NP 2

Question 1

Situation: Mariah is a 31 year old lawyer who has been
married for 6 months. She consults you for guidance in
relation with her menstrual cycle and her desire to get
pregnant.
1. She wants to know the length of her menstrual
cycle. Her previous menstrual period is October
22 to 26. Her LMB is November 21. Which of the
following number of days will be your correct
response?
A. 29
B. 28
C. 30
D. 31

Answer 1

D. 31

Question 2

2. You advised her to observe and record the signs
   of Ovulation. Which of the following signs will
   she likely note down?
3. A 1 degree Fahrenheit rise in basal body
   temperature
4. Cervical mucus becomes copious and
   clear
5. One pound increase in weight
6. Mittelschmerz
   A. 1, 2, 4
   B. 1, 2, 3
   C. 2, 3, 4
   D. 1, 3, 4

Answer 2

A. 1, 2, 4

Question 3

3. You instruct Mariah to keep record of her basal
   temperature every day, which of the following
   instructions is incorrect?
   A. If coitus has occurred; this should be
   reflected in the chart
   B. It is best to have coitus on the evening
   following a drop in BBT to become
   pregnant
   C. Temperature should be taken
   immediately after waking and before
   getting out of bed
   D. BBT is lowest during the secretory
   phase

Answer 3

D. BBT is lowest during the secretory
phase

Question 4

4. She reports an increase in BBT on December 16.
   Which hormone brings about this change in her
   BBT?
   A. Estrogen
   B. Gonadotropine
   C. Progesterone
   D. Follicle stimulating hormone

Answer 4

C. Progesterone

Question 5

5. The following month, Mariah suspects she is
   pregnant. Her urine is positive for Human
   chorionic gonadotrophin. Which structure
   produces Hcg?
   A. Pituitary gland
   B. Trophoblastic cells of the embryo
   C. Uterine deciduas
   D. Ovarian follicles

Answer 5

B. Trophoblastic cells of the embryo

Question 6

Situation: Mariah came back and she is now pregnant.
6. At 5 month gestation, which of the following
fetal development would probably be achieve?
A. Fetal movement are felt by Mariah
B. Vernix caseosa covers the entire body
C. Viable if delivered within this period
D. Braxton hicks contractions are observed

Answer 6

A. Fetal movement are felt by Mariah

Question 7

7. The nurse palpates the abdomen of Mariah.
   Now At 5 month gestation, What level of the
   abdomen can the fundic height be palpated?
   A. Symphysis pubis
   B. Midpoint between the umbilicus and the
   xiphoid process
   C. Midpoint between the symphysis pubis
   and the umbilicus
   D. Umbilicus

Answer 7

D. Umbilicus

Question 8

8. She worries about her small breasts, thinking
   that she probably will not be able to breastfeed
   her baby. Which of the following responses of
   the nurse is correct?
   A. “The size of your breast will not affect
   your lactation”
   B. “You can switch to bottle feeding”
   C. “You can try to have exercise to increase
   the size of your breast”
   D. “Manual expression of milk is possible”

Answer 8

A. “The size of your breast will not affect
your lactation”

Question 9

9. She tells the nurse that she does not take milk
   regularly. She claims that she does not want to
   gain too much weight during her pregnancy.
   Which of the following nursing diagnosis is a
   priority?
   A. Potential self-esteem disturbance
   related to physiologic changes in
   pregnancy
   B. Ineffective individual coping related to
   physiologic changes in pregnancy
   C. Fear related to the effects of pregnancy
   D. Knowledge deficit regarding nutritional requirements of pregnancies related to lack of information sources

Answer 9

D. Knowledge deficit regarding nutritional requirements of pregnancies related to lack of information sources

Question 10

10. Which of the following interventions will likely
    ensure compliance of Mariah?
    A. Incorporate her food preferences that
    are adequately nutritious in her meal
    plan
    B. Consistently counsel toward optimum
    nutritional intake
    C. Respect her right to reject dietary
    information if she chooses
    D. Inform her of the adverse effects of
    inadequate nutrition to her fetus

Answer 10

10. Which of the following interventions will likely
    ensure compliance of Mariah?
    A. Incorporate her food preferences that
    are adequately nutritious in her meal
    plan
    B. Consistently counsel toward optimum
    nutritional intake
    C. Respect her right to reject dietary
    information if she chooses
    D. Inform her of the adverse effects of
    inadequate nutrition to her fetus

Question 11

Situation: Susan is a patient in the clinic where you work.
She is inquiring about pregnancy.
11. Susan tells you she is worried because she
develops breasts later than most of her friends.
Breast development is termed as:
A. Adrenarche
B. Thelarche
C. Mamarche
D. Menarche

Answer 11

B. Thelarche

Question 12

12. Kevin, Susan’s husband tells you that he is
    considering vasectomy After the birth of their
    new child. Vasectomy involves the incision of
    which organ?
    A. The testes
    B. The epididymis
    C. The vas deferens
    D. The scrotum

Answer 12

C. The vas deferens

Question 13

13. On examination, Susan has been found of having
    a cystocele. A cystocele is:
    A. A sebaceous cyst arising from the vulvar
    fold
    B. Protrusion of intestines into the vagina
    C. Prolapse of the uterus into the vagina
    D. Herniation of the bladder into the
    vaginal wall

Answer 13

D. Herniation of the bladder into the
vaginal wall

Question 14

14. Susan typically has menstrual cycle of 34 days.
    She told you she had coitus on days 8, 10, 15 and
    20 of her menstrual cycle. Which is the day on
    which she is most likely to conceive?
    A. 8
    th day
    B. Day 15
    C. 10th day
    D. Day 20

Answer 14

D. Day 20

Question 15

15. While talking with Susan, 2 new patients arrived
    and they are covered with large towels and the
    nurse noticed that there are many cameraman
    and news people outside of the OPD. Upon
    assessment the nurse noticed that both of them
    are still nude and the male client’s penis is still
    inside the female client’s vagina and the male
    client said that “I can’t pull it”. Vaginismus was
    your first impression. You know that The
    psychological cause of Vaginismus is related to:
    A. The male client inserted the penis too
    deeply that it stimulates vaginal closure
    B. The penis was too large that is why the
    vagina triggered its defense to attempt
    to close it
    C. The vagina does not want to be
    penetrated
    D. It is due to learning patterns of the
    female client where she views sex as
    bad or sinful

Answer 15

D. It is due to learning patterns of the
female client where she views sex as
bad or sinful

Question 16

Situation: Overpopulation is one problem in the
Philippines that causes economic drain. Most Filipinos
are against in legalizing abortion. As a nurse, Mastery of
contraception is needed to contribute to the society and
economic growth.
16. Supposed that Dana, 17 years old, tells you she
wants to use fertility awareness method of
contraception. How will she determine her
fertile days?
A. She will notice that she feels hot, as if
she has an elevated temperature.
B. She should assess whether her cervical
mucus is thin, copious, clear and
watery.
C. She should monitor her emotions for
sudden anger or crying
D. She should assess whether her breasts
feel sensitive to cool air

Answer 16

B. She should assess whether her cervical
mucus is thin, copious, clear and
watery.

Question 17

17. Dana chooses to use COC as her family planning
    method. What is the danger sign of COC you
    would ask her to report?
    A. A stuffy or runny nose
    B. Slight weight gain
    C. Arthritis like symptoms
    D. Migraine headache

Answer 17

D. Migraine headache

Question 18

18. Dana asks about subcutaneous implants and she
    asks, how long will these implants be effective.
    Your best answer is:
    A. One month
    B. Five years
    C. Twelve months
    D. 10 years

Answer 18

B. Five years

Question 19

19. Dana asks about female condoms. Which of the
    following is true with regards to female
    condoms?
    A. The hormone the condom releases
    might cause mild weight gain
    B. She should insert the condom before
    any penile penetration
    C. She should coat the condom with
    spermicide before use
    D. Female condoms, unlike male condoms,
    are reusable

Answer 19

B. She should insert the condom before
any penile penetration

Question 20

20. Dana has asked about GIFT procedure. What
    makes her a good candidate for GIFT?
    A. She has patent fallopian tubes, so
    fertilized ova can be implanted on them
    B. She is RH negative, a necessary
    stipulation to rule out RH incompatibility
    C. She has normal uterus, so the sperm can
    be injected through the cervix into it
    D. Her husband is taking sildenafil, so all
    sperms will be motile

Answer 20

A. She has patent fallopian tubes, so
fertilized ova can be implanted on them

Question 21

Situation: 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 cannot 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 nowhere for them to go.

Answer 21

C. Sperm can no longer reach the ova,
because the fallopian tubes are blocked

Question 22

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

Answer 22

C. A couple has been trying to conceive for
1 year

Question 23

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

Answer 23

A. Endometrial implants can block the
fallopian tubes

Question 24

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

Answer 24

D. She may feel some cramping when the
dye is inserted

Question 25

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 intraabdominally
    into each ovary
    C. Artificial sperm are injected vaginally to
    test tubal patency
    D. The husband’s sperm is administered
    intravenously weekly

Answer 25

B. Donor sperm are injected intraabdominally
into each ovary

Question 26

Situation: You are assigned to take care of a group of
patients across the lifespan.
26. Pain in the elder persons requires careful
assessment because they:
A. experienced reduce sensory perception
B. have increased sensory perception
C. are expected to experience chronic pain
D. have a decreased pain threshold

Answer 26

A. experienced reduce sensory perception

Question 27

27. Administration of analgesics to the older persons
    requires careful patient assessment because
    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

Answer 27

A. are more sensitive to drugs

Question 28

28. The elderly patient is at higher risk for urinary
    incontinence because of:
    A. increased glomerular filtration
    B. decreased bladder capacity
    C. diuretic use
    D. dilated urethra

Answer 28

B. decreased bladder capacity

Question 29

29. Which of the following is the MOST COMMON
    sign of infection among the elderly?
    A. decreased breath sounds with crackles
    B. pain
    C. fever
    D. change in mental status

Answer 29

D. change in mental status

Question 30

30. Priorities when caring for the elderly trauma
    patient:
    A. circulation, airway, breathing
    B. airway, breathing, disability (neurologic)
    C. disability (neurologic), airway, breathing
    D. airway, breathing, circulation

Answer 30

D. airway, breathing, circulation

Question 31

31. Preschoolers are able to see things from which
    of the following perspectives?
    A. Their peers
    B. Their own and their mother’s
    C. Their own and their caregivers’
    D. Only their own

Answer 31

D. Only their own

Question 32

32. In conflict management, the win-win approach
    occurs when:
    A. There are two conflicts and the parties
    agree to each one
    B. Each party gives in on 50% of the
    disagreements making up the conflict
    C. Both parties involved are committed to
    solving the conflict
    D. The conflict is settled out of court so the
    legal system and the parties win

Answer 32

C. Both parties involved are committed to
solving the conflict

Question 33

33. According to the social-interactional perspective
    of child abuse and neglect, four factors place the
    family members at risk for abuse. These risk
    factors are the family members at risk for abuse.
    These risk factors are the family itself, the
    caregiver, the child, and
    A. The presence of a family crisis
    B. The national emphasis on sex
    C. Genetics
    D. Chronic poverty

Answer 33

A. The presence of a family crisis

Question 34

34. Which of the following signs and symptoms
    would you most likely find when assessing and
    infant with Arnold-Chiari malformation?
    A. Weakness of the leg muscles, loss of
    sensation in the legs, and restlessness
    B. Difficulty swallowing, diminished or
    absent gag reflex, and respiratory
    distress
    C. Difficulty sleeping, hypervigilant, and an
    arching of the back
    D. Paradoxical irritability, diarrhea, and
    vomiting.

Answer 34

B. Difficulty swallowing, diminished or
absent gag reflex, and respiratory
distress

Question 35

35. A parent calls you and frantically reports that her
    child has gotten into her famous ferrous sulfate
    pills and ingested a number of these pills. Her
    child is now vomiting, has bloody diarrhea, and is
    complaining of abdominal pain. You will tell the
    mother to:
    A. Call emergency medical services (EMS)
    and get the child to the emergency room
    B. Relax because these symptoms will pass
    and the child will be fine
    C. Administer syrup of ipecac
    D. Call the poison control center

Answer 35

D. Call the poison control center

Question 36

36. A client says she heard from a friend that you
    stop having periods once you are on the “pill”.
    The most appropriate response would be:
    A. “The pill prevents the uterus from
    making such endometrial lining, that is
    why periods may often be scant or
    skipped occasionally.”
    B. “If your friend has missed her period,
    she should stop taking the pills and get a
    pregnancy test as soon as possible.”
    C. “The pill should cause a normal
    menstrual period every month. It
    sounds like your friend has not been
    taking the pills properly.”
    D. “Missed period can be very dangerous
    and may lead to the formation of
    precancerous cells.”

Answer 36

C. “The pill should cause a normal
menstrual period every month. It
sounds like your friend has not been
taking the pills properly.”

Question 37

37. The nurse assessing newborn babies and infants
    during their hospital stay after birth will notice
    which of the following symptoms as a primary
    manifestation of Hirschsprung’s disease?
    A. A fine rash over the trunk
    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. High-grade fever

Answer 37

B. Failure to pass meconium during the
first 24 to 48 hours after birth

Question 38

38. 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
    the client 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.

Answer 38

D. Stay on left side as much as possible
when lying down.

Question 39

39. A woman has been rushed to the hospital with
    ruptured membrane. Which of the following
    should the nurse check first?
    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

Answer 39

B. Assess for Prolapse of the umbilical
cord

Question 40

40. The nurse notes that the infant is wearing a
    plastic-coated diaper. If a topical medication
    were to be prescribed and it were to go on the
    stomachs or buttocks, the nurse would teach the
    caregivers to:
    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

Answer 40

A. avoid covering the area of the topical
medication with the diaper

Question 41

41. Which of the following factors is most important
    in determining the success of relationships used
    in delivering nursing care?
    A. Type of illness of the client
    B. Transference and counter transference
    C. Effective communication
    D. Personality of the participants

Answer 41

C. Effective communication

Question 42

42. Grace sustained a laceration on her leg from
    automobile accident. Why are lacerations of
    lower extremities 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

Answer 42

D. increased bleeding can occur from
uterine pressure on leg veins

Question 43

43. In working with the caregivers of a client with an
    acute or chronic illness, the nurse would:
    A. Teach care daily and let the caregivers
    do a return demonstration just before
    discharge
    B. Difficulty swallowing, diminished or
    absent gag reflex, and respiratory
    distress.
    C. Difficulty sleeping, hypervigilant, and an
    arching of the back
    D. Paradoxical irritability, diarrhea, and
    vomiting

Answer 43

A. Teach care daily and let the caregivers
do a return demonstration just before
discharge

Question 44

45. According to DeRosa and Kochura’s (2006)
    article entitled “Implement Culturally Competent
    Health Care in your work place,” cultures have
    different patterns of verbal and nonverbal
    communication. Which difference does?
    A. NOT necessarily belong?
    B. Personal behavior
    C. Subject matter
    D. Eye contact
    E. Conversational style

Answer 44

C. Subject matter

Question 45

44. Which of the following roles BEST exemplifies
    the expanded role of the nurse?
    A. Circulating nurse in surgery
    B. Medication nurse
    C. Obstetrical nurse
    D. Pediatric nurse practitioner

Answer 45

D. Pediatric nurse practitioner

Question 46

46. You are the nurse assigned to work with a child
    with acute glomerulonephritis. By following the
    prescribed treatment regimen, the child
    experiences a remission. You are now checking
    to make sure the child does not have a relapse.
    Which finding would most lead you to the
    conclusion that a relapse 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 have 3-4+ proteinutria
    plus edema.
    C. The urine dipstick showing glucose in the
    urine for 3 days, extreme thirst, increase
    in urine output, and a moon face.
    D. A temperature of 37.8 degrees (100
    degrees F), flank pain, burning
    frequency, urgency on voiding, and
    cloudy urine.

Answer 46

B. A urine dipstick measurement of 2+
proteinuria or more for 3 days, or the
child found to have 3-4+ proteinutria
plus edema.

Question 47

47. The nurse is working with an adolescent who
    complains of being lonely and having a lack of
    fulfillment in her life. This adolescent shies away
    from intimate relationships at times yet at other
    times she appears promiscuous. The nurse will
    likely work with this adolescent in which of the
    following areas?
    A. Isolation
    B. Lack of fulfillment
    C. Loneliness
    D. Identity

Answer 47

D. Identity

Question 48

48. The use of interpersonal decision making,
    psychomotor skills, and application of
    knowledge expected in the role of a licensed
    health care professional in the context of public
    health welfare and safety is an example of:
    A. Delegation
    B. Responsibility
    C. Supervision
    D. Competence

Answer 48

D. Competence

Question 49

49. The painful phenomenon known as “back labor”
    occurs in a client whose fetus in what position?
    A. Brow position
    B. Breech position
    C. Right Occipito-Anterior Position
    D. Left Occipito-Posterior Position

Answer 49

D. Left Occipito-Posterior Position

Question 50

50. FOCUS methodology stands for:
    A. Focus, Organize, Clarify, Understand
    and Solution
    B. Focus, Opportunity, Continuous, Utilize,
    Substantiate
    C. Focus, Organize, Clarify, Understand,
    Substantiate
    D. Focus, Opportunity, Continuous
    (process), Understand, Solution

Answer 50

A. Focus, Organize, Clarify, Understand
and Solution

Question 51

SITUATION: The infant and child mortality rate in the low
to middle income countries is ten times higher than
industrialized countries. In response to this, the WHO
and UNICEF launched the protocol Integrated
Management of Childhood Illnesses to reduce the
morbidity and mortality against childhood illnesses.

51. If a child with diarrhea registers two signs in the
    yellow row in the IMCI chart, we can classify the
    patient as:
    A. Moderate dehydration
    B. Severe dehydration
    C. Some dehydration
    D. No dehydration

Answer 51

C. Some dehydration

Question 52

52. Celeste has had diarrhea for 8 days. There is no
    blood in the stool, he is irritable, his eyes are
    sunken, the nurse offers fluid to Celeste and he
    drinks eagerly. When the nurse pinched the
    abdomen it goes back slowly. How will you
    classify Celeste’s illness?
    A. Moderate dehydration
    B. Severe dehydration
    C. Some dehydration
    D. No dehydration

Answer 52

C. Some dehydration

Question 53

53. A child who is 7 weeks has had diarrhea for 14
    days but has no sign of dehydration is classified
    as:
    A. Persistent diarrhea
    B. Dysentery
    C. Severe dysentery
    D. Severe persistent diarrhea

Answer 53

D. Severe persistent diarrhea

Question 54

54. The child with no dehydration needs home
    treatment. Which of the following is not
    included in the rules for home treatment in this
    case?
    A. Forced fluids
    B. When to return
    C. Give vitamin A supplement
    D. Feeding more

Answer 54

C. Give vitamin A supplement

Question 55

55. Fever as used in IMCI includes:
    A. Axillary temperature of 37.5 or higher
    B. Rectal temperature of 38 or higher
    C. Feeling hot to touch
    D. All of the above
    E. A and C only

Answer 55

D. All of the above

Question 56

56. An important role of the community health
    nurse in the prevention and control of Dengue
    H-fever includes:
    A. Advising the elimination of vectors by
    keeping water containers covered
    B. Conducting strong health education
    drives/campaign directed towards
    proper garbage disposal
    C. Explaining to the individuals, families,
    groups and community the nature of
    the disease and its causation
    D. Practicing residual spraying with
    insecticides

Answer 56

C. Explaining to the individuals, families,
groups and community the nature of
the disease and its causation

Question 57

57. Community health nurses should be alert in
    observing a Dengue suspect. The following is
    NOT an indicator for hospitalization of H-fever
    suspects?
    A. Marked anorexia, abdominal pain and
    vomiting
    B. Increasing hematocrit count
    C. Cough of 30 days
    D. Persistent headache

Answer 57

C. Cough of 30 days

Question 58

58. The community health nurses’ primary concern
    in the immediate control of hemorrhage among
    patients with dengue is:
    A. Advising low fiber and non-fat diet
    B. Providing warmth through light weight
    covers
    C. Observing closely the patient for vital
    signs leading to shock
    D. Keeping the patient at rest

Answer 58

D. Keeping the patient at rest

Question 59

59. Which of these signs may NOT be REGARDED as
    a truly positive signs indicative of Dengue Hfever?
    A. Prolonged bleeding time
    B. Appearance of at least 20 petechiae
    within 1cm square
    C. Steadily increasing hematocrit count
    D. Fall in the platelet count

Answer 59

B. Appearance of at least 20 petechiae
within 1cm square

Question 60

60. Which of the following is the most important
    treatment of patients with Dengue H-fever?
    A. Give aspirin for fever
    B. Replacement of body fluids
    C. Avoid unnecessary movement of patient
    D. Ice cap over the abdomen in case of
    melena

Answer 60

B. Replacement of body fluids

Question 61

Situation: Health education and Health promotion is an
important part of nursing responsibility in the
community. Immunization is a form of health promotion
that aims at preventing the common childhood illnesses.
61. In correcting misconceptions and myths about
certain diseases and their management, the health worker should first:
A. Identify the myths and misconceptions
prevailing in the community
B. Identify the source of these myths and
misconceptions
C. Explain how and why these myths came
about
D. Select the appropriate IEC strategies to
correct them

Answer 61

A. Identify the myths and misconceptions
prevailing in the community

Question 62

62. How many percent of measles are prevented by
    immunization at 9 months of age?
    A. 80%
    B. 99%
    C. 90%
    D. 95%

Answer 62

A. 80%

Question 63

63. After TT3 vaccination a mother is said to be
    protected to tetanus by around:
    A. 80%
    B. 99%
    C. 85%
    D. 90%

Answer 63

D. 90%

Question 64

64. If ever convulsions occur after administering
    DPT, what should the nurse best suggest to the
    mother?
    A. Do not continue DPT vaccination
    anymore
    B. Advise mother to comeback after 1 week
    C. Give DT instead of DPT
    D. Give pertussis of the DPT and remove DT

Answer 64

C. Give DT instead of DPT

Question 65

65. These vaccines are given 3 doses at one month
    intervals:
    A. DPT, BCG, TT
    B. OPV, HEP. B, DPT
    C. DPT, TT, OPV
    D. Measles, OPV, DPT

Answer 65

B. OPV, HEP. B, DPT

Question 66

Situation – With the increasing documented cases of
CANCER the best alternative to treatment still remains to
be PREVENTION. The following conditions apply.
66. 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

Answer 66

A. Elimination of conditions causing cancer

Question 67

67. In the prevention and control of cancer, which of
    the following activities is the most important function 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 and treatment modalities.
    D. Teach woman about proper/correct
    nutrition.

Answer 67

A. Conduct community assemblies

Question 68

68. 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

Answer 68

A. Those under early case detection

Question 69

69. Who among the following are recipients of the
    tertiary level of care for cancer cases?
    A. Those under early treatment
    B. Those under early detection
    C. Those under supportive care
    D. Those scheduled for surgery

Answer 69

C. Those under supportive care

Question 70

70. In Community Health Nursing, despite the
    availability and use of many equipment and
    devices to facilitate the job of the community
    health nurse, the best tool any nurse should be
    wel be prepared to apply is a scientific approach.
    This approach ensures quality of care even at the
    community setting. This is nursing parlance is
    nothing less than the:
    A. nursing diagnosis
    B. nursing research
    C. nursing protocol
    D. nursing process

Answer 70

D. nursing process

Question 71

Situation – Two children were brought to you. One with
chest indrawing and the other had diarrhea. The
following questions apply:
71. Using Integrated Management and Childhood
Illness (IMCI) approach, how would you classify
the 1st child?
A. Bronchopneumonia
B. Severe pneumonia
C. No pneumonia : cough or cold
D. Pneumonia

Answer 71

B. Severe pneumonia

Question 72

72. The 1st child who is 13 months has fast
    breathing using IMCI parameters he has:
    A. 40 breaths per minute or more
    B. 50 breaths per minute
    C. 30 breaths per minute or more
    D. 60 breaths per minute

Answer 72

A. 40 breaths per minute or more

Question 73

73. Nina, the 2nd child has diarrhea for 5 days.
    There is no blood in the stool. She is irritable,
    and her eyes are sunken. The nurse offered
    fluids and and the child drinks eagerly. How
    would you classify Nina’s illness?
    A. Some dehydration
    B. Severe dehydration
    C. Dysentery
    D. No dehydration

Answer 73

A. Some dehydration

Question 74

74. Nina’s treatment should include the following
    EXCEPT:
    A. reassess the child and classify him for
    dehydration
    B. for infants under 6 months old who are
    not breastfed, give 100-200 ml clean
    water as well during this period
    C. Give in the health center the
    recommended amount of ORS for 4
    hours.
    D. Do not give any other foods to the child
    for home treatment

Answer 74

D. Do not give any other foods to the child
for home treatment

Question 75

75. While on treatment, Nina 18 months old
    weighed 18 kgs. and her temperature registered
    at 37 degrees C. Her mother says she developed
    cough 3 days ago. Nina has no general danger
    signs. She has 45 breaths/minute, no chest indrawing,
    no stridor. How would you classify
    Nina’s manifestation?
    A. No pneumonia
    B. Pneumonia
    C. Severe pneumonia
    D. Bronchopneumonia

Answer 75

B. Pneumonia

Question 76

76. Carol is 15 months old and weighs 5.5 kgs and it
    is her initial visit. Her mother says that Carol is
    not eating well and unable to breastfeed, he has
    no vomiting, has no convulsion and not
    abnormally sleepy or difficult to awaken. Her
    temperature is 38.9 deg C. Using the integrated
    management of childhood illness or IMCI
    strategy, if you were the nurse in charge of
    Carol, how will you classify her illness?
    A. a child at a general danger sign
    B. severe pneumonia
    C. very severe febrile disease
    D. severe malnutrition

Answer 76

C. very severe febrile disease

Question 77

77. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?
    A. their skin is more susceptible to
    conduction of cold
    B. they are preterm so are born relatively
    small in size
    C. they do not have as many fat stored as
    other infants
    D. they are more active than usual so they
    throw off comes

Answer 77

C. they do not have as many fat stored as
other infants

Question 78

78. Oxytocin is administered to Rita to augment
    labor. What are the first symptoms of water
    intoxication to observe for during this
    procedure?
    A. headache and vomiting
    B. a high choking voice
    C. a swollen tender tongue
    D. abdominal bleeding and pain

Answer 78

A. headache and vomiting

Question 79

79. Which of the following treatment should NOT be
    considered if the child has severe dengue
    hemorrhagic fever?
    A. use plan C if there is bleeding from the
    nose or gums
    B. give ORS if there is skin Petechiae,
    persistent vomiting, and positive
    tourniquet test
    C. give aspirin
    D. prevent low blood sugar

Answer 79

C. give aspirin

Question 80

80. In assessing the patient’s condition using the
    Integrated Management of Childhood Illness
    approach strategy, the first thing that a nurse
    should do is to:
    A. ask what are the child’s problem
    B. check for the four main symptoms
    C. check the patient’s level of
    consciousness
    D. check for the general danger signs

Answer 80

A. ask what are the child’s problem

Question 81

81. A child with diarrhea is observed for the
    following EXCEPT:
    A. how long the child has diarrhea
    B. presence of blood in the stool
    C. skin Petechiae
    D. signs of dehydration

Answer 81

C. skin Petechiae

Question 82

82. The child with no dehydration needs home
    treatment. Which of the following is NOT
    included in the care for home management at
    this case?
    A. give drugs every 4 hours
    B. give the child more fluids
    C. continue feeding the child
    D. inform when to return to the health
    center

Answer 82

A. give drugs every 4 hours

Question 83

83. Ms. Jordan, RN, believes that a patient should be
    treated as individual. This ethical principle that
    the patient referred to:
    A. beneficence
    B. respect for person
    C. nonmaleficence
    D. autonomy

Answer 83

B. respect for person

Question 84

84. When patients cannot make decisions for
    themselves, the nurse advocate relies on the
    ethical principle of:
    A. justice and beneficence
    B. beneficence and nonmaleficence
    C. fidelity and nonmaleficence
    D. fidelity and justice

Answer 84

B. beneficence and nonmaleficence

Question 85

85. Being a community health nurse, you have the
    responsibility of participating in protecting the
    health of people. Consider this situation:
    Vendors selling bread with their bare hands.
    They receive money 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”

Answer 85

C. “Miss, it is better to use a pick up
forceps/ bread tong”

Question 86

Situation: The following questions refer to common
clinical encounters experienced by an entry level nurse.
86. A female client asks the nurse about the use of a
cervical cap. Which statement is correct
regarding 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.

Answer 86

A. It may affect Pap smear results.

Question 87

87. 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

Answer 87

D. Message, sender, channel, receiver and
feedback

Question 88

88. The extent of burns in children are normally
    assessed and expressed in terms of:
    A. The amount of body surface that is
    unburned
    B. Percentages of total body surface area
    (TBSA)
    C. How deep the deepest burns are
    D. The severity of the burns on a 1 to 5
    burn scale.

Answer 88

B. Percentages of total body surface area
(TBSA)

Question 89

89. 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

Answer 89

C. A victim of child neglect

Question 90

90. Which of the following indicates the type(s) of
    acute renal failure?
    A. Four types: hemorrhagic with and
    without clotting, and nonhemorrhagic
    with and without clottings
    B. One type: acute
    C. Three types: prerenal, intrarenal and
    postrenal
    D. Two types: acute and subacute

Answer 90

C. Three types: prerenal, intrarenal and
postrenal

Question 91

90. Which of the following indicates the type(s) of
    acute renal failure?
    A. Four types: hemorrhagic with and
    without clotting, and nonhemorrhagic
    with and without clottings
    B. One type: acute
    C. Three types: prerenal, intrarenal and
    postrenal
    D. Two types: acute and subacute

Answer 91

C. Three types: prerenal, intrarenal and
postrenal

Question 92

Situation: Mike 16 y/o has been diagnosed to have AIDS;
he worked as entertainer in a cruise ship;
91. Which method of transmission is common to
contract AIDS?
A. Syringe and needles
B. Sexual contact
C. Body fluids
D. Transfusion

Answer 92

B. Sexual contact

Question 93

93. You are assigned in a private room of Mike.
    Which procedure should be of outmost
    importance;
    A. Alcohol wash
    B. Washing Isolation
    C. Universal precaution
    D. Gloving technique

Answer 93

C. Universal precaution

Question 94

What primary health teaching would you give to
mike;
A. Daily exercise
B. reverse isolation
C. Prevent infection
D. Proper nutrition

Answer 94

C. Prevent infection

Question 95

95. Exercise precaution must be taken to protect
    health worker dealing with the AIDS patients .
    which among these must be done as priority:
    A. Boil used syringe and needles
    B. Use gloves when handling specimen
    C. Label personal belonging
    D. Avoid accidental wound

Answer 95

B. Use gloves when handling specimen

Question 96

Situation: Michelle is a 6 year old preschooler. She was
reported by her sister to have measles but she is at
home because of fever, upper respiratory problem and
white sports in her mouth.
96. Rubeola is an Arabic term meaning Red, the rash
appears on the skin in invasive stage prior to
eruption behind the ears. As a nurse, your
physical examination must determine
complication especially:
A. Otitis media
B. Inflammatory conjunctiva
C. Bronchial pneumonia
D. Membranous laryngitis

Answer 96

C. Bronchial pneumonia

Question 97

97. 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. Water
    B. Alkaline
    C. Sulfur
    D. Salt

Answer 97

D. Salt

Question 98

98. As a public health nurse, you teach mother and
    family members the prevention of complication
    of measles. Which of the following should be closely watched?
    A. Temperature fails to drop
    B. Inflammation of the nasophraynx
    C. Inflammation of the conjunctiva
    D. Ulcerative stomatitis

Answer 98

B. Inflammation of the nasophraynx

Question 99

99. Source of infection of measles is secretion of
    nose and throat of infection person. Filterable
    virus of measles is transmitted by:
    A. Water supply
    B. Food ingestion
    C. Droplet
    D. Sexual contact

Answer 99

C. Droplet

Question 100

100. Method of prevention is to avoid
     exposure to an infection person. Nursing
     responsibility for rehabilitation of patient
     includes the provision of:
     A. Terminal disinfection
     B. Immunization
     C. Injection of gamma globulin
     D. Comfort measures

Answer 100

D. Comfort measures