Situation: You are working as a Pediatric Nurse in your own Child Health Nursing Clinic. The following cases pertain to assessment and care of the newborn-at-risk conditions.
1. Theresa, a mother with a 2-year old daughter asks, “At what age 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
2. You typically gag children to inspect the back of their throat. When is it important NOT to elicit a gag reflex?
a. when a girl has a geographic tongue
b. When a boy has a possible inguinal hernia
c. When a child has symptoms of epiglottitis
d. When children are under 5 years of age
3. 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. Penicilllin G
4. Why are small-for-gestational age newborns at risk for difficulty maintaining body temperature?
a. They do not have as many fat stores as other infants
b. They are more active than usual so throw off covers
c. Their skin is more susceptible to conduction of cold
d. They are pre-term so are born relatively small in size
5. Baby John develops hyperbilirubinemia. What is a method used to treat hyperbilirubinemia in a newborn?
a. Keeping infants in a warm and dark environment
b. Administration of cardiovascular stimulant
c. Gentle exercise to stop muscle breakdown
Situation: You are the nurse in the Out-Patient Department and during your shift, you encountered multiple children’s condition. The following questions apply.
6. You assessed a child with visible severe wasting. He has:
a. edema
b. LBM
c. Kwashiorkor
d. Marasmus
7. Which of the following conditions is NOT true about contraindication to immunization?
a. Do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT
b. Do not give BCG if the child has known hepatitis
c. Do not give DPT to a child who has recurrent convulsion or active neurologic disease
d. Do not give BCG if the child has known AIDS
8. 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 referral are both correct
d. A child should be immunized in the health center before referral
9. 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 low weight no anemia
d. anemia/very low weight
10. A child has some palmar pallor can be classified as:
a. moderate anemia/normal weight
b. severe malnutrition/anemia
c. anemia/very low weight
d. not very low weight no anemia
Situation: 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 her that she appears to be 20 weeks pregnant.
11. Nette explains this because the fundus is:
a. At the level of 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
12. In doing Leopold’s Maneuver, which among the following is NOT considered a good preparation?
a. The woman should lie in a supine position with her 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
13. In her pregnancy, she experienced fatigue and drowsiness. This probably occurs because:
a. of high blood pressure
b. she is expressing pressure
c. the fetus utilizes her glucose stores and leaves her with a low blood glucose
d. of the rapid growth of the fetus
14. The nurse assesses the woman at 20 weeks gestation and expects the woman to report:
a. Spotting related to fetal implantation
b. Symptoms of diabetes as human placental lactogen is released
c. Feeling fetal kicks
d. Nausea and vomiting related to HCG production
15. Mrs. Medina comes to you for check-up on June 2. Her EDC is June 11. What do you expect during assessment.
a. Fundic height 2 fingers below xyphoid process, engaged
b. Cervix closed, uneffaced, fundic heigh midway between the umbilicus and symphysis pubis
c. Cervix open, fundic height 2 fingers below xyphoid process, floating
d. Fundic height at least at the leve of the xyphoid process, engaged
Situation: Please continue responding as a professional nurse in these varied health situations through the following questions.
16. 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
17. 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?
a. Unsuccessful artificial insemination procedure
b. Blood transfusion after hemorrhage
c. Therapeutic or spontaneous abortion
d. Head injury from a car accident
18. Which of the following would the nurse include when describing the pathophysiology of gestational diabetes?
a. Glucose levels decrease to accommodate fetal growth
b. Hypoinsulinemia develops early in the first trimester
c. Pregnancy fosters the development of carbohydrate cravings
d. There is progressive resistance to the effects of insulin
19. When providing prenatal education to a pregnant woman with asthma, which of the following would be important for the nurse to do?
a. Demonstrate how to assess her blood glucose levels
b. Teach correct administration of subcutaneous bronchodilators
c. Ensure she seeks treatment for any acute exacerbation
d. Explain that she should avoid steroids during her pregnancy
20. 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. Abruptio Placenta
Situation: One important tool 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?
21. The community / Public Health Bag is:
a. a requirement for home visits
b. an essential and indispensable equipment of the community health nurse
c. contains basic medications and articles used by the community health nurse
d. a tool used by the Community health nurse in rendering effective nursing procedures during a home visit
22. What is the rationale in the use of bag technique during home visits?
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
23. Which among the following is important in the use of the bag technique during home visit?
a. Arrangement of the bag’s contents must be convenient to the nurse
b. The bag should contain all necessary supplies and equipment ready for use
c. Be sure to thoroughly clean your bag especially when exposed to communicable disease cases
d. Minimize if not totally prevent the spread of infection
24. This is an important procedure of the nurse during home visits:
a. protection of the CHN bag
b. arrangement of the contents of the CHN bag
c. cleaning of the CHN bag
d. proper handwashing
25. 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?
a. The lower tip
b. The outer surface
c. The upper tip
d. The inside surface
Situation: 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 or City Levl.
26. 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 peoples, 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
27. Management by Filipino values advocate the consideration of the Filipino goals trilogy according to the Filipino priority-values which are:
a. Family goals, national goals, organizational goals
b. Organizational goals, national goals, family goals
c. National goals, organizational goals, family goals
d. Family goals, organizational goals, national goals
28. Since the advocacy for the utilization of Filipino value-system in management has been encouraged, the Nursing sector is no exception. Management needs to examine Filipino values and discover its positive potentials and harness them to achieve:
a. Employee satisfaction
b. Organizational commitments, organizational objectives and employee satisfaction
c. Employee objectives/satisfaction, commitments and organizational objectives
d. Organizational objectives, commitments and employee objective/satisfaction
29. 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
a. Only C and D are correct
b. A, C and D are correct
c. B, C and D are correct
d. Only A and B are correct
30. 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 skill, resource management skills
a. A and D are correct
b. B is correct
c. A is correct
d. C and D are correct
Situation: You are an actively practicing nurse who just finished your Graduate Studies. You learned the value of Research and would like to utilize the knowledge and skills gained in the application of research to Nursing service. The following questions apply to research.
31. Which type of research inquiry investigates the issues of human complexity (e.g. understanding the human experience)?
a. Logical positivism
b. Naturalistic inquiry
c. Positivism
D. Quantitative research
32. Which of the following studies is based on 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 the client’s feeling before, during and after a bone marrow aspiration
33. Which of the following studies is based on qualitative research?
a. A study examining clients’ reactions to stress after open heart surgery
b. A study measuring nutrition and weight loss / gain in clients with cancer
c. A study measuring oxygen levels after endotracheal suctioning
d. A study measuring differences in blood pressure before, during and after a procedure
34. 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?
a. Right to self-determination
b. Right to privacy and confidentiality
c. Right to full disclosure
d. Right not to be harmed
35. “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: Nurse Michelle works with a Family Nursing Team in Calbayog Province specifically handling a UNICEF project for children. The following conditions pertain to care of the family with preschoolers.
36. 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
37. 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?
a. Move him to the new bed before the baby arrives
b. Explain that new sisters grow up to become best friends
c. Tell him he will have to share with the new baby
d. Ask him to get his crib ready for the new baby
38. Ronnie’s parents want to know how to react to him when he begins to masturbate while watching television. What would you suggest?
a. They refuse to allow him to watch television
b. They schedule a health check-up for sex-related disease
c. They remind him that some activities are private
d. They give her “timeout” when this begins
39. How many words does a typical 12-month-old-infant use?
a. About 12 words
b. Twenty or more words
c. About 50 words
d. Two, plus “mama” and “papa”
40. As a nurse, you reviewed infant safety procedures with Bryan’s mother. What are two of the most common types of accidents among infants?
a. aspiration and falls
b. falls and auto accidents
c. poisoning and burns
d. drowning and homicide
Situation: Among common conditions found in children especially among poor communities are ear infections/problems. The following questions apply.
41. A child with ear problem should be assessed for the following EXCEPT;
a. Is there any fever?
b. Ear discharge
c. If discharge is present, for how long?
d. Ear pain
42. If the child does not have ear problem, using IMCI, what should you as the nurse do?
a. Check for ear discharge
b. Check for tender swellings behind the ear
c. Check for ear pain
d. Go to the next question, check for malnutrition
43. An ear discharge that has been present for more than 14 days can be classified as:
a. mastoiditis
b. chronic ear infection
c. acute ear infection
d. complicated ear infection
44. An ear discharge that has been present for less than 14 days can be classified as:
a. chronic ear infection
b. mastoiditis
c. acute ear infection
d. complicated ear infection
45. If the child has “severe” classification because of ear problem, what would be the best thing that you as the nurse can do?
a. instruct mother when to return immediately
b. refer urgently
c. give an antibiotic for 5 days
d. dry the ear by wicking
Situation: If the child with diarrhea registers one sign in the pink row and one in the yellow row in the IMCI chart…
46. We can classify the patient as:
a. moderate dehydration
b. some dehydration
c. no dehydration
d. severe dehydration
47. The child with no dehydration needs home treatment. Which of the following is NOT included in the rules for home treatment in this case?
a. continue feeding the child
b. give Oresol every 4 hours
c. know when to return to the health center
d. give the child extra fluids
48. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:
a. severe persistent diarrhea
b. dysentery
c. severe dysentery
d. persistent diarrhea
49. 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
50. 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
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