1

IFC4 - NURSING PRACTICE 2 A

(IFC4-NP2-001-013-J)
_____________________________________________
NURSING PRACTICE II SET A
NURSING PRACTICE II: COMMUNITY HEALTH
NURSING AND CARE OF THE MOTHER AND CHILD
GENERAL INSTRUCTIONS:
1. This test booklet contains 100 test questions.
2. Read INSTRUCTIONS TO EXAMINEES printed on
your answer sheet.
3. Shade only one (1) box for each question on your
answer sheets. Two or more boxes shaded will
invalidate your answer.
4. AVOID ERASURES.
5. This is PRC property. Unauthorized possession,
reproduction, and/or sale of this test is punishable by
law. Per RA 8981.

A. BCG
B. Measles
C. Tetanus toxoid
D. Hepatitis B
SITUATION: Diagnostic examinations performed in
pregnant clients are useful in determining the health of the
unborn child. The following questions refer this.
11. Instruction to the mother prior to amniocentesis
includes:
A. Ask the woman to void
B. Tell her that 30 ml of amniotic fluid will be taken

C. Ask the woman to drink

D. Instruct to lie in left lateral position
12. Amniocentesis can be done as early as:
A. 6-8th week
B. 11-12th week
th
C. 14-16 week
D. 18-20th week
13. The rationale of voiding prior to amniocentesis is to:
A. Prevent puncture to the vagina
C. Prevent vena cava syndrome
B. Prevent puncture to the bladder
D.
Promote
comfort
during
the
procedure
INSTRUCTIONS:
14. After the procedure, the woman is instructed the rest
1. Detach one (1) answer sheet from the bottom of your
quietly for a period of:
Examinee ID/Answer Sheet Set.
A. 8 hours
B. 30 minutes
2. Write the subject title Nursing Practice II on the box
C.
15
minutes
D. 4 hours
provided.
15. If Amniocentesis reveals a low value, the physician
3. Shade Set Box A on your answer sheet if your test
might suspect genetic or chromosomal abnormality
booklet is Set A; Set Box B if your test booklet is Set
such as Down syndrome. Genetic testing is another
B.
viable option for the family. The nurse should know
that genetic testing should only be done if:
SITUATION: Immunization is necessary in order to save lives, not
A. Both parents want it performed
only for children but also for the mother.
C. It is necessary for the child to survive
1. Tetanus vaccination is given to the mother. How many years will
B. It is in the best interest of the child
TT4 last?
D. No one objects
A. 3
B. 5
C. 10 D. Life
16.
Francis
is admitted in active labor. The nurse locates
2. TT1 will give how many percent protections to the mother?
fetal
heart
sounds in the upper left quadrant of the
A. 75% B. 80% C. 90%
D. 99%
mothers
abdomen.
The nurse would recognize which
3. What TT gives protection to all infants born to that mother who
of
the
following?
received that specific vaccination?
A. Francis will probably deliver very quickly and
A. TT2 B. TT5 C. TT3
D. TT4
without problems]
4. In a population of 77,500. What is your estimate of the
B.
This indicates Francis will probably have a breech
population of pregnant woman needing tetanus toxoid
delivery
vaccination?
C.
The fetus is in the most common anterior fetal
A. 2712.5 B. 2713 C. 2325
D. 2332.5
positions
5. Which of the following is an inactivated toxin?
D.
this position is referred to as being left
A. BCG
B. Measles
anteriopelvic
C. Tetanus Toxoid
D. Hepatitis B
17.
Maybelle
is scheduled to have an ultrasound
6. TT administration uses what route?
examination.
What instructions would you give her
A. IM
B. IV
C. SQ
D. Oral
before
her
examination?
7. Christina receives DPT 3 during infancy. The first TT
A. The intravenous fluid infused to dilate your uterus
vaccination for her will provide:
does not hurt the fetus
A. 5 years protection
B. you will need to drink at least 3 glasses of fluid
B. 3 years protection
before the procedure
C. 10 years protection
C.
void immediately before the procedure to reduce
D. No protection until the second TT vaccination
your bladder size
8. Measles vaccination provides atleast how many
D.
you can have medicine for pain for any
percent of protection in children age 9 months?
contractions cause by the test
A. 50% B. 75%
C. 80%
D. 99%
18.
At
17
weeks gestation, a type 1 diabetic undergoes an
9. The most common fatal complication of measles is
ultrasound examination. What information about the
usually associated with:
fetus at this time in pregnancy would be the results of
A. Pneumonia
B. Diarrhea
this examination provide?
C. LTB
D. Seizures
A. Placental maturity
10. Which of the following immunization is a plasma
C. Gestational age
derivative?
B. Estimated fetal weight
D.
Fetal lung maturity
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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
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19. Fetal lung maturity is depicted by an L:S Ratio of:
A. 2:1 B. 1:2 C. 3:3 D. 2:2
20. Genetic counselling can also be performed. The ideal
time for genetic counselling is:
A. When the first born child exhibit defects or
malformation
B. After marriage
C. At the first trimester of pregnancy
D. Before the first pregnancy
SITUATION: Two children were brought to you. One with
chest indrawing and the other had diarrhea. The following
questions apply:
21. 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
22. The 1st child who is 13 months has fast breathing
using IMCI parameters he has:
A. 40 breaths per minute or more
B. 30 breaths per minute or more
C. 50 breaths per minute
D. 60 breaths per minute
23. 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 Ninas illness?
A. Some dehydration
B. Severe dehydration
C. Dysentery
D. No dehydration
24. Ninas 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
25. 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 in-drawing, no stridor. How
would you classify Ninas manifestation?
A. No pneumonia
C. Pneumonia
B. Severe pneumonia D. Bronchopneumonia
SITUATION: There are other important basic knowledge in
the performance of our task as Community Health Nurse in
relation to IMMUNIZATION, these include:
26. The correct temperature to store vaccines in a
refrigerator is:
A. Between -4 deg C and +8 deg C
B. Between 2 deg C and +8 deg C
C. Between -8 deg C and 0 deg C
D. Between -8 deg C and +4 deg C
27. Which of the following vaccines is not done by
intramuscular (IM) injection?
A. Measles vaccine
C. Hepa-B vaccine

B. DPT
D. Tetanus toxoids
28. This vaccine content is derived from RNA
recombinants.
A. Measles
C. Hepatitis B vaccines
B. Tetanus toxoids D. DPT
29. This is the vaccine needed before a child reaches one
(1) year in order for him/her to qualify as a Fully
immunized child.
A. DPT
C. Measles
B. Hepatitis B
D. BCG
30. Which of the following dose of tetanus toxoid is given to
the mother to protect her infant from neonatal tetanus
and likewise provide 10 years protection for the
mother?
A. Tetanus toxoid 3
C. Tetanus toxoid 1
B. Tetanus toxoid 2
D. Tetanus toxoid 4
31. The nurse instructs the caregivers of a newborn to
notch the diapers or fold them in such a way as to
expose the cord. The major purpose of exposing the
cord is to:
A. Remind caregivers to do cord care
B. Provide air circulation for the cord
C. Keep the diaper from rubbing the cord
D. Allow visualizations at all times
32. The level of health of an individual, family, group,
population, or community is called:
A. Health assets
C. Quality of life
B. Health status D. Health needs
33. The nurse is teaching a group of expectant mothers
about the prevention of diaper dermatitis. The nurse
explains that one of the preventive measures is the
use of:
A. Absorbent disposable diapers
B. Plastic panties over diapers
C. Baby powder or cornstarch
D. Cloth diaper
34. The Code of Nurses
A. Delineates all obligations and responsibilities of
the nurse
B. Is a binding oath, which directs nurses how to
make clinical decisions in clinical practice
C. Assists the nurse in formulating a personal belief
system
D. Supports the concept of respect for all persons
35. The obligation to correctly perform ones assigned
duties is:
A. Delegation
C. Responsibility
B. Assignment
D. Accountability
SITUATION: You are working as a Pediatric Nurse in you
own Child Health Nursing Clinic. The following cases
pertain to ASSESSMENT AND CARE OF THE NEWBORN
AT RISK conditions.
36. Theresa, a mother with a 2 year old daughter asks, at
what age can I be able to take the blood pressure of
my daughter as a routine procedure since
hypertension is common in the family? Your answer
to this is:
A. At 10 years old you may
B. As early as 1 year old
C. When shes 3 years old
D. When shes 6 years old
37. You typically gag children to inspect the back of their
throat. When is it important NOT to elicit a gag reflex?
A. When a girl has a geographic tongue

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B. When a child has symptoms of epiglottitis
C. When a boy has a possible inguinal hernia
D. When children are under 5 years of age
38. Baby John was given a drug at birth to reverse the
effects of a narcotic given to his mother in labor. What
drug is commonly used for this?
A. Naloxone (Narcan)
C. Sodium Chloride
B. Morphine Sulfate
D. Penicillin G
39. Why are small-for-gestational-age newborns at risks for
difficulty maintaining body temperature?
A. They do not have as many fat stores as other
infants
B. They are more active than usual so throw off
covers
C. Their skin is more susceptible to conduction of cold
D. They are preterm so are born relatively small in
size
40. Baby John develops hyperbilirubinemia. What is a
method used to treat hyperbilirubinemia in a newborn?
A. Keeping infants in a warm and dark environment
B. Administration of cardiovascular stimulant
C. Gentle exercise to stop muscle breakdown
D. Early feeding to speed passage of meconium
41. The nurse manager wishes to implement a new way of
determining the vacation schedule for the staff. The
senior staff opposes the change while the newer staff
seems more accepting of the change. An effective
strategy for resolving this difference in acceptance
would be to:
A. Explain that the change will occur as designed,
regardless of the staffs preference
B. Tell the staff that if they really do not want the
change, it will not be implemented
C. Provide extensive and detailed rationale for the
proposed change
D. Encourage each side to share their views with each
other
42. The following are the duties of the Public Health Nurse
EXCEPT:
A. Leave to the BHW the responsibilities of educating
the community
B. Provision of nursing care to the sick and well
individuals
C. Provision of technical and administrative support to
rural health midwives
D. Conduct of pre and post consultation conference
for clinic patients
43. An 8 month old has fast breathing if he has:
A. 40 breaths per minute
B. 38 breaths per minute
C. 55 breaths per minute
D. 45 breaths per minute
44. The following are the concerns of the Public Health
Nurse on the third trimester of pregnancy EXCEPT:
A. Advice for the mother to take oral contraceptive
B. Where to give birth
C. Proper timing in the separation of mother to other
siblings
D. Type of feeding
45. When a child with persistent diarrhea returns for followup visit after 5 days, the nurse should ask the mother if
the diarrhea has stopped when:
A. The child has less than 3 loose bowels per day
B. The child has 4 semi formed stool

C. The child has 5 formed stools

D. The child has 3 loose stools/day
46. In barangay Y, one of the identified problems is
unavailability of toilet facility for the residents. The
appropriate intervention is:
A. Secure donations in the form of toilet bowls
B. Ask help from local government
C. None of the above
D. Conduct a community assembly and discuss the
consequences of this problems
47. A home visit is a professional interaction between the
community health nurse and his patient or the family.
Where could the nurse get available information about
the patient or the family to be visited?
A. Document files
C. Doctors office
B. Records and reports D. Family health record
48. In planning a home visit, the nurse considers the
individual needs. Which of the following is a priority?
A. Needs of all family members
B. Follow-up of medication and treatment
C. Needs recognized by the family
D. Clinic schedules after home visit
49. Which of the following is the FIRST action of the nurse
during a home visit?
A. Greet the client or the household members
B. State the purpose or objective of the visit
C. Give necessary health teaching
D. Inquire about welfare and health condition of the
client
50. Which factor must be considered by the nurse as vital
to determine frequency of the home visit?
A. Available resources C. Acceptance of the family
B. Policy of the agency D. Past nursing services
SITUATION: In the toddler period, enormous changes take
place in a child and, consequently, in a family. As a nurse,
we must support the childs growing independence with
patience and sensitivity and learn methods of handling the
childs frustrations that arise from the quest for autonomy.
The following questions are about the care of the toddler
patient.
51. Which assessment finding is an early sign of heart
failure in a toddler?
A. Increased respiratory rate
B. Decreased weight
C. Increased urine output
D. Decreased heart rate
52. The physician prescribes digoxin (Lanoxin) elixir for a
toddler with heart failure. Immediately before
administering this drug, the nurse must check the
toddler's:
A. Serum sodium level.
B. Urine output.
C. Weight.
D. Apical pulse.
53. A 2-year-old child with a low blood level of the
immunosuppressive drug cyclosporine comes to a liver
transplant clinic for her appointment. The mother says
the child hasn't been vomiting and hasn't had diarrhea,
but she admits that her daughter doesn't like taking the
liquid medication. Based on knowledge of the drug,
which of the following would the nurse instruct the
mother to do?
A. Let your daughter take her medication only when
she wants it; it's okay for her to miss some doses.

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be liable
for any complaints, actions or suits in connection with the contents of the materials of this compilation.

4
B. Offer the medication diluted with regular milk,
chocolate milk, or orange juice to make it more
palatable.
C. Insert a nasogastric (NG) tube and administer the
medication using the tube as ordered by the
physician.
D. Give the ordered dose a little bit at a time over 2
hours to ensure administration of the medication.
54. A toddler is hospitalized with multiple injuries. Although
the parent states that the child fell down the stairs, the
child's history and physical findings suggest abuse as
the cause of the injuries. What should the nurse do
first?
A. Refer the parent to a support group such as
Parents Anonymous.
B. Report the incident to the proper authorities.
C. Prepare the child for foster care placement.
D. Restrict the parent from the child's room.
55. The mother of a hospitalized 3-year-old girl expresses
concern because her daughter is wetting the bed.
What should the nurse tell her?
A. "It's common for a child to exhibit regressive
behavior when anxious or stressed."
B. "Your child is probably angry about being
hospitalized. This is her way of acting out."
C. "Don't worry. It's common for a 3-year-old child to
not be fully toilet-trained."
D. "The nurses probably haven't been answering the
call button soon enough. They will try to respond
more quickly."
56. A 2-year-old child is brought to the emergency
department with a history of upper airway infection that
has worsened over the last 2 days. The nurse
suspects the child has croup. Signs of croup include a
hoarse voice, inspiratory stridor, and:
A. A barking cough
C. Sudden onset
B. A high fever
D. Dysphagia
57. A toddler with bacterial meningitis is admitted to the
inpatient unit. Which infection control measure should
the nurse be prepared to use?
A. Reverse isolation
C. Standard precautions
B. Strict hand washing D. Respiratory isolation
58. An 18-month-old male child is admitted to the pediatric
unit with a diagnosis of celiac disease. What finding
would the nurse expect in this child?
A. A concave abdomen
B. A protuberant abdomen
C. Bulges in the groin area
D. A palpable abdominal mass
59. A toddler with a ventricular septal defect (VSD) is
receiving digoxin (Lanoxin) to treat heart failure. The
nurse should monitor the child for early signs of
digoxin toxicity, which include:
A. Bradycardia
B. Tachycardia
C. Hypertension
D. Hyperactivity
60. For a child with a circumferential chest burn, what is the
most important factor for the nurse to assess?
A. Wound characteristics C. Breathing pattern
B. Body temperature
D. Heart rate
SITUATION: Elvira is asking questions during labor and
delivery.
61. Elvira didnt recognize for over an hour that she was in
labor. A sign of true labor is:

A. Sudden increase energy from epinephrine release

B. Nagging but constant pain in the lower back.
C. Urinary urgency from increased bladder pressure.
D. Show or release of the cervical mucus plug.
62. Elvira asks you which fetal position and presentation
are ideal. Your best answer would be:
A. Right occipitoanterior with full flexion
B. Right occipitoposterior with no flexion
C. Left transverse anterior in moderate flexion
D. Left sacroanterior with full flexion
63. Elvira is having long and hard uterine contractions.
What length of contraction would you report as
abnormal?
A. Any length over 30 seconds
B. A contraction that peaks at 20 seconds
C. A contraction over 70 seconds in length
D. A contraction shorter than 60 seconds
64. You assess Elviras uterine contractions. In relation to
the contraction, when does a late deceleration 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.
65. Elvira has an amniotomy. After this procedure, which of
the following would be an important nursing
assessment?
A. Ask her if her pain level is tolerable
postprocedure.
B. Assess maternal heart rate to detect possible
bleeding.
C. Assess fetal heart rate to detect possible cord
prolapsed.
D. Document the amount of amniotic fluid that has
been lost.
SITUATION: Donna is a client in labor
66. Donna asks you what is the purpose of a doula in labor.
Your best answer would be:
A. She times contractions and keeps them from
becoming too lengthy.
B. She can cook for a woman in labor to keep her
from becoming dehydrated.
C. She can serve as a support person and coach
during labor.
D. She replaces the husband as a womans support
person.
67. Donna asks you if she could use warm-water tub
bathing during labor. Your best answer would be:
A. No. No one is allowed to tub bathe during labor.
B. Yes, as long as her membranes are not ruptured.
C. No, because warm water can diminish labor
contractions
D. Yes, as long as the warm water doesnt raise her
temperature.
68. Donna chooses to have epidural anesthesia. What are
the two risks associated with this?
A. Hypotension and prolonged second stage of
labor.
B. Severe headache and coldness of all extremities.
C. Continued back pain and short first stage of labor
D. Hypertension and a reduced red blood cell count.
69. There is no reason to think that Donna will need a
general anesthetic. If she did, what type of drug is

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be liable
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5
usually prescribed to minimize the risk of aspiration of
vomitus?
A. An anticonvulsant such as diazepam (Valium).
B. A nerve relaxant such as Phenobarbital.
C. Metoclopramide (Reglan) to speed gastric
emptying.
D. Oxytocin to increase the effectiveness of labor
70. Donna reports in early labor she isnt having much
pain. You assess that her contractions are also not
strong. What position usually promotes efficient uterine
contractions in any labor?
A. Sitting or standing C. Lying prone
B. Lying supine
D. Side-lying position
SITUATION: Angelo is 2 year old boy you see at a
pediatric clinic. His mother tells you that he has changed
completely in the past 6 months from an easy-to-care-for a
baby into a monster who refuses to do anything she asks.
The only word he says anymore is no. He has a temper
tantrum every night at dinner over some type of food. She
tells you this has changed parenting from fun to a real
chore. Angelo has a sister, Celina, a toddler.
71. What kind of sentence should Angelo, a 2 year old,
have mastered?
A. Red ripe tomatoes C. Old McDonald
B. Daddy come
D. Please, please
72. Angelo answers every request of his mother by saying
No! How can she minimize this?
A. Tell Angelo she doesnt want him to say no
anymore.
B. Answer all Angelos questions by saying, No!
C. Reduce the number of questions she asks Angelo.
D. Explain he is not using good communication skills.
73. Angelos mother uses timeout for punishment. What is
a good rule for this?
A. The child should sit still for as many minutes as his
age.
B. The child should sit still for as many minutes as he
misbehaved.
C. Timeout activities can include quiet play or reading
books.
D. Children are not ready for timeout until schoolage.
74. Celina asks constant questions. How many does a
typical 3-year-old ask in a days time?
A. Less than 50
B. 100-200
C. 300-400
D. 1,200 or more
75. Celinas parents want to know how to react to her when
she begins to masturbate while watching television.
What would you suggest?
A. They give her reward when this begins.
B. They refuse to allow her to watch television.
C. They remind her some activities are private.
D. They schedule for a health check up for vaginal
disease.
SITUATION: Nursing research is the term used to describe
the evidence used to support nursing practice. Nursing, as
an evidence based area of practice, has been developing
since the time of Florence Nightingale to the present day,
where many nurses now work as researchers based in
universities as well as in the health care setting.
76. Mr. DSJ Plans to undertake a research of Community 1
and 2 on how they manage their health using Primary

health care after an organization and training

seminars. This type of research is:
A. Experimental
B. Historical
C. Descriptive
D. Basic
77. The independent variable is:
A. Primary Health Care
C. Organization and training seminars
B. Community 1 and 2
D. Management of their health
78. In this design, the variable that is being manipulated is
1. Independent
2. Dependent
3. Organization and training seminars
4. Management of Primary Health Care
A. 1, 3
B. 1, 2
C. 2, 3
D. 3, 4
79. 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
C. 2, 5, 3, 4, 1
B. 3, 5, 4, 1, 2
D. 2, 5, 1, 3, 4
80. Studies done in natural setting such as this one,
posses difficulty of controlling which variable?
A. Independent
B. Dependent
C. Extraneous
D. Organismic
SITUATION: Kiko, 7 weeks old, was brought by his mother
to the health center because of diarrhea occurring 4 to 5
times a day.
81. Your assessment revealed that Kiko has sunken eyes
and he is restless and irritable. What will be your
diagnosis?
A. No sign of dehydration
B. Some dehydration
C. Severe dehydration
D. You need to asses him further to be able to make
a diagnosis
82. Based on your diagnosis, which of the following is best
done for Kiko?
A. Accompany Chico to the nearest facility where IV
fluids can be given
B. Give Chico 200 to 400 ml. Oresol in 4 hours
C. Give Chicos mother instruction in home
management
D. Keep him in your health center for close
observation
83. In Kikos assessment, what other problems do you
have to consider?
A. The presence of blood on his stools
B. Fever or hypothermia
C. Severe undernutrition
D. All of these
84. Kikos mother says Chico has been having diarrhea for
6 days now. You will decide that Kiko has:
A. Acute diarrhea
C. Persistent Diarrhea
B. You cannot be certain D. Sub-acute diarrhea
85. After your management of Kikos condition. Your
assessment revealed that he has no more sign of
dehydration. What instruction will you give to Kikos
mother?

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be liable
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6
A. Continue breastfeeding him frequently
B. Give him Oresol 50-100ml after every loose stool
C. Observed him for danger sign
D. All of these instruction
SITUATION: Ear infections are the most common cause of
deafness in low income areas. The nurse should be able to
assess early signs and symptoms of ear infection in order
to prevent hearing loss, which in turn, leads to learning
problems.
86. Among the following, the most serious complication of
an ear infection is:
A. Hearing los
C. Pain
B. Mastoiditis
D. Deafness to Learning disorder
87. Which of the following behavior best suggests that the
child is experiencing ear pain?
A. Frequent tugging of the ear
B. Voracious appetite
C. Sleepiness
D. Irritability
88. An ear infection of 15 days is classified as:
A. Acute otitis media
C. Mastoiditis
B. Chronic otitis media
D. Subacute otitis media
89. If the child presents with swelling and tenderness
behind the ear, how would you classify this child?
1. Green
2. Yellow
3. Pink
4. Urgent referral plus a dose of antibiotic and
paracetamol
5. Treat with the same 5 day antibiotic treatment as
pneumonia
6. Dry the ear by wicking
A. 1, 6
B. 2, 5
C. 3, 4
D. 1, 4
90. All of the following are danger signs that needs to be
routinely checked in all children except:
A. Convulsions C. Blood in the stool
B. Lethargy
D. Vomiting
91. Nursing is to assist an individual sick or well in the
performance of activities that contributes to health and
recovery is a definition based on the theory of:
A. Virginia Henderson C. Madeleine Leininger
B. Dorothea Orem
D. Faye Abdellah
92. Which of the following questions by the nurse would be
best fit the philosophy of the nursing mutual
participation model of care (NMPMC)?
A. Have you brushed your childs teeth today?
B. How does your child look to you today?
C. Where have you been all morning?
D. Do you think your childs color is worse?
93. There are numerous definitions of the word health.
Which definition below is from Florence Nightingale?
A. A state or a process of being and becoming an
integrated and whole person
B. The state of being free from illness or injury
C. Being well and using every power the individual
possesses to the fullest extent
D. A state of complete physical, social, and mental
well-being and not merely the absence of disease
or infirmity
94. Informal communication takes place when individuals
talk and is best described by saying the participants:
A. Are involved in a preexisting informal relationship
B. Talk with slang words

C. Have no particular agenda or protocol

D. Are relaxed
95. Tertiary care by the home health nurse is directed
toward children with:
A. Problems in mobility C. Minor problems
B. Short-term needs
D. Clinically apparent disease
96. The endometrium thickens during which phase of the
menstrual cycle?
A. Secretory phase
C. Proliferative phase
B. Menstrual phase
D. Ischemic phase
97. The nurse is preparing to auscultate fetal heart tones in
a pregnant client. Abdominal palpation reveals a hard,
round mass under the left side of the rib cage; a softer,
round mass just above the symphysis pubis; small,
irregular shapes in the right side of the abdomen; and
a long, firm mass on the left side of the abdomen.
Based on these findings, what is the best place to
auscultate fetal heart tones?
a. Right lower abdominal quadrant
b. Left upper abdominal quadrant
c. Right upper abdominal quadrant
d. Left lower abdominal quadrant
98. A measurement tool to articulate the nursing workload
for a specific patient or groups of patients over a
specific period of time is called:
A. Staffing pattern C. Benchmarking
B. Skill mix
D. Patient classification
99. The mother of a 9 month-old infant is concerned that
the head circumference of her baby is greater than the
chest circumference. The BEST response by the nurse
is:
A. These circumference normally are the same, but
in some babies this just differs.
B. Perhaps your baby was small for gestational age
or premature.
C. This is normal until the age of 1 year, when the
chest will be greater.
D. Let me ask you a few questions, and perhaps we
can figure out the cause of this difference.
100. Karen, A 28 year old post hysterectomy client has
come to the health center. She inquired about BSE
and asked you when BSE should be performed. You
answered her that BSE Is best performed:
A. 7 days after menstruation
B. During menstruation
C. At the same day each month
D. Before menstruation
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