NURSING PRACTICE I SITUATION : A Nurse utilizes the nursing process in managing patient care.

Knowledge of this process is essential to deliver high quality care and to focus on the clients response to their illness. 1. During the planning phase of the nursing process, which of the following is the product developed? A. Nursing care plan B. Nursing diagnosis C. Nursing history D. Nursing notes 2. Objective data are also known as? A. Covert data B. Inferences C. Overt data D. Symptoms 3. Data or information obtained from the assessment of a patient is primarily used by nurse to: A. Ascertain the patients response to health problems B. Assist in constructing the taxonomy of nursing intervention C. Determine the effectiveness of the doctors order D. Identify the patients disease process 4. What is an example of a subjective data? A. Color of wound drainage B. Odor of breath C. Respiration of 14 breaths/minute D. The patients statement of I feel sick to my stomach SITUATION : Correct application of the Nursing Process is vital in providing quality care. The nurse must use her skills and knowledge in proper assessment, planning and evaluating to meet the patients need and address the priority response of the client to his or her illness .5. Which statement is a difference between comprehensive and focused assessment? A. Comprehensive assessments cant include any focus assessments. B. Focused assessments are more important than comprehensive assessments C. Focused assessments are usually ongoing and concerning specific problems D. Objective data are included only in comprehensive assessments 6. Two year old Bens mother states Ben vomited 8 ounces of his formula this morning. Thisstatement is an example of: A. Objective data from a primary source B. Objective data from a secondary source C. Subjective data from a primary sourceD. Subjective data from a secondary source 7. Which expected outcome is correctly written?

A. The patient will be less edematous in 24 hours B. The patient will drink an adequate amount of fluid daily C. The patient will identify 5 high-salt foods from prepared list by discharge D. The patient will soon sleep well through the night 8. An expected outcome on a patients care plan reads: Patient will state seven warning signs of cancer by discharge. When the nurse evaluates the patient progress, the patient is able to statethat a change in wart or mole, a sore that doesnt heal and a change in bowel or bladder habits arewarning signals of cancer. Which of the following would be an appropriate evaluative statement forthe nurse to place on the patients nursing care plan? A. Patient understands the warning signals of cancer B. Goal met; Patient cited a change in wart of mole, sore that doesnt heal and a change in bowel orbladder habits as warning signals of cancer. C. Goal not met D. Goal partially met 9. A quality assurance nurse sends questionnaire to patients after discharge to determine their levelof satisfaction with the nurse care they received in the facility. What type of nursing audit is this? A. Concurrent B. Outcome C. Terminal D. Retrospective 10. The nurse makes the following entry in the patients record: Goal not met; patient refuses toattend smoking cessation classes. Because this goal hasnt been met, the nurse should: A. Develop a completely new nursing care planB. Assign the patient to a more experienced nurse C. Critique the steps involved in the development of the goal D. Transfer the patient to another facility SITUATION : Health care delivery system affects the health status of every filipino. As a Nurse,Knowledge of this system is expected to ensure quality of life. 11. When should rehabilitation commence? A. The day before discharge B. When the patient desires C. Upon admission D. 24 hours after discharge 12. What exemplified the preventive and promotive programs in the hospital? A. Hospital as a center to prevent and control infection B. Program for smokers C. Program for alcoholics and drug addicts D. Hospital Wellness Center

13. Which makes nursing dynamic? A. Every patient is a unique physical, emotional, social and spiritual being B. The patient participate in the over all nursing care plan C. Nursing practice is expanding in the light of modern developments that takes place D. The health status of the patient is constantly changing and the nurse must be cognizant andresponsive to these changes 14. Prevention is an important responsibility of the nurse in: A. Hospitals B. Community C. Workplace D. All of the above 15. This form of Health Insurance provides comprehensive prepaid health services to enrollees for afixed periodic payment. A. Health Maintenance Organization B. Medicare C. Philippine Health Insurance Act D. Hospital Maintenance Organization SITUATION : Maslows hierarchy of needs is an integral component of prioritization. As a nurse, you must know the clients needs that request for an immediate action. 16. The client with history of pulmonary emboli is scheduled for insertion of an inferior vena cavafilter. The nurse checks on the client 1 hour after the physician has explained the procedure andobtained consent from the client. The client is lying in bed, wringing the hands, and says to thenurse, Im not sure about this. What if it doesnt work, and Im just as bad off as before? The nurseaddresses which of the following primary concerns of the client? A. Fear related to the potential risk and outcome of surgery B. Anxiety related to the fear of death C. Ineffective individual coping related to the therapeutic regimen D. Knowledge deficit related to the surgical procedure 17. A nurse is formulating a plan of care for a client receiving enteral feedings. The nurse identifieswhich nursing diagnosis as the highest priority for this client? A. Altered nutrition, less than body requirements B. High risk for aspiration C. High risk for fluid volume deficit D. Diarrhea 18. A home care nurse finds a client in the bedroom, unconscious, with pill bottle in hand. The pillbottle contained the SSRI Sertraline (Zoloft). The nurse immediately assesses the clients: A. Blood pressure B. Respirations C. Pulse

D. Urine Output 19. A nurse is caring for a client admitted to the hospital for subclavian line placement. Whichpsychosocial area of assessment should the nurse address with the client? A. Strict restrictions of neck mobility B. Loss of ability to ambulate as tolerated C. Possible body image disturbance D. Continuous pain related to ongoing placement of the subclavian line 20. A hospitalized client who has a living will is being fed through a nasogastric tube. During a bolusfeeding, the client vomits and begins choking. Which of the following actions is most appropriate forthe nurse to take? A. Clear the clients airway B. Make the client comfortable C. Start CPR D. Stop feeding and remove the NG tube SITUATION: Health Promotion is the priority nursing reponsibility. The nurse should be able topromote the clients wellbeing and identify ways on improving the clients quality of life. 21. The nurse is caring for a 16 year old female client who isnt sexually active. The client asks if sheneeds a Papanicolau test. The nurse should reply: A. Yes, she should have a Pap test after the onset of menstruation B. No, because she isnt sexually active C. Yes, because shes 16 years old D. No, because she is not yet 21 years old 22. The nurse is assessing a client who complains of abdominal pain, nausea and diarrhea. Whenexamining the clients abdomen, which sequence should the nurse use? A. Inspection, palpation, percussion, auscultation B. Inspection, auscultation, percussion, palpation C. Auscultation, inspection, percussion, palpation D. Palpation, auscultation, percussion, inspection 23. The nurse is speaking to a group of women about early detection of breast cancer. The averageage of the women in the group is 45. Following the Philippine Cancer Society guidelines, the nurseshould recommend that the women: A. Perform breast self examination annually B. Have a mammogram annually C. Have a hormonal receptor assay annually D. Have a physician conduct a clinical examination every 2 years 24. The school nurse is planning a program for a group of teenagers on skin cancer prevention.Which of the following instruction whould the nurse emphasize in her talk? A. Stay out of the sun between 1 p.m and 3 p.m B. Tanning booth are a safe alternative for those who wish to tan

C. Sun exposure is safe, provided the client wears protective clothing D. Examine skin once per month, looking for suspicious lesions or changes in moles 25. An employer establishes a physical exercise area in the workplace and encourages all employeesto use it. This is an example of which level of prevention? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Passive prevention SITUATION : Basic nursing skills are essential for they are vital in many nursing procedures. Suchskills are needed in order to promote health, prevent illness, cure a disease and rehabilitateinfirmities. 26. A nurse has just been told by the physician that an order has been written to administer an ironinjection to a client. The nurse plans to give the medication in the: A. Gluteal muscle using Z-Track technique B. Deltoid muscle using an air lock C. Subcutaneous tissue of the abdomen D. Anterolateral thigh using 5/8-inch needle 27. A client has just been told by the physician that a cerebral angiogram will be obtained. The nursethen collects data from the client about which of the following pieces of information? A. Claustrophobia B. Excessive weight C. Allergy to eggs D. Allergy to iodine or shellfish 28. A client has an order for a wound culture to be performed with the next wound irrigation anddressing change. The nurse would plan to use which of the following solutions for irrigation beforethis particular procedure? A. Providone-iodine (Betadine) B. One-half-strength hydrogen peroxide C. Normal saline D. Acetic acid 29. Which of the following is the best indicator in determining that the clients airway needs suctioning? A. Oxygen saturation measurement B. Respiratory rate C. Breath sounds D. Arterial blood gas results

30. A nurse is planning to assist a diabetic client to perform self-monitoring of blood glucos levels.The nurse should incorporate which of the following strategies to best help the client obtain anadequate capillary sample? A. Cleanse the hands beforehand using cool water B. Let the arm hang dependently and milk the digit C. Puncture the center of the finger pad D. Puncture the finger as deeply as possible SITUATION : Mastery of Intravenous therapy and all aspects that address the response of the clientto complication related to it will help the new nurse in providing quality care. 31. One hour after the IV was inserted, Nurse Net found out that the 1 liter of D5NSS was empty.Patient was in severe respiratory distress with pinkish frothy sputum. The most probablecomplication is: A. Speed shock B. Renal failure C. Congestive heart failure D. Pulmonary edema 32. When an IV of D5W is not infusing well on patient, it is best to first: A. Pinch the rubber part to flush out clogged blood B. Coil tube and squeeze hard C. Lower IV to check for return flow D. Restart the IV 33. The doctor ordered venoclysis of dextrose 5% in water one liter KVO for 24 hours as a vehicle forIV medications. How many drops per minute should the fluid be regulated? A. 20 drops per minute B. 5 drops per minute C. 10 drops per minute D. 15 drops per minute 34. The nurse is administering I.V fluids to an infant. Infants receiving I.V Therapy are particularlyvulnerable to: A. Hypotension B. Fluid overload C. Cardiac arrhythmias D. Pulmonary emboli 35. A client with severe inflammatory bowel disease is receiving TPN. When administering TPN, thenusre must take care to maintain the prescribed flow rate because giving TPN too rapidly may cause: A. Hyperglycemia B. Air embolism C. Constipation D. Dumping syndrome

SITUATION : Teaching and learning is a nursing responsibility. The ability of a nurse to educate andchange the clients behavior through health teaching is one important goal of nursing. 36. A clients hypertension has been recently diagnosed. The nurse would plan to do which of thefollowing as the first step in teaching the client about the disorder? A. Gather all available resource material B. Plan for the evaluation of the session C. Assess the clients knowledge and needs D. Decide on the teaching approach 37. A diabetic client who is performing self-monitoring of blood glucose at home asks a clinic nursewhy a glycosylated hemoglobin level needs to be measured. The nurse should plan to incorporatewhich of the following into a response? A. This laboratory test is done yearly to predict likelihood of long term complication B. This laboratory test gives an indication of glycemic control over the last 3 months C. It is done as a method of verifying the accuracy of the meter used at Home D. It is done to predict risk of hypoglycemia with the current diet and medication regimen 38. In teaching the sister of a diabetic client about the proper use of a glucometer in determiningthe blood sugar level of the client, The nurse is focusing in which domain of learning according tobloom? A. Cognitive B. Affective C. Psychomotor D. Affiliative 39. Which of the following is the most important condition for diabetic client to learn how to controltheir diet? A. Use of pamphlets and effective teaching devices during health instruction B. Motivation to be symptom free C. Ability of the client to understand teaching instruction D. Language and appropriateness of the instruction 40. When you prepare your teaching plan for a group of hypertensive clients, you first formulateyour learning objectives. Which of the following steps in the nursing process corresponds to thewriting of learning objectives? A. Planning B. Implementing C. Evaluating D. Assessing

SITUATION : Nursing is a science. It involves a wide spectrum of theoretical foundation applied indifferent health care situation. The nurse must use these theories in order to deliver the mostneeded quality care. 41. The theorist who believes that adaptation and manipulation of stressors are needed to fosterchange is: A. Betty Neuman B. Dorothea Orem C. Martha Rogers D. Sister Callista Roy 42. The theorist whose theory can be defined as the development of a science of humankind,incorporating the concepts of energy fields, openness, pattern and organization is: A. Dorothy Johnson B. Hildegard Peplau C. Martha Rogers D. Myra Levine 43. A theorist whose major theme is the idea of transcultural nursing and caring nursing is: A. Dorothea Orem B. Madeleine Leininger C. Sister Callista Roy D. Virginia Henderson 44. Florence Nightingale was born in A. Italy, May 12, 1840 B. Italy, May 12, 1820 C. England, May 12, 1840 D. England, May 12, 1820 45. Smith conceptualizes this health model as a condition of actualization or realization of personspotential. Avers that the highest aspiration of people is fulfillment and complete developmentalactualization. A. Clinical Model B. Role performance Model C. Adaptive Model D. Eudaemonistic Model SITUATION : Oxygen is the most important physiologic requirement of the body. Absence of thisvital element for over 6 minutes leads to irreversible brain damage. Measures that promotesoxygenation is integral in successfully managing clients response to illnesses. 46. The primary effect of oxygen therapy is to:

A. Increase oxygen in the tissues and cells B. Increase oxygen carrying capacity of the blood C. Increase respiratory rate D. Increase oxygen pressure in the alveolar sac 47. A nurse suctions a client who has an endotracheal tube in place. Following the procedure, whichof the following would indicate to the nurse that the client is experiencing an adverse effect of thisprocedure? A. Hypertension B. Cardiac Irregularities C. A reddish coloration in the clients face D. Oxygen saturation level of 95% 48. The GAUGE size in ET tubes determines: A. The external circumference of the tube B. The internal diameter of the tube C. The length of the tube D. The tubes volumetric capacity 49. The nurse is correct in performing suctioning when she applies the suction intermittently during: A. Insertion of the suction catheter B. Withdrawing of the suction catheter C. both insertion and withdrawing of the suction catheter D. When the suction catheter tip reaches the bifurcation of the trachea 50. The purpose of the cuff in Tracheostomy tube is to: A. Separate the upper and lower airway B. Separate trachea from the esophagus C. Separate the larynx from the nasopharynx D. Secure the placement of the tube SITUATION : To deliver a safe and quality care, Knowledge about wound care is necessary. The nursewill have to deal with different types of wound during practice. It is of outmost important to applythis knowledge to ensure optimum wound healing. 51. Based on the nurses knowledge of surgical wounds, simple surgical incisions heal by: A. Primary intention B. Secondary intention C. Tertiary intention D. Quarternary intention

52. The nurse documents that the wound edges are approximated. When the edges of an incisionare said to be approximated, this means edges are: A. Brought together by sutures, tapes or staples B. Eythematous and swollen C. Gaping and draining D. Necrotic and draining 53. Which vitamin is most essential for collagen synthesis? A. Vitamin A . Vitamin B C. Vitamin C D. Vitamin D54. When assessing the clients wound for sign of infection, the nurse should look for the presenceof which of the following?A. Granulation tissueB. Pink tissue C. Purulent drainage D. Well approximated edges55. The nurse is changing dressing and providing wound care. Which activity should she performfirst?A. Assess the drainage in the dressingB. Slowly remove the soiled dressing C. Wash hands thoroughly D. Put on latex glovesSITUATION : Physical examination and health assessment are important in rendering care. The nursemust use assessment knowledge in order to determine and prioritize clients response to his or herillness.56. The component that should receive the highest priority before physical examination is the: A. Psychological preparation of the client B. Physical Preparation of the clientC. Preparation of the EnvironmentD. Preparation of the Equipments57. When inspecting a clients skin, the nurse finds a vesicle on the clients arm. Which descriptionapplies to a vesicle?A. A flat, nonpalpable, and coloredB. Solid, elevated, and circumscribed C. Circumscribed, elevated, and filled with serous fluid D. Elevated, pus-filled, and circumscribed58. When assessing a client with abdominal pain, the nurse should assess:A. Any quadrant firstB. The symptomatic quadrant first C. The symptomatic quadrant last D. The sympomatic quadrant either second or third 59. To assess the client's dorsalis pedis pulse, the nurse should palpate the: A. Medial surface of the ankle B. Lateral surface of the ankle C. Ventral aspect of the top of the foot D. Medial aspect of the dorsum of the foot 60. Which of the following assessment would be a priority for a 2 year old after bronchoscopy?

A. Cardiac rate B. Respiratory quality C. Sputum color D. Pulse pressure changes 61. The nurse checks the client's gag reflex. The recommended technique for testing the gag reflex isto: A. touch the back of the client's throat with a tongue depressor B. observe the client for evidence of spontaneous swallowing when the neck is stroked C. place a few milliliters of water on the client's tongue and note whether or not he swallows D. observe the client's response to the introduction of a catheter for endotracheal suctioning 62. The nurse is evaluating a clients lung sounds. Which of the following breath sounds indicateadequate ventilation when auscultated over the lung fields? A. Vesicular B. Bronchial C. Bronchovesicular D. Adventitious 63. The night nurse informs the primary nurse that a client receiving intermittent gavage feedings isnot tolerating them. The primary nurse should first: A. Change the feeding schedule to omit nights B. Request that the type of solution be changed C. Observe the night nurse administering a feeding D. Suggest that the prescribed antiemetic be given first 64. A client has a chest tubes attached to a pleural drainage system. When caring for this client, thenurse should: A. Palpate the surrounding are for crepitus B. Clamp the chest tubes when suctioning the client C. Change the dressing daily using aseptic technique D. Empty drainage chamber at the end of the shift 65. The nurse, aware of a clients 25 year history of excessive alcohol use, would expect the physicalassessment to reveal a: A. Liver infection B. Low blood ammonia C. Small liver with a rough surface D. High fever with a generalizedrash SITUATION : Nursing is a profession. Miss Linda is a newly appointed nurse in a hospital in Manila.Born May 1985, Her knowledge of nursings professional development is required in order to projectthe profession in a way that it lifts the standards of nursing. 66. Mrs. Linda defined nursing as one of the following except: A. Assisting individual, family and community in attaining health

B. Assisting basic health needs C. Establishing nursing diagnosis and implementing nursing care D. Diagnosing, treating, prescribing medication and doing minor surgery 67. PNA was established in: 1. 1922 2. 1926 3. With Mrs. Rosario Delgado as first president 4. With Mrs. Anastacia Tupas as first president A. 1,3 B. 1,4 C. 2,3 D. 2,4 68. As a national nurses association, it is characterized as follows except: A. Both a professional body and a labor union B. Affiliated with the International Council Of Nurses C. Advocating for improved work and life condition of Nurses D. Accrediting body for continuing education program 69. CPE Units per year is needed for license renewal. The number of CPE units per year should be: A. 20 units B. 30 units C. 60 units D. 100 units 70. As a nurse, R.A 1080 Exempts her from: A. Paying her professional tax B. Examination for civil service eligibility C. Qualifying for the CGFNS D. Paying business permit 71. In resigning for her job as a staff nurse, she must give advance notice of: A. 15 days B. 30 days C. 45 days D. 60 days7 2. Why is there an ethical dilemma? A. Because the law do not clearly state what is right from what is wrong B. Because morality is subjective and it differs from each individual C. Because the patients right coincide with the nurses responsibility D. Because the nurse lacks ethical knowledge to determine what action is correct and what action isunethical 73. Who among the following can work as a practicing nurse in the Philippines without taking theLicensure examination? A. Internationally well known experts which services are for a fee

B. Those that are hired by local hospitals in the country C. Expert nurse clinicians hired by prestigious hospitals D. Those involved in medical mission whos services are for free 74. The nurse is correct in determining that a License is: A. A personal property B. Can be revoked by the Board of Nursing C. A RightD. Can be revoked by the PNA 75. A License is renewed every: A. 1 year B. 2 years C. 3 years D. 4 years 76. Which of the following persons cannot have free access to a patients record? A. The patient B. The physical therapist C. The pharmacist D. The lawyer 77. Ms. Lindas license will expire in 2007, She must renew her license when? A. January 2007 B. December 2007 C. May 2007 D. May 2008 78. The practice of Nursing in the Philippines is regulated by: A. RA 9163 B. RA 9173 C. RA 7164 D. RA 7146 79. This quality is being demonstrated by a Nurse who raise the side rails of a confuse anddisoriented patient? A. Autonomy B. Responsibility C. Prudence D. Resourcefulness 80. Nurse Joel and Ana is helping a 16 year old Nursing Student in a case filed against the student.The case was frustrated homicide. Nurse Joel and Ana are aware of the different circumstances of crimes. They are correct in identifying which of the following Circumstances that will be best appliedin this case? A. Justifying B. Aggravating

C. Mitigating D. Exempting SITUATION : This is the first day of Mark, R.N. to report as a staff nurse in a tertiary hospital. As amorning duty nurse, she is about to chart her nursing care. 81. Which of the following is not an accepted medical abbreviation? A. NPO B. PRN C. OD D. NON 82. Communication is best undertaken if barriers are first removed. Considering this statement,which of the following is considered as deterrent factor in communication? A. Not universally accepted abbreviation B. Wrong Grammar C. Poor Penmanship D. Old age of the client 83. Which of the following chart entries are not acceptable? A. Patient complained of chest pain B. Patient ambulated to B/R C. Vital signs 130/70; 84; 20 D. Pain relieved by Nitrogylcerine gr 1/150 sublingually 84. Which of the following indicates narrative charting? A. Written descriptive nurses notes B. Date recorded on nurse activity sheet C. Use of checklist D. Use of flowsheet 85. Being a new staff nurse, Mark remembers that information needed for daily nursing care of clients are readily available in which of the following? A. Kardex B. Order sheet C. Admission notes D. Nurses notes SITUATION : Mr. Orlando is assigned to Mang Carlos, A 60 years old, newly diagnosed diabetespatient. He is beginning to write objectives for his teaching plan. 86. Which of the following is written in behavioral term? A. Mang Carlos will know about diabetes related foot care and the techniques and equipmentnecessary to carry it out

B. Mang Carlos sister will be able to determine his insulin requirement based on blood glucoselevels obtained from glucometer in two days C. Mang Carlos daugter should learn about diabetes milletus within the week D. Mang Carlos wife needs to understand the side effects of insulin 87. Which of the following is the best rationale for written objectives? A. Document the quality of care B. Facilitate evaluation of the performance of the nurse C. Ensure learning on the part of the nurse D. Ensure communication among staff members 88. Mang Carlos has been terminally ill for 5 years. He asked his wife to decide for him when he is nolonger capable to do so. As a Nurse, You know that this is called: A. Last will and testament B. DNR C. Living will D. Durable Power of Attorney 89. Which of the following behavior of Mang Carlos least indicates readiness to learn? A. Talking with the nurse in charge and doctor B. Reading brochures and pamphlets about diabetes C. Inquiring about date of discharge D. Asking question about diabetes milletus 90. Which of the following behaviors best contribute to the learning of Mang Carlos regarding hisdisease condition? A. Drawing him into discussion about diabetes B. Frequent use of technical terms C. Loosely structured teaching session D. Detailed lengthy explanation SITUATION : Mrs. Purificacion is now the Chief nurse of a hospital in Manila. She is carefullyreviewing different management styles and theories that will best help her in running the nursingservices in the hospital. 91. Which leadership style best empower the staff towards excellence? A. Autocratic B. Situational C. Democratic D. Laissez Faire 92. As a Nurse Manager, DSJ enjoys his staff of talented and self motivated individuals. He knew thatthe leadership style to suit the needs of this kind of people is called: A. Autocratic B. Participative

C. Democratic D. Laissez Faire 93. A fire has broken in the unit of DSJ R.N. The best leadership style suited in cases of emergencieslike this is: A. Autocratic B. Participative C. Democratic D. Laissez Faire 94. Mrs. Purificacion is thinking of introducing the Primary Nursing Model Approach. Youunderstand that this nursing model is: A. The nurse manager assigns tasks to the staff members B. Critical paths are used in providng nursing care C. A single registered nurse is responsible for planning and providing individualized nursing care D. Nursing staff are led by an RN leader in providing care to a group of clients 95. Structure, Process and Outcome are components of which step of the management process? A. Planning B. Organizing C. Directing D. Controlling S ITUATION : Nursing research is the term used to describe the evidence used to supportnursingpractice. Nursing, as an evidence based area of practice, has been developing since the time of Florence Nightingaleto the present day, where many nurses now work as researchers based inuniversitiesas well as in thehealth caresetting. 96. Mr. DSJ Plans to undertake a research of Community 1 and 2 on how they manage their healthusing Primary health care after an organization and training seminars. This type of research is: A. Experimental B. Historical C. Descriptive D. Basic9 7. The independent variable is: A. Primary Health Care B. Community 1 and 2 C. Organization and training seminars D. Management of their health 98. In this design, the variable that is being manipulated is 1. Independent 2. Organization and training seminars 3. Dependent

4. Management of Primary Health Care A. 1,2 B. 1,4 C. 2,3 D. 3,4 99. In general, the research process follows the ff. ordered sequence: 1. Determination of design 2. Statement of the problem 3. Definition of variables 4. Collection and analysis of data 5. Review of related literature A. 2,5,3,1,4 B. 3,5,4,1,2 C. 2,5,3,4,1 D. 2,5,1,3,4 100. Studies done in natural setting such as this one, posses difficulty of controlling which variable? A. Independent B. Dependent C. Extraneous D. Organismic

NURSING PRACTICE II Situation : Nurse Macarena is a Family Planning and Infertility Nurse Specialist and currently attendsto FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meetingthe nursing needs of this particular population group. 1. Daphne, 19 years old, asks nurse Macarena how can pregnancy be prevented through tuballigation. Which would be the best answer? A. Prostaglandins released from the cut fallopian tubes will lead to permanent closure of thevagina. 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. 2. 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 3. Another client named Cindy is diagnosed as having endometriosis. This condition interferes withfertility because: A. Endometrial implants can block the fallopian tubes B. The uterine cervix becomes inflamed and swollen C. The endometrial lining becomes inflamed leading to narrowing of the cervix. D. Inflammation of the endometrium causes release of substance P which kills the sperm. 4. Cindy submits herself to Fatima Medical Center and is scheduled to have ahysterosalphingogram. Which of the following instructions would you give her regarding thisprocedure? A. Menstruation will be irregular for few months as an effect of the dye but it is just normal B. The sonogram of the uterus will reveal any tumors present C. The women may experience some itchiness in the vagina as an after effect. D. Cramping may be felt when the dye is inserted 5. Cindys cousin on the other hand, knowing nurse Macarenas specialization asks what artificialinsemination by donor entails. Which would be your best answer if you were Nurse Macarena? 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 husbands sperm is administered intravenously weekly Situation . Nurse Dee-Lan was a graduate of Our Lady of Fatima University, he started working as anurse just right after he passed and topped the board exam. She was assigned to take care of agroup of patients across the lifespan. 6. Pain in geriatric clients require careful assessment because they: A. experienced reduce sensory perception B. have increased sensory perception C. are expected to experience chronic pain D. have a increased pain sensitivity 7. Administration of aminoglycosides to the older persons requires careful patient assessmentbecause older people: A. are more sensitive to drugs B. have increased hepatic, renal and gastrointestinal function C. have increased sensory perception D. mobilize drugs more rapidly 8. Elder clients are often at risk of having impaired skin integrity. One factor is that they oftenexperience urinary incontinence. The elderly patient is at higher risk for urinary incontinencebecause of: A. increased glomerular filtration C. decreased bladder capacity B . d e c r e a s e e l a s t i c i t y o f b l o o d v e s s e l s D . d i l a t e d u r e t h r a 9. Which of the following is the MOST COMMON sign of infection among the elderly? A. decreased breath sounds with crackles C. pain B. Increase body temperature D. Restlessness, confusion, irritability 10. Prioritization is important to test a nurses good judgment towards different situations.Priorities when caring for the elderly trauma patient: A. circulation, airway, breathing C. airway, breathing, disability (neurologic) B. disability (neurologic), airway, breathing D. airway, breathing, circulation 11. The nurse assessing newborn babies and infants during their hospital stay after birth will noticewhich of the following symptoms as a primary manifestation of Achalasia? A.Olive shaped mass on abdomen B. Failure to pass meconium during the first 24 to 48 hours after birth C. The skin turns yellow and then brown over the first 48 hours of life D. Effortless and non-projectile vomiting

12. A client is 7 months pregnant and has just been diagnosed as having a partial placenta previa.She is stable and has minimal spotting and is being sent home. Which of these instructions to theclient may indicate a need for further teaching? A. Maintain bed rest with bathroom privileges B. Avoid intercourse for three days. C. Call if contractions occur. D. Stay on left side as much as possible when lying down. 13. Ms. Anna, a review assistant of the greatest nursing review center in the Philippines has beenrushed to the hospital with ruptured membrane. Which of the following should the nurse checkfirst? A. Check for the presence of infection B. Assess for Prolapse of the umbilical cord C. Check the maternal heart rate D. Assess the color of the amniotic fluid 14. The nurse notes that the infant is wearing a plastic-coated diaper. If a topical medication were tobe prescribed and it were to go on the stomachs or buttocks, the nurse would teach the caregiversto: A. avoid covering the area of the topical medication with the diaper B.avoid the use of clothing on top of the diaper C.put the diaper on as usual D. apply an icepack for 5 minutes to the outside of the diaper 15. Which of the following factors is most important in determining the success of relationshipsused in delivering nursing care? A. Type of illness of the client B. Transference and counter transference C. Effective communication D. Personality of the participants 16. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lowerextremities potentially more serious among pregnant women than other? A. lacerations can provoke allergic responses due to gonadotropic hormone release B. a woman is less able to keep the laceration clean because of her fatigue C. healing is limited during pregnancy so these will not heal until after birth D. increased bleeding can occur from uterine pressure on leg veins 17. You are the nurse assigned to work with a child with acute glomerulonephritis. By following theprescribed treatment regimen, the child experiences a remission. You are now checking to makesure the child does not have a relapse. Which finding would most lead you to the conclusion that arelapse is happening?

A. Elevated temperature, cough, sore throat, changing complete blood count (CBC) with diiferential B. A urine dipstick measurement of 2+ proteinuria or more for 3 days, or the child found to have3-4+ proteinutria plus edema. C. The urine dipstick showing glucose in the urine for 3 days, extreme thirst, increase in urineoutput, and a moon face. D. A temperature of 37.8 degrees (100 degrees F), flank pain, burning frequency, urgency onvoiding, and cloudy urine. 18. The painful phenomenon known as back labor occurs in a client whose fetus in what position? A . B r o w p o s i t i o n C . B r e e c h p o s i t i o n B. Right Occipito-Anterior Position D. Left Occipito-Posterior Position Situation With the increasing documented cases of CANCER the best alternative totreatment still remains to be PREVENTION. The following conditions apply. 19. Which among the following is the primary focus of prevention of cancer? A. Elimination of conditions causing cancer B. Diagnosis and treatment C. Treatment at early stage D. Early detection 20. In the prevention and control of cancer, which of the following activities is the most importantfunction of the community health nurse? A. Conduct community assemblies. B. Referral to cancer specialist those clients with symptoms of cancer. C. Use the nine warning signs of cancer as parameters in our process of detection, control andtreatmentmodalities. D. Teach woman about proper/correct nutrition. 21. Who among the following are recipients of the secondary level of care for cancer cases? A. Those under early case detection B. Those under post case treatment C. Those scheduled for surgery D. Those undergoing treatment 22. Who among the following are recipients of the tertiary level of care for cancer cases? A. Those under early treatment C. Those under early detection B.Those under supportive care

D. Those scheduled for surgery 23. Being a community health nurse, you have the responsibility of participating in protecting thehealth of people. Consider this situation: Vendors selling bread with their bare hands. They receivemoney with these hands. You do not see them washing their hands. What should you say/do? A. Miss, may I get the bread myself because you have not washed your hands B. All of these C. Miss, it is better to use a pick up forceps/ bread tong D. Miss, your hands are dirty. Wash your hands first before getting the bread Situation : The following questions refers to common clinical encounters experienced by an entrylevel nurse. 24. A female client asks the nurse about the use of a cervical cap. Which statement is correctregarding the use of the cervical cap? A. It may affect Pap smear results. B. It does not need to be fitted by the physician. C. It does not require the use of spermicide. D. It must be removed within 24 hours. 25. The major components of the communication process are: A. Verbal, written and nonverbal B. Speaker, listener and reply C. Facial expression, tone of voice and gestures D. Message, sender, channel, receiver and feedback 26. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry;has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will suspect that this child is: A. Being raised by a parent of low intelligence quotient (IQ) B. An orphan C. A victim of child neglect D. The victim of poverty Situation: Mike 16 y/o has been diagnosed to have AIDS, he worked as entertainer in a cruise ship; 27. Which method of transmission is common to contract AIDS: A. Syringe and needles A. Sexual contact B . B o d y f l u i d s B . T r a n s f u s i o n 28. Causative organism in AIDS is one of the following; A. Fungus

C. retrovirus B . B D . P

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29. You are assigned in a private room of Mike. Which procedure should be of outmostimportance; A . A l c o h o l w a s h C . W a s h i n g I s o l a t i o n B. Universal precaution D. Gloving technique 30. What primary health teaching would you give to mike; A . D a i l y e x e r c i s e C . r e v e r s e i s o l a t i o n B. Prevent infection D. Proper nutrition 31. 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 syringe and needles B. Use gloves when handling specimen C. Label personal belonging D. Avoid accidental wound Situation: Michelle is a 6 year old preschooler. She was reported by her sister to have measles butshe is at home because of fever, upper respiratory problem and white sports in her mouth. 32. Rubeola is an Arabic term meaning Red, the rash appears on the skin in invasive stage prior toeruption behind the ears. As a nurse, your physical examination must determine complicationespecially: A . O t i t i s m e d i a C . I n f l a m m a t o r y c o n j u n c t i v a B. Bronchial pneumonia D. Membranous laryngitis 33. To render comfort measure is one of the priorities, Which includes care of the skin, eyes, ears,mouth and nose. To clean the mouth, your antiseptic solution is in some form of which one below?

A C

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W A

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B. Sulfur D. Salt 34. As a public health nurse, you teach mother and family members the prevention of complicationof measles. Which of the following should be closely watched? A. Temperature fails to drop C. Inflammation of the nasophraynx B . I n f l a m m a t i o n o f t h e c o n j u n c t i v a D . U l c e r a t i v e s t o m a t i t i s 35. Source of infection of measles is secretion of nose and throat of infection person. Filterable virusof measles is transmitted by: A . W a t e r s u p p l y C . F o o d i n g e s t i o n B. Droplet D. Sexual contact 36. Method of prevention is to avoid exposure to an infection person. Nursing responsibility forrehabilitation of patient includes the provision of: A . T e r m i n a l d i s i n f e c t i o n C . I m m u n i z a t i o n B. Injection of gamma globulin D. Comfort measures SITUATION: Sexually Transmitted Diseases are important to identify during pregnancy because of their potential effect on the pregnancy, fetus, or newborn. The following questions pertain to STDs. 37. Ms. Reynaldita is a promiscuous woman in Manila submits herself to the clinic for certainexaminations. She is experiencing vaginal irritation, redness, and a thick cream cheese vaginaldischarge. As a nurse, you will suspect that Ms. Reynaldita is having what disease? A. Gardnerella Vaginalis B. Candida Albicans C. Treponema Pallidum D. Moniliasis 38. As a knowledgeable nurse, you know that the doctor may prescribe a certain medications forMs. Reynaldita. What is the drug of choice for Reynalditas infection? A. haloperidol B. miconazole C. benzathine penicillin D. metronidazole

39. Based on your learnings, you know that the causative agent of Reynalditas infection is: A. Monistat Candida B. Candida Albicans C. Albopictus Candidiasis D. Monakiki 40. The microorganism that causes Reynalditas infection is a: A. Bacteria B. Protozoa C. Fungus D. Virus 41. Another client in the Maternal Clinic was Ms. Celbong. Her doctor examined Ms. Celbongsvaginal secretions and found out that she has a Trichomoniasis infection. Trichomoniasis isdiagnosed through which of the following method? A. Vaginal secretions are examined on a wet slide that has been treated with potassiumhydroxide .B. Vaginal speculum is used to obtain secretions from the cervix. C. A lithmus paper is used to test if the vaginal secretions are infected with trichomoniasis. D. Vaginal secretions are examined on a wet slide treated with zephiran solution. 42. Daphne who is on her first trimester of pregnancy is also infected with trichomoniasis. You knowthat the drug of choice for Daphne is: A. Flagyl B. Clotrimazole (topical) C. Monistat D. Zovirax 43. Syphilis is another infection that may impose risk during pregnancy. Since we are under thepractice of health science, you know that Syphilis is caused by: A. Treponema Syphilis B. Neisseria gonorrhoeae C. Chlamydia Trachomatis D. Treponema Pallidum 44. What type of microorganism is the causative agent of syphilis? A. Spirochete B. Fungus C. Bacteria D. Protozoan

45. Under the second level of prevention, you know that one of the focuses of care is the screeningof diseases. What is the screening test for syphilis? A. VDRL B. Western blot C. PSA D. ELISA 46. Jarisch-Herxheimer reaction may be experienced by the client with syphilis after therapy withbenzathine penicillin G. The characteristic manifestations of JarischHerxheimer reaction are: A. Rashes, itchiness, hives and pruritus B. Confusion, drowsiness and numbness of extremities C. sudden episode of hypotension, fever, tachycardia, and muscle aches D. Episodes of nausea and vomiting, with bradypnea and bradycardia 47. A pregnant woman is in the clinic for consultation with regards to STDs. She inquires aboutVenereal warts and asks you about its specific lesion appearance. Which of the following is yourcorrect response to the client? A. Why are you asking about it? You might be a prostitute woman. B. The lesions appear as cauliflower like lesions. C. It appears as pinpoint vesicles surrounded by erythema. D. The lesions can possibly obstruct the birth canal. 48. Based on your past learnings in communicable diseases, you know that the causative agent of venereal warts is: A. Chlamydia Trachomatis B. Candida Moniliasis C. Human Papilloma Virus D. Staphylococcus Aureus 49. As a nurse in charge for this woman, you anticipate that the doctor will prescribe whatmedication for this type of infection? A. Podophyllum (Podofin) B. Flagyl C. Monistat D. Trichloroacetic acid 50. Cryocautery may also be used to remove large lesions. The healing period after cryocautery maybe completed in 4-6 weeks but may cause some discomforts to the woman. What measures canalleviate these discomforts? A. Kegels Exercise B. Cool air C. Topical steroids

D. Sitz baths and lidocaine cream 51. In order to prevent acquiring sexually transmitted diseases, what is the BEST way to consider? A. Condom use B. Withdrawal C. vasectomy D. Abstinence SITUATION: The Gastrointestinal System is responsible for taking in and processing nutrients for allparts of the body, any problem can quickly affect other body systems and, if not adequately treated,can affect overall health, growth, and development. The following questions are aboutgastrointestinal disorders in a child. 52. Mr. & Mrs. Alcaras brought their son in the hospital for check up. The child has failure to thriveand was diagnosed with pyloric stenosis. Which among the following statements are thecharacteristic manifestations of pyloric stenosis? A. Vomiting in the early morning B. Bile containing vomitus immediately after meal C. sausage shaped mass in the abdomen D. Projectile vomiting with no bile content 53. The exact cause of pyloric stenosis is unknown, but multifactorial inheritance is the likely cause.Being knowledgeable about this disease, you know that pyloric stenosis is more common in whichgender? A. Male B. Female C. Incidence is equal for both sexes D. None of the above 54. To rule out pyloric stenosis, the definitive diagnosis is made by watching the infant drink. Afterthe infant drinks, what will be the characteristic sign that will describe pyloric stenosis? A. An olive-size lump can be palpated B. There is gastric peristalsic waves from left to right across the abdomen C. A hypertrophied sphincter can be seen on ultrasound. D. A tingling sensation is felt on the lower extremities 55. Shee Jan Long a 10 months old infant was admitted to the hospital for severe abdominal pain.The doctor found out that the distal ileal segment of the childs bowel has invaginated into thececum. The nurse will suspect what disease condition? A. Intussusception B. Pyloric stenosis C. Hirschprungs disease D. Vaginismus

56. In intussusceptions, children suddenly draw up their legs and cry as if they are in severe pain andpossibly vomit. Another manifestation of such disease is the presence of blood in the stool. What isthe characteristic stool of client with intussuscepton? A. Coffee ground B. Black and Tarry C.Currant jelly stool D. Watery stool 57. A 4-year-old child is hospitalized because of persistent vomiting. As a nurse, you must monitorthe child closely for: A. Diarrhea B. Metabolic Acidosis C. Metabolic Alkalosis D. Hyperactive bowel sounds 58. A nurse is monitoring for signs of dehydration in a 1-year-old child who has been hospitalized fordiarrhea. The nurse prepares to take the childs temperature and avoids which method of measurement? A. Tympani B. Axillary C. Rectal D. Electronic 59. A home care nurse provides instructions to the mother of an infant with cleft palate regardingfeeding. Which statement if made by the mother indicates a need for further instructions? A. I will use a nipple with a small hole to prevent choking. B. I will stimulate sucking by rubbing the nipple on the lower lip. C. I will allow the infant time to swallow. D. I will allow the infant to rest frequently to provide time for swallowing what has been placed inthe mouth. 60. An infant has just returned to the nursing unit following a surgical repair of a cleft lip located atthe right side of the lip. The nurse places the infant in which most appropriate position? A. On the right side B. On the left side C. Prone D. Supine

61. A clinic nurse reviews the record of an infant seen in the clinic. The nurse notes that a diagnosisof esophageal atresia with tracheoesophageal fistula (TEF) is suspected. The nurse expects to notewhich most likely sign of this condition documented in the record? A. Severe projectile vomiting B. Coughing at night time C. Choking with feedings D. Incessant crying SITUATION: Human development is one of the important concepts that a nurse should learn to beable to deal appropriately with their clients of different developmental stages. 62. Which statement best describes when fertilization occurs? A. When the spermatozoon passes into the ovum and the nuclei fuse into a single cell. B. When the ovum is discharged from the ovary near the fimbriated end of the fallopian tube. C. When the embryo attaches to the uterine wall. D. When the sperm and ova undergo developmental changes resulting in a reduction in thenumber of chromosomes. 63. A pregnant client asks you about fetal development. At approximately what gestational age doesthe fetuss single chambered heart begin to pump its own blood cells through main blood vessels? A. 10 weeks B. 8 weeks C. 5 weeks D. 3 weeks 64. At 17 weeks gestation, a fetus isnt considered to be ballotable. Ballotment means that: A. The examiner feels rebound movement of the fetus. B. The examiner feels fetal movement. C. The client feels irregular, painless uterine contractions. D. The client feels fetal movement. 65. Which hormone stimulates the development of the ovum? A. Follicle stimulating hormone (FSH) B. Human Chorionic Gonadotropin (HCG) C. Luteinizing Hormone (LH) D. Gonadotropin Releasing Hprmone (GnRH) 66. How long is the gestational period of a full term pregnancy? A. Ranging from 245 days to 259 days

B. around 5,554 hours to 5,880 hours C. More than 294 days D. Averaging of 266 to 294 days 67. An 18 year old woman in her 18th week of pregnancy is being evaluated. Which positive sign of pregnancy should the nurse expect to be present? A. Fetal heart tones detectable by Doppler stethoscope B. Fetal movement detectable by palpation C. Visualization of the fetus by ultrasound examination. D. Fetal heart tones detectable by a fetoscope. 68. During her prenatal visit, a 28 year old client expresses concern about nutrition duringpregnancy. She wants to know what foods she should be eating to ensure the proper growth anddevelopment of her baby. Which step should the nurse take first? A. Give the client a sample diet plan for a 2,400 calorie diet. B. Emphasize the importance of avoiding salty and fatty foods. C. Instruct the client to continue to eat a normal diet. D. Assess the clients current nutritional status by taking a diet history. 69. A nurse is teaching a class about the reproductive system. She explains that fertilization mostoften takes place in the: A. Ovary B. Fallopian tubes C. Uterus D. vagina 70. A large number of neural tube defects may be prevented if a pregnant woman includes whichsupplement in her diet? A. Vit. A B. Vit. E C. Vit. D D. Vit. B9 71. A 22 year old client is at 20 weeks gestation. She asks the nurse about the development of herfetus at this stage. Which of the following developments occurs at 20 weeks gestation? A. The pancreas starts producing insulin and the kidneys produce urine. B. The fetus follows a regular schedule of turning, sleeping, sucking, and kicking. C. Swallowing reflex has been mastered, and the fetus sucks its thumb. D. Surfactant forms in the lungs. SITUATION: Developing countries such as the Philippines suffer from high infant and child mortalityrates. Thus, as a management to the existing problem, the WHO and UNICEF launched the IMCI.

72. A 6 month old baby Len was brought to the health center because of fever and cough for 2 days.She weighs 5 kg. Her temperature is 38.5 taken Axillary. Further examination revealed that she hasgeneral rashes, her eyes are red and she has mouth ulcers non deep and non extensive, There wasno pus draining from her eyes. Most probably Baby Len has: a . S e v e r e c o m p l i c a t e d m e a s l e s d . M e a s l e s b . F e v e r : N o M A L A R I A e . Measles with eye or mouth complications c. Very severe febrile disease 73. The dosage of Vit. A supplement given to Baby Len would be: d.100,000 IU d. 200,000 IU e e . . 1 0 2 , 0 0 0 , 0 0 0 I 0 U I U

74. Using IMCI Chart, this child can be manage with: f. Treat the child with paracetamol and follow up in 2 days if the fever persist g. Give the first dose of antibiotic, give Vit. A, apply Gentian Violet for mouth ulcers and referurgently to hospital h. Give100, 000 international units of Vit. A i. Give200, 000 international units of Vit. A e. Give Vit. A, apply Gentian violet for mouth ulcers and follow up in 2 days 75. The following are signs of severe complicated measles: j. Clouding of the cornea k. Deep or extensive mouth ulcers l. Pus draining from the eyes m. A and b only n. All of the above 76. If the child is having 2 weeks ear discharges, how would you classify and treat the child: 1 . G r e e n 5 . D r y t h e e a r b y w i c k i n g 2 . Y e l l o w 6 . 5 d a y s a n t i b i o t i c

3 . 7 .

P i n k w i t h f i r s t d o

U r g e n t r e f e r r a l s e o f a n t i b i o t i c 4 . R e d a . 4 , 7 b . 2 , 5 , 6 c . 1 , 5 d . 3 , 7 e 2,5

77. The following are treatments for acute ear infections: a. Dry the ear by wicking d. A and c only b. Give antibiotics for 5 days e. All of the above c. Follow up in 5 days 78. A child with ear problem should be assessed for the following, except: a. Ear pain b. If discharge is present for how long? c. Ear discharge d. Is there any fever? e. None of the above 79. If the child does not have ear problem, using IMCI, what should you do as a nurse? a. Go to the next question, check for malnutrition b. Check for ear pain c. Check for tender swelling behind the ear d. Check for ear discharge 80. An ear discharge that has been present for more than 14 days can be classified as: a . C o m p l i c a t e d e a r i n f e c t i o n c . Chronic ear infection b . A c u t e e a r i n f e c t i o n d . M a s t o i d i t i s 81. An ear discharge that has been present for less than 14 days can be classified as: a. Complicated ear infection c. Chronic ear infection

b. Acute ear infection d. Mastoiditis

82. If the child has severe classification because of ear problem, what would be the best thing thatyou should do as a nurse? a. Dry the ear by wicking b. Give an antibiotic for 5 days c. Refer urgently d. Instruct mother when to return immediately Situation: Primary Health Care (PHC) is defined by the WHO as essential health care madeuniversally accessible to individuals, families and communities. 83. The WHO held a meeting in this place where Primary health Care was discussed. What is thisplace? A. Alma Ata B . R u s s i a C . V i e n n a D . G e n e v a Situation: The national objective for maintaining the health of all Filipinos is a primary responsibilityof the DOH.84. The following are mission of the DOH except:a. Ensure accessibilityb.Quality of health care c.Health for all Filipinos d.Quality of Life of all Filipinose. None of the above85. The basic principles to achieve improvement in health include all BUT:a. Universal access to basic health services must be ensuredb. The health and nutrition of vulnerable groups must be prioritizedc. Performance of the health sector must be enhanced d. Support the frontline workers and the local health system e. None of the above86. Which of the following is not a primary strategy to achieve health goals:a. Support of local health system developmentb. Development of natio nal standards for healthc . A s s u r a n c e o f h e a l t h c a r e f o r a l l d. Support th e frontline workers e. None of the above 87. According to the WHO health is: A. state of complete physical, mental and social well being not merely the absence of disease B. A science and art of preventing disease and prolonging lifeC. A science that deals the optimum level of functioning of the Individual, family and communityD. All of the above 88. Assistance in physical therapy of a trauma patient is a:Primary level of preventionB. Secondary level of prevention C. Tertiary level of prevention D. Specialized level of prevention89. Local health boards were established at the provincial, city and municipal levels. At themunicipal level,the chairman of the board is the:A.Rural Health physicianB.Governor C.Mayor D.Chairman of the Committee on Health90. The emphasis of community health nursing is on:A. Treatment of health problems B. Preventing health problems and promoting optimum health

C. Identification and assessment of health problemsD. Illness end of the wellnessillness continuum.91. In asking the mother about her childs problem the following communication skills should beused except:a. Use words that the mother understandb. Give time for the mother to answer the questionsc . L i s t e n a t t e n t i v e l y d. Ask checking questions e . N o n e o f t h e a b o v e 92. Which of the following is the principal focus of the CARI program of the Department of Health?a. Teach other community health workers how to assess patients b. Mortality reduction through early detection c. Teach mothers how to detect signs and where to referd. Enhancement of health team capabilities93. You were able to identify factors that lead to respiratory problems in the community where yourhealth facility serves. Your primary role therefore in order to reduce morbidity due to pneumonia isto?a. Seek assistance and mobilize the BHWs to have a meeting with mothersb . R e f e r c a s e s t o h o s p i t a l s c. Make home visits to sick children d. Teach mothers how to recognize early signs and symptoms of pneumonia 94. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from pneumonia and other severe disease? a. Weighing of the child b. Provision of careful assessment c. Taking of the temperature of the sick childd . G i v i n g o f a n t i b i o t i c s 9 5 . A 4-month-old child was brought to your clinic because of cough and c o l d s . W h i c h o f t h e following is your primary action?a. Teach the mother how to count her childs breathing?b . R e f e r t o t h e d o c t o r c. Assess the patient using the chart on management of children with cough d. Give cotrimoxazole tablet or syrupe . A l l o f t h e a b o v e 96. In responding to the care concerns to children with severe disease, referral to the hospital is of the essence especially if the child manifests which of the following? a . S t o p p e d f e e d i n g w e l l c . W h e e z i n g b . F a s t b r e a t h i n g d . Difficulty to awaken Elvira Magalpok is a 26 year old woman you admit to a birthing room. Shes been havingcontractions 45 seconds long and 3 minutes apart for the last 6 hours. She tells you she wants tohave her baby naturally without any analgesia or anesthesia. Her husband is in the Army andassigned overseas, so he is not with her. Although her sister lives only two blocks from the hospital,Elvira doesnt want her called. She asks if she can talk to her mother on the telephone instead. Asyou finish assessing contractions, she screams with pain and shouts, Ginagawa ko na ang lahat ngmakakaya ko! Kailan ba matatapos ang paghihirap kong ito?97. Elvira didnt recognize for over an hour that she was in labor. A sign of true labor is:A. Sudden increase energy from epinephrine releaseB. Nagging but constant pain in the lower back.C. Urinary urgency from increased bladder pressure.

D. Show or release of the cervical mucus plug. 98. Elvira asks you which fetal position and presentation are ideal. Your best answer would be: A. Right occipitoanterior with full flexion. B. Left transverse anterior in moderate flexion.C. Right occipitoposterior with no flexion.D. Left sacroanterior with full flexion.99. Elvira is having long and hard uterine contractions. What length of contraction would you reportas abnormal?A. Any length over 30 seconds. B. A contraction over 70 seconds in length. C. A contraction that peaks at 20 seconds.D. A contraction shorter than 60 seconds.100. You assess Elviras uterine contractions. In relation to the contraction, when does a latedeceleration begin? A. Forty-five seconds after the contraction is over. B. Thirty seconds after the start of a contraction. C. After every tenth or more contraction.D. After a typical contraction ends.