NP2 Nursing Board Exam November 2008 Answer Key 'Community

Health Nursing and Care of Mother and Child'

Nov ’08 NP2
Nursing Board/Licensure Exam Answer Key: NP2 Nursing Board Exam November 2008 Answer Key 'Community Health
Nursing and Care of Mother and Child'
Nursing Board/Licensure Exam Answer Key: NP2 Nursing Board Exam November 2008 Answer Key 'Community Health
Nursing and Care of Mother and Child'
A. Pituitary Gland
Situation 1: Mariah is a 31 year old lawyer who B. Trophoblastic cells of the embryo
has been married for 6 moths. She consults you C. Uterine deciduas
for guidance in relation with her menstrual cycle D. Ovarian follicles
and her desire to get pregnant.

1. She wants to know the length of her menstrual Situation 2: Mariah came back and she is now
cycle. Her periodic menstrual period is October pregnant.
22 to 26. Her LMB is November 21. Which of the
following number of days will be your correct 6. At 5 moths gestation, which of the following
response? fetal development would probably be expected:
A. 29 A. Fetal development are felt by Mariah
B. 28 B. Vernix caseosa covers the entire body
C. 30 C. Viable if delivered within this period
D. 31 D. Braxton hicks contractions are observed

2. You advised her to observe and record the 7. The nurse palpates the abdomen of Mariah.
signs of Ovulation. Which of the following signs Now at 5 month gestation, what level of the
will she likely note down? abdomen can be the fundic height be palpated?
1. A 1 degree Farenheit rise in basal body A. Symphysis pubis
temperature B. Midpoint between the umbilicus and the
2. Cervical mucus becomes copious and clear xiphoid process
3. One pound increase in weight C. Midpoint between the Symphysis pubis the
4. Mitteischmerz umbilicus
A. 1,2,4 B. 1,2,3 C. D. Umbilicus
2,3,4 D. 1,3,4
8. She worries about her small breast, thinking
3. You instruct Mariah to keep record of her basal that she probably will incapable to breastfeed her
temperature everyday, which of the following baby. Which of the following responses of the
instructions is incorrect? nurse is correct?
A. If coitus has occured, this should be reflected A. “The size of your breast will not affect your
in the chart lactation.”
B. It is best to have coitus on the evening B. “You can switch to bottle feeding.”
following a drop in BBT to become pregnant C. “You can try to have exercise to increase the
C. Temperature should be taken immediately size of your breast.”
after waking and before getting put of bed D. “Manual expression of milk is possible.”
D. BBT is lowest during the secretory phase
9. She tells the nurse that she does not take milk
4. She reports an increase in BBT on December regularly. She claims that she does not want to
16. Which hormone brings about this change in gain too much weight during her pregnancy.
her BBT? Which of the following nursing diagnosis is a
A. Estrogen priority?
B. Progesterone A. Potential self-esteem disturbance related to
C. Gonadootrophine physiologic changes in pregnancy
D. Follicle Stimulating Hormone B. Ineffective individual coping related to
physiologic changes in pregnancy
5. The following month, Mariah suspects she is C. Fear related to the effects of pregnancy
pregnant. Her urine is positive for Human D. Knowledge deficit regarding nutritional
Chorionic Gonadotrophin. Which structure requirements pregnancies related to lack of
produce HCG? information sources.
 B. The penis was too large that’s why the vagina
10. Which of the following interventions will likely triggered it’s defense to attempt to close
ensure compliance of Mariah? C. The vagina do not want to be penetrated
A. Incorporate her food preferences that are D. It is due to learning patterns of the female
adequately nutritious in her meal plan. client where she views sex as bad or sinful.
B. Consistently counsel toward optimum
nutritional intake Situation 4: Overpopulation is one problem in
C. Respect her right to reject dietary information the Philippines that case economic drain. Most
if she chooses Filipinos are against in legalizing abortion. As a
D. Information of the adverse effects of nurse, Mastery of contraception is needed to
inadequate nutrition to her fetus contribute to the society and economic growth.

Situation 3: Susan is a patient in the clinic where 16. Supposed that Dana, 17 years old, tells you
you work. She is inquiring about pregnancy. she wants to use fertility awareness method of
contraception. How will she determine her fertile
11. Susan tells you she is worried because she days?
develops breast later than most of her friends. A. She will notice that she feels hot as if she has
Breast development is termed as: an elevated temperature
A. Adrenarche B. She should assess whether her cervical mucus
B. Mamarche is thin colour, clear and watery.
C. Thelarche C. She should monitor her emotions fro sudden
D. Menarche anger or crying
D. She should assess whether her breast feel
12. Kevin, Susan’s husband tells you that he is sensitive to cool air.
considering vasectomy. After the birth of their
new child. Vasectomy involves the incision of 17. Dana chooses to use COC as her family
which organ? planning method, what is the danger sign of COC
A. The testes you would ask her to report?
B. The vas deferens A. A stuffy or runny nose
C. The epididymis B. Arthritis like symptoms
D. The scrotum C. Slight weight gain
D. Migraine headache
13. On examination, Susan has been found of
having a cystocele. A cystocele is: 18. Dana asks about subcutaneous implants and
A. A sebaceous cyst arising from the vulvar fold. she asks how long will these implants be
B. Protrusion of intestines into the vagina effective. Your best answer is:
C. Prolapse of the uterus into the vagina A. One month
D. Herniation of the bladder into the vaginal wall. B. Twelve month
C. Five years
14. Susan typically has menstrual cycle of 34 D. 10 years
days. She told you she had a coitus on days 8, 10
and 20 of her menstrual cycle. Which is the day 19. Dana asks about female condoms. Which of
on which she is most likely to conceive? the following is true with regards to female
A. 8th day condoms?
B. 10th day A. The hormone the condom releases might
C. Day 15 cause mild weight gain.
D. Day 20 B. She should insert the condom before any
penile penetration
15. While taking with Susan, 2 new patients C. She should coat the condom with spermecide
arrived and they are covered with large towels before use
and the nurse noticed that there are many D. Female condoms unlike male condoms are
cameraman and news people outside of the OPD. reusable.
Upon assessment the nurse noticed that both of
them are still nude and the male client’s penis is 20. Dana has asked about GIFT procedure. What
still inside the female client’s vagina and the makes her a good candidate for GIFT?
male client said that “I can’t pull it.” Vaginismus A. She has patent fallopian tubes, so fertilized ova
was your first impression. You know that the can be implanted on them.
psychological cause of Vaginismus is related to: B. She is RH negative, a necessary stipulation to
A. The male client inserted the penis too deeply rule out RH incompatibity.
that it stimulates vaginal closure C. She has normal uterus, so the sperm can be
injected through the cervix into it.
D. Her husband is taking sildenafil, so all sperms B. Donor sperm are injected intra-abdominally
will be motile. into each ovary
C. Artificial sperm are injected vaginally to test
Situation 5 – Nurse Lorena is a Family Planning tubal patency
and Infertility Nurse Specialist and currently D. The husband’s sperm is administered
attends to FAMILY PLANNING CLIENTS AND intravenously weekly
INFERTILE COUPLES. The following conditions
pertain to meeting the nursing needs of this Situation 6: You are assigned to take care of a
particular population group. group of patients across the lifespan.

21. Dina, 17 years old, asks you how a tubal 26. Pain in the elder persons require careful
ligation prevents pregnancy. Which would be the assessment because they:
best answer? A. Experienced reduce sensory perception
A. Prostaglandins released from the cut fallopian B. Have increased sensory perception
tubes can kill sperm C. Are expected to experience chronic pain
B. Sperm can not enter the uterus because the D. Have decreased pain threshold
cervical entrance is blocked.
C. Sperm can no longer reach the ova, because 27. Administration of analgesics to the older
the fallopian tubes are persons require careful patient assessment
blocked because older people:
D. The ovary no longer releases ova as there is no A. Are more sensitive drugs
where for them to go. B. Have increased hepatic, renal, and
gastrointestinal function
22. The Dators are a couple undergoing testing C. Have increased sensory perception
for infertility. Infertility is said to exist when: D. Mobilize drugs more rapidly
A. a woman has no uterus
B. a woman has no children 28. The elderly patient is at higher risk for urinary
C. a couple has been trying to conceive for 1 year incontinence because:
D. a couple has wanted a child for 6 months A. Increased glomerular filtration
B. Diuretic use
23. Another client named Lilia is diagnosed as C. Decreased bladder capacity
having endometriosis. This condition interferes D.
with fertility because:
A. endometrial implants can block the fallopian 29. Which of the following is the MOST COMMON
tubes sign of infection among the elderly?
B. the uterine cervix becomes inflamed and A. Decreased breath sounds with crackles
swollen B. Fever
C. the ovaries stop producing adequate estrogen C. Pain
D. pressure on the pituitary leads to decreased D. Change in the mental status
FSH levels
30. Priorities when caring for the elderly trauma
24. Lilia is scheduled to have a patient:
hysterosalphingogram. Which of the following A. Circulation, airway, breathing
instructions would you give her regarding this B. Disability(Neurologic), airway, breathing
procedure? C. Airway, Breathing, Disability(Neurologic),
A. She will not be able to conceive for 3 months D. Airway, breathing, Circulation
after the procedure
B. The sonogram of the uterus will reveal any 31. Preschoolers are able to see things from
tumors present which of the following perspectives?
C. Many women experience mild bleeding as an A. Their peers
after effect B. Their own and their caregivers
D. She may feel some cramping when the dye is C. Their own and their mother’s
inserted D. Only their own

25. Lilia’s cousin on the other hand, knowing 32. In conflict management, the win-win
nurse Lorena’s specialization asks what artificial approach occurs when:
insemination by donor entails. Which would be A. There are two conflicts and the parties agree
your best answer if you were Nurse Lorena? to each one
A. Donor sperm are introduced vaginally into the B. Each party gives in on 50% of the
uterus or cervix disagreement making the conflict
C. Both parties involved are committed in solving B. Failure to pass meconium during the first 24
the conflict hours after birth
D. The conflict is settled out of court so the legal C. The skin turns yellow and then brown over the
system mandates parties win. first 24 hours to 46 hours after birth.
D. High grade fever.
33. According to the social-International
perspective of child abuse and neglect, four 38. A client is 7 months pregnant and has just
factors place the family members at risk for been diagnosed as having a partial placenta
abuse, these risk factors are the family members previa. She is able and has minimal spotting and
at risk for abuse. These risk factors are the family is being sent home. Which of these instructions to
itself, the caregiver, the child and: the client may indicate a need for further
A. The presence of a family crisis teaching?
B. Genetics A. Maintain bed rest with bathroom privileges
C. The national emphasis on sex B. Avoid intercourse for three days
D. Chronic poverty C. Call if contractions occur.
D. Stay on left side as much as possible when
34. Which of the following signs and symptoms lying down.
would you most likely find when assessing an
infant with Arnold-Chari malformation? 39. A woman has been rushed to the hospital with
A. Weakness of the leg muscles, loss of sensation ruptured membrane. Which of the following
in the legs, and restlessness should the nurse check first?
B. Difficulty swallowing, diminished or absent gag A. Check for the presence of infarction.
reflex and respiratory distress B. Assess for Prolapse of the umbilical cord
C. Difficulty sleeping, hypervigilant and an C. Check the maternal heart rate
arching of the back D. Assess the color of the amniotic fluid
D. Paradoxical irritability, diarrhea and vomiting
40. The nurse notes that the infant is wearing a
35. A parent calls you and frantically reports that plastic-coated diaper. If a topical medication were
her child has gotten into her famous ferrous to be prescribed and it were to go on the
sulfate pills and ingested a number of these pills. stomachs or buttocks, the nurse would teach the
Her child is now vomiting, has bloody diarrhea caregivers to:
and is complaining of abdominal pain. You will tell A. Avoid covering the area of the topical
the mother to: medication with the diaper
A. Call emergency medical services (EMS) and get B. Avoid the use of clothing on top of the diaper
the child to the emergency room C. Put the diaper on as usual
B. Relax because these symptoms will pass and D. Apply an icepack for 5 minutes to the outside
the child will be fine of the diaper
C. Administer syrup of pecac
D. Call the poison control center 41. Which of the following factors is most
important in determining the success of
36. A client says she heard from a friend that you relationships used in delivering nursing care?
stop having periods once you are on the “pill.” A. Type of illness of the client
The most appropriate response would be: B. Transference and counter Transference
A. “The pill prevents the uterus from making such C. Effective communication
endometrial lining, that is why period may often D. Personality of the participants
be scant or skipped occasionally.”
B. “If your friend has missed her period, she 42. Grace sustained a laceration on her leg from
should stop taking the pills and get a pregnancy automobile accident. Why are lacerations of lower
test.” extremities potentially more serious among
C. “The pill should cause a normal menstrual pregnant women than other?
period every month. It sounds like your friend has A. lacerations can provoke allergic responses due
not been taking the pills properly.” to gonadotropic hormone release
D. Missed period can be very dangerous and may B. a woman is less able to keep the laceration
lead to the formation of precancerous cells.” clean because of her fatigue
C. healing is limited during pregnancy so these
37. The nurse assessing newborn babies and will not heal until after birth
infants during their hospital stay notice which of D. increased bleeding can occur from uterine
the following symptoms as a primary pressure on leg veins
manifestation of Hirschprung’s disorder?
A. A fine rash over the trunk 43. In working with the caregivers of a client with
an cute or chronic illness, the nurse would:
A. Teach care daily and let the caregivers do a professional in the context of public health
return demonstration just before discharge welfare and safety as an example of?
B. Difficulty swallowing, diminished or absent gag A. Delegation
reflex and respiratory distress B. Supervision
C. Difficulty sleeping, hypervigilant and arching of C. Responsibility
the back D. Competence
D. Paradoxical irritability, diarrhea and vomiting
49. The painful phenomenon known as back labor
44. Which of the following roles BEST exemplifies occurs in a client whose fetus in what position?
the expanded role of the nurse? A. Brow position
A. Circulating nurse in surgery B. Right occipito-Anterior Position
B. Medication nurse C. Breech position
C. Obstretical nurse D. Left occipito-Posterior Position
D. Pediatric nurse practitioner
50. Focus methodology stands for?
45. According to De Rosa and Kochura’s (2006) A. Focus, Organize, Clarify, Understand and
article entitled “Implement Culturally Health Care Solution
in your workplace,” cultures have different B. Focus, Opportunity, Continuous, Utilize,
patterns of verbal and nonverbal communication. Substantiate
Which difference does NOT necessarily belong? C. Focus, Organize, Clarify, Understand,
A. Personal behaviour Substantiate
B. Eye contact D. Focus, Opportunity, Continuous (process),
C. Subject Matter Understand, Solution
D. Conversational style Situation 7: The infant and child mortality rate in
the low to middle income countries is ten times
46. You are the nurse assigned to work with a higher than industrialized countries. In response
child with acute glomerulonephritis. By following to this the WHO and UNICEF launched protocol
the prescribed treatment regimen, the child Integrated Management of Childhood Illness to
experiences a remission. You are now checking to reduce the morbidity and mortality against
make sure the child does not have a relapse. childhood illnesses.
Which finding most lead you to the conclusion
that a relapse is happening? 51. If a child with diarrhea registers two signs in
A. Elevated temperature, cough, sore throat, the yellow row in the IMCCI char, we can classify
changing complete blood count (CBC) with the patient as:
differential count A. Moderate dehydration
B. A urine dipstick measurement of 2+ B. Some dehydration
proteinuria or more for 3 days or the child found C. Severe dehydration
to have 3-4+ proteinuria plus edema. D. No dehydration
C. The urine dipstick showing glucose in the urine
for 3 days, extreme thirst, increase in urine 52. Celeste has had diarrhea for 8 days. There is
output and a moon face. no blood in the stool, he is irritable, his eyes are
D. A temperature of 37.8 degrees (100 degrees F) sunken, the nurse offers fluid to Celeste and he
flank pain, burning frequency, urgency on voiding drinks eagerly. When the nurse pinched the
and cloudy urine. abdomen it goes back slowly. How will you
classify Celeste’s Illness?
47. The nurse is working with an adolescent who A. Moderate dehydration
complains of being lonely and having a lack of B. Some dehydration
fulfilment in her life. This adolescent shies away C. Severe dehydration
from intimate relationships at times yet at other D. No dehydration
times she appears promiscuous. The nurse will
likely work with this adolescent in which of the 53. A child who is 7 weeks has had diarrhea for
areas? 14 days but has no sign of dehydration is
A. Isolation classified as?
B. Loneliness A. Persistent diarrhea
C. Lack of fulfilment B. Severe dysentery
D. Identity C. Dysentery
D. Severe Persistent diarrhea
48. The use of interpersonal decision making
psychomotor skills and application of knowledge 54. The child with no dehydration needs home
expected in the role of a licensed health care treatment. Which of the following is not included
in the rules for home treatment in this case?
A. Forced fluids C. Avoid unnecessary movement
B. When to return D. Ice cap over abdomen in case of melena
C. Give Vitamin A supplement
D. Feeding more Situation 9: Health education and Health
Promotion is an important part of nursing
55. Fever as used in IMCI includes: responsibility in the community. Immunization is
A. Axillary temperature of 37.5 or higher a form of health promotion that aims at
B. Rectal temperature of 38 or higher preventingthe common childhood illnesses.
C. Feeling hot to touch
D. All of the above 61. In correcting misconception and myths about
E. A and C only certain diseases and their management, the
health worker should first:
A. Identify the myths and misconceptions
Situation: Prevention of Dengue is an important prevailing in the community
nursing responsibility and controlling it’s spread B. Identify the source of these myths and
is priority once outbreak has been observed. misconceptions
C. Explain how and why these myths came about
56. An important role of the community health D. Select the appropriate IEC strategies to correct
nurse in the prevention and control of Dengue H- them.
fever includes:
A. Advising the elimination of vectors by keeping 62. How many percent of measles are prevented
water containers covered by immunization at 9 months age?
B. Conducting strong health education A. 80 %
drives/campaign directed toward proper garbage B. 90%
disposal C. 99 %
C. Explaining to the individuals, families, groups D. 95 %
and community the nature of the disease and its
causation. 63. After TT3 vaccination a mother is said to be
D. Practicing residual spraying with insectesides protected to tetanus by around?
A. 80 %
57. Community health nurses should be alert in B. 85 %
observing a Dengue suspect. The following is NOT C. 99 %
an indicator for hospitalization of H-fever D. 90 %
suspects?
A. Marked anorexia, abdominal pain and vomiting 64. If ever convulsion occurs after administering
B. Increasing hematocrit count DPT, what should nurse best suggest to the
C. Cough of 30 days mother?
D. Persistent headache A. Do not continue DPT vaccination anymore
B. Advise mother to come back aster 1 week
58. The community health nurses primary C. Give DT instead of DPT
concern in the immediate control of D. Give pertussis of the DPT and remove DT
hemmorrhage among patients with dengue is:
A. Advising low fiber and non-fat diet 65. These vaccines are given 3 doses at one
B. Providing warmth through light weight covers month intervals:
C. Observing closely the patient for vital signs A. DPT, BCG, TT
leading to shock B. DPT, TT, OPV
D. Keeping the patient at rest. C. OPV, Hep. B, DPT
D. Measles, OPV, DPT
59. Which of these signs may NOT be REGARDED
as a truly positive signs indicative of Dengue H- Situation 10: With the increasing documented
fever? cases of CANCER the best alternative to
A. Prolonged Bleeding Time treatment still remains to be PREVENTION. The
B. Appearance of at least 20 petechiae within 1 following conditions apply.
cm square
C. Steadily increasing hematocrit count 66. Which among the following is the primary
D. Fall in the platelet count focus of prevention of cancer?
A. Elimination of conditions causing cancer
60. Which of the following is the most important B. Diagnosis and treatment
treatment of patients with Dengue H-fever? C. Treatment at early stage
A. Give aspirin for fever D. Early detection
B. Replacement of body fluids
67. In the prevention and control of cancer, which the child drinks eagerly. How would you classify
of the following activity is the most important Nina’s illness?
function of the community health nurse? A. Some dehydration
A. Conduct community assemblies B. Dysentery
B. Referral to cancer specialist those clients with C. Severe dehydration
symptoms of cancer D. No dehydration
C. Use the nine warning signs of cancer as 74. Nina’s treatment should include the following
parameters in our process of detection; control EXCEPT:
and treatment modalities. A. Reassess the child and classify him for
D. Teach woman about proper/correct nutrition. dehydration
B. For infants under 6 months old who are not
68. Who among the following are recipients of the breastfed, give 100-200 ml clean water as well
secondary level of care for cancer cases? during this period.
A. Those under early case detection C. Give in the health center the recommended
B. Those under supportive care amount of ORS for 4 hours.
C. Those scheduled for surgery D. Do not give any other foods to the child for
D. Those under going treatment home treatment

69. Who among the following are recipients of the 75. While on treatment, Nina 18 months old
tertiary level of care for cancer cases? weighed 18 kgs and her temperature registered
A. Those under early treatment at 37 degrees C. Her mother says she developed
B. Those under supportive care cough 3 days ago. Nina has no general danger
C. Those under early detection signs. She has 45 breaths/minute, no chest
D. Those scheduled for surgery indrawing, no stridor. How would you classify
Nina’s manifestation.
70. In Community Health Nursing, despite the A. No pneumonia
availability and use of many equipment and B. Severe pneumonia
devices to facilitate the job of the community C. Pneumonia
health nurse, the nurse should be prepared to D. Bronchopneumonia
apply is a scientific approach. This approach
ensures quality of care even at the community 76. Carol is 15 months old and weighs 5.5 kgs
setting. This nursing parlance is nothing less than and it is her initial visit. Her mother says that
the: Carol is not eating well and unable to breastfeed,
A. Nursing diagnosis he has no vomiting, has no convulsion and not
B. Nursing protocol abnormally sleepy or difficult to awaken. Her
C. Nursing research temperature is 38.9 deg C. Using the integrated
D. Nursing process management of childhood illness or IMCI strategy,
if you were the nurse in charge of Carol, how will
Situation 11 – Two children were brought to you. you classify her illness?
One with chest indrawing and the other had A. a child at a general danger
diarrhea. The following questions apply: sign
B. very severe febrile
71. Using Integrated Management and Childhood disease
Illness (IMCI) approach, how would you classify C. severe pneumonia
the 1st child? D. severe malnutrition
A. Brochopneumonia
B. No pneumonia: cough or cold 77. Why are small for gestational age newborns
C. Severe pneumonia at risk for difficulty maintaining body
D. Pneumonia temperature?
A. their skin is more susceptible to conduction of
72. The 1st child who is 13 months has fast cold
breathing using IMCI parameters he has: B. they are preterm so are born relatively small in
A. 40 breaths per minute or more size
B. 50 breaths per minute C. they do not have as many fat stored as other
C. 30 breaths per minute or more infants
D. 60 breaths per minute D. they are more active than usual so they throw
off comes
73. Nina, the 2nd child has diarrhea for 5 days.
There is no blood in the stool. She is irritable and 78. Oxytocin is administered to Rita to augment
her eyes are sunken. The nurse offered fluids and labor. What are the first symptoms of water
intoxication to observe for during this procedure?
A. headache and A. justice and
vomiting beneficence

B. a swollen tender tongue B. fidelity and nonmaleficence

C. a high choking voice C. beneficence and nonmaleficence
D. abdominal bleeding and pain D. fidelity and justice

79. Which of the following treatment should NOT 85. Being a community health nurse, you have
be considered if the child has severe dengue the responsibility of participating in protecting
hemorrhagic fever? the health of people. Consider this situation:
A. use plan C if there is bleeding from the nose or Vendors selling bread with their bare hands. They
gums receive money with these hands. You do not see
B. give ORS if there is skin Petechiae, persistent them washing their hands. What should you
vomiting, and positive tourniquet test say/do?
C. give aspirin A. “Miss, may I get the bread myself because you
D. prevent low blood sugar have not washed your hands”
B. All of these
80. In assessing the patient’s condition using the C. “Miss, it is better to use a pick up forceps/
Integrated Management of Childhood Illness bread tong”
approach strategy, the first thing that a nurse D. “Miss, your hands are dirty. Wash your hands
should do is to: first before getting the bread”
A. ask what are the child’s
problem Situation 12: The following questions refer to
B. check the patient’s level of common clinical encounters experienced by an
consciousness entry level nurse.
C. check for the four main symptoms
D. check for the general danger signs 86. A female client asks the nurse about the use
of cervical cap. Which statement is correct
81. A child with diarrhea is observed for the regarding the use of the cervical cap?
following EXCEPT: A. It may affect Pap smear results
A. how long the child has B. It does not need to be fitted by the physician
diarrhea C. It does not require the use of spermicide
B. skin Petechiae D. It must be removed within 24 hours
C. presence of blood in the stool
D. signs of dehydration 87. The major components of the communication
process are?
82. The child with no dehydration needs home A. Verbal, written, and nonverbal
treatment. Which of the following is NOT included B. Speaker, Listener and reply
in the care for home management at this case? C. Facial expression, tone of voice and gestures
A. give drugs every 4 D. Message, sender, channel, Receiver and
hours Feedback
B. continue feeding the child
C. give the child more fluids 88. The extent of burns in children are normally
D. inform when to return to the health center assessed and expressed in terms of:
A. The amount of body surface that is unburned
83. Ms. Jordan, RN, believes that a patient should B. Percentages of total body surface area (TBSA)
be treated as individual. This ethical principle that C. How deep the deepest burns are
the patient referred to: D. The severity of the burns on a 1 to 5 burn scale
A.
beneficence 89. The school nurse notices a child who is wearing
old, dirty, poor-fitting clothes; is
B. always hungry; has no lunch money; and is always
nonmaleficence tired. When the nurse asks the boy his
tiredness, he talks of playing outside until midnight.
C. respect for person The nurse will suspect that this child
D. autonomy is:
A. Being raised by a parent of low intelligence (IQ)
84. When patients cannot make decisions for B. An orphan
themselves, the nurse advocate relies on the C. A victim of child neglect
ethical principle of: D. The victim of poverty
90. Which of the following indicates the type(s) of B. Bronchial pneumonia
acute renal failure? C. Inflammatory conjunctiva
A. Four types: hemorrhagic with and without D. Membranous laryngitis
clotting, and non hemorrhagic with and without
clotting 97. To render comfort measure is one of the
B. One type: Acute priorities, which includes care of the skin, eyes,
C. Three types: Prerenal, intrarenal, postrenal ears, mouth and nose. To clean the mouth, your
D. Two types: Acute and subacute antiseptic is in some form of which one below?
A. Water
Situation 13: Mike 16 y/o has been diagnose to B. Sulfur
have AIDS, he worked as entertainer in a cruise C. Alkaline
ship: D. Salt

91. Which method of transmission is common to 98. As a public health nurse, you teach mother
contract AIDS: and family members the prevention of
A. Syringe and needles complication of measles. Which of the following
B. Body fluids should be closely watched?
C. Sexual contact A. Temperature fails to drop
D. Transfusion B. Inflammation of the conjunctiva
C. Inflammation of the nasopharynx
92. Causative organism in AIDS is one of the D. Ulcerative stomatitis
following:
A. Fungus 99. Source of infection of measles is secretion of
B. Bacteria nose and throat of infection person. Filterable of
C. Retrovirus measles is transmitted by:
D. Parasites A. Water supply
B. Droplet
93. You are assigned in a private room of Mike. C. Food ingestion
Which procedure should be of outmost D. Sexual contact
importance:
A. Alcohol wash 100. Method of prevention is to avoid exposure to
B. Universal precaution an infection person. Nursing responsibility for
C. Washing isolation rehabilitation of patient includes the provision of:
D. Gloving technique A. Terminal disinfection
B. Injection of gamma globulin
94. What primary health teaching would you give C. Immunization
to Mike? D. Comfort measures
A. Daily exercise
B. Prevent infection
C. Reversal Isolation
D. Proper nutrition

95. Exercise precaution must be taken to protect

health worker dealing with the AIDS patients,
which among these must be done as priority?
A. Boil used syringed and needles
B. Use gloves when handling specimen
C. Label personal belonging
D. Avoid accidental wound

Situation 14: Michelle is a 6 year old preschooler.

She was reported by her sister to have measles
but she was at home because of fever, upper
respiratory problem and white sports in her
mouth.

96. Rubeola is an Arabic term meaning Red, the

rash appears on the skin in invasive stage prior to
eruption. As a nurse, your physical examination
must determine complication especially:
A. Otitis media