Comprehensive Exam Total points 81/100

Nursing Practice IV - PHINMA LEVEL 4

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SURNAME: *

ALMEO

FIRST NAME: *

BETHEL ANNE

MIDDLE NAME: *

TEJANO

SCHOOL: *

PHINMA - UNIVERSITY OF ILOILO

SECTION: *

UI-FA1-BSN4-4

1. Nurse Kaye is caring for a client diagnosed with left-sided heart *1/1
failure. The nurse knows that one of the symptoms of left-sided heart
failure is:

A. Frothy, pink-tinged sputum

B. Hepatomegaly

C. Jugular venous distension

D. Abdominal pain

2. Nurse Kaye manages the client with left-sided heart failure. Which of *1/1
the following actions will promote improved gas exchange?

A. Administer morphine sulfate for anxiety management.

B. Administer valsartan as prescribed.

C. Maintain oxygen saturation to at least 90%.

D. Provide supplemental oxygen as prescribed.

3. You are a nurse caring for a patient with atelectasis. Which intervention *1/1
is a priority of the nurse?

A. Administer oxygen at 2 L/min.

B. Encourage use of incentive spirometry every hour.

C. Cough and deep breathe every four hours.

D. Ask the client to ambulate 2 times a day.

4. Peppa, a client, arrives in the ER after a motor vehicle accident. The *0/1
client has sinus tachycardia, is hypotensive, and has distant heart
sounds. There is no apparent sign of hemorrhage. What is the most
appropriate nursing action?

A. Obtain an electrocardiogram recording.

B. Maintain patent airway.

C. Provide supplemental oxygen via face mask with Zow of 3 liters per minute.

D. Refer to the physician.

 5. You are a nurse caring for a client with recent myocardial infarction. *1/1
At the nurse’s station, the monitor display of her ECG reading shows
Ventricular Tachycardia. Which of the following nursing actions must take
priority?

A. Call code team \rst.

B. Rush to the patient to start compressions as soon as possible.

C. Assess patient’s clinical status.

D. Get the de\brillator device as the ECG rhythm is shockable.

6. An elderly male client requests for an Electrocardiogram tracing in a *1/1

local hospital. Which of the following ECG readings would suggest that
the clie

A.. Pathologic Q wave

B. T wave inversion

C. ST elevation

D. QRS widening
 7. Student nurse Rachel observed that morphine is the first drug given to *1/1
a client with a diagnosis of myocardial infarction. Which of the following
is the rationale behind giving this medication?

A. MI causes chest pain. Morphine helps relieve this.

B. Morphine is a potent vasodilator, which increases coronary blood Zow.

C. Morphine reduces anxiety, thereby reducing the afterload and preload.

D. It is detailed in the MI treatment protocol that morphine is the \rst drug to be

given.

8. Student nurse Rachel’s client asks when he can resume normal *1/1
physical activity. Which of the following responses indicate correct health
teaching by Rachel?

A. You can continue with your normal routine if you can jog for 30 minutes without
stopping.

B. You are required to have complete bed rest for 2 weeks. Activity is still not
recommended.

C. The requirement is you have to climb 2 Zights of stairs without chest pain or
fatigue.

D. You cannot resume physical activity for 1 month after the MI.
9. The client with MI has recovered from the acute effects of the *1/1
condition and was discharged. The client set the goal of increasing
activity tolerance without chest pain. Which of the following interventions
must the home nurse do to achieve the goal?

A. Ask client to perform aerobic exercises such as jogging every morning.

B. Encourage progressive ambulation in the hallway three times a day.

C. Avoid taking a shower using warm water.

D. Stop physical activity if heart rate changes by 15 bpm or more.

10. The nurse cares for a client with chronic obstructive pulmonary *1/1
disease (COPD). The physician orders oxygen via nasal cannula for this
client. Which action should the nurse take?

A. Teach the client to adjust the oxygen rate.

B. Change the oxygen tubing each shift.

C. Increase oxygen to 6 liters per minute as needed.

D. Maintain oxygen at 3 liters per minute or less.

 11. The following are manifestations expected from a client with COPD *1/1
except?

A. Pigeon chest

B. Exertional dyspnea

C. Chronic cough

D. Sputum expectoration

12. Which assessment finding indicates to the nurse that the client with *1/1
chronic obstructive pulmonary disease (COPD) needs to be suctioned?

A. Documentation indicates the client was last suctioned 12 hours ago.

B. The client is unable to speak more than six words without clearing the throat.

C. Although the client is coughing, breath sounds indicate continued presence

of secretions in the airways.

D. The oxygen saturation, as measured by pulse oximetry, decreases while the

client performs controlled coughing.
 13. The nurse checks gastric residual prior to administering an *1/1
intermittent tube feeding through a nasogastric tube. The nurse
understands that this is necessary to:

A. Con\rm tube placement.

B. Remove undigested tube feed formula.

C. Assess Zuid and electrolyte status.

D. Evaluate absorption of the last feeding.

14. Mochi received a CT scan with IV contrast yesterday. This morning, *1/1
the physician orders another CT scan with IV contrast because the results
from yesterday’s scan are inconclusive. The nurse calls the physician to
question the order because:

A. A second bone scan is too costly.

B. The client could develop acute renal failure.

C. The client refuses another invasive procedure.

D. The client develops an allergy to the radioisotope.

 15. A client with possible Alzheimer’s disease is scheduled to have a *1/1
positron emission tomography (PET) scan. The daughter asks the nurse
how this test is different from a CT scan. What is the nurse’s best
response?

A. “The PET scan is a newer test that can see the brain more clearly.”

B. “The PET scan provides information about brain function rather than
structure.”

C. “The CT scan makes a lot of noise and the PET scan is quieter.”

D. “The CT scan requires a contrast medium to be injected and the PET scan does
not.”

16. The nurse cares for a client with Buck’s traction. The nurse *0/1
understands that it is important to ensure the weights hang free to:

A. Relieve muscle spasms of the legs and back.

B. Prevent skin breakdown.

C. Maintain the client’s ability to move freely.

D. Maintain proper bone alignment.

 17. A client with spinal cord injury complains of severe headache. The *1/1
nurse finds the client to be diaphoretic, hypertensive, and bradycardic.
The nurse’s first action is:

A. Elevate the head of the bed.

B. Check vital signs.

C. Notify the physician.

D. Palpate the client’s bladder.

18. Nurse Hans was assigned to the neurosciences ward. Which of the *1/1
following clients is most likely to develop autonomic dysreflexia?

A. Spinal cord injury at L1

B. Cerebral meningitis

C. Spinal cord injury at C7

D. Herniated nucleus pulposus

 19. A client with myasthenia gravis has been prescribed to take *0/1
pyridostigmine (Mestinon). What health teaching will the nurse include
related to this drug? Select all that apply.

I. “Watch for signs and symptoms of myasthenic crisis.”

II. “Take the drug about an hour before eating a meal.”

III. “Take the same dose of medication every day.”

IV. “Take the drug with food to prevent nausea.”

V. “Do not take sedatives or sleeping pills while on this drug.”

A. I, II, IV

B. III, IV, V

C. I, III, IV

D. II, III, V

20. A client status post-cholecystectomy has a T-tube placed during the *1/1
surgery. Which action should the nurse take when caring for the T-tube.

A. Irrigate the tube as needed.

B. Aspirate the tube every shift.

C. Attach the tube to low intermittent suction.

D. Connect the tube to a drainage bag.

 21. The client asks why a T-tube is needed after the cholecystectomy. *0/1
The nurse would correctly respond by explaining:

A. T-tube drains excess blood and exudates coming from the surgical wound.

B. The T-tube removes excess bile coming from the liver.

C. T-tube is used to administer prophylactic antibacterial medications.

D. It is used for irrigation of the wound to prevent accumulation of sanguineous

Zuids.

22. Nurse Alee cares for a client who underwent abdominal surgery 2 *1/1
days ago. Which symptom suggests the client has developed
complications?

A. Muscle soreness

B. Incisional pain

C. Abdominal distension

D. Serous wound drainage

 23. The nurse cares for a client who recently underwent a colon *1/1
resection. The nurse notes that arterial blood gas results show metabolic
alkalosis. The nurse expects this finding because:

A. The client is hyperventilating.

B. The client has nasogastric tube connected to suction.

C. The client is complaining of severe pain.

D. The client is receiving normal saline maintenance Zuids.

24. A client was admitted to the ER due to decrease in sensorium and *1/1
muscular weakness. Which of the following conditions could have
predisposed the client to a condition of metabolic acidosis?

A. Atelectasis

B. Persistent vomiting and regurgitation

C. Hyperventilation

D. Chronic diarrhea
 25. Nurse Ery cares for a client with a history of diabetes mellitus. The *1/1
nurse notes that the client’s skin is cool and clammy and that the client is
difficult to arouse. Which action should the nurse take first?

A. Check the client’s blood sugar.

B. Ask the client to drink a cup of orange juice.

C. Administer an intravenous dose of 50% dextrose.

D. Administer subcutaneous insulin.

26. A client’s electrocardiogram (ECG) shows a shortened QT interval. *1/1

Which electrolyte deficiency is most likely the cause of this ECG change?

A. Hypercalcemia

B. Hyperkalemia

C. Hypocalcemia

D. Hypokalemia
 27. David was admitted to the ER for suspected heart problem. The *1/1
physician ordered that his ECG rhythm be checked. The display shows
appearance of U waves and flattening of T waves. Which medication
must the nurse carefully pay attention to?

A. Morphine

B. Digitalis

C. Nitroglycerin

D. Amiodarone

28. Kristhine’s ECG rhythm was being assessed by the nurse. After 5 *1/1
minutes, the nurse observed chaotic rhythm with no clear P waves, no
atrial contractions, loss of atrial kick, and an irregular ventricular
response. Which of the following is the correct ECG reading?

A. Premature atrial complexes

B. Ventricular tachycardia

C. Atrial Zutter

D. Atrial \brillation
 29. Micko was admitted to the ward due to pericarditis. In his ECG *1/1
tracing, the nurse observed ventricular tachycardia with prolonged QT
interval. Which of the following medications does the nurse anticipate to
be given?

A. Amiodarone

B. Magnesium sulfate

C. Betaxolol

D. Epinephrine

30. Moira has been diagnosed with mononucleosis. Which statements *1/1
made by the client lets you know that further teaching is needed?

A. I cannot share my spoon while eating with my daughter.

B. I cannot play basketball for at least 10 weeks.

C. I cannot kiss my bestfriend for at least 10 weeks.

D. I cannot ride my bike for at least 10 weeks.

 31. In a client with ulcerative colitis, the nurse should expect to find the *1/1
following except:

A. Acute abdominal pain

B. Bloody diarrhea

C. Fever

D. Vomiting

32. Which of the following is correct regarding the prevalence of *0/1

ulcerative colitis (UC)?

A. Peak age for UC diagnosis is between 20 to 30 years old

B. Men are more affected than women among older adults.

C. UC is commonly caused by a previous Clostridium digcile infection.

D. There is no genetic or familial basis for the disorder.

 33. Nurse Mitzi asked her staff nurse on the differences between *1/1
ulcerative colitis and Crohn’s disease. Which of the following describes
correct understanding of these inflammatory bowel diseases?

A. UC commonly begins in the rectum. Crohn’s begins at the terminal ileum.

B. UC causes lesser stools than Crohn’s at 5 to 6 per day only.

C. Fistulas are more common in UC.

D. The stools from a client with Crohn’s is usually bloody and loose.

34. Which of the following is the gold standard in the medical *1/1
management of ulcerative colitis?

A. Ileostomy creation

B. Sulfasalazine

C. Colonoscopy

D. Misoprostol
 35. A client is using a leaf blower near an old camp fire. Glass debris *1/1
from a broken bottle flies everywhere. The client comes to the ER
complaining of foreign body sensation in his right eye and has
photophobia. What is the nurse’s priority action?

A. Evert eyelid and examine for foreign body.

B. Measure visual acuity.

C. Notify immediately for transfer.

D. Place an eye shield over the eye.

36. Which assessment question is most important for the nurse to ask a *1/1
client with glaucoma who has just been prescribed the drug apraclonidine
(Iopidine)?

A. “Are you allergic to sulfa drugs?”

B. “What other drugs do you currently take?”

C. “Do you have any digculty passing urine?”

D. “Do you have asthma or any other respiratory problem?”

 37. A client who had cataract removal with placement of an intraocular *1/1
implant 1 week ago now calls in and reports that her eye is more
bloodshot than it was yesterday and that a small amount of greenish
drainage is present. What is the priority nursing action?

A. Reassure the client that these symptoms are normal for this stage of recovery
after cataract surgery.

B. Explain how to apply a wet compress to the affected eye for 15 minutes four
times daily.

C. Instruct the client to come to the ogce immediately to be seen by the

ophthalmologist.

D. Instruct the client to use the antibiotic eyedrops four times daily instead of twice
daily.

38. The nurse asks a client about an upcoming medication procedure. *1/1
The client will be undergoing a thoracentesis for a large right pleural
effusion. The nurse knows further teaching is necessary when the client
states:

A. I cannot cough during the procedure.

B. I will be on the ventilator during the procedure.

C. I will be in a sitting position leaning forward.

D. The doctor knows where the Zuid is from the ultrasound.

 39. After a thoracentesis, which of the following evaluation findings will *1/1
warrant the nurse to immediately call the notice of the physician?

A. Decreased cough

B. Increased tactile fremitus than before the procedure

C. Constant pain on the insertion site

D. Tracheal deviation

40. A client has returned from a routine colonoscopy. The client is *1/1
complaining of a small amount of abdominal discomfort. The client
informs the nurse that he passed a drop of blood. Which action takes
priority?

A. Taking the vital signs

B. Instructing the client to remain in bed

C. Calling the physician

D. Administering PRN pain medication

 41. The nurse is caring for a 30-week primigravida who is receiving *1/1
magnesium sulfate IV for premature contractions. The nurse is
monitoring hourly urine output. The first hour, urine output is 70cc. The
next hour, urine output decreased to 40cc. Based on this data, which
action should take priority?

A. Notify the physician.

B. Stop the infusion.

C. Decrease the infusion.

D. Reassess the urine output in 15 minutes.

Situation – Nurse Rita is reviewing the principles of community health nursing as

she is assigned as a Public Health Nurse in Barrio Paralaya.

42. In Barrio Paralaya, health care resources are limited. Which principle *1/1
must guide the health workers in prioritizing and providing health care
services?

A. Bene\cence

B. Distributive Justice

C. Non-male\cence

D. Fidelity
 43. In 1978, International Conference on Primary Health Care (PHC) was *1/1
signed in Alma-Ata, USSR. Which among the following are the pillars of
PHC?

1. Appropriate technology used

2. Intersectoral linkages
3. Health Education
4. Active community participation
5. Support from government and community leaders
6. Self-reliance

A. 1, 2, 3, 4

B. 1, 3, 4, 5

C. 1, 2, 4, 5

D. 1, 2, 5, 6

44. The Ottawa Charter of Health Promotion was signed in November *1/1
1986, identifying the priority action areas. Which of the following is an
exception?

A. Creating supportive environments

B. Developing personal skills

C. Reorienting health services

D. Promoting proper nutrition

 45. Nurse Rita is conducting a health teaching program on hypertension *1/1
in their community. While the program is ongoing, she conducts
evaluation accordingly. Which method of evaluation did she employ?

A. Summative evaluation

B. Ongoing evaluation

C. Process evaluation

D. Formative evaluation

46. Nurse Rita is conducting a physical fitness program for senior *1/1
citizens in their community. After the program has concluded, she
conducts evaluation accordingly. Which method of evaluation did she
employ?

A. Summative evaluation

B. Conclusion evaluation

C. Process evaluation

D. Formative evaluation
47. Rita performs referrals of patients to other health care personnel, *1/1
health facilities, or government agencies. Which PHN function does she
demonstrate?

A. Management

B. Supervision

C. Coordination

D. Provision of health and nursing care

48. The nurse organizes and implements nursing service and prepares *1/1
and implements municipal health plan. Which PHN function does she
demonstrate?

A. Supervision

B. Management

C. Collaboration

D. Coordination
49. Another nurse, John, conducts capability-building/training regarding *0/1
measurement of vital signs for the barangay health workers in Barrio
Mapalad. With knowledge in the community health nursing process, he
knows that this program is an example of which strategy activity?

A. Developmental

B. Service

C. Support

D. Education

50. Carlo goes to the health center every Tuesday and Thursday at 8 am *1/1
in the morning to attend to the health needs of the members of their
community. He takes vital signs and health history. He also performs
health education whenever he assesses a learning need from the clients.
Which type of strategy activity does he perform?

A. Developmental

B. Service

C. Support

D. Education
 51. Mercedes conducts a fundraising activity in their barangay through *1/1
an organized fun run. The profits from the activity will be used for the
repair and renovation of their health center. This is an example of what
type of strategy activity?

A. Support

B. Developmental

C. Enhancement

D. Service

Situation – You are a nurse tasked to care for Cruz family as a family health nurse.

52. Anita Cruz disclosed that one of their siblings died from a vehicular *1/1
crash last month. As a family health nurse, you will correctly classify this
as which of the following family health problems?

A. Health de\cit

B. Health threat

C. Presence of wellness condition

D. Foreseeable crisis
 53. You observed that their mother, Bonifacia Cruz, is breastfeeding her *0/1
baby while you are performing family health assessment. You asked her
how often she breastfeeds the child. She answers, “Nagpapasuso lang
ako tuwing kailangan niya.” You identify this client response as which
among the following family health problems?

A. Health de\cit

B. Health threat

C. Presence of wellness condition

D. Foreseeable crisis

54. Nurse Cocoy is on duty as a public health nurse in the Rural Health *0/1
Unit (RHU). Nonoy consulted to the RHU where he was assessed by
Nurse Cocoy. After the BP measurement, Nurse Cocoy had a reading of
150/90 mmHg. Nonoy is still undiagnosed for his condition. Which of the
following is the family health problem?

A. Health de\cit

B. Health threat

C. Presence of wellness condition

D. Undiagnosed. No identi\ed problem.

 55. You assessed that Martha, one of their children, is malnourished and *1/1
has stunted growth. You further identify this assessment as which of the
following family health problems?

A. Health threat

B. Health de\cit

C. Presence of wellness condition

D. Foreseeable crisis

56. Inocencio family is living beside the riverbank of River Maya. Elise *1/1
washed their clothes along the river. They also throw all their wastes on
the stream as they do not have a proper waste and excreta disposal
system. Which of the following is the identified family health problem?

A. Poor environmental sanitation

B. Health de\cit

C. Health threat

D. Foreseeable crisis

Situation – You are a nurse in the RHU of Alfonso, Cavite. The following questions
apply.
 57. Travelers going to malaria-endemic areas were being given *1/1
chemoprophylaxis with chloroquine. As a nurse, you know that this
intervention is an application of which level of prevention?

A. Primary Prevention

B. Speci\c Protection

C. Secondary Prevention

D. Tertiary Prevention

58. Clara, a patient with COPD, was given oxygen support and *1/1
medications to ease his breathing and improve his oxygenation. This is
an example of which level of prevention?

A. Primordial prevention

B. Speci\c protection

C. Secondary prevention

D. Tertiary prevention
 59. A patient was referred to your RHU with complaints of frequent *1/1
urination and unusually increased appetite to eat and drink. You checked
his CBG to be 300 mg/dL, and administered Humulin R as ordered. Which
of the following levels of prevention did you employ?

A. Primary Prevention

B. Primordial Prevention

C. Secondary Prevention

D. Tertiary Prevention

60. Which of the following is not true about community health nursing *1/1
process?

A. Community diagnosis consists of collecting, organizing, synthesizing, analyzing,

and interpreting health data.

B. Community participation starts during the implementation of program

activities.

C. The nurse works with, and not for, the community.

D. It is population-focused. The primary client is a group of people in the

community.
61. Increased risk of acquiring diseases is associated with different *1/1
factors. Which of the following is not a predisposing factor?

A. Cathy believes that pulmonary tuberculosis is acquired from long-term cigarette

smoking.

B. Reyes family belongs to one of the richest families in their barangay.

C. The LGU of Alfonso, Cavite imposes a ban on alcohol drinking in public

areas.

D. Myrna thinks she has to avoid getting her hands wet after ironing a pile of
clothes.

62. Dengue hemorrhagic fever becomes an epidemic in Barangay 716. *0/1

Which of the following is not considered as an enabling factor?

A. Randy was given incentive for planting citronella and neem trees in their area.

B. City mayor sponsors a seminar on prevention and control of dengue fever.

C. The RHU instructs all households to remove stagnant water in their homes.

D. Hannah organizes a team of barangay health workers to monitor dengue

cases in their barangay.
 63. Unsafe sex practices are common among minors in Barangay *0/1
Morula. Which of the following is a reinforcing factor?

A. Sari-sari stores were encouraged to sell condoms to minors.

B. Nurses conduct health teaching on safe sex practices.

C. Carlo knows that he will not contract any STD from having multiple sex partners.

D. Brgy. Captain issues an ordinance on curfew hours for minors.

64. You are performing supervision on a midwife in their health center. *···/1
In conducting supervisory visits, which of the following is not true?

A. All supervisory visits must be planned.

B. Nurse discusses the results and recommendations of the last visit.

C. In opening the conduct of visit, the nurse discusses expected outcomes and the
time frame.

D. The nurse formulates the objectives with the supervisee.

 65. As part of conducting the community diagnosis, you are now in the *1/1
data collection phase. The following are methods to collect primary data
except:

A. Participant observation

B. Windshield survey

C. Focus group discussion

D. Records review

66. Nurse Cathrine started to assess Brgy. LS where she was assigned *1/1
to. While riding the barangay mobile, she takes note of the characteristics
of the community such as terrain, residential areas, sanitation, and the
community landmarks. Which of the following data collection methods
does she perform?

A. Participant observation

B. Courtesy call

C. Ocular survey

D. Community appraisal

Situation – Nurse Julie was assigned to present the vital statistics of Brgy. 101 to
the barangay assembly. She must answer the following questions.
 67. Community diagnosis in Brgy. 101 revealed a dependency ratio of *1/1
70. This is interpreted correctly as:

A. There are 100 economically dependent people per 70 economically productive.

B. There are 70 economically dependent people per 1000 economically productive.

C. There are 70 economically dependent people per 100 economically

productive.

D. There are 1000 economically dependent people per 70 economically productive.

68. Nurse Julie constructs the population pyramid after a *1/1

comprehensive assessment. The chart illustrates that the base of the
population pyramid is wider and tends to be narrower as it reaches the
top. Nurse Julie correctly interprets this as:

A. Brgy. Ayungin is starting to develop an “aging population”.

B. She will expect to see more infants and children than adults in the
community.

C. The birth rate and death rate are almost close to each other.

D. There are more males than females in Brgy. Ayungin.

69. Nurse Julie uses vital statistics to measure the health status of Brgy. *1/1
101. She will compute for the prevalence rate of diabetes mellitus (DM)
for the year 2016-2017. How will she determine the prevalence rate?

A. Number of new cases of DM in 2016-2017 over population at risk multiplied by 1,

000.

B. Number of new cases of DM in 2017 over total population examined multiplied

by 1, 000.

C. Number of new and old cases of DM in 2017 over population at risk multiplied by
1, 000.

D. Number of new and old cases of DM in 2016-2017 over total population

examined multiplied by 1, 000.

70. Furthermore, Nurse Julie calculates for the incidence rate of *1/1
diabetes mellitus (DM) for the year 2017. To correctly determine this vital
statistical indicator, she must do which of the following?

A. Number of new cases of DM in 2017 over population at risk multiplied by 1,

000.

B. Number of new cases of DM in 2017 over total population examined multiplied

by 1, 000.

C. Number of new and old cases of DM in 2017 over population at risk multiplied by
1, 000.

D. Number of new and old cases of DM in 2017 over total population examined
multiplied by 1, 000.
71. Nurse Julie then calculates for the Swaroop’s index of Brgy. Bucky *0/1
State for 2017, which is 61. She compares it to the previous Swaroop’s
index in 2016, which is 70. What can she infer from these data?

A. More people before age 50 years old died in 2016 than in 2017.

B. There is greater longevity of life during 2016 than in 2017.

C. More people above 50 years old died in 2017 than in 2016.

D. There is greater longevity of life during 2017 than in 2016.

72. Brgy. LS is composed of 2, 200 residents. During Typhoon Cornelio, 5 *0/1

residents from Brgy. LS died from landslide. 7 residents died from
drowning. 4 died from physical trauma. Total number of deaths for 2017
amounted to 351. How would you report the Proportionate mortality rate
for drowning in 2017?

A. There are 2 who died from drowning per 351 people.

B. There are 3 who died from drowning per 2, 200 people.

C. There are 3 who died from drowning per 351 deaths.

D. There are 2 who died from drowning per 100 deaths.

 73. Brgy. Sumacab is composed of 965 residents. For 2017, the number *1/1
of new malaria cases is 30. From 2016- 2017, the total number of malaria
cases is 41. During your assessment, you observed that the residents do
not observe proper disposal of stagnant water and proper waste
management. How would you report the Attack rate of malaria for the
past year?

A. There are 2 new malaria cases per 100 people at risk of malaria in 2017.

B. There are 3 who died from malaria per 100 people in 2017.

C. There are 2 new malaria cases per 965 people at risk of malaria in 2017.

D. There are 3 new and old malaria cases per 100 people at risk of malaria in 2017.

74. In Brgy. Sumacab, out of 30 cases in 2017, 5 died of malaria, 5 still *0/1
have the disease, and 20 were cured. How would the nurse report the
case fatality rate of malaria in 2017?

A. The are 8 new and old malaria cases per 100 people at risk of malaria in
2017.

B. The are 17 who died from malaria per 100 malaria-stricken people in 2017.

C. There is 1 case of death from malaria per 965 people at risk of malaria in 2017.

D. The are 7 who died from malaria per 30 malaria-stricken people in 2017.

Situation – You are a nurse in Icosiana Health Center conducting prenatal health
classes to pregnant mothers.
75. You discussed that folic acid supplement must be taken throughout *1/1
the pregnancy based on your knowledge that:

A. Adequate folic acid intake will promote fetal growth in weight and height.

B. Folic acid improves maternal and fetal oxygenation thereby preventing cardiac
problems.

C. There will be decreased risk for development of spina bi\da occulta in the
fetus.

D. Fetus will not develop opthalmia neonatorum from the immunity the folic acid
provides.

76. You also discussed about tetanus toxoid immunization to the *0/1
pregnant mothers based on your knowledge that:

A. Tetanus toxoid offers long-term immunity for the mother and short-term
immunity for baby from tetanus infection.

B. Tetanus toxoid prevents mother and baby from acquiring tetanus infection.

C. Baby will have lifetime protection from tetanus neonatorum.

D. Four doses of tetanus toxoid are required in order for the mother to be declared
fully immunized.
 77. While assessing a mother who carries her child to the health center, *1/1
you observed that she is breastfeeding her 9-month old child. Which of
the following observations will warrant your immediate action?

A. The upper and lower lips are folded outward when sucking the nipple.

B. The baby’s abdomen is touching mother’s abdomen.

C. The baby’s head and body are in straight alignment.

D. Mother gently uses scissor-hold when supporting her breast during feeding.

78. Coco is 11 weeks old. He is about to be injected with Hepatitis B *0/1

vaccine at Icosiana Health Center. Before doing so, the nurse asks the
mother when the last time Coco was given Hepatitis B vaccine. You know
that the nurse’s action is based on the knowledge that:

A. Hepatitis B vaccine is given at birth only.

B. Hepatitis B is given at 6th, 10th, and 14th weeks of life.

C. Hepatitis B cannot be given now if the child’s last Hepatitis B vaccine is on

6th month.

D. It is already too late for Coco to receive Hepatitis B vaccine. It must be given 4
weeks after birth.
79. You are supervising a student nurse who is about to inject DPT to 10- *1/1
week old Baby James. Which of the following actions require your
immediate intervention?

A. The chosen site is the left ventrogluteal area.

B. He ensures that the last vaccination is 4 weeks ago or earlier.

C. The student nurse assessed if the child had seizures in the past 3 days after the
last DPT vaccination.

D. He explains that the DPT is given to prevent diseases that cause whooping
cough, bullneck, and lockjaw.

80. Several days after Mantoux test to a PLHIV (person living with HIV), *···/1
the patient came back with a 6mm induration on site of administration.
How will you interpret this finding?

A. There is positive previous exposure to tubercle bacilli.

B. The extent of TB infection is 60% of both lung \elds.

C. The patient did not have any BCG vaccine in the past.

D. There is negative previous exposure to tubercle bacilli

 81. A Mantoux test can be correctly interpreted if it is read after: * 1/1

A. 30 minutes

B. 24 hours

C. 48 hours

D. 4 days

82. Which of the following vaccines is made up of DNA recombinant *1/1

component?

A. Antimeasles vaccine (AMV)

B. Oral polio vaccine (OPV)

C. Pertussis

D. Hepatitis B
 83. You asked the student nurse why the BCG (Bacillus Calmette-Guerin) *···/1
vaccine is contraindicated to patients who have severely compromised
immune system?

A. BCG contains killed inactivated rotavirus and may cause gastroenteritis.

B. BCG contains live attenuated tubercle bacilli and may cause tuberculosis.

C. BCG contains live attenuated rotavirus and may cause gastroenteritis.

D. BCG contains killed inactivated tubercle bacilli and may cause tuberculosis.

Situation – Nurse Carla is a community health nurse conducting training to the

members of a barangay in Manila City.

84. In conducting capacity-building of organic members of the *1/1

community, Nurse Carla needs to specify the roles that the barangay
health workers need to perform in order to address health issues. Which
of the following is not a role suitable for health workers?

A. Health manager

B. Health care provider

C. Health educator

D. Community health leader

85. Before conducting capacity-building, this is an activity in order to *1/1
provide the nurse a preliminary estimate of the competency of
participants of the training program.

A. Competency pre-test

B. Training needs assessment

C. Skills analysis

D. Community diagnosis

86. Carla enters Brgy. Amuyong with the intention to perform courtesy *1/1
call before starting to live with their residents. Carla knows that she must
perform courtesy call to whom?

A. Municipal health ogcer

B. Kagawad for Health

C. Barangay Chairman

D. Health center physician

87. The health care team is conducting capability building for Barangay *1/1
Health Workers on measurement of blood pressure using aneroid
sphygmomanometer. After the series of training sessions, Nurse Carla
knows that the best way to evaluate the capability building is through:

A. Perform the steps in correct order and sequence

B. Enumerating accurately the steps in performing BP measurement

C. Written examinations

D. Return demonstration

88. At the end of the contract between the nurse and the community, it is *1/1
important that there is continuity in the services, including recruitment of
Barangay Health Workers in the barangay. The nurse knows that the
following can be trained as BHW except:

A. Marina, 28 y/o, a school health aid

B. Bobby, 25 y/o, without any background in health care

C. Diana, 61 y/o, who knows about herbal medications

D. Cheska, 40 y/o, elementary graduate

E. None of the above

89. You are planning to perform health teaching to families in Brgy. *1/1
Resurreccion regarding proper and balance nutrition using organic and
locally-sourced products. TOP RANK REVIEW ACADEMY, INC. Page 7 | 7
Which of the following principles must be kept in mind first when
teaching families?

A. Use of an interactive and innovative visual aid.

B. Teaching must have meaning to the families.

C. Use examples and illustrations that the families are familiar with.

D. Relate with the lived experiences of the families.

90. Nurse Carla is assigned to Brgy. Esperanza. As part of her *1/1

competencies as a community health nurse, she knows that the
difference between a comprehensive and problem-oriented community
assessment is:

A. Comprehensive assessment is done if the nurse has had previous opportunity to

work with the community.

B. Problem-oriented assessment is focused on the speci\c problem in an area

such as an outbreak.

C. Problem-oriented assessment involves obtaining general information about the

community.

D. Comprehensive assessment responds to a particular need of a target group.

91. After finishing an intervention program focused on physical fitness, *1/1
Nurse Carla performs evaluation using Standards and Criteria. She
correctly knows that the difference between an evaluation standard and
evaluation criteria is:

A. A standard is the desired or acceptable condition. A criterion is the indicator

in which the actual condition is compared against.

B. A criterion is the desired or acceptable condition. A standard is the indicator in

which the actual condition is compared against.

C. An example of a criterion is a decrease in body weight to achieve the desired

body weight.

D. An example of a standard is body weight.

92. Advocacy work is a way for the nurse to promote community *1/1
participation. The following instances demonstrates the nurse’s advocacy
except:

A. Nurse Rita informs the people about the harmful effects of the unregulated
mining activity near their village.

B. Nurse Popoy invites the barangay ogcials during the barangay assembly.

C. Nurse Manny convinces the people to decide on their actions based on his
preferences.

D. Nurse Clara discussed with the people the possible solutions they can choose
from.
Situation – Amy is a nurse in the medical-surgical ward of Philippine General
Hospital. She is starting to learn about the legal and ethical aspects to consider
when she is on duty.

93. Nurse Amy notices that the call light of Patient Rico is turned on. *1/1
However, the nurse assigned to him is on break. Nurse Amy did not
respond to the call light and Patient Rico’s condition worsened due to
this. What consequences will Nurse Amy face?

A. There are enough grounds for Nurse Amy to face negligence in nursing
practice.

B. The head nurse will issue incident report for the untoward incident.

C. Nurse Amy is not legally responsible. She is not the nurse assigned to Patient
Rico.

D. Nurse Amy was proven to have committed an intentional tort.

94. The patient verbalizes that she wants to get discharged from the *1/1
ward. She still hasn’t paid the bills. The management for her is still not
complete. What is Amy’s next best action?

A. Persuade her to remain in the ward because her health would improve if she is in
the hospital.

B. Ask her to pay the bills \rst as funds are needed to operate the hospital.

C. Report the patient’s concern to the head nurse.

D. Explain to her the terms and consequence of this action, then allow her to go
home.
 95. A tort can be filed to a nurse who performs nursing care outside the *1/1
scope and standards of practice. Which of the following statements
correctly differentiates intentional from unintentional tort? A. Intentional
torts include illegal

A. Intentional torts include illegal detention, defamation, and negligence.

Unintentional torts include assault and battery.

B. Unintentional torts include malpractice and negligence.

C. Both types of torts have components of criminal offenses.

D. Intentional torts warrant the immediate revocation of professional license.

96. Amy is caring for an elderly patient who had hip fracture after slipping *1/1
on the hospital floor due to spilled water. The following elements must be
present for negligence to be validly filed against Amy, except?

A. Association

B. Foreseeability

C. Duty

D. Breach of duty
 97. In a health facility where Amy is working at, the policy states that the *1/1
patient may not go home unless 60% of all the hospital bills and
medications are paid. Amy’s patient disclosed that they cannot pay their
bills. The hospital holds the discharge of the patient. There are grounds
for filing lawsuit against the hospital for which tort?

A. Imprisonment

B. Illegal detention

C. Invasion of privacy

D. Hospital arrest

98. The physician ordered that an IV access be established in the *1/1

patient. As the nurse approaches the patient, he was reluctant of the
procedure and asked her to come back later. She continued to insert the
needle because it is the doctor’s order. What legal responsibility will the
nurse face?

A. Battery

B. Assault

C. Invasion of privacy

D. Negligence
 99. Nurse Amy is taking her break in the cafeteria. Nurse Bong *0/1
approached her and silently gossiped about the doctor who was
incompetent and constantly ordering incorrect dosages. To what legal
consequence is Nurse Bong responsible to?

A. Slander

B. Libel

C. Misdemeanor

D. None of the above

100.Gustave is a nurse in the ward where a stroke patient died. Without *1/1
supporting facts, he wrote in the chart that it was the physician’s fault
which led to the death of the patient. The chart was used as evidence in
the investigation of the death. What tort can be filed against Gustave?

A. Misdemeanor

B. Slander

C. Libel

D. Felony

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