NURSING PRACTICE II – Community Health Nursing and Care of the Mother and Child

Situation 1 – Nurse Minette is an Independent Nurse Practitioner following-up referred clients in their respective homes.
Here she handles a case of POSTPARTIAL MOTHER AND FAMILY focusing on HOME CARE.
1. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?
A. Within 4 days after discharge
B. Within 24 hours after discharge
C. Within 1 hour after discharge
D. Within 1 week of discharge

2. Leah is developing constipation from being on bed rest. What measures would you suggest she take to help prevent
this?
A. Eat more frequent small meals instead of three large one daily
B. Walk for at least half an hour daily to stimulate peristalsis
C. Drink more milk, increased calcium intake prevents constipation
D. Drink eight full glasses of fluid such as water daily

3. If you were Minette, which of the following actions would alert you that a new mother is entering a postpartal taking-hold
phase?
A. She urges the baby to stay awake so that she can breast-feed him or her
B. She tells you she was in a lot of pain all during labor
C. She says that she has not selected a name for the baby as yet
D. She sleeps as if exhausted from the effort of labor

4. At 6-week postpartum visit what should this postpartal mother’s fundic height be?
A. Inverted and palpable at the cervix
B. Six fingerbreadths below umbilicus
C. No longer palpable on her abdomen
D. One centimeter above the symphysis pubis

5. This postpartal mother wants to loose the weight she gained in pregnancy, so she is reluctant to increase her caloric
intake for breast-feeding. By how much should a lactating mother increase her caloric intake during the first 6 months after
birth?
A. 350 kcal/day
B. 500 kcal/day
C. 200 kcal/day
D. 1000 kcal/day

Situation 2 – As the CPE is applicable for all professional nurse, the professional growth and development of Nurses with
specialties shall be addressed by a Specialty Certification Council. The following questions apply to these special groups
of nurses.
6. Which of the following serves as the legal basis and statute authority for the Board of Nursing to promulgate measures
to effect the creation of a Specialty Certification Council and promulgate professional development programs for this group
of nurse-professionals?
A. R.A. 7610
B. P.D. 223
C. R.A. 9173
D. R.A. 7164

7. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of 1999 entitled: “Adoption of a
Nursing Specialty Certification Program and Creation of Nursing Specialty Certification Council.” This rule-making power
is called:
A. Quasi-Judicial Power
B. Regulatory Power
C. Quasi-Legislative Power
D. Executive/Promulgating Power

8. Under the PRC-Board of Nursing Resolution promulgating the adoption of a Nursing Specialty Certification Program
and Council, which two (2) of the following serves as the strongest for its enforcement?
(a) Advances made in Science and Technology have provided the climate for specialization in almost all aspects of human
endeavor; and
(b) As necessary consequence, there has emerged a new concept known as globalization which seeks to remove barriers
in trade, industry and services imposed by the national laws of countries all over the world; and
(c) Awareness of this development should impel the nursing sector to prepare our people in the services sector to meet
the above challenge; and
(d) Current trends of specialization in nursing practice recognized by the International Council of Nurses (ICN) of which
the Philippines is a member for the benefit of the Filipino in terms of deepening and refining nursing practice and
enhancing the quality of nursing care.
A. b & c are strong justifications
B. a & b are strong justifications
C. a & c are strong justifications
D. a & d are strong justifications
9. Which of the following IS NOT a correct statement as regards Specialty Certification?
A. The Board of Nursing intended to create the Nursing Specialty Certification Program as a means of perpetuating the
creation of an elite force of Filipino Nurse Professionals.
B. The Board of Nursing shall oversee the administration of the NSCP through the various Nursing Specialty Boards
which will eventually be created
C. The Board of Nursing at the time exercised their powers under R.A. 7164 in order to adopt the creation of the Nursing
Specialty Certification Council and Program
D. The Board of Nursing consulted nursing leaders of national nursing associations and other concerned nursing groups
which later decided to ask a special group of nurses of the program for nursing specialty Certification.

10. The NSCC was created for the purpose of implementing the Nursing Specialty policy under the direct supervision and
stewardship of the Board of Nursing. Who shall comprise the NSCC?
A. A Chairperson who is the current President of the APO; a member from the Academe; and the last member coming
from the Regulatory Board
B. The chairperson and members of the Regulatory Board ipso facto acts as the CPE Council
C. A Chairperson, chosen from among the Regulatory Board members; a Vice Chairperson appointed by the BON at-
large; two other members also chosen at-large; and one representing the consumer group;
D. A Chairperson who is the President of the Association from the Academe; a member from the Regulatory Board; and
the last member coming from the APO

Situation 3 –Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the
Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their City,
which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice.

11. Which of the following is the primary focus of community health nursing practice?
A. Cure of illnesses
B. Prevention of illnesses
C. Rehabilitation back to health
D. Promotion of health

12. In community health nursing, which of the following is our unit of service as nurses?
A. The community
B. The extended members of every family
C. The individual members of the Barangay
D. The Family

13. A very important part of the Community Health Nursing Assessment Process includes:
A. the application of professional judgment in estimating importance of facts to family and community
B. evaluation structures and qualifications of health center team
C. coordination with other sectors in relation to health concerns
D. carrying out nursing procedures as per plan of action

14. In community health nursing it is important to take into account the family health data coupled with an equally
important need to perform ocular inspection of the area as activities which are powerful elements of:
A. evaluation
B. assessment
C. implementation
D. planning

15. The initial step in PLANNING process in order to engage in any nursing project or activities at the community level
involves
A. goal-setting
B. monitoring
C. evaluation of data
D. provision of data

Situation 4 – Please continue responding as a professional nurse in these other health situations through the following
questions.

16. Transmission of HIV from an infected individual to another person occurs:

A. Most frequently in nurses with needlesticks
B. Only if there is a large viral load in the blood
C. Most commonly as a result of sexual contact
D. In all infants born to women with HIV infection

17. The medical record of a client reveals a condition in which the fetus cannot pass through the maternal pelvis. The
nurse interprets this as:
A. Contracted pelvis
B. Maternal disproportion
C. Cervical insufficiency
D. Fetopelvic disproportion
18. The nurse would anticipate a cesarean birth for a client who has which infection present at the onset of labor?
A. Herpes-simplex virus
B. Human papilloma virus
C. Hepatitis
D. Toxoplasmosis

19. After a vaginal examination, the nurse determines that the client’s fetus is in an occiput posterior position. The nurse
would anticipate that the client will have:
A. A precipitous birth
B. Intense back pain
C. Frequent leg cramps
D. Nausea and vomiting

20. The rationales for using a prostaglandin gel for a client prior to the induction of labor is to:
A. Soften and efface the cervix
B. Numb cervical pain receptors
C. Prevent cervical lacerations
D. Stimulate uterine contractions

Situation 5 – Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY
PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this
particular population group.

21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm can not enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are blocked
D. The ovary no longer releases ova as there is no where for them to go.

22. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:
A. a woman has no uterus
B. a woman has no children
C. a couple has been trying to conceive for 1 year
D. a couple has wanted a child for 6 months

23. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:
A. endometrial implants can block the fallopian tubes
B. the uterine cervix becomes inflamed and swollen
C. the ovaries stop producing adequate estrogen
D. pressure on the pituitary leads to decreased FSH levels

24. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding
this procedure?
A. She will not be able to conceive for 3 months after the procedure
B. The sonogram of the uterus will reveal any tumors present
C. Many women experience mild bleeding as an after effect
D. She may feel some cramping when the dye is inserted

25. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks what artificial insemination by donor
entails. Which would be your best answer if you were Nurse Lorena?
A. Donor sperm are introduced vaginally into the uterus or cervix
B. Donor sperm are injected intra-abdominally into each ovary
C. Artificial sperm are injected vaginally to test tubal patency
D. The husband’s sperm is administered intravenously weekly

Situation 6 – There are other important basic knowledge in the performance of our task as Community Health Nurse in
relation to IMMUNIZATION, these include:

26. The correct temperature to store vaccines in a refrigerator is:

A. between -4 deg C and +8 deg C
B. between 2 deg C and +8 deg C
C. between -8 deg C and 0 deg C
D. between -8 deg C and +4 deg C

27. Which of the following vaccines is not done by intramuscular (IM) injection?
A. Measles vaccine
B. DPT
C. Hepa-B vaccine
D. Tetanus toxoids
28. This vaccine content is derived from RNA recombinants.
A. Measles
B. Tetanus toxoids
C. Hepatitis B vaccines
D. DPT

29. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a :fully immunized
child”.
A. DPT
B. Measles
C. Hepatitis B
D. BCG

30. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and
likewise provide 10 years protection for the mother?
A. Tetanus toxoid 3
B. Tetanus toxoid 2
C. Tetanus toxoid 1
D. Tetanus toxoid 4

Situation 7 – Records contain those comprehensive descriptions of patient’s health conditions and needs and at the same
serve as evidences of every nurse’s accountability in the care giving process. Nursing records normally differ from
institution to institution nonetheless they follow similar patterns of meeting needs for specific types of information. The
following pertains to documentation/records management.

31. This special form is used when the patient is admitted to the unit. The nurse completes the information in this record
particularly his/her basic personal data, current illness, previous health history, health history of the family, emotional
profile, environmental history as well as physical assessment together with nursing diagnosis on admission. What do you
call this record?
A. Nursing Kardex
B. Nursing Health History and Assessment Worksheet
C. Medicine and Treatment Record
D. Discharge Summary

32. These are sheets/forms which provide an efficient and time saving way to record information that must be obtained
repeatedly at regular and/or short intervals of time. This does not replace the progress notes; instead this record of
information on vital signs, intake and output, treatment, postoperative care, post partum care, and diabetic regimen, etc.
This is used whenever specific measurements or observations are needed to be documented repeatedly. What is this?
A. Nursing Kardex
B. Graphic Flow Sheets
C. Discharge Summary
D. Medicine and Treatment Record

33. These records show all medications and treatment provided on a repeated basis. What do you call this record?
A. Nursing Health History and Assessment Worksheet
B. Discharge Summary
C. Nursing Kardex
D. Medicine and Treatment Record

34. This flip-over card is usually kept in a portable file at the Nurse’s Station. It has 2-parts: the activity and treatment
section and a nursing care plan section. This carries information about basic demographic data, primary medical
diagnosis, current orders of the physician to be carried out by the nurse, written nursing care plan, nursing orders,
scheduled tests and procedures, safety precautions in patient care and factors related to daily living activities. This record
is used in the charge-of-shift reports or during the bedside rounds or walking rounds. What record is this?
A. Discharge Summary
B. Medicine and Treatment Record
C. Nursing Health History and Assessment Worksheet
D. Nursing Kardex

35. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare
unit but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a
healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all members of the health team)
in discharge results in comprehensive care. What do you call this?
A. Discharge Summary
B. Nursing Kardex
C. Medicine and Treatment Record
D. Nursing Health History and Assessment Worksheet

Situation 8 – As Filipino Professional Nurses we must be knowledgeable about the Code of Ethics for Filipino Nurse and
practice these by heart. The next questions pertain to this Code of Ethics.
36. Which of the following is TRUE about the Code of Ethics of Filipino Nurses?
A. The Philippine Nurses Association for being the accredited professional organization was given the privilege to
formulate a Code of Ethics for Nurses which the Board of Nursing promulgated
B. Code for Nurses was first formulated in 1982 published in the Proceedings of the Third Annual Convention of the PNA
House of Delegates
C. The present code utilized the Code of Good Governance for the Professions in the Philippines
D. Certificates of Registration of RNs may be revoked or suspended for violations of any provisions of the Code of Ethics.

37. Based on the Code of Ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibility and
accountability?
A. Human rights of clients, regardless of creed and gender
B. The privilege of being a registered professional nurses
C. Health, being a fundamental right of every individual
D. Accurate documentation of actions and outcomes

38. Which of the following nurses behavior is regarded as a violation of the Code of Ethics of Filipino Nurses?
A. A nurse withholding harmful information to the family members of a patient
B. A nurse declining commission sent by a doctor for her referral
C. A nurse endorsing a person running for congress.
D. Nurse Reviewers and/or nurse review center managers who pays a considerable amount of cash for reviewees who
would memorize items from the licensure exams and submit these to them after the examination.

39. A nurse should be cognizant that professional programs for specialty certification by the Board of Nursing accredited
through the:
A. Professional Regulation Commission
B. Nursing Specialty Certification Council
C. Association of Deans of Philippine Colleges of Nursing
D. Philippine Nurse Association

40. Mr. Santos, R.N. works in a nursing home, and he knows that one of his duties is to be an advocate for his patients.
Mr. Santos knows a primary duty of an advocate is to;
A. act as the patient’s legal representative
B. complete all nursing responsibilities on time
C. safeguard the well being of every patient
D. maintain the patient’s right to privacy

Situation 9 – Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK PREGNANCIES: Particular
women with preexisting or Newly Acquired illness. The following conditions apply
41. Bernadette is a 22-year old woman. Which condition would make her more prone than others to developing a Candida
infection during pregnancy?
A. Her husband plays golf 6 days a week
B. She was over 35 when she became pregnant
C. She usually drinks tomato juice for breakfast
D. She has developed gestational diabetes

42. Bernadette develops a deep vein thrombosis following an auto accident and is prescribed heparin sub-Q. What should
Joanna educate her about in regard to this?
A. Some infants will be born with allergic symptoms to heparin
B. Her infant will be born with scattered petechiae on his trunk
C. Heparin can cause darkened skin in newborns
D. Heparin does not cross placenta and so does not affect a fetus

43. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need further instruction on prenatal
care. What statement signifies this fact?
A. I’ve stopped jogging so I don’t risk becoming dehydrated.
B. I take an iron pill every day to help grow new red blood cells
C. I am careful to drink at least eight glasses of fluid every day
D. I understand why folic acid is important for red cell formation

44. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit or discontinue this toward the
end of pregnancy?
A. Aspirin can lead to deep vein thrombosis following birth
B. Newborns develop a red rash from salicylate toxicity
C. Newbors develop withdrawal headaches from salicylates
D. Salicylates can lead to increased maternal bleeding at childbirth

45. Bernadette received a laceration on her leg from her automobile accident. Why are lacerations of lower extremities
potentially more serious in pregnant women than others?
A. Lacerations can provoke allergic responses because of gonadothropic hormone
B. Increased bleeding can occur from uterine pressure on leg veins
C. A woman is less able to keep the laceration clean because of her fatigue
D. Healing is limited during pregnancy, so these will not heal until after birth.
Situation 10 – Still in your self-managed Child Health Nursing Clinic, you encounter these cases pertaining to the CARE
OF CHILDREN WITH PULMONARY AFFECTIONS.
46. Josie brought her 3 months old child to your clinic because of cough and colds. Which of the following is your primary
action?
A. Give cotrimoxazole tablet or syrup
B. Assess the patient using the chart on management of children with cough
C. Refer to the doctor
D. Teach the mother how to count her child’s breathing

47. In responding to the care concerns of children with sever disease, referral to the hospital is of the essence especially if
the child manifests which of the following?
A. Wheezing
B. Stop feeding well
C. Fast breathing
D. Difficulty to awaken

48. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from
pneumonia and other severe diseases?
A. Giving antibiotics
B. Taking of the temperature of the sick child
C. Provision of Careful Assessment
D. Weighing of the sick child

49. You were able to identify factors that lead to respiratory problems in the community where your health facility serve.
Your primary role therefore in order to reduce morbidity due to pneumonia is to:
A. Teach mothers how to recognize early signs and symptoms of pneumonia
B. Make home visits to sick children
C. Refer cases to hospitals
D. Seek assistance and mobilize the BHWs to have a meeting with mothers

50. Which of the following is the principal focus of the CARI program of the Department of Health?
A. Enhancement of health team capabilities
B. Teach mothers how to detect signs and where to refer
C. Mortality reduction through early detection
D. Teach other community health workers how to assess patients.

ANSWER KEY

NURSING PRACTICE II – Community Health Nursing and Care of the Mother and Child

Situation 1 – Nurse Minette is an Independent Nurse Practitioner following-up referred clients in their respective homes.
Here she handles a case of POSTPARTIAL MOTHER AND FAMILY focusing on HOME CARE.
1. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?
Within 24 hours after discharge

2. Leah is developing constipation from being on bed rest. What measures would you suggest she take to help prevent
this?
Drink eight full glasses of fluid such as water daily

3. If you were Minette, which of the following actions would alert you that a new mother is entering a postpartal taking-hold
phase?
She urges the baby to stay awake so that she can breast-feed him or her

4. At 6-week postpartum visit what should this postpartal mother’s fundic height be?
No longer palpable on her abdomen

5. This postpartal mother wants to loose the weight she gained in pregnancy, so she is reluctant to increase her caloric
intake for breast-feeding. By how much should a lactating mother increase her caloric intake during the first 6 months after
birth?
500 kcal/day

Situation 2 – As the CPE is applicable for all professional nurse, the professional growth and development of Nurses with
specialties shall be addressed by a Specialty Certification Council. The following questions apply to these special groups
of nurses.
6. Which of the following serves as the legal basis and statute authority for the Board of Nursing to promulgate measures
to effect the creation of a Specialty Certification Council and promulgate professional development programs for this group
of nurse-professionals?
R.A. 7164
7. By force of law, therefore, the PRC-Board of Nursing released Resolution No. 14 Series of 1999 entitled: “Adoption of a
Nursing Specialty Certification Program and Creation of Nursing Specialty Certification Council.” This rule-making power
is called:
Quasi-Legislative Power

8. Under the PRC-Board of Nursing Resolution promulgating the adoption of a Nursing Specialty Certification Program
and Council, which two (2) of the following serves as the strongest for its enforcement?
(a) Advances made in Science and Technology have provided the climate for specialization in almost all aspects of human
endeavor; and
(b) As necessary consequence, there has emerged a new concept known as globalization which seeks to remove barriers
in trade, industry and services imposed by the national laws of countries all over the world; and
(c) Awareness of this development should impel the nursing sector to prepare our people in the services sector to meet
the above challenge; and
(d) Current trends of specialization in nursing practice recognized by the International Council of Nurses (ICN) of which
the Philippines is a member for the benefit of the Filipino in terms of deepening and refining nursing practice and
enhancing the quality of nursing care.
a & b are strong justifications

9. Which of the following IS NOT a correct statement as regards Specialty Certification?

The Board of Nursing intended to create the Nursing Specialty Certification Program as a means of perpetuating the
creation of an elite force of Filipino Nurse Professionals.

10. The NSCC was created for the purpose of implementing the Nursing Specialty policy under the direct supervision and
stewardship of the Board of Nursing. Who shall comprise the NSCC?
A. A Chairperson who is the current President of the APO; a member from the Academe; and the last member coming
from the Regulatory Board
B. The chairperson and members of the Regulatory Board ipso facto acts as the CPE Council
C. A Chairperson, chosen from among the Regulatory Board members; a Vice Chairperson appointed by the BON at-
large; two other members also chosen at-large; and one representing the consumer group;
D. A Chairperson who is the President of the Association from the Academe; a member from the Regulatory Board; and
the last member coming from the APO

No answer..maybe a bonus question…

Situation 3 –Nurse Anna is a new BSN graduate and has just passed her Licensure Examination for Nurses in the
Philippines. She has likewise been hired as a new Community Health Nurse in one of the Rural Health Units in their City,
which of the following conditions may be acceptable TRUTHS applied to Community Health Nursing Practice.
11. Which of the following is the primary focus of community health nursing practice?
Promotion of health

12. In community health nursing, which of the following is our unit of service as nurses?
The Family

13. A very important part of the Community Health Nursing Assessment Process includes:
the application of professional judgment in estimating importance of facts to family and community

14. In community health nursing it is important to take into account the family health data coupled with an equally
important need to perform ocular inspection of the area as activities which are powerful elements of:
assessment

15. The initial step in PLANNING process in order to engage in any nursing project or activities at the community level
involves
goal-setting

Situation 4 – Please continue responding as a professional nurse in these other health situations through the following
questions.
16. Transmission of HIV from an infected individual to another person occurs:
Most commonly as a result of sexual contact

17. The medical record of a client reveals a condition in which the fetus cannot pass through the maternal pelvis. The
nurse interprets this as:
A. Fetopelvic disproportion

18. The nurse would anticipate a cesarean birth for a client who has which infection present at the onset of labor?
Herpes-simplex virus

19. After a vaginal examination, the nurse determines that the client’s fetus is in an occiput posterior position. The nurse
would anticipate that the client will have:
Intense back pain

20. The rationales for using a prostaglandin gel for a client prior to the induction of labor is to:
Soften and efface the cervix
Situation 5 – Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY
PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this
particular population group.
21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
Sperm can no longer reach the ova, because the fallopian tubes are blocked

22. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:
a couple has been trying to conceive for 1 year

23. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:
endometrial implants can block the fallopian tubes

24. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding
this procedure?
She may feel some cramping when the dye is inserted

25. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks what artificial insemination by donor
entails. Which would be your best answer if you were Nurse Lorena?
Donor sperm are introduced vaginally into the uterus or cervix

Situation 6 – There are other important basic knowledge in the performance of our task as Community Health Nurse in
relation to IMMUNIZATION, these include:
26. The correct temperature to store vaccines in a refrigerator is:
between 2 deg C and +8 deg C

27. Which of the following vaccines is not done by intramuscular (IM) injection?
Measles vaccine

28. This vaccine content is derived from RNA recombinants.

Hepatitis B vaccines

29. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a :fully immunized
child”.
Measles

30. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from neonatal tetanus and
likewise provide 10 years protection for the mother?
Tetanus toxoid 4

Situation 7 – Records contain those comprehensive descriptions of patient’s health conditions and needs and at the same
serve as evidences of every nurse’s accountability in the care giving process. Nursing records normally differ from
institution to institution nonetheless they follow similar patterns of meeting needs for specific types of information. The
following pertains to documentation/records management.
31. This special form is used when the patient is admitted to the unit. The nurse completes the information in this record
particularly his/her basic personal data, current illness, previous health history, health history of the family, emotional
profile, environmental history as well as physical assessment together with nursing diagnosis on admission. What do you
call this record?
Nursing Health History and Assessment Worksheet

32. These are sheets/forms which provide an efficient and time saving way to record information that must be obtained
repeatedly at regular and/or short intervals of time. This does not replace the progress notes; instead this record of
information on vital signs, intake and output, treatment, postoperative care, post partum care, and diabetic regimen, etc.
This is used whenever specific measurements or observations are needed to be documented repeatedly. What is this?
Graphic Flow Sheets

33. These records show all medications and treatment provided on a repeated basis. What do you call this record?
Medicine and Treatment Record

34. This flip-over card is usually kept in a portable file at the Nurse’s Station. It has 2-parts: the activity and treatment
section and a nursing care plan section. This carries information about basic demographic data, primary medical
diagnosis, current orders of the physician to be carried out by the nurse, written nursing care plan, nursing orders,
scheduled tests and procedures, safety precautions in patient care and factors related to daily living activities. This record
is used in the charge-of-shift reports or during the bedside rounds or walking rounds. What record is this?
Nursing Kardex

35. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare
unit but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a
healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all members of the health team)
in discharge results in comprehensive care. What do you call this?
Discharge Summary

Situation 8 – As Filipino Professional Nurses we must be knowledgeable about the Code of Ethics for Filipino Nurse and
practice these by heart. The next questions pertain to this Code of Ethics.
36. Which of the following is TRUE about the Code of Ethics of Filipino Nurses?
The present code utilized the Code of Good Governance for the Professions in the Philippines

37. Based on the Code of Ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibility and
accountability?
Accurate documentation of actions and outcomes

38. Which of the following nurses behavior is regarded as a violation of the Code of Ethics of Filipino Nurses?
Nurse Reviewers and/or nurse review center managers who pays a considerable amount of cash for reviewees who
would memorize items from the licensure exams and submit these to them after the examination.

39. A nurse should be cognizant that professional programs for specialty certification by the Board of Nursing accredited
through the:
Nursing Specialty Certification Council

40. Mr. Santos, R.N. works in a nursing home, and he knows that one of his duties is to be an advocate for his patients.
Mr. Santos knows a primary duty of an advocate is to;
maintain the patient’s right to privacy

Situation 9 – Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK PREGNANCIES: Particular
women with preexisting or Newly Acquired illness. The following conditions apply.

41. Bernadette is a 22-year old woman. Which condition would make her more prone than others to developing a Candida
infection during pregnancy?
She has developed gestational diabetes

42. Bernadette develops a deep vein thrombosis following an auto accident and is prescribed heparin sub-Q. What should
Joanna educate her about in regard to this?
Heparin does not cross placenta and so does not affect a fetus

43. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need further instruction on prenatal
care. What statement signifies this fact?
I take an iron pill every day to help grow new red blood cells

44. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit or discontinue this toward the
end of pregnancy?
Salicylates can lead to increased maternal bleeding at childbirth

45. Bernadette received a laceration on her leg from her automobile accident. Why are lacerations of lower extremities
potentially more serious in pregnant women than others?
Increased bleeding can occur from uterine pressure on leg veins

Situation 10 – Still in your self-managed Child Health Nursing Clinic, you encounter these cases pertaining to the CARE
OF CHILDREN WITH PULMONARY AFFECTIONS.

46. Josie brought her 3 months old child to your clinic because of cough and colds. Which of the following is your primary
action?
Assess the patient using the chart on management of children with cough

47. In responding to the care concerns of children with severe disease, referral to the hospital is of the essence especially
if the child manifests which of the following?
Difficulty to awaken

48. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from
pneumonia and other severe diseases?
Provision of Careful Assessment

49. You were able to identify factors that lead to respiratory problems in the community where your health facility serve.
Your primary role therefore in order to reduce morbidity due to pneumonia is to:
Teach mothers how to recognize early signs and symptoms of pneumonia

50. Which of the following is the principal focus of the CARI program of the Department of Health?
Mortality reduction through early detection