Professional Documents
Culture Documents
Imci 2021
Imci 2021
respective homes. Here she handles a case of POSTPARTIAL MOTHER AND FAMILY focusing on
HOME CARE.
1. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-
care visit typically made?
2. Leah is developing constipation from being on bed rest. What measures would you
suggest she take to help prevent this?
a. Eat more frequent small meals instead of three large one daily
b. Walk for at least half an hour daily to stimulate peristalsis
c. Drink more milk, increased calcium intake prevents constipation
d. Drink eight full glasses of fluid such as water daily
3. If you were Minette, which of the following actions, would alert you that a new mother is
entering a postpartial at taking-hold phase?
a. She urges the baby to stay awake so that she can breast-feed 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 fir the baby as yet
d. She sleeps as if exhausted from the effort of labor
4. At 6-week postpartum visit what should this postpartial mother’s fundic height be?
5. This postpartal mother wants to loose the weight she gained in pregnancy, so she is
reluctant to increase her calorin intake for breast-feeding. By how much should a lactating
mother increase her caloric intake during the first 6 months after birth?
a. 350 kcal/day
b. 5CO kcal/day
c. 200 kcal/day
d. 1,000 kcal/day
Situation 2 – As the CPES is applicable for all professional nurse, the professional growth and
development of Nurses with specialties shall be addressed by a Specialty Certification Council.
The following questions apply to these special groups of nurses.
6. Which of the following serves as the legal basis and statute authority for the Board of
nursing to promulgate measures to effect the creation of a Specialty Certification Council and
promulgate professional development programs for this group of nurse-professionals?
a. R.A. 7610
b. R.A. 223
c. R.A. 9173
d. R.A. 7164
7. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of
the entitled: “Adoption of a Nursing Specialty Certification Program and Creation of Nursing
Specialty Certification Council.” This rule-making power is called:
a. Quasi-Judicial Power
b. Regulatory Power
c. Quasi/Legislative Power
d. Executive/Promulgation Power
a. The Board of Nursing intended to create the Nursing Specialty Certification Program as a means
of perpetuating the creation of an elite force of Filipino Nurse Professionals
b. The Board of Nursing shall oversee the administration of the NSCP through the various Nursing
Specialty Boards which will eventually, be created
c. The Board of Nursing at the time exercised their powers under R.A. 7164 in order to adopt the
creation of the Nursing Specialty Certification /council and Program
d. The Board of Nursing consulted nursing leaders of national nursing associations and other
concerned nursing groups which later decided to ask a special group of nurses of .the program for
nursing specialty certification
10. The NSCC was created for the purpose of implementing the Nursing Specialty policy
under the direct supervision and stewardship of the Board of Nursing. Who shall comprise
the NSCC?
a. A Chairperson who is the current President of the APO a member from .the Academe, and the
last member coming from the Regulatory Board
b. The Chairperson and members of the Regulatory Board ipso facto acts as the CPE Council
c. A Chairperson, chosen from among the Regulatory Board Members, a Vice Chairperson
appointed by the BON at-large; two other members also chosen at-large; and one representing the
consumer group
d. A Chairperson who is the President of the Association from the Academe; a member from the
Regulatory Board, and the last member coming from the APO
Situation 3 – Nurse Anna is a new BSEN graduate and has just passed her Licensure Examination
for Nurses in the Philippines. She has likewise been hired as a new Community Health Nurse in one
of the Rural Health Units in their City, which of the following conditions may be acceptable TRUTHS
applied to Community Health Nursing Practice.
11. Which of the following is the primary focus of community health nursing practice?
a. Cure of illnesses
b. Prevention of illness
c. Rehabilitation back to health
d. Promotion of health
12. In community health nursing, which of the following is our unit of service as nurses?
a. The Community
b. The Extended Members of every family
c. The individual members of the Barangay
d. The Family
13. A very important part of the Community Health Nursing Assessment Process includes
a. the application of professional judgment in estimating importance of facts to family and community
b. evaluation structures arid qualifications of health center team
c. coordination with other sectors in relation to health concerns
d. carrying out nursing procedures as per plan of action
14. In community health nursing it is important to take into account the family health with an
equally important need to perform ocular inspection of the areas activities which are
powerful elements of:
a. evaluation
b. assessment
c. implementation
d. planning
15. The initial step in the PLANNING process in order to engage in any nursing project or
parties at the community level involves:
a. goal-setting
b. monitoring
c. evaluation of data
d. provision of data
Situation 4 – Please continue responding as a professional nurse in these other health situations
through the following questions.
17. The medical record of a client reveals a condition in which the fetus cannot pass through
the maternal pelvis. The nurse interprets this as:
a. Contracted pelvis
b. Maternal disproportion
c. Cervical insufficiency
d. Fetopelvic disproportion
18. The nurse would anticipate a cesarean birth for a client who has which infection present
at the onset of labor?
19. After a vaginal examination, the nurse»e determines that the client’s fetus is in an occiput
posterior position. The nurse would anticipate that the client will have:
a. A precipitous birth
b. Intense back pain
c. Frequent leg cramps
d. Nausea and vomiting
20. The rationales for using a prostaglandin gel for a client prior to the induction of labor is
to:
Situation 5 – Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends
to FAMILY PANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to
meeting the nursing 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 cannot 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. 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?
Situation 6 – There are other important basic knowledge in the performance of our task as
Community Health Nurse in relation to IMMUNIZATION these include:
27. Which of the following vaccines is not done by intramuscular (IM) injection?
a. Measles vaccine
b. DPT
c. Hepa B vaccines
d. DPT
a. Measles
b. Tetanus toxoids
c. Hepatitis B vaccines
d. DPT
29. This is the vaccine needed before a child reaches one (1) year in order for him/her to
qualify as a “fully immunized child”.
a. DPT
b. Measles
c. Hepatitis B
d. BCG
30. Which of the following dose of tetanus toxoid is given to the mother to protect her .infant
from neonatal tetanus and likewise provide 10 years protection for the mother?
a. Tetanus toxoid 3
b. Tetanus toxoid 2
c. Tetanus toxoid 1
d. Tetanus toxoid 4
Situation 7 – Records contain those, comprehensive descriptions of patient’s health conditions and
needs and at the same serve as evidences of every nurse’s accountability in the, care giving
process. Nursing records normally differ from institution to, institution nonetheless they follow similar
patterns of .meeting needs for specifics, types of information. The following pertalos to
documentation/records management.
31. This special form used when the patient is admitted to the unit. The nurse completes, the
information in this records particularly his/her .basic personal data, current illness, previous
health history, health history of the family, emotional profile, environmental history as well as
physical assessment together with nursing diagnosis on admission. What do you call this
record?
a. Nursing Kardex
b. Nursing Health History and Assessment Worksheet
c. Medicine and Treatment Record
d. Discharge Summary
32. These, are sheets/forms which provide an efficient and time saving way to record
information that must be obtained repeatedly at regular and/or short intervals, of .time. This
does not replace the progress notes; instead this record of information on vital signs, intake
and output, treatment, postoperative care, postpartum care, and diabetic regimen, etc., this is
used whenever specific measurements or observations are needed to-be documented
repeatedly. What is this?
a. Nursing Kardex
b. Graphic Flow sheets
c. Discharge Summary
d. Medicine and Treatment Record
33. These records show all medications and treatment provided on a repeated basis. What do
you call this record?
34. This flip-over card is usually kept in a portable file at the Nurses Station. It has 2-parts:
the activity and treatment section and a nursing care plan section. This carries information
about basic demographic data, primary medical diagnosis, current orders of the physician to
be carried out by the nurse, written nursing care plan, nursing orders, scheduled tests and
procedures, safety precautions in-patient care and factors related to daily living activities/
this record is used in the charge-of-shift reports or during the beside rounds or walking
rounds. What record is this?
a. Discharge Summary
b. Medicine and Treatment Record
c. Nursing Health History and Assessment Worksheet
d. Nursing Kardex
35. Most nurses regard this as conventional recording of the date, time and mode by which
the patient leaves 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 involvement (of all members of the health
team) in discharge results in comprehensive care. What do you call this?
a. Discharge Summary
b. Nursing Kardex
c. Medicine and Treatment Record
d. Nursing Health History and Assessment Worksheet
Situation 8 – As Filipino Professional Nurses we must be knowledgeable, about the Code of Ethics
for Filipino Nurses and practice these by heart. The next questions pertain to this Code of Ethics.
36. Which of the following is TRUE about the Code of Ethics of Filipino Nurses?
a. The Philippine Nurses Association for being the accredited professional organization was given
the privilege to formulate a Code of Ethics which the Board of Nurses promulgated
b. Code of Nurses was first formulated in 1982 published in the Proceedings of the Third Annual
Convention of the PNA House of Delegates
c. The present code utilized the Code of Good Governance for the Professions in the Philippines
d. Certificate of Registration of registered nurses; may be revoked or suspended for violations of any
provisions of the Code of Ethics
37. Based on the Code of Ethics for Filipino Nurses, what is regarded as the hallmark of
nursing responsibility and accountability?
38. Which of the following nurses behavior is regarded as a violation of the Code of Ethics of
Filipino Nurses?
39. A nurse should be cognizant that professional programs for specialty certification by the
Board of Nursing are accredited through the
a. Professional Regulation Commission
b. Nursing Specialty Certification Council
c. Association of Deans of Philippine Colleges of Nursing
d. Philippine Nurse Association
40. Mr. Santos, R.N. works in a nursing home, and he knows that one of his duties is to be an
advocate for his patients. Mr. Santos knows a primary duty of an advocate is to:
Situation 9 – Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK
PREGNANCIES: Particularly women with preexisting of Newly Acquired illness. The following
conditions apply.
41. Bernadette is a 22-year old woman. Which condition would make her more prone than
others to developing a Candida infection during pregnancy?
42. Bernadette develops a deep-vein thrombosis following an auto accident and is prescribed
heparin sub-Q. What should Joanna educate her about in regard to this?
43. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need
further instruction on prenatal care. Which statement signifies this fact?
44. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit
or discontinue this toward the end of pregnancy?
45. Bernadette received a laceration on her leg from her automotive accident. Why are
lacerations of lower extremities potentially more serious in pregnant women than others?
Situation 10 – Still in your self-managed Child Health Nursing Clinic, your encounter these cases
pertaining to the CARE OF CHILDREN WITH PULMONARY AFFECTIONS.
46. Josie brought her 3-rnonths old child to your clinic because of cough and colds. Which of
the following is your primary action?
47. In responding to the care concerns of children with severe disease, referral to the hospital
of the essence especially if the child manifests which of the following?
a. Wheezing
b. Stopped bleeding
c. Fast breathing
d. Difficulty to awaken
48. Which of the following is the most important responsibility of a nurse in the prevention of
necessary deaths from pneumonia and other severe diseases?
a. Giving of antibiotics
b. Taking of the temperature of the sick child
c. Provision of Careful Assessment
d. Weighing of the sick child
49. You were able to identify factors that lead to respiratory problems in the community
where your health facility serves. Your primary role therefore in order to reduce morbidity
due to pneumonia is to:
50. Which of the following is the principal focus on the CARI program of the Department of
Health?
Situation 11 – You are working as a Pediatric Nurse in your own Child Health Nursing Clinic, the
following cases pertain to ASSESSMENT AND CARE OP THE NEWBORN AT RISK conditions.
51. Theresa, a mother with a 2 year old daughter asks, “at what are can I be able to take the
blood pressure of my daughter as a routine procedure since hypertension is common in the
family?” Your answer to this is:
a. At 2 years you may
b. As early as 1 year old
c. When she’s 3- years old
d. When she’s 6 years old?
52. You typically gag children to inspect the back of their throat. When is it important NOT to
solicit a gag reflex?
53. Baby John was given a drug at birth to reverse the effects of a narcotic given to his
mother in’ labor. What drug is commonly used for this?
a. Naloxone (Narcan)
b. Morphine Sulfate
c. Sodium Chloride
d. Penicillin G
54. Why are small-for-gestational-age newborns at risks for difficulty maintaining body
temperature?
Situation 12 – You are the nurse in the Out-Patient-Department and during your shift you
encountered multiple children’s condition. The following questions apply.
a. edema
b. LBM
c. kwashiorkor
d. marasmus
57. Which of the following conditions is NOT true about contraindication to immunization?
a. do not give DPT2 or DPT3 to a child who has convulsions within 3 days of DPT1
b. do not give BOG if the child has known hepatitis .
c. do not give OPT to a child who has recurrent convulsion or active neurologic disease
d. do not give BCG if the child has known AIDS
58. Which of the following statements about immunization is NOT true:
a. A child with diarrhea who is due for OPV should receive the OPV and make extra dose on the
next visit
b. There is no contraindication to immunization if the child is well enough to go home
c. There is no contraindication to immunization if the child is well enough to go home and a child
should be immunized in the health center before referrals are both correct
d. A child should be immunized in the center before referral
59. A child with visible severe wasting or severe palmar pallor may be classified as:
a. moderate malnutrition/anemia
b. severe malnutrition/anemia
c. not very tow weight no anemia
d. anemia/very low weight
60. A child who has some palmar pallor can be classified as:
Situation 13 – Nette, a nurse palpates the abdomen of Mrs. Medina, a primigravida. She is unsure of
the date of her last menstrual period. Leopold’s Maneuver is done. The obstetrician told mat she
appears to be 20 weeks pregnant. .
a. At the level the umbilicus, and the fetal heart can be heard with a fetoscope
b. 18 cm, and the baby is just about to move
c. is just over the symphysis, and fetal heart cannot be heard
d. 28 cm, and fetal heart can be heard with a Doppler
62. In doing Leopold’s maneuver palpation which among the following is NOT considered a
good preparation?
a. The woman should lie in a supine position wither knees flexed slightly
b. The hands of the nurse should be cold so that abdominal muscles would contract and tighten
c. Be certain that your hands are warm (by washing them in warm water first if necessary)
d. The woman empties her bladder before palpation
63. In her pregnancy, she experienced fatigue and drowsiness. This probably occurs
because:
64. The nurse assesses the woman at 20 weeks gestation3 and expects the woman to report:
65. If Mrs. Medina comes to you for check-up on June 2, her EDO is June 11, what do you
expect during assessment?
Situation 14: – Please continue responding as a professional nurse in varied health situations
through the following questions.
66. Which of the following medications would the nurse expect the physician to order for
recurrent convulsive seizures of a 10-year old child brought to your clinic?
a. Phenobarbital
b. Nifedipine
c. Butorphanol
d. Diazepam
67. RhoGAM is given to Rh-negative women to prevent maternal sensitization from occurring.
The nurse is aware that in addition to pregnancy, Rh-negative women would also receive this
medication after which of the following?
68. Which of the following would the nurse include when describing the pathophysiologv of
gestational diabetes?
69. When providing prenatal education to a pregnant woman with asthma, which of the
following would be important for the nurse to do?
70. Which of the following conditions would cause an insulin-dependent diabetic client the
most difficulty during her pregnancy?
a. Rh incompatibility
b. Placenta previa
c. Hyperemesis gravidarum
d. Abruption placentae
Situation 15 – One important toot a community health nurse uses in the conduct of his/her activities
is the CHN Bag. Which of the following BEST DESCRIBES the use of this vital facility for our
practice?
72. What is the rationale in the use of bag technique during home visit?
a. It helps render effective nursing care to clients or other members of the family
b. It saves time and effort of the nurse in the performance of nursing procedures
c. It should minimize or prevent the spread of infection from individuals to families
d. It should not overshadow concerns for the patient
73. Which among the following is important in the use of the bag technique during home
visit?
75. In consideration of the steps in applying the bag technique, which side of the paper lining
of the CHN bag is considered clean to make a non-contaminated work area?
Situation 16 – As a Community Health Nurse relating with people in different communities, and in the
implementation of health programs and projects you experience vividly as well the varying forms of
leadership and management from the Barangay Level to the Local Government/Municipal City Level.
76. The following statements can correctly be made about Organization and management?
A. An organization (or company) is people. Values make people persons: values give vitality,
meaning and direction to a company. As the people of an organization value, so the company
becomes.
B. Management is the process by which administration achieves its mission, goals, and objectives
C. Management effectiveness can be measured in terms of accomplishment of the purpose of the
organization while management efficiency is measured in terms of the satisfaction of individual
motives
D. Management principles are universal therefore one need not be concerned about people, culture,
values, traditions and human relations.
a. B and C only
b. A, B and D only
c. A and D only
d. B, A, and C only
77. Management by Filipino values advocates the consideration of the Filipino goals trilogy
according to the Filipino priority-values which are:
78. Since the advocacy for the utilization of Filipino value-system in management has been
encouraged, the Nursing sector is no except, management needs to examine Filipino values
and discover its positive potentials and harness them to achieve:
a. Employee satisfaction
b. Organizational commits .ants, organizational objectives and employee satisfaction
c. Employee objectives/satisfaction, commitments and organizational objectives
d. Organizational objectives, commitments and employee objective/satisfaction
79. The following statements can correctly be made about an effective and efficient
community or even agency managerial-leader.
A. Considers the achievement and advancement of the organization she/he represents as well as
his people
B. Considers the recognition of individual efforts toward the realization of organizational goals as
well as the welfare of his people
C. Considers the welfare of the organization above all other consideration by higher administration
D. Considers its own recognition by higher administration for purposes of promotion and prestige
80. Whether management at the community or agency level, there are 3 essential types of
skills managers must have, these are:
A. Human relation skills, technical skills, and cognitive skills
B. Conceptual skills, human relation/behavioral skills, and technical skills
C. Technical skills, budget and accounting skills, skills in fund-raising
D. Manipulative skills, technical skills, resource management skills
81. Which type of research Inquiry investigates the issue of human complexity (e.g.
understanding the human expertise)
a. Logical position
b. Naturalistic inquiry
c. Positivism
d. Quantitative Research
a. A study examining the bereavement process in spouses of clients with terminal cancer
b. A study exploring factors influencing weight control behavior
c. A study measuring the effects of sleep deprivation on wound healing
d. A study examining client’s feelings before, during and after a bone marrow aspiration
84. An 85 year old client in a nursing home tells a nurse, “I signed the papers for that
research study because the doctor was so insistent and I want: him to continue taking care
of me.” Which client right is being violated?
85. “A supposition or system of ideas that is proposed to explain a given phenomenon,” best
defines:
a. a paradigm
b. a concept
c. a theory
d. a conceptual framework
Situation 18 – Nurse Michelle works with a Family Nursing Team in Calbayog Province specifically
handling a UNICEF Project for Children. The following conditions pertain, to CARE OP THE
FAMILIES PRESCHOOLERS.
86. Ronnie asks constant questions. How many does a typical 3-year-old ask in a day’s time?
a. 1,200 or more
b. Less than 50
c. 100-200
d. 300-400
87. Ronnie will need to change to a new bed because his baby sister will need Ronnie’s old
crib. What measure would you suggest that his parents take to help decrease sibling rivalry
between Ronnie and his new sister?
88. Ronnie’s parents want to know how to react to him when he begins to masturbate while
watching television. What would you suggest?
a. About 12 words
b. Twenty or more words
c. About 50 words
d. Two, plus “mama” and “dada”
90. As a nurse. You reviewed infant safety procedures with Bryan’s mother. What are two of
the most common types of accidents among infants?
Situation 19 – Among common conditions found in children especially among poor communities are
ear infection/problems. The following questions apply.
91. A child with ear problem should be assessed for the following EXCEPT:
92. If the child does not have ear problem, using IMCI, what should you as the nurse do?
93. An ear discharge that has been present for more than 14 days can be classified as:
a. mastoditis
b. chronic ear infection
c. acute ear infection
d. complicated ear infection
94. An ear discharge that has been present for jess than 14 days can be classified as:
95. If the child has severe classification because of ear problem, what would be the best thing
that you as the nurse can do?
Situation 20 – If a child with diarrhea registers one sign in the pink row and one in the yellow; row in
the IMCI Chart.
a. moderate dehydration
b. some dehydration
c. no dehydration
d. severe dehydration
97. The child with no dehydration needs home treatment Which of the following is not
included the rules for home treatment in this case:
98. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:
99. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly,
the classification would be:
a. no dehydration
b. moderate dehydration
c. some dehydration
d. severe dehydration
100. Carlo has had diarrhea for 5 days. There is no blood in the stool, he is irritable. His eyes
are sunken the nurse offers fluid to Carlo and he drinks eagerly. When the nurse pinched the
abdomen, it goes back slowly. How will you classify Carlo’s illness?
a. severe dehydration
b. no dehydration
c. some dehydration
d. moderate dehydration
Answers
Answers
1. A
2. B
3. A
4. C
5. B
6. D
7. C
8. D
9. A
10. B
11. D
12. D
13. A
14. B
15. A
16. C
17. D
18. A
19. B
20. D
21. C
22. C
23. A
24. C
25. A
26. B
27. A
28. C
29. B
30. D
31. B
32. B
33. D
34. D
35. A
36. C
37. C
38. A
39. B
40. C
41. D
42. D
43. B
44. D
45. B
46. B
47. D
48. C
49. A
50. C
51. C
52. C
53. A
54. A
55. D
56. D
57. B
58. A
59. B
60.C
61. A
62. B
63. D
64. C
65. A
66. A
67. C
68. D
69. C
70. C
71. B
72. A
73. D
74. D
75. B
76. D
77. D
78. D
79. D
80. C
81. B
82. C
83. A
84. A
85. C
86. D
87. A
88. C
89. A
90. A
91. A
92. D
93. B
94. C
95. B
96. D
97. B
98. D
99. C
100. C