ANSWER KEY CRITICAL REVIEW II – Community Health Nursing NURSING PRACTICE II - CHN and CARE of the MOTHER and

CHILD General Instructions 1. This test booklet contains 100 test questions. 2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet. 3. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalidate your answer. 4. AVOID ERASURES

INSTRUCTIONS: 1. Detach one (1) answer sheet from the bottom of your Examinee ID/ Answer Sheet Set. 2. Write the subject title “Nursing Practice I” on the box provided. 3. Shade Set Box “A” on your answer sheet if your test booklet is Set A; Set box “B” if your test booklet is Set B. Multiple Choice Situational Situation 1 – Environmental Sanitation is one of the main problems in the big cities of our country. Nurses can do something to make a difference. 1. Which of the following agencies is responsible for the promotion of healthy environmental conditions and prevention of environment-related diseases? A. Department of Health Field Units B. Environmental Health Service Office of the DOH C. Department of Health Sanitation Services D. Urban Health and National Organization 2. Which of the following agencies has the authority to act on all issues concerning environmental health? A. Environmental Health Service of the DOH B. Waste Management and Disposal C. Environmental Sanitation Office D. Sanitation Code #856 3. Which among the following health problems is related to poor environmental conditions as its main cause? A. Diarrhea B. Dengue hemorrhagic fever C. Infectious hepatitis D. Parasitism 4. As a nurse, the main topic for health teachings in the prevention of environment-related illness would include: A. “linis bakuran” B. street cleaning C. operation: linis D. proper waste disposal

1

5.

For hospital waste disposal, the recommendation is using A. shredder B. incineration C. land fill D. compost pit

Situation 2 – Elizabeth, a lawyer’s secretary, had an abrupt onset of fever, chilly sensation, aches and pains in her back and a feeling of prostration. This lasted for 5 days. 6. You are a friend of Elizabeth because you are boardmates and you are working in a nearby hospital. Which step would you do as your assessment of Elizabeth’s condition? A. Consult a doctor B. Check vital signs C. Take history D. Advise for laboratory work Elizabeth also has respiratory symptoms. Which one is the most common symptom in viral influenza? A. Cough B. Fever C. Headache D. Pallor As friends, you and Elizabeth sometimes borrow/ use each others personal things. Which item should not be used as a common belonging? A. Drinking glass B. Blouse and skirt C. Make- up kit D. Bandana and belt At A. B. C. D. bedtime, you do health teaching to Elizabeth. Which one below is most important? Keep warm and free from draft Stop office work Eat light Avoid exposure to Pneumonia

7.

8.

9.

10. The mode of transmission of Influenza Virus which Elizabeth suffers from is through A. food intake B. droplet C. drinking water D. soiled linen Situation 3 – ML, 81 years old, loves to walk. She has failing eyesight, wobbly legs, is stubborn and believes she can still manage. 11. What preventive measure will the nurse prescribe for her well being, that is, letting her walk as she likes, but at the same time protecting her from ill events in life? A. Ask her to have a companion whom she feels at ease with and to use a cane B. Talk to her and warn her not to walk anymore because it is dangerous C. Suggest wheel chair ride at regular times during the day D. Give her the liberty to walk at her own risk 12. With her failing eyesight, you as a nurse should

2

A. B. C. D.

Ask her to eat foods rich in Vitamin A Limit use of her eyes Assure her of your guiding presence and ensure a sense of security Teach and enroll her on brail reading

13. When caring for older persons, what bioethical principle should you keep in mind? A. Autonomy B. Beneficence C. Justice D. Non-maleficence 14. Regardless of the social strata, character, or difficulties of the old person’s personality and behavior, which should be accorded to the old person? A. Praise and well wishes B. Mano po gestures C. Gratitude and humble service D. Respect coupled with care and utmost attention 15. In A. B. C. D. the Philippines, our greatest asset in society is our love and connectedness with land- jewelries parents- relatives education- manners money- inheritance

Situation 4 – Community health nursing utilizes the nursing process that leads to desired outcome of health status. 16. The assessment process involves participation of clients. Which step determines the health status of families regarding family dynamics and pattern of coping? A. Analysis of data B. Collection of data C. Interpretation of data D. Presentation of data 17. To categorize family health problem, this condition leads to disease or injury A. forseeable crisis B. health threat C. health need D. health deficit 18. Which of the following is a health deficit? A. History of repeated infection B. Use of nuclear medicine C. Death or illness in the family D. Population is inadequately immunized 19. There are many ways of collecting data. This one is the face to face interaction of the researcher and the individual. A. Review of statistics B. Laboratory and screening test C. Survey D. Interview

3

20. The data collected is systematically recorded to facilitate A. confidentiality B. correct and accurate records C. research D. retrieval for different purposes Situation 5 – The Expanded Program on Immunization was launched in July 1976 by the DOH in cooperation with the WHO. 21. Which of the following is the general objective of EPI? A. Reduce morbidity and mortality among people of all ages B. Reduce morbidity and mortality among urban poor children C. Reduce morbidity and mortality among young children and pregnant women D. Reduce morbidity and mortality among pregnant women with high risk 22. What is the EPI based on? A. Research studies on communicable diseases B. Epidemiological situation C. Report of basic health services D. Scenario of the community affected 23. Which age group is EPI compulsory as per PD # 996 of 1976? A. School entrants B. Children of all ages C. Babies and infants D. Below 8 years old 24. As A. B. C. D. a nurse, what is your function in the implementation of EPI? Target setting Gather children every Wednesday for Patak Surveillance, studies and research Management of cold chain

25. Which vaccine is a requirement for school entrants regardless of the presence of BCG scar? A. DPT B. Hepa B C. BCG D. Anti- tetanus Situation 6 – There are corner stones or pillars in Primary Health Care to achieve its mission. 26. Which of the following is not a corner stone of Primary Health Care? A. Intra and inter sectoral linkages B. Use of technology and support mechanism C. Activities for self reliance D. Active community participation 27. To encourage active participation of the community, what qualities should a nurse possess? A. intellectual capacities B. coach behavior

4

C. role modeling D. leadership 28. Forming linkages is an important action, wherein the community leaders relate with other agencies like the following, EXCEPT: A. Schools B. Red Cross C. World Health Organization D. Rotary Club 29. The use of appropriate technology could also mean the use of: A. computers B. medical equipment C. herbal plant D. essential drugs 30. The primary role of the nurse in Primary Health Care is as A. organizer B. teacher C. facilitator D. leader Situation 7 – Evaluation of care is an integral part in the application of the nursing process. 31. Which is the appropriate term that describes the changes in the client’s health status as a result of nursing intervention? A. Healthy lifestyle B. Desired outcome C. Modified behavior D. Compliance with the regimen 32. Which of the following is the structural element from which nursing care is delivered? A. Philosophy of care B. Health team C. Care regimen D. Modification of symptoms 33. Which of the following is the process element used as framework of nursing care? A. Outcome changes B. Process goals C. Organizational structure D. Nursing objectives 34. Which of the following is the outcome element of nursing care? A. Success of nursing action B. Budget and equipment C. Coordination of services D. Skill level of client 35. What is the measure of nursing effectiveness if quality assurance is recommended? A. Standard of practice B. Change in behavior of the client C. High cost of health care regimen

5

D. Nurse- patient ratio Situation 8 – Having a 2- year old child and not working, you were encouraged to turn your garage into a day care center catering to pre- school children. There are 6 children to start with, half of them are toddlers. 36. As 3- year olds, these children are usually least skilled in which of the following? A. Tying shoe laces B. Throwing balls C. Using blunt scissors D. Riding a bicycle 37. Which of the following people would most likely be their significant others? A. Peers B. Teachers C. Siblings D. Parents 38. One of the children complained of pain in the abdomen. Which of the following pain assessment techniques would be LEAST effective for the nurse to use when caring for toddlers? A. Watch their faces for grimaces B. Observe them for restlessness C. Ask them to describe the pain D. Listen to the nature of their crying 39. There was a sudden power failure one time when the children were in the day care center. One of the kids was observed to be unusually afraid. What concept in the preconceptual phase of cognitive development in Piaget’s theory best explains fear of darkness among toddlers? A. Conservation of nature B. Reversibility C. Object permanence D. Animism 40. In discussing the behavior of children among the parents, the nurse discovers that she is less judgmental than her friends. She is most likely to be least judgmental because of which of the following reasons? A. Works gradually to change the detrimental values of others B. She can give up her values in an attempt to accept people as they are C. Consciously overlook other people’s values that are contrary to hers D. Understands the origin of her own values Situation 9 – The Nursing Act of 2002 or R.A. 9173 has a provision that the nurse must continue her education even after passing her licensure examination. 41. Which of the following is formal continuing education? A. Teleconferences B. Enrolment in graduate school C. Attendance in conferences D. Refresher courses 42. Which of the following is the required qualification of a dean?

6

A. B. C. D.

Nine units in nursing administration Masters degree in related fields Masters degree in nursing Doctoral degree

43. The faculty of a college of nursing must have a master’s degree which is: A. Psychology B. Nursing only C. Public Health D. Nursing or related field 44. Nurses in the nursing service must also be qualified. The nursing service director must have a A. Masters degree in any field of nursing B. Masters degree in health sciences C. Masters degree in nursing major in administration D. Masters degree in education 45. To A. B. C. D. become a Board of Nursing member, which of the following is a requirement? Masters in Public Administration Nine units of Masters degree in nursing Nine units in management and administration course at the graduate level Master of Arts in Nursing

Situation 10 – Immunization schedules is to be used in order to provide maximum immunity to the seven EPI diseases before the child reaches the first birthday. 46. Which of the following vaccines is given at birth for the protection of the newborn? A. OPV B. Measles C. BCG D. DPT 47. How many doses of DPT should be given with an interval of 4 weeks? A. 3 B. 4 C. 5 D. 6 48. At A. B. C. D. what age is DPT 1 given? 6 weeks Birth 2 weeks 4 weeks

49. Protection against polio is increased if given earlier. When is the right age? A. 4 weeks B. 2 weeks C. 6 weeks D. Birth 50. If measles is given at 9 months, what is the percentage that measles can be prevented? A. 80%

7

B. 85% C. 90% D. 95% Situation 11 – Nursing care right after delivery is very crucial to both mother and baby. 51. Which of the following is NOT checked on the mother? A. Vital signs B. Contracted and hard uterus C. Going home dress D. Expelled placenta and laceration 52. Which of the following should be observed on the baby? A. APGAR score and congenital defects B. Birthmark and pigmentation C. Sucking D. Placenta 53. Registration of the baby must be done by a: A. nurse B. brgy. health worker C. midwife D. trained hilot 54. The first postpartum visit in the home is A. six weeks after delivery B. four weeks after delivery C. one week after delivery D. within 24 hrs. 55. An important function of the nurse is recording of disease cases. Where should the reports be submitted? A. Mayor office B. Provincial office C. Field health services information system D. Rural health unit Situation 12: The following questions pertain to Diarrhea and IMCI. 56. While assessing an 8 month old infant who has diarrhea, you noted that the diarrhea has been for 2 days without presence of blood. The child kept playing with her rattle while sitting on her mother’s lap. The patient’s eyes were not sunken. When offered milk, the baby greedily drank from the feeding bottle. What other symptom will you look into before you classify the patient’s diarrhea? A. capillary refill B. pallor of palm C. skin turgor D. dryness of mouth 57. You noted that when pinched, the above client’s abdomen returned to previous contour slowly. What will be the classification of this baby’s diarrhea? A. severe dehydration B. some dehydration, persistent diarrhea

8

C. some dehydration, dysentery D. some dehydration 58. In assessing for diarrhea, the IMCI trained nurse knows that a patient can have: A. one classification B. two classifications C. three classifications D. four classifications 59. You are taking care of an 8 month old infant taken to the health center because of diarrhea and fever. The mother reported that the baby had an episode of fever. The baby had no general danger signs. The baby had no cough. The mother reported that the baby had diarrhea for 15 days, with some tinge of blood. The baby was quite restless during the assessment. When offered milk, she drank eagerly and skin pinch went back briskly. When you took the temperature of the baby the temperature was 37.30C. They do not live in a malaria or dengue endemic area. The baby had no generalized rash. From your assessment, the nurse knows that: A. the client has three classification for diarrhea and no other classification B. the client needs urgent referral with no additional interventions C. the client can be treated in the health center D. the client has to be treated with plan B for dehydration on the way to the hospital 60. Given the above client, the nurse would institute which of the following measures? A. measures under classification for dehydration B. measures under classification for persistent diarrhea C. measures under classification for dysentery D. measures under classification for fever: no malaria 61. You are assessing for a 5 week old neonate for the chief complaint of diarrhea. There are no indications of a possible serious bacterial infection or a localized bacterial infection. While doing the assessment for diarrhea, you noted that the diarrhea has been for 2 days and there’s a tinge of blood in the stool. The baby is moving his head around, not crying while cuddled by the mother. The eyes are sunken and skin pinch went back briskly. The nurse knows that: A. the baby needs urgent referral to a hospital B. the baby can be treated at home C. the baby can be treated at the heath center D. the baby can be classified as possible serious bacterial infection Situation 13: A mother brought her infant to the health center with a chief complaint of fever. As a public health nurse, apply your knowledge on IMCI to the following situations. 62. A mother comes with her 2 month old child with a chief complaint of fever. To assess for general danger signs, the nurse would ask all of these questions EXCEPT? A. How long has your child had fever? B. Is your child able to drink or breastfeed? C. Has she vomited everything she ate? D. Has the child had convulsions? 63. A mother reported that her 4 month old baby is having fever for two days already. The baby’s temperature is 37.3 0C. The patient lives in San Andres Manila and has never traveled elsewhere. She did not have measles for the past 3 months and has not

9

developed any generalized rash. The baby has a cough for 3 days already. What other information would be necessary before you decide on the patient’s classification? A. presence of pus draining from the eyes B. presence of signs of bleeding C. episodes of high grade fever D. episodes of diarrhea 64. In assessing for the presence of measles, the nurse would take note of all of the following EXCEPT? A. generalized rash and redness of the eyes B. generalized rash or presence of cough or runny nose C. clouding of the cornea D. mouth sores 65. You have a 10 month old patient coming in with fever of 38 0C lasting for eight days. The patient lives in a malaria endemic area, manifests with runny nose and generalized rash with no signs of bleeding. What will be one of the actions of the nurse/ A. classify the client B. if possible, have a malaria smear done C. conduct tourniquet test D. refer immediately 66. You are to assess a 12-month old baby whose main symptom is cough and fever. You noted that the baby has had the cough for 5 days. You also noted that his respiratory rate is 50/min, there is no chest in drawing nor stridor. The nurse will classify this client as: A. no pneumonia: cough or colds B. Severe pneumonia or very severe disease C. Pneumonia D. Very severe disease Situation 14: The IMCI also deals with ensuring that the child would get proper nutrition. 67. In teaching the mother of a 2 week old infant how to ensure proper attachment, the nurse would have the mother do all of the following EXCEPT: A. touch infants lips with her finger B. after stimulating infant, wait until infants mouth is wide open then move infant quickly to breast C. aim the infants lower lip well below the nipple D. proper positioning technique is used 68. A mother comes in with her 3 week old infant. The nurse would know that part of basic assessment in IMCI would include: A. assessing for breast infection B. assessing for good mother-father and child bonding C. assessing for breastfeeding D. assessing for uterine involution of the mother 69. You are to assess for breastfeeding of a 1 month old newborn brought to the health center. Which of the following is not included in checking for attachment? A. check if chin is touching breast B. check if sucking is effective C. check if mouth wide open

10

D. check if more areola above than below the mouth 70. A mother of a 10 month old baby tells you that she feeds the baby lugaw, with lots of fluid in it 3x a day. The baby is still breastfed. The nurse would: A. congratulate the mother for doing giving correct feeding to the child B. tell the mother to increase frequency of solid foods to 5x a day C. tell the mother to decrease frequency of solid foods to 2x a day D. congratulate the mother for her practice as well as advice her that a thicker mixture of lugaw is more recommended by adding oil, pulverized meat source or ground vegetables 71. When assessing for feeding problems in a 36-month old client, you noted that the mother said that the baby eats family food 3X a day with 2 snacks specifically one between breakfast and lunch and one between lunch and dinner. This indicates? A. a feeding problem B. a potential feeding problem C. no feeding problem D. a tendency for obesity Situation 15: The following situations would necessitate the application of your knowledge on the IMCI. 72. You are assessing a 7 month old’s development. During this time you noted that the baby didn’t have much things to stimulate development. The best advice to give the mother is: A. to give child clean, safe household things to handle, bang and drop B. give household things to stack up or to put into a container C. help child count and name things D. provide an area where there lots of colorful things 73. A mother of an 18 month old baby tells you that she has already returned to work and have less time spent with her child. Which of the following would be the most appropriate advice to the mother? A. ask a trusted person to spend more time with baby B. interact with the baby while doing chores in the house C. ask father to spend more time with baby D. give more toys to baby to play with such as stack up toys 74. As a nurse trained in IMCI, you know that if assessment findings needs emergency treatment and emergent hospital care, the box where you will look at to determine your actions will be? A. All the first box for whichever symptom is concerned B. All the yellow box for whichever symptom is concerned C. All colored boxes for whichever symptom is concerned D. the pink box for whichever symptom is concerned 75. You are assessing a 2 week old newborn. The chief complaint of the mother is that the child has been coughing for 3 days. The baby had no nasal flaring, no grunting and no chest in drawing. You noted that the RR was 55/min. Your next action is: A. classify the client B. proceed with the other assessment parameters not related to the cough C. count the RR again D. Check for airway obstruction

11

76. You are taking care of a 3 week old newborn brought by the mother because of persistent crying leading to a decrease in frequency of feeding. During your assessment, the only thing you noted is the presence of redness of the umbilicus up to the surrounding skin. You also noted that baby has less than 8 feedings in 24 hours. The next action of the nurse is: A. initiate measures in the yellow classification pertaining to localized infection B. initiate measures in the yellow classification feeding problem C. initiate measures in the pink classification possible serious bacterial infection and not able to feed--- possible serious bacterial infection D. initiate measures in the pink classification possible serious bacterial infection 77. A 3 month old baby came in to your health center. She weighs 3 kgs. has a cough for 3 days and when you assessed, had an RR of 48/min, negative for chest in-drawing and stridor. The baby had no other problems. You assessed the baby’s nutritional status. You noted that she did not have palmar pallor nor did she have signs of visible wasting or edema. Her weight is just slightly below the lower cut-off for her age. Your assessment reveals: A. patient can be classified to green classification B. patient can be classified as very low weight C. patient can be classified as pneumonia D. patient can be classified as severe pneumonia; very severe disease 78. You are to assess a five month old baby boy in your barangay health center. The child is 5.5 kgs. The mother brought her for check-up because of a rash over the entire back. While assessing you noted that the patient had no general danger signs, no cough, no diarrhea, no fever, no ear problem and had no signs of anemia nor very low weight. What would be reflected on the IMCI form? A. The IMCI form would be empty B. The form would reflect a classification of the patient as measles C. The form would reflect a classification of no anemia and not very low weight with corresponding interventions written at the back D. The form would reflect a classification of no anemia and not very low weight with corresponding interventions written at the back as well as reflect localized rash over back in the assess other problems section 79. You are taking care of a 36 month old baby with complaints of an ear problem. Which among these will not be included in your assessment? A. presence of hearing difficulty B. presence of pus draining from the ear C. presence of tender swelling from the ear D. asking for presence of ear discharge Situation 16 – Mrs. Herrera is the nurse at the Mother and Child Health Nursing Unit of a health care facility which includes home visit in the homes of mother and child after delivery. 80. Which of the following is Mrs. Herrera’s concern when she visits the mother and child? A. Post natal care and lactation of the mother and new born care B. Make a schedule of the visit to the doctors office C. Determine family planning method for the mother D. Evaluate socio- economic status of the family

12

81. Which of the following is the primary goal of maternal- child health nursing? A. To promote the well being of potential mothers and learn the right approach to family life and family planning. B. To consider that every child has love and security and has a better future. C. To avoid having children who are misdirected and became street children. D. To insure that every expectant mother maintains good health, learn the art of child care, have normal delivery and have healthy children. 82. What is the objective of prenatal care? A. To avoid complication of babies upon delivery, like fetal death in utero. B. To reach all pregnant women to give sufficient care and ensure healthy pregnancies and full term birth of healthy babies. C. To ensure that all pregnant women are given tetanus toxoid immunization. D. To schedule at least 3 prenatal visits during the time of pregnancy. 83. What vitamins should a pregnant woman take to increase hemoglobin? A. Minerals B. Vitamin A C. Ferrous sulfate D. Vitamin C 84. When should the first prenatal be advised: A. First months B. First trimester C. First quickening D. First LMP Situation 17 – Nursing care in the home requires giving to the individual patient the care necessary to reach the level of functioning. 85. Which of the following is NOT a principle in Nursing Care in the home? A. Giving opportunity to teach patient B. Utilizes medical and nursing care plans C. Give comfort and safety D. Patient to become dependent 86. Which one of the following is a STRICT isolation technique in the home? A. Articles should not be mixed with others B. Discharges from nose and throat should be discarded. C. Patient should refrain from talking to others. D. Discharges should be boiled before washing. 87. Tess, 52 yrs. old is known to have Diabetes mellitus. Which topic for health teaching is BEST for Tess? A. Fashion B. Grooming C. Nutrition D. Cooking 88. Cynthia, 4 yrs. old has Asthma. Her mother brought her to the Rural Health Unit and ask the nurse how to prevent another attack in the home. What should the nurse tell Cynthia’s mother? A. “Bring to the doctor at once”

13

B. “Give good nutritious food” C. “Keep the house free from dust” D. “Give medications” Situation 18: AB, 32 years old, has returned from Hongkong and was admitted to a hospital with a tentative diagnosis of SARS. 89. AB is expected to have which of the following symptoms? A. fever, rapid progressive respiratory compromise B. fever and dyspnea C. fever and reproductive cough D. fever and cyanosis 90. Incubation period of SARS: A. 2- 7 days B. 5- 11 days C. 1- 10 days D. 1- 5 days 91. The following countries where SARS originated include the following, except: A. China B. Canada C. Philippines D. Hong Kong 92. What is the causative agent of SARS? A. Corona virus B. Retro virus C. Rhabdo virus D. Influenza virus 93. Which of the following is the most serious complication of SARS? A. pulmonary congestion B. atelectasis C. respiratory distress D. anaphylaxis Situation 19 – Acute respiratory infection remains to be the leading cause of illness and death among Filipinos especially children. 94. The nurse is able to identify factors that lead to respiratory problem. Primary function of the nurse is A. to detect early signs for early treatment. B. to mobilize field workers to meet parents. C. to refer severe cases to district hospitals. D. to teach the mother to recognize early signs and symptoms of pneumonia. 95. Which of the following is the primary focus of the Care of Acute Respiratory Infection (CARI) program of the Department of Health? A. Teaching midwives to assess patients B. Early detection C. Enhancement of workers capabilities D. Teaching parents how and when to refer

14

96. A mother brings her child to the Rural Health Unit (RHU) for consultation. Which of the following should the nurse do to the child with difficulty in breathing? A. Intervention B. Assessment C. Planning D. Evaluation 97. After training in the DOH program on how to assess children with respiratory problem, the nurse can use which chart? A. IMCI protocol B. Management of child with cough C. CARI program protocol D. Ask, look, listen chart 98. If the child is in the “No Pneumonia” category, the nurse can advise mother to give home care like: A. changing clothing frequently B. keeping the child warm C. letting the child sleep longer D. continuing the play therapy Situation 20 – Cholera (El Tor) is an acute serious illness characterized by sudden onset of acute and profuse colorless diarrhea; an occasional epidemic form in the Philippines. 99. Which of the following is the source of infection of cholera (El Tor) A. Wet garbage from food establishments B. Dirty water from faucet C. Poor handling of fresh fruits and vegetables D. Vomitus and feces 100. Which of the following method of prevention of and control is the role of the nurse? A. Seminar of food handlers B. Health education C. Proper waste disposal D. Proper handling of waste materials ---End of Examination---

15

Sign up to vote on this title
UsefulNot useful