PREBOARD ANGELUS VICTUS TEST 2

Sit. 1: Nurse Mark works in Barangay Dahican as a community health nurse and is
aware that health counseling remains to be an essential component of nursing care and
management of all patient across the life span. It entails not just giving information on
patient but also involves patient in the management of their own health thereby ensuring a
sense of independence and control.

1. It is important to counsel your patients of all ages regarding prevention strategies for
cancers of the colon and rectum which would include
a. Fecal occult blood testing on annual basis after age of 50
b. Regular exercise and colonoscopy after age of 50
c. Regular exercise, diet rich in fiber and vegetable and use of aspirin
d. Weight loss, smoking cessation and diet high in fiber

2. Nurse Mark will most likely emphasized at what stage of life it is most important to
target obesity prevention programs?
a. Infancy c. Childhood
b. Adolescent d. Adulthood

3. Having routine colonoscopy after the age of 50 is an example of

a. Screening c. Health promotion
b. Disease prevention d. Tertiary prevention

4. The best way to promote a personal behavior change in a patient is to

a. Write an order of the treatment plan for the patient
b. Prescribe health promotion regimen
c. Discuss choices with patient and let him decide what will work best
d. Stress compliance with your treatment plan

5. Which of the following conditions which may be detected by complete blood count, has
sufficient prevalence to make early detection beneficial?
a. Anemia c. Leukocytosis
b. Thrombocytopenia d. Leukemia

Sit. 2: Cyrelle, a 27- year-old obese primigravida at 40 weeks gestation is admitted

to the birthing unit in the active labor. Assessment revels that her cervix is 3 cm dilated and
100% effaced, and contraction occurring every 4 minutes. She was accompanied by her
husband.

6. In order to report the patient’s status to her doctor, which of the following assessments
should the nurse perform?
1. Fetal heart rate 4. Vital signs
2. Contraction pattern 5. Biophysical profile
3. Contraction stress test

a. 1 and 4 b. 1,2,4 and 5 c. 1,2 and 4 d. All of them

7. Few hours after, the nurse noted on examination that Cyrelle is in active labor and is in
right occipitoanterior (ROA), 7 cm dilated, and +3 station. Which of the following should the
nurse report to the doctor?
a. Descent is progressing well c. External rotation is complete
b. Fetal head not yet engaged d. Vaginal delivery is imminent

8. The nurse monitoring Cyrelle documents in the chart that the fetal heart rate is being
“assessed via intermittent auscultation”. To be consistent with this statement, the nurse
using Doppler electrode should assess the fetal heart rate at which of the following times?
a. After every contraction c. For ten minutes every half hour
b. Periodically at peak of contraction d. One minute after contractions

9. The enters Cyrelle’s laboring room. Cyrelle is complaining of intense back pain with each
contraction. The nurse concludes that the fetus is likely in which of the following positions?
a. Occiput posterior c. Mentum anterior
b. Sacrum posterior d. Occiput anterior

10 Cyrelle is complaining of severe back labor. Which of the following nursing

interventions would be most effective?
a. Assist her with childbirth breathing
b. Encourage mother to have an epidural
c. Provide direct sacral pressure
d. Use a hydrotherapy bath

Sit. 3: Ivan Jay is a new nurse assigned in the Pediatric ward of a new tertiary
hospital in Sarangani. He tries to manage his time spent for every patient and family
encountered in the ward.

11. While caring for Keith with congestive heart failure secondary to TOF (Tetralogy
of Fallot), a nursing action that promotes ideal nutrition for the patient will be
a. Feeding formula supplemented with additional calories
b. Allowing the infant to nurse each breast for 20 minutes
c. Providing large feeding every 5 hours
d. Using firm nipples with small opening to slow feedings

12. While working on some chart, an infant was admitted for incarcerated hernia
and was scheduled for emergency surgery. Patrick Ivan would expect to hear from
the parents report a history of which of the following?
a. Acute onset of pain, mass that cannot be reduced, bloody stools
b. Acute onset of pain, abdominal distention, mass that is reducible
c. Acute onset of pain, ribbon like stools and projectile vomiting
d. Acute onset of pain, olive like mass on abdomen and mass that is reducible

13. Another patient, Nonito, 12 years old was admitted for chronic renal failure
develops symptom of polyuria, polydipsia and bone pain. What body mineral might
be causing this symptoms?
a. Low Vitamin D c. Low phosphorus
b. Elevated aluminum hydroxide d. Elevated calcium
14. The parents of a 2 year old child with cerebral palsy are learning how to feed
their child and avoid aspiration. When reviewing the teaching plan, Ivan jay should
question which of the following?
a. Place the food on the tip of tongue to reduce choking
b. Place child in an upright position during feeding
c. Feed the child soft and blended food that is easy to swallow
d. Feeding the child very slowly

15. On his plan of care, which of the following will help a school aged child with
muscular dystrophy stay active longer?
a. Normal activities such as swimming
b. Using a treadmill everyday
c. Several periods of rest every day
d. Using wheelchair on getting tired

Sit. 4: Unlike other professional nurses dreamed for greener pastures, deciding to
become Registered Nurse who is willing to serve his fellowmen especially the oppressed
can be best described as authentic servant-leadership. As a community nurse, you were
chosen as the leader among all volunteers of RNheals and you made COPAR as the key to be
effective and efficient in your role.

16. You will intervene to correct the volunteer’s understanding regarding community
organizing if she says which of the following statement?
a. “We should plan and efficiently implement the program to address their needs.”
b. “There will be structure to continuously deliver impacts to the community.”
c. “In this way, it relies on the people’s capability to organize themselves.”
d. “The people’s capability in finding solution is manifested.”

17. After you have selected the site, the next possible action is:
a. To establish a core group
b. To do a “windshield survey”
c. To empower the people
d. To conduct a house-to-house visit

18. As you start conducting a home visit, you initially identify potential leaders to be part of
the core group for future programs. You further explain to the volunteer nurse that this is
expected in what phase of COPAR?
a. Pre-entry phase c. Social preparation phase
b. Community-building phase d. Sustenance phase

19. In deciding whether which community will be the recipient of the planned services, you
consider the following characteristics of a certain community which includes all of the
following, except:
a. A barangay area with most poor residents and with poor resources
b. A community where people are passive recipient of services
c. A rural area that is locally self-reliant
d. A town where the Mayor lives, but considered a voiceless community
20. One of your volunteer nurses asked you about how it can be possible to improve one’s
community by using COPAR. You explain it to her that this approach is effective in way that
its significant long-term goal is to:
a. To create an independent community.
b. To promote a community reliant to the families, and neighboring areas
c. To encourage the people to work with dependence to each other
d. To provide the people a source of strength in order to be motivated to work for a
change

Sit. 5: The Essential Intrapartum and Newborn Care (EINC) outlines a very
simple yet meaningful measures to be undertaken by healthcare workers in doing
immediate newborn care management at the grass root level .

21. EINC is our country’s instrument in health addressing the challenge of the
United Nation’s two out of eight Millennium Development Goals (MDG) targeted to
be achieved by 2015. The two MDG’s are
a. MDG’s 1 and 2 c. MDG’s 4 and 5
b. MDG’s 3 and 8 d. MDG’s 4 and 6

22. Nurse Rizalino is assisting the doctor in the delivery room. To address the
concerns of keeping the baby warm, his first step in providing thermal protection
for the newborn was
a. Drying the baby well after the cord had been cut
b. Covering the baby with clean dry cloth after the cord has been cut
c. Covering the baby with clean dry cloth immediately after birth
d. Keeping baby dry right after delivery

23. Nurse Rizalino keeps in mind that the care of the umbilicus should include
a. Covering with sterile compress and use of antibiotic
b. Cleaning with cooled boiled water and leave it uncovered
c. Leaving umbilicus uncovered and cleaning with alcohol for drying
d. Applying topical antibiotic and leaving it exposed to air

24. Nurse Rizalino has obtained urine specimen from a G6P5 patient admitted in
the labor room. The patient asks to go to the bathroom and reports that she feels she
has to move her bowels. Which intervention would be appropriate?
1. Assist her to the bathroom
2. Monitor the fetal heart rate
3. Evaluate her stages of labor
4. Allow support person to take her to the bathroom
5. Check degree of fetal descent

a. 1,2 and 3 b. 2,3,4 and 5 c. 3 and 5 d. 2, 3 and 5

25. Nurse Rizalino provides instructions to anew mother who is about to breast-feed
her newborn infant. The nurse observes the new mother as she breast feed for the
first time and intervenes if the new mother
a. Places a clean finger in the side of the newborn’s mouth to break the
suction before removing the newborn from the breast
b. Draws the newborn the rest of the way onto the breast when newborn
opens his mouth
c. Tilts up the nipple or squeeze the areola, pushing it into the
newborn’s mouth
d. Turns the newborn infant on his side facing the mother

Sit. 6: The nurse caring for woman who is pregnant establishes an

environment of comfort and open communication with each antepartal visit. Nurse
Yvonne works in the small community of Mindoro and is tasked to complete
prenatal assessment on some visiting mothers from the area.

26. Nurse Yvonne is reviewing the pregnancy history of Aling Clara with elective
termination in 1998, spontaneous abortion in 2001, term vaginal delivery in 2003
and is currently pregnant again. Which documentation by the nurse of the patient’s
gravity and parity is correct?
a. G4P1 c. G3P1
b. G4P2 d. G2P1

27. Following a positive pregnancy test, Helen begins discussing the changes that
will occur in the next several months with Nurse Yvonne. Which of the following
psychosocial aspect of pregnancy the nurse will incorporate into the plan of care as
she educates Helen about the changes that occur in first trimester?
a. Enjoying the role of the nurturer
b. Preparing the reality of parenthood
c. Experiencing ambivalence about pregnancy
d. Differentiating self from the fetus

28. Nurse Yvonne is reviewing the results for patients who are having antenatal
testing. The assessment data from which of the following patients warrants prompt
notification of the provider and a further plan of care?
a. Melissa, multigravida whose infant has a reactive nonstress test
b. Jean whose infant has a biophysical profile of 9
c. Alana who reports fetal movement 6 times in two hours
d. Kim who had a positive oxytocin challenge test

29. The prenatal record of the gravid patient states that the patient recently transferred to
Mindoro and was never vaccinated in her province. An injection to prevent which of the
following communicable diseases should be administered to the woman during her
pregnancy?
a. Influenza c. Rubella
b. Mumps d. Varicella
30. When developing a teaching plan for a patient who is 8 weeks pregnant, which of the
following foods would Nurse Yvonne suggest to meet the patient’s need for increased folic
acid?
a. Seafoods and crabs c. Dairy products and bread
b. Malunggay and Kangkong d. Bananas and mango

Sit. 7: Nurse Dina works as a school nurse in Tayuman Elementary School and is
busy handling children of varying health problems and concern.

31. A Grade 3 pupil is on follow up evaluation after having been diagnosed and treated with
Acute post streptococcal glomerulonephritis . In planning school activities for the child,
Nurse Dina should teach
a. The pupil must be in complete bed rest
b. School activity do not affect the course of the disease
c. Child should not play active sports
d. Activity must be limited for a month

32. A Grade 1 6 year old child was seen in the school clinic by Nurse Dina. When planning
play activities for the child, Nurse Dina should include
a. CD player and magazines c. Action toys such as Bakugan
b. Card games and crayons d. Large jigsaw puzzle

33. Nurse Dina is planning to teach a class about nutrition. Which age group would be most
receptive to this information?
a. 6 years old c. 11 years old
b. 8 years old d. 15 years old

34. Nurse Dina counsels a child diagnosed with juvenile rheumatoid arthritis regarding
school activities. To prevent loss of joint function the child should avoid
a. Riding a bicycle c. Walking to school
b. Swimming in the pool d. Playing DOTA in the computer

35. Nurse Dina is monitoring for cases of parasitism. Pinworm causes symptoms like anal
itchiness. She is aware that a complication of pinworm infestation is
a. Appendicitis c. Pneumonitis
b. Stomatitis d. Hepatitis

Sit. 8: A group of intensive care unit nurses decided to conduct a research

study to describe the relationship between the frequency of endotracheal suctioning
and the incidence of infection among ventilator assisted patients. The team selected
the non-experimental design specifically the prospective approach.

36. If you are a member of the research team, which of the following will you
consider as the research study’s independent variable when you formulate the
research problem?
a. Incidence of infection
b. Relationship of endotracheal suctioning and incidence of infection
c. Dependence of clients on mechanical ventilation
 d. Frequency of endotracheal suctioning

37. Data regarding the study’s dependent variable will be collected by the research
team through which of the following:
a. Self report techniques c. Projective Techniques
b. In vitro measures d. Available data in the patient’s chart

38. The research team is fully aware that measurement of variables is a very
important consideration in obtaining quality data in the study. Which of the
following statements will you accept as true?
a. Reliability quality of an instrument is independent of its validity
b. An instrument can be valid without being reliable
c. A measuring device which is unreliable can be valid
d. High reliability of an instrument provides no evidence of its validity

39. Taking into consideration the content of the written informed consent, which of
the following reflects the research team’s recognition of the participant’s right to
privacy?
a. Right to withdraw and withhold information
b. Voluntary consent
c. Confidentiality pledge
d. Potential benefits and risk

40. The research team decided to conduct the study for 3 months. Utilizing the
perspective approach, which of the following will the researcher appropriately do?
a. Participants will be assigned to the experimental and control group and
incidence of infection in the two groups will be compared.
b. During the period of 3 months, those ventilator assisted patients who
developed infection will be included in the study.
c. On the last day of the 3rd month, charts of participants will be reviewed and
data collected regarding frequency of endotracheal suction and incidence of
infection
d. From day 1 to the last day of the 3rd month, data regarding frequency of
endotracheal suctioning and incidence of infection will be collected.

Sit. 9: The Integrated Management of Childhood Illness or IMCI technology is

a WHO strategy which aims to curb the growing infant/child mortality and
morbidity concerns in many countries especially the third world economies like the
Philippines. This program integrates many dependent health programs to singular
approach. Safety and quality would be any nurse's focus.

41. A child needs urgent referral for mastoiditis. The following is a list of treatment for all
ear problems in IMCI classification. Which among this pre-referral treatment should not be
included?
a. Give the child the appropriate antibiotics for 5 days
b. Do not give any medications
 c. Give the child the first dose of antibiotics
d. Give first dose of paracetamol for pain

42. In the IMCI classification tables, color yellow indicates that a:

a. Child needs an appropriate antibiotic or other treatment
b. Child does not need specific medical treatment
c. Referral or admission is needed
d. Chief complaint that needs an urgent attention

43. The child’s symptoms are under the classification of severe dengue hemorrhagic fever
of the IMCI strategy. Which of the following treatment should be done immediately?
a. Observe the patient at the health care and refer urgently of the condition worsens
b. Give fluids or ORS and refer urgently to the hospital
c. Immunize the child before referral
d. Give the first dose of appropriate antibiotics and refer urgently to the hospital

44. A 3 year old child (14 kg) has anemia with some pallor and needs iron and mebendazole.
The card shows he was not given mebendazole previously. As the nurse you should give the
child iron folate and mebendazole in what dosage?
a. 7.5 ml or 1 tsp daily for 14 days and mebendazole 500 mg single dose
b. 10 cc or 2 tsp daily for 30 days and mebendazole 500 mg single dose
c. 10 cc or 2 tsp daily for 30 days and mebendazole 250 mg single dose
d. 5 ml or 1 tsp daily for 14 days and mebendazole 500 mg single dose

45. Which of the following laboratory tests would classify the presence of fever as positive
for malaria?
a. Tourniquet c. CBC
b. Occult blood d. Blood smear

Sit. 10: Care of children with pulmonary infections is one of the

responsibilities of the public health nurse in the community, wherein Control of
Acute Respiratory Infections (CARI) Program can be utilized.
46. CARI is being implemented in response to community situation, making the
program as epidemiologically-based as reflected in health status of children wherein
pneumonia is the leading cause of death among newborns and infants. Which
among the following is the major factor resulting to death of children with
pneumonia?
a. Lack of facility in the hospital and inappropriate health protocol to cure
sick children
b. Untrained health workers who are not responsive to the needs of mothers
and children
c. Community’s failure to utilize the referral system for prompt treatment
d. Mother’s failure to recognize the signs and symptoms of pneumonia

47. Which of the following is the principal focus of CARI program of the DOH?
a. Enhance health team capabilities to assess patients
b. Teach mothers and community health workers how to detect and where to
refer
 c. Mortality reduction through early detection
d. Improve family and community practices and health system

48. As a public health nurse, you were able to identify factors that lead to
respiratory problems in the community where your health facility serve. Your
primary role therefore in order to reduce morbidity due to pneumonia is:
a. Make a home visit to families with sick children
b. Seek assistance and mobilize health workers to have a meeting with
mothers
c. Refer identified ARI problems to nearest hospital
d. Teach mothers how to recognize early signs and symptoms of pneumonia

49. Which of the following is the most important responsibility of a nurse in the
prevention of unnecessary deaths from pneumonia and other severe diseases?
a. Giving antibiotics as prompt treatment
b Doing a careful focused assessment
c. Taking temperature of the sick child
d. Weighing the sick child

50. In responding to the concerns of children with severe disease, referral to the
hospital is essential especially if the child manifests which of the following?
a. Difficulty to awaken or sleeping abnormality
b. Stopped feeding well or inability to eat and drink
c. Wheezing with chest indrawing
d. Fast breathing with stridor

Sit. 11: The incorporation of total quality management (TQM) as a way of

practice in most hospitals isbase on the premise that the quality of products
and processes is the responsibility of everyone involved with the creation of
services offered by an organization, requiring the involvement of
management, workforce to meet or exceed customer expectations.

51. The doctor has issued a DNR order to your patient, a 55-year old man with
cancer. On your morning rounds, you spoke to the patient and he clearly wishes to
be resuscitated in the event that he stops breathing. What is the most appropriate
course of action?
a. Ignore the patient’s wishes because the DNR has already been ordered
b. Consult your hospital’s policies and procedures, speak to the doctor, and
discuss the matter with your nurse supervisor
c. Talk to the patient and convince him that the DNR is there to end his pain
and suffering
d. Contact the PRC and complain about the practitioner
52. Billy took the board exam last July 2012. His general average was 76.4 but his
score in NP4 was only 58. He plans to take the removal exam for the subject that he
failed. You will advise Billy to take the removal exam
a. Within one year from the last failed exam
b. Within two years after the last failed exam
c. As soon as possible
d. Within 5 years after the last failed exam

53. A client insists that the physician use a treatment method discovered on an
internet website. Which of the following is the most appropriate nursing response?
a. “The treatment must be examined to see if it is appropriate”
b. “Most website treatments have not been studied for research”
c. “The person establishing the website is the only one who can use it on
clients”
d. “Websites are like advertising, they are biased and may not be legitimate

54. The nurse has just come on duty and finished hearing the morning report.
Which patient should the nurse see first?
a. Patient who is being discharged in a few hours
b. Patient who requires daily dressing changes
c. Patient who is receiving continuous IV heparin therapy by infusion pump
d. Patient who is scheduled for IV pyelogram within the shift

55. An elderly woman, age 88, is admitted to the ER in acute respiratory distress.
She does not have a living will but her daughter has a Durable Power of Attorney.
The patient has end stage renal disease and end-stage Alzheimer’s disease and her
condition is grave. The doctors want to intubate the patient and place her on a
ventilator. The son of the elderly woman agrees, but the daughter states that their
mother would not want to be on a machine just to prolong her life. Considering this
situation, who has the legal right to decide what to do with the patient?
a. The attending physician c. The woman’s son
b. The daughter who has DPA d. The patient

Sit. 12: One of your responsibilities as a community health nurse is to

conduct home visits to evaluate the health condition of families and communities. As
a nurse assigned in the community of Barangay Samal and hired under the NARS
program, you plan to visit several patients in the area.

56. The community health nurse is completing an assessment for an obese patient
diagnosed with myocardial infarction with comorbid type 1 diabetes and
hypertension. Which priority intervention should the nurse implement?
a. Encourage the patient to ambulate thirty minutes a day
b. Request a registered dietitian to talk to the patient
c. Refer the patient to a cardiac rehabilitation unit
d. Discuss the need to lose 1-2 pounds a week
57. The next patient to be visited has Chronic Obstructive Pulmonary Disease
(COPD). Upon arrival you see the relative providing care to the client. Which of
the following actions by the relative would require your intervention?
a. Patient sits with two pillows orthopnea
b. The family keeps the bedroom at a warm temperature
c. Patient is allowed to sleep in a recliner
d. Patient is maintained on oxygen at 2l/min

58. On her visit with one patient, the family member calls her to report that the
patient has a reddened area on the sacral area. Which intervention should the
nurse implement first?
a. Call the patient’s doctor c. Refer the patient to a wound care nurse
b. Evaluate the affected area stated d. Document the assessment on case
record

59. The nurse is preparing for the initial visit to a patient diagnosed with congestive
heart failure. Which intervention should the nurse implement first?
a. Review the patient’s referral form
b. Call the patient to arrange a time for the visit
c. Prepare all the needed equipment for the visit
d. Make the necessary referrals for the patient

60. The CHN nurse is orienting new nurses in the NARS program. Which information
should the senior nurse tell the new nurses a priority to be successful in the
program?
a. Explain that the greatest challenge is motivating patient to learn
b. Explain how to coordinate patient’s care with other disciplines
c. Discuss the need of every patient to have advance directive
d. Discuss the importance of the weekly conference meetings for updates

Sit. 13: Nurse Diane works in the High Risk Pregnancy of the newly opened
tertiary hospital in the islands of Siquijor. For years the province had been
underserved with regards to basic health services among pregnant and expectant
women. Several patients were on her care.

61. During her rounds, Nurse Diane is examining Minnie at 34 weeks gestation
diagnosed with mild preeclampsia. Latest finding showed 2 lb weight gain and blood
pressure of 130/86. Which of the following findings will provide further evidence to
support the patient’s diagnosis?
a. Mild edema in hands and face c. Pounding headache after reading
b. History of urinary tract infection d. Frequent voiding of large
amount

62. The doctor prescribe Minnie magnesium sulfate 2g/hr IV piggyback. The
pharmacy sends the IV to the unit labelled Magnesium sulfate 20 g/500 ml normal
saline. To deliver the correct dose, the nurse should set the pump to deliver how
many ml per hour?
a. 200 c. 50
b. 10 d. 20

63. A mother who came in due to placenta previa is being taught fetal kick counting.
Which of the following should Nurse Diane include in her teachings?
a. Woman should refrain from eating immediately before counting
b. Woman should report fetal kick counts of greater than 10 in an hour
c. Woman should lie on her side with her head elevated about 30 degrees
d. Woman should choose a time when her baby is least active

64. Aling Paula is a 30 year oldmultigravid patient at 8 weeks gestation has history
of insulin dependent diabetes since age 23. Which of the following statements about
biophysical profile would be incorporated into the teaching plan?
a. Determine fetal lung maturity
b. Non invasive using real time ultrasound
c. Correlate with newborn Apgar score
d. Requires the patient to have an empty bladder

65. With plans to breast feed her baby, Aling Paula ask the nurse about insulin
needs during the post partum period. Which of the following statements about post
partal insulin requirments for breastfeeding mothers will the nurse include in the
explanation?
a. They fall significantly in the immediate post partum period
b. They need constant adjustment during the first 24 hours
c. They remain the same as during the labor process
d. They usually increase in the immediate postpartum period

Sit. 14: Nurse Emeric is a new BSN graduate and has just passed her Licensure
Examination for Nurses in the Philippines. He has likewise been hired as a new
Community Health Nurse in one of the Rural Health Units in their City. The following
conditions are acceptable truths applied to Community Health Nursing Practice.

66. For health education to be successful, the community health nurse ensures that
it is
a. In accordance to teaching competencies of the nurse
b. Based on the analysis of existing health programs
c. Based on the identified problem of the people
d. Outcome of evaluation of existing educational resources
67. The most appropriate method in instructing family members on environmental
sanitation is
a. Posters and leaflets c. Seminars and training
b. community assembly d. Household teaching

68. Due to high death toll of non communicable chronic diseases, the most widely
used summary measure of the burden of the disease is
a. Mortality rate c. Swaroop index
b. Disability Adjusted Life year d. Case fatality rate

69. To control the rapid increase of the target chronic illnesses, the program focus
on controlling risk factors in an integrated manner. Which of the following is a
community based approach strategy that aims in reducing mortality and morbidity?
a. Establishing program directions and infrastructure
b. Reorienting health services and changing lifestyle
c. Active community participation with involvement of leaders
d. Prevention in the emergence of risk factors by target high risk individuals

70. The real scenario of mental health and mental disorders in the community
remains to be an enigma. During one of his counselling session, a young teenager
confided to Nurse Emeric that her classmates would most often tease her and call
her names. The nurse is aware that this aspect of mental health problem is known as
a. Hidden burden c. Defined burden
b. Public burden d. Future burden

Sit. 15: Ethical and legal issues in reproductive health are incredibly complex
and challenging but at the same time they encourage nurses to understand and
respect the beliefs of pregnancy of every child bearing women. Nurses has an
obligation to be knowledgeable about the moral and legal rights of all patients to self
determination.

71. The new 2006 recommendations for screening for HIV in pregnant women
include that
a. Informed consent is required for all HIV screening
b. Pregnant women can opt out of HIV screening on their own risk
c. Repeat screening is recommended for pregnant women in second
trimester
d. Coercive measure is used when suspected pregnant women refuses exam

72. Maternal fetal conflict can occur when

a. Health providers of care tend to treat mother and fetus as separate entity
b. Women’s treatment is safe to the fetus
c. Religious belief is different from health care provider
d. Pregnant woman does not comply with doctor’s recommendation
73. Caring parents make difficult end of life decision regarding the care of their
young child who is in persistent vegetative state. The standard that best support this
decision is called
a. Best interest c. Substituted judgment
b. Social justice d. Autonomy extended

74. The central ethical principle for nurses regarding prevention education program
is
a. Autonomy c. Justice
b. Beneficence d. Truth telling

75. Of the many types of reproductive technology, which of the following will
involve the moral deliberation of all four principles of autonomy, maleficence,
nonmaleficence and justice?
a. Risk related to surrogacy c. Preimplantation genetic modification
b. In vitro fertilization d. Gestation surrogacy

Sit. 16: Primary health care remains to be an essential care made universally
accessible to individuals and families in the communities with their full
participation and one that is cost effective. Putting health in the hands of people had
emancipated local people to manage common treatable disorders.

76. The alternative use of herbal medicine offered alternative ways of treating minor
illness at the barangay level. Niyug-niyugan is used to treat parasitism for children
four years old and above and is usually taken correctly by
a. Boiling the chopped leaves in a 2 glasses of water and drink orally
b. Crush the leaves and extract juice and drink as a decoction
c. Washing the leaves and may be eaten as a salad to expel worm
d. Taking 5-10 seeds 2 hours after supper

77. The CHN nurse in her managed care for patients in her clinic still managed to maintain
close contact with her patients and provides personal service by performing home visits for
follow up and utilizes bag technique as a tool. The bag may contain which of the following
items
a. Tape measure, acetic acid, zephiran solution, hand towel
b. Apron, test tubes, cotton balls, magnifying glass, alcohol lamp
c. Benedict’s solution, sterile gloves, sterile dressing, suturing set
d. Scalpel, Curved forceps, betadine, cord clamp and sterile dressing

78. The Expanded Program on Immunization (EPI) is a major program of the Department
of Health in our country. The CHN nurse knows that DPT is most often given in which of the
following routes?
a. Intramuscular, inner portion of the thigh
b. Intramuscular, upper left arm
c. Intramuscular, outer portion of the thigh
d. Subcutaneous, upper left arm
79. The inclusion of tetanus toxoid reduces incidence of the infection. TT3 offers how many
percent of protection among pregnant women and mothers?
a. 90% with 5 years protection to mother
b. 99% with 5 years protection to mother
c. 80% with 3 years protection to mother
d. 90% with 10 years protection to mother

80. Which of the following conditions is not true contraindication to immunization?

a. Do not give BCG if the child has known AIDS
b. Do not give BCG if the child has known hepatitis
c. Do not give DPT to a child with recurrent convulsion
d. Do not give DPT2 or DPT3 to a child with convulsions within 3 days of DPT1

Sit. 17: After delivery, newborn goes into transition of an extra uterine
existence from an area where they have been protected and nourished for nine
months. The nurse is responsible for assessing the newborn baby’s changes and
reports any deviations from normal.

81. The nurse is teaching the parents of a female baby how to change the baby’s
diapers. Which of the following should be included in the teaching?
a. Always wipe the perineum from front to back
b. Remove vernix from the labial folds
c. Put powder on the buttocks every time baby stools
d. Weigh every diaper in order to assess for dehydration

82. A full term baby has brown adipose fat tissue stores that were deposited during
the latter part of the third trimester. What does the nurse understand the function
of the brown fat stores?
a. Promote melanin production in the neonatal period
b. To protect the bony structures of the body from injury
c. Provide calories for neonatal growth between feeding
d. Provide heat production when baby is hypothermic

83. A nurse notes that a six hour neonate has cyanotic hands and feet. Which of the
following actions by the nurse is appropriate?
a. Place the child in an isolette c. Auscultate the heart for murmurs
b. Swaddle baby in blanket d. Apply pulse oximeter

84. A neonate who is being admitted in the well baby nursery is exhibiting each of
the following assessment findings. Which of the following must the nurse report to
the doctor?
a. Harlequin sign
b. Extension of toes when sole is stroked
c. Teleangiectatic nevi
d. Elbow moves past midline when scarf sign is assessed
85. Based on the maternal history of alcohol addiction, a baby in the neonatal
nursery is being monitored for signs of fetal alcohol syndrome. The nurse should
assess this baby for which of the following?
a. Ambiguous genitalia c. Poor suck reflex
b. Webbed neck d. Absent Moro reflex

Sit. 18: Knowledge on the different programs implemented in the Rural

Health Units is essential in the carrying out of various health activities of the people
in the community.

86. In order to solicit cooperation and assistance of the community in the

environmental sanitation program which of the following should be done first?
a. Create public awareness on the environmental sanitation problems
b. Foirm working groups or committee
c. Solicit help from the municipal or barangay official
d. Involve community members in the sanitation program

87.Directly observed treatment short course (DOTS) is the internationally

recommended TB control strategy and combines which of the following element in
its implementation?
1. Quality assured sputum microscopy 4. Standardized short course treatment
2. Recording and reporting system 5. Uninterrupted supply of drugs
3. Political commitment

a. 1,2,4 and 5 b. 1,2 and 4 c. 1,4 and 5 d. 1,2,3,4 and 5

88. Leprosy is a chronic disease of the skin and peripheral nerves. Which of the
following signs are present in early stage?
a. Clawing of fingers c. Contractures
b. Thickening or painful nerves d. Loss of eyebrows

89. In order to confirm the diagnosis of schistosomiasis, you advised your patients
to have which of these examination?
a. Abdominal x-ray c. Stool examination
b. Urine examination d. Complete blood count

90. Which vital statistics relating to Tuberculosis (TB) in our country is

INACCURATE?
a. The Philippines is among the 22 highly burdened poor countries in the
world
b. TB is the 6th leading cause of illness among Filipinos
c. TB is the 6th leading cause of deaths among Filipinos
d. Most TB patients belong to the 0-15 age groups
 Sit. 19: The Department of Health intensifies its program on HIV when a
survey was conducted and an alarming cases were diagnosed among the young
working group particularly on the call center sector. Marion an occupational health
nurse working with the program knows the physiological and psychological impact
of the non treatable case among persons with HIV.

91. During posttest counseling for a patient who has positive testing for HIV, the
patient is anxious and does not appear to hear what the nurse is saying. At this time,
it is most important that the nurse
a. Inform the patient how to protect sexual and needle-sharing partners
b. Teach the patient about the medications available for treatment
c. Ask the patient to notify individuals who have had risky contact with the
patient
d. Remind the patient about the need to return for retesting to verify the
result

92. Interventions such as promotion of nutrition, exercise, and stress reduction

should be promoted by the nurse for patients who have HIV infection, primarily
because these interventions will
a. Increase patient’s strength and self care abilities
b. Improve the patient’s immune function
c. Prevent transmission of virus to others
d. Promote a feeling of well being in the patient

93.A patient who seeks health care for vague symptoms of fatigue and headaches
has HIV testing and is found to have a positive enzyme immunoassay (EIA) for HIV
antibodies. In discussing the test results with the patient, the nurse informs the
patient that
a. Enzyme immunoassay test will need to be repeated to verify the results
b. Viral culture will be done to determine the progress of the disease
c. It will probably be 10 or more years before the patient develop AIDS
d. Western blot test will need to be done to determine whether AIDS has
developed

94. Marion, will teach the nursing staff that the highest risk of acquiring HIV from
an HIV-infected patient is
a. Splashing the eyes when emptying a bedpan containing stool
b. Contamination of open skin lesions with vaginal secretions
c. Needlestick with a needle and syringe used to draw blood
d. Needlestick with a suture needle during a surgical procedure

95. Drug therapy is being considered for an HIV-infected patient who has a CD4 + cell
count of 400/µl. The nursing assessment that is most important in determining
whether therapy will be used is the
a. Willingness and ability to comply with stringent medication regimen
b. Understanding of the multiple side effects that the drugs may cause
 c. Socioeconomic status and availability of medical insurance
d. Social support system offered by significant others and family

Sit. 20: The labor and birth process is an exciting and anxiety provoking but
rewarding time for woman and her family. Inherent in nurses as they take care
patients is determining the fetal status and supporting the woman throughout by
careful monitoring.

96. The partograph is a valuable tool utilized among patients on labor. The nurse is
aware that all but one are the purposes of the tool
a. Improvement of neonatal outcomes
b. Prevention of unwanted pregnancies
c. Early detection of prolonged labor
d. Reduce incidence of operative intervention

97. In analyzing a partogram, the central area is mainly focused on

a. Maternal and fetal conditions c. Fetal heart rate
b. Uterine contractions d. Cervical dilation

98. Michelle who was on labor was placed on the fetal monitoring device and was
shown by the following tracing on the monitor as shown below. Which of the
following actions should the nurse take this time?

a. Turn the woman on her side

b. Apply the oxygen saturation electrode to the mother
c. Provide caring labor support
d. Administer oxygen via tight fitting mask

99. Bernadette is a primigravid patient with insulin dependent diabetes mellitus

tells the nurse that the contraction stress test performed earlier in the day was
suspicious. The nurse interprets this test result as indicating that the fetal heart rate
pattern showed which of the following?
a. Frequent late decelerations c. Inconsistent late decelaration
b. Decreased fetal movements d. Lack of fetal movement

100. When would the nurse expect to see the fetal heart changes noted on the
monitor tracing shown below?
a. With poor placental perfusion c. When fetus is acidotic
b. Administration of analgesics d. During fetal movement