and
B. the family and all the relative’s statuses D. the mental status of family and
friends
71. The nurse manager wishes to implement a new way of determining the vacation
schedule for the staff. The senior staff opposes the change while the newer
staff seems more accepting of the change. An effective strategy for resolving
A. explain that the change will occur as designed, regardless of the staff’s
preference
B. tell the staff that if they really do not want the change, it will not be
implemented
72. The following are the duties of the Public Health Nurse EXCEPT:
74. The following are the concerns of the Public Health Nurse on the third
D. type of feeding
75. When a child with persistent diarrhea returns for follow-up visit after 5
days, the nurse should ask the mother if the diarrhea has stopped when:
nurse and his patient or the family. Where could the nurse get available
78. In planning a home visit, the nurse considers the individual needs. Which of
79. Which of the following is the FIRST action of the nurse during a home visit?
80. Which factor must be considered by the nurse as vital to determine frequency
81. Eating habits of the family has changed due to the existing fast food
establishment in the area. What health risk should you warn the family?
82. To show a mother how to help her to have good attachment of the infant
during breast feeding. Which of the following statement SHOULD NOT be included?
D. move the infant quickly onto her breast, aiming the infant’s lips well below
the nipple
83. When members of the community identify needs, work on its solutions with
84. In assessing the level of family cohesion, you have determined that the
family is very close and has very high loyalty, and members are highly dependent
A. separated C. connected
B. enmeshed D. disengaged
85. Mrs. Ayuyao, 77 year old, has been admitted with pneumonia. Her husband asks
the nurse about the living will. As a license nurse, you remember that living
wills:
A. The intravenous fluid infused to dilate your uterus does not hurt the fetus
B. you will need to drink at least 3 glasses of fluid before the procedure
D. you can have medicine for pain for any contractions cause by the test
87. What is the most common type of health problem seen in the health care
system?
disease
89. Nurses who deliver community-based care must have which of the following
qualities?
91. When providing care in a home, how might the nurse best implement infection
control?
A. cleanse the hands before and after giving direct patient care
A. earaches C. obesity
93. If the child does not have ear problem, what should the nurse do?
A. check for tender swelling behind the ear C. check for ear drainage
B. check for ear pain D. got to diet question, check for malnutrition
94. Nona had her pelvic measurement taken. What size should the ischial
95. In classifying the child’s illness using the IMCI color-coded triage, each
A. the boss assures you of a big promotion if you go out on a couple of dates
with him
B. your supervisor makes masturbatory gestures every time you walk pass him
C. the personnel manager hints that the job will be yours if you cooperate
D. your boss suggests that your “raise” is dependent upon having sex with him
97. Which among these activities is the concern of the Primary Level?
98. Which of the following vaccine in the Expanded Program of Immunization have
a 4 weeks interval?
A. OPV C. BCG
99. The nurse who is planning a health promotion program with clients in the
100. A holistic belief system by the nurse would be most evident if the nurse:
A. incorporates client perceptions of health when planning care