1. A cause for alarm for the nurse in the case of an adolescent is when the latter has NOT achieved menarche by what age?
a. 16 years
b. 13 years
c. 15 years
d. 14 years
2. A third-year high school student makes an unprovoked rude gesture to the school nurse. The most possible reason for this is which of the following?
a. He is a threat to others.
b. He is psychotic.
c. He is exhibiting anti-social behavior.
d. He is testing the limits of the staff.
3. A 75-year old male client complained that he is having difficulty sleeping due to increased nocturia. Which of the following ways is the best response for the nurse?
a. Realize that it is normal for old people his age.
b. Limit fluid intake after dinner
c. She should obtain an order for a sleeping pill.
d. Insert a foley bag catheter.
Situation: Perla is 56 years old and talks to herself. She could not cope with stresses in life.
4. Which of the following is the definition of the World Health Organization of Mental Health?
a. impairment of one’s cognitive, affective or relational abilities
b. coping with normal stresses of life and work productivity
c. disturbance in one’s thoughts, feelings and behavior
d. Measures employed to promote mental health
5. Mental heath covers the psychosocial concern of daily living in all stages of life. Which of the following is the first crisis that the infant must face?
a. assertion and independence
b. shame and doubt
c. role identity
d. trust vs. mistrust
6. At what age should critical thinking be facilitated?
a. adult
b. school age
c. elderly
d. adolescence
7. At what age can a child express emotions of love, unhappiness, jealousy and envy?
a. infancy
b. toddler
c. preschool age
d. school age
8. Which of the following nursing responsibility is mental health promotion?
a. advise family about the importance of check-up
b. help family to understand and accept patient’s status and behavior
c. participate in epidemiologic survey to be aware of the extent of mental health problems
d. teach parents the importance of providing emotional support to their children
Situation: All individuals share basic needs that are necessary for their survival. Nurses should be sensitive towards these needs since they are important factors that will determine the plan of care.
9. Which of the following statement about man’s basic needs is correct?
a. Hospitalized clients have basic needs that should all be met by the nurse.
b. Basic human needs are the same in priority in all individuals.
c. Environment has nothing to do with the ability of man to meet his needs.
d. Unmet needs render the individual clients at risk for illness and/or complications.
10. Which of the following client groups required the fullest assistance in meeting their psychological needs?
a. a toddler with venoclysis and under treatment for LBM?
b. a severely malnourished school-age child
c. premature infants
d. a 6-year old admitted with parasitism and ambulatory
11. Which of the following age groups are at greatest risk for unmet needs?
1 - Very young
2 - Very old
3 - Adolescent
4 - School-age children
a. 1 and 2
b. 2 and 4
c. 3 and 4
d. 2 and 3
12. Which of the following needs is a primary consideration in determining the priorities in meeting client’s unmet needs?
a. self-esteem needs
b. security needs
c. physiological needs
d. spiritual needs
13. Which of the following observations is best closely associated with patient’s physical safety?
a. Lack of confidence
b. Fear of the unknown
c. Skin breakdown as in bedsore
d. Threat to body image
Situation: Women should also be immunized when they are pregnant.
14. If a woman was given DPT immunization in infancy, tetanus toxoid doses shall start as
a. TT5
b. TT3
c. TT4
d. TT2
15. If a mother had TT2, 80% protection is insured for 3 years. How about the infant?
a. three years protection
b. protection from neonatal tetanus
c. one year protection
d. lifetime protection
16. If a woman has had TT5 vaccine, how long is the protection for the mother?
a. lifetime
b. before reproductive life
c. every 5 years
d. until reproductive life
17. As a nurse, what is your role in EPI?
a. facilitator
b. team leader
c. counselor
d. organizer
Situation: Beth, a high school friend surprised you with a visit and talked about her family.
18. Beth is fidgety and continuously smoked. She is in a state of
a. worry
b. anxiety
c. nervousness
d. stress
19. Beth claims that she smokes to keep he weight down. His coping is described as
a. rationalization
b. symbolism
c. displacement
d. compensation
20. When asked about her husband, Beth said, “Let’s not talk about him now.” She is expressing…
a. denial
b. suppression
c. repression
d. regression
21. “I can’t believe it,” Beth said of his son. “He clothes himself and acts like his papa…” The son taking after his father is
a. internalization
b. sublimation
c. introjection
d. identification
22. Beth’s way of dealing with intolerable conflicts by refusing to think about them is
a. denial
b. repression
c. dissociation
d. suppression
Situation: Hannah, 9 years old, grade three, are with her other classmates for a routine physical examination conducted by the school. For a more accurate psychosocial evaluation, the parents were invited to accompany their children when their turn comes.
23. Hannah’s mother shared her observation that the girl is beginning to identify behaviors that please others as “good.” This is characteristic of which of the following Kohlberg’s level of moral development?
a. postconventional morality
b. conventional morality
c. preconventional morality
d. autonomous morality
24. Hannah’s mother further tells the nurse that Hannah is fond of collecting Sanrio stickers and pencils. This behavior is related to the cognitive ability to perform which of the following?
a. coordination of secondary schemas
b. concrete operation
c. tertiary circular reaction
d. formal operation
25. According to the mother, Hannah loves to invite friends at home and indulge in play. Play as a vehicle of development can help children of school-age to develop which of the following developmental tasks?
a. initiative
b. industry
c. identity
d. intimacy
26. Hannah’s mother is concerned that Hannah seems to be overweight. When developing a plan of care with the mother the nurse encourages which of the following actions?
a. Limit in between meal snacks.
b. Limit the calorie intake to 1,000 calories daily.
c. Include Hannah in meal planning and preparation.
d. Prohibit her from inviting friends at home so she will not be tempted to eat sweets.
27. The mother told the nurse that Hannah has a brother. He is going to enter school for the first time in June. Which of the following is the MOST common cause of unhappiness among children first entering school?
a. inability to pay attention
b. delayed speech development
c. emotional maladaptation
d. feelings of insecurity
Situation: Autism is a condition that needs utmost understanding of the nurse in order to deliver effective and compassionate caring.
28. How does an autistic child behave?
a. lives in a world of his/her own
b. eyes cast down most of the time, periodically well behaved
c. restless, temper tantrums
d. distances from people, prefers to be alone
29. What nursing approach works when caring for autistic children?
a. no choice
b. silence, presence, parental love waves
c. through food and drink enticement strategies
d. treat like any normal child
30. Which words describe best the parents of an autistic child?
a. happy go lucky
b. feel guilty and sorry for the child
c. anxious, pre-occupied
d. concerned, seeking help
31. Autistic children can be trained to be brilliant musicians by showing them
a. loving, consistent and constant solicitude
b. mixing them with other equally talented children
c. rewarding and promoting goodness
d. encouraging and praising them at all times
32. Autistic behavior can be alluded to adults when they show this behavior.
a. alone, aloof, unreachable
b. extreme self-centeredness, always talking of myself, me, I
c. greediness and stinginess
d. puffed-up image of self
Situation: The community nurse orients the staff on community development work.
33. A community may be defined based on geographical, cultural and social context. The common elements in a culturally defined community is
a. race and language
b. ethnic origin and customs
c. shared interest and social class
d. gender and sexual orientation
34. A community development for health has key features. Which feature BEST describes community development?
a. emphasis on the knowledge and experience of experts and professionals
b. emphasis on policy making and implementation
c. the empowerment of individuals and communities through education, skills development, sharing and joint action
d. individualizing experiences and problems
35. Which of the following approaches in community development work acknowledges health inequalities and focuses on social determinants of ill health?
a. focus on needs of the disadvantaged and vulnerable groups
b. focus on advocacy approach
c. focus on process approach
d. user-led approach
36. Community development is a strategy for health promotion. Which of the following activities in community development are designed to improve and enhance the skills of the people in working for change?
a. facilitating process
b. strategic support
c. professional and community interface
d. community action
37. Community development aims to empower people to act together to influence the social, economic, political and environmental issues affecting them. Which of the following interventions would BEST achieve this aim?
a. acting as an advocate and representing the interest of advantaged groups
b. building a social profile of the community and highlighting the relationships to health status
c. decreasing the accessibility of services
d. working to promote the health of the advantaged groups
Situation: The nurse reviews concepts of immunization.
38. The nurse recalls that an injection which consists of bacterial cells that have been modified is called:
a. a vaccine
b. a toxin
c. a toxoid
d. an antitoxin
39. A child who is exposed to diphtheria and is given an antitoxin would be an example of
a. active natural immunity
b. passive artificial immunity
c. passive natural immunity
d. active artificial immunity
40. Immunity by antibody formation during the course of a disease is called
a. passive artificial immunity
b. active natural immunity
c. passive natural immunity
d. active artificial immunity
41. The nurse understands that occasionally infants are born without an immune system and can live normally during their first months after birth. This is because:
a. limited antibodies are produced by the infant’s colonic bacteria
b. exposure to pathogens during the first months after birth is limited
c. limited antibodies are produced by the fetal thymus during the 8th and 9th months of gestation
d. antibodies are passively received from the mother through the placenta and breast milk
42. The preferred site for an intramuscular injection for a 6-month old infant receiving a dose of immunization is the
a. dorsogluteal
b. vastus lateralis
c. deltoid
d. ventrogluteal
Situation: John is extremely afraid of “gagamba.” He would go into panic wherever he sees one.
43. Irrational fear of a specific object is
a. phobia
b. panic
c. agoraphobia
d. neurosis
44. This kind of reaction maybe due to
a. defense mechanism
b. parental influence
c. underlying traumatic experiences
d. genetic factors
45. A person suffering from unreasonable fear should be
a. taught medication
b. ignored and ostracized
c. given medications
d. treated with understanding and empathy
46. When uncontrolled this behavior can…
a. strengthen coping
b. reduce coping
c. crippling experience
d. learning experience
47. The best way to deal with abnormal fear responses
a. hypnotism
b. systematic desensitization
c. group therapy
d. suppressive therapy
Situation: Agnes is the nurse at the Rural Health unit who does regular home visits to her patients.
48. Which of the following is the source of available information before planning for a home visit?
a. patient’s charts from the hospital
b. vital health statistics folder
c. home visits file
d. family health records
49. Which vital principle should Agnes, the RHU nurse must consider before a home visit?
a. careful evaluation should be recorded
b. greeting a client is vital in home visit
c. frequency should be determined
d. home visit should have an objective
50. Which of these factors should be considered in determining frequency of home visit?
a. inquiring about health and welfare of the client
b. performance of assessment and nursing care
c. explanation of the purpose of the visit
d. acceptance of the family
51. The first step in home visit is to:
a. determine frequency of the visit
b. determine priority or recognized by the family
c. be flexible of the time for clients convenience
d. greet client or family member and introduce yourself
52. The most important tool of the nurse during the home visit is the:
a. physical assessment criteria
b. umbrella or rain coat
c. public health nurse bag
d. supply of client’s medicines
Situation: Among children from one to ten years old, the preventive measure to avoid early exposure to crime-related phenomena is ? with the family
53. What can a nurse preventively advise families whose mothers leave very young children at home in order to find work in foreign lands?
a. ask husbands to care for children
b. baby sit the children
c. train care givers
d. intensive family pre-departure preparation
54. What specific age group of children demands the sensitive quality presence of mothers at home?
a. 6-10
b. 5-15
c. 1-5
d. 1-10
55. If the mother is absent because she is working in foreign land, what preventive strategy can a nurse offer to the family left in the country?
a. ?asylum run by sisters
b. Activate fathering role
c. Allow them to accompany street children experience
d. Engage maternal surrogate (mothers, grandmothers, aunties)
56. What is the usual impact of mother’s working in foreign lands to children when she comes home?
a. meandering of husbands
b. emotional distancing
c. strengthening of resources, more toys
d. psycho-emotional altered relationship
57. What is the main reason why mothers seek jobs in foreign lands?
a. adventures and see places
b. earn more resources for family needs
c. escape domestic violence
d. meet foreign lovers
58. One day your 16-year old girl complains of pain and bleeding. She is very secretive and tells you nothing of her feelings. With this condition, what will you entertain in your mind?
a. ask her if she has a boyfriend
b. wait and see if she verbalizes
c. suspect that she may be in danger of abortion
d. this might be just dysmenorrheal
59. If a 15-year old boy asks you to buy him a car, how would you respond to this request?
a. dialogue with the boy with lots of love and care
b. assess the boy’s total needs, maturity and act accordingly
c. if you can afford, go ahead and buy one
d. scold the boy that no such thing should be thought of
Situation: Laura is assigned as the team leader during the immunization day at the Rural Health Unit.
60. What program of the Department of Health was launched in 1976 in cooperation with the WHO and UNICEF to reduce morbidity and mortality among infants caused by immunizable disease?
a. Patak Day
b. Immunization Day on Wednesday
c. Expanded Program on Immunization (EPI)
d. Bakuna ng Kabataan
61. One important principle of the immunization program is based on
a. statistics of occurrence
b. epidemiologic situation
c. cold chain management
d. surveillance studies
62. The MAIN element of the immunization programs is one of the following:
a. information, education and communication
b. assessment and evaluation of the programs
c. research studies
d. target setting
63. What is the age of infants and children in the compulsory basic immunization of the Presidential Decree No. 996 in 1976?
a. five years
b. eight years
c. six years
d. one year
64. Which of the following is the MAIN principle of the expanded program on immunization?
a. the program is based on epidemiological situation
b. routine immunization schedule must be enforced
c. its objective which is reduction of morbidity and mortality
d. the legal basis and existing policies
65. When can trained hilots be allowed to attend home deliveries?
a. when the trained hilot has delivered more than ten cases
b. when the mother is multiparous and bleeding
c. when licensed personnel are busy with other deliveries
d. when there are no licensed personnel in an area
66. One month after the incident Mr. Carlos was watching a telemovie where burglary occurred. He became angry and agitated. The response to Carlos would be:
a. “Tell me how you feel.”
b. “Hey, stop that.”
c. “You will be okay.”
d. “Are you getting crazy?”
67. The preferred modality to address disorder as that of Mr. Carlos is
a. psychodrama
b. desensitization
c. use of drugs
d. debriefing
68. Medication that maybe prescribed to ease fear and anxiety symptoms like sleep disturbances and nightmares
a. benztropine
b. clozaril
c. benzodiazepines
d. phenothiazines
Situation: Mr. Tolentino is admitted to a secondary hospital due to insidious onset of sustained fever, headache and anorexia. He is diagnosed to have Enteric Fever or Typhoid Fever.
69. Infectious agents for typhoid fever can be distinguished by phse typing which is of value in epidemiologic studies. What is this infectious agent?
a. Salmonella paratyphi C
b. Salmonella paratyphi B
c. Salmonella paratyphi A
d. Salmonella typhi
70. Which of the following is NOT a mode of transmission of typhoid fever?
a. sharing, eating utensils with an infected person
b. eating contaminated food
c. drinking contaminated water
d. inhaling polluted air
71. Which of the following is the vector of typhoid fever?
a. Flies
b. Mosquitoes
c. Rodents
d. Ants
72. Which of the following is the MOST important instruction to families to prevent spread of typhoid fever?
a. eating nutritious fruits and vegetables
b. killing of flies and other insects
c. avoid eating in fastfood stalls
d. handwashing before eating and after toileting
73. Which of the following is the drug of choice for typhoid fever?
a. amoxicillin
b. chloramphenicol
c. gentamycin sulfate
d. cyclosporine
Situation: You are in charge of a training program for nurse clinicians at a tertiary hospital with 100 beds.
74. What are the entry competencies of a new BSN graduate?
a. capable to conduct national research projects
b. safe nursing generalist
c. teacher for newly opened schools
d. very good in neuro science
75. What steps will you take to train nurse clinicians in your hospital?
a. get cooperation of unit heads
b. map out skills list and budget
c. ask permission and support from Director
d. spell out program in full
76. How will you choose nurses to be trained as clinicians?
a. by reference from supervisors and head nurses
b. evaluate each nurse’s interest
c. through objectives of the program
d. set program admission criteria
77. Of what use will clinicians be in tertiary hospitals?
a. special nursing consultants
b. researchers in clinical cases
c. instructors for neophytes
d. clinical nursing care leaders
78. Why is a tertiary hospital necessary to be a base hospital for any learning institution of nursing?
a. bigger budget to hire personnel
b. has all facilities and space
c. qualified to train health care professionals
d. all types of patients are admitted
Situation: Let us talk of wholesome therapeutic personalities of nurses. To be a pleasant nurse equates solace and cure for some illnesses. Thus a nurse should be a pleasant personality at all times.
79. What is the dynamic of nurses who cannot relate well with others? In other words, they are poor team players. What could be the reason why they are so?
a. earlier needs not met and attended to
b. lack of childhood playmates
c. sign of neglected love and belonging experiences in life
d. sad parent-sibling family relationships
80. Describe a therapeutic nurse who can ease out illness in the patients
a. eloquent, linguistic, knowledgeable
b. pretty, bright, skillful
c. every inch a caring person
d. highly bioethical, majestic, divine
81. How is the therapeutic self of nurse formed and developed?
a. masters preparation in psychiatric nursing
b. role models and exemplary acts
c. books, studies and research
d. innate, sincere, caring attitude in the being
82. Why is nursing a science and an art?
a. mind, heart and hands are its main features and schooled
b. artistic in rendering care based on science
c. based on books and laboratory training
d. spend long hours in classroom and hospitals
83. Nowadays nursing is a lucrative profession. How is it regarded globally?
a. way to migrate and earn green bucks
b. save family from poverty
c. chance to marry foreigners
d. establish caring credence and competence in wellness
Situation: Nurse Josie is on duty when a mother came to the clinic asking for an injection for her son bitten by a dog.
84. Which of the following should be done by Nurse Josie?
a. refer to the municipal health office
b. ask about the history of the incident
c. wash the wound with soap and water
d. immediately inject anti-rabies medicine
85. When assessment has been completed, and Nurse Josie saw the wound, she should
a. wash the wound with soap and water
b. ask for prescription from the Doctor
c. apply ointment and dress the wound
d. ask for immunoglobulin
86. In the nurse health teaching, which of the following is included?
a. Observe the dog for 14 days.
b. Report to authorities.
c. Kill the dog immediately.
d. Give the dog immunization immediately.
87. In her assessment, Nurse Josie must observe which of the following signs and symptoms affecting deglutition?
a. sensory changes
b. muscle spasm
c. headache
d. fever
88. Nursing care of clients diagnosed with rabies is provision of this comfortable environment which is
a. adequately supplied with food and water
b. quiet and dark
c. provided with soft music
d. accessible to medication
Situation: Nurse Helen is an RHU nurse for five (5) years. Recently she has attended a DOH seminar on the prevention of leprosy.
89. Which of the following is the responsibility of the nurse in the prevention of leprosy?
a. conducts research and epidemiological investigation and reports to MHO for proper treatment
b. Health education, advocacy of healthful living and BCG vaccination of infants and children
c. Integrates care findings of leprosy in maternal-child health nursing and EPI
d. Recognizes early signs and symptoms of leprosy and refers suspects to the RHU physician
90. Which of the following cas finding activity should nurse Helen do to prevent leprosy?
a. help family understand and accept the problems brought about by the illness
b. advise parents not to expose chidren who are susceptible to the disease to untreated lepromatous persons
c. advocates health living through proper nutritions, adequate rest, sleep and personal hygienes
d. assess health of family members and other household contacts
91. In the rehabilitation phase of leprosy the objective is to:
a. encourage utilization of family planning services
b. provide information education
c. provide counseling and guidance in improving family health
d. keep the patient active, self-respecting member of society
92. The responsibility of nurse Helen in community health improvement is to
a. assist the health team in case findings activity
b. conduct orientation to student affiliates in nursing and midwifery on leprosy control
c. conduct research studies on the effects of multiple drug therapy
d. participate in community assemblies and share information on leprosy and its management
93. As a research-oriented nurse, Helen conducts a study on leprosy and a good research statement could be:
a. attitudes of non-lepromatous persons to patients with leprosy
b. causes of leprosy in a specific poblacion
c. attitudes of students towards persons with leprosy
d. effects of tri-media dissemination of leprosy facts
Situation: Beth, 2 years old with her mother visits your brgy health unit due to fever and rashes diagnosed as measles.
94. Upon inspection, you found the grayish specks in the inner surface of the cheek. This is called:
a. Henle’s loop
b. Koplik spots
c. Circle of Willis
d. Lues scar
95. How could measles be transmitted to Beth?
a. by ingestion
b. thru skin contact
c. by droplet
d. thru sexual contact
96. Which method of prevention and control is MOST easily done to Beth?
a. isolation
b. boiling of soiled clothes and articles
c. infection of immune globulin
d. avoid exposure of Beth to the infected one
97. Which of the following is emphasized by the public health nurse as a responsibility?
a. fluid intake measurement
b. need of isolation when catarrhal symptoms appear
c. supervision of correct sponge bath when there is fever
d. check correct medication and treatment
98. Nursing care is provided in the home by the mother. What is the MOST important health teaching to the mother of Beth?
a. keep medication out of reach
b. prepare food preferences of the patient
c. explain procedure every time
d. protect eyes from glare
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment