SET B EXAM

NAME____________________________________ DATE__________________

1. Calcium gluconate is being administered to a client with pregnancy induced hypertension(PIH).

A nursing action that must be initiated as the plan of care throughout of the drug is:

A. Ventilator assistance

B.CVP readings

C. EKG tracing

D. Continuous CPR

2.Nurse Tina is ware that the disease declared through Presidential Proclamation No.4 as a target for
eradication in the Philippines is?

A. Poliomyelitis

B. Measles

C. Rabies

D. Neonatal tetanus

3.When the nurse determines whether resources were maximized in the implementing Ligtas
Tigas(Measles Prevention) , She is evaluating:

A. Effectiveness

B. Efficiency

C. Adequacy

D. Appropriateness

4. A full term patient is in labor. Nurse Betty is aware that the fetal heart rate would be:

A. 80 to 100 beats/minute

B. 100 to 120 beats/minute

C. 120 to 160 beats/minute

D. 160 to 180 beats/minute

 5. Malou was diagnosed with severe preeclampsia is now receiving I.V. magnesium sulfate. The adverse
effect associated is:

A. Anemia

B. Decreased urine output

C. Hyperreflexia

D. Increase respiratory rate

6. Maureen in her third trimester arrives at the emergency room with painless vaginal bleeding. Which
of the following condition is suspected?

A. Placenta previa

B. Abruptio placentae

C. Premature labor

D. Sexually transmitted disease

7. In doing a child’s admission assessment, Nurse betty should be alert to note which signs and
symptoms of chronic lead poisoning?

A. Irritability and seizures

B. Dehydration and diarrhea

C. Bradycardia and hypotension

D. Petechiae and hematuria

8. Nurse Carla should know that the most common causative factor of dermatitis in infants and younger
children is:

A. Baby oil

B. Baby lotion

C. Laundry detergent

D. Powder with cornstarch

9. Chris a 4 month old infant was brought by his mother to the health center because of cough. His
respiratory rate is 42/minute. Using the Integrated Management of Child Illness(IMCI) guidelines od
assessment , his breathing is considered as:
 A. Fast

B. Slow

C. Normal

D. Insignificant

10. Nurse Ron is aware that unused BCG should be discarded after how many hours of reconstitution?

A. 2 hours

B. 4 hours

C. 8 hours

D. At the end of the day

11. The nurse explains to a breastfeeding mother that breast milk is sufficient for all of the baby’s
nutrient needs only up to:

A. 5 months

B. 6 months

C. 1 year

D. 2 years

12. Nikka a 5 month old infant was brought by his mother to the health center because of diarrhea for 4
to 5 times a day. Her skin goes back slowly after a skin pinch and her eyes are sunken. Using the IMCI
guidelines, you will classify this infant in which category?

A. No signs of dehydration

B. Some dehydration

C. Severe dehydration

D. The data is insufficient

13.The community nurse is aware that the biological used Expanded Program on Immunization (EPI)
should not be store?

A. DPT

B. Oral polio vaccine

C. Measles vaccine
D. MMR

14. It is the most effective way of controlling schistosomiasis in an endemic area?

A. Use of molluscicides

B. Building of foot bridges

C. Proper use of sanitary toilets

D. Use of protective footwear, such as rubber boots.

15. Several patients is newly admitted and diagnosed with leprosy. Which of the following clients should
be classified as case of multibacillary leprosy?

A. 3 skin lesions, negative slit skin smear

B. 3 skin lesions , positive slit skin smear

C. 5 skin lesions, negative slit skin smear

D. 5 skin lesions, positive slit skin smear

16. Jannah is admitted to the labor and delivery unit. The critical laboratory result for this client would
be:

A. Oxygen saturation

B. Iron building capacity

C. Blood typing

D. Serum Calcium

17. Nurse Gina is aware that the most common condition found during tri second -trimester of
pregnancy is:

A. Metabolic alkalosis

B. Respiratory acidosis

C. Mastitis

D. Physiologic anemia
18. A pregnant client is receiving magnesium sulfate for severe pregnancy induced hypertension (PIH).
The clinical findings that would warrant use of the antidote, calcium gluconate is:

A. Urinary output 90 cc in 2 hours

B. Absent patellar reflexes

C. Rapid respiratory rate above 40/min

D. Rapid rise in blood pressure

19. A pregnant client is receiving oxytocin (Pitocin) for induction of labor. A condition that warrant the
nurse in- charge to discontinue I.V infusion of Pitocin is:

A. Contraction every 1 ½ minutes lasting 70-80 seconds.

B. Maternal temperature 101.2

C. Early decelerations in the fetal heart rate.

D. Fetal heart rate baseline 140-160 bpm

20. Tony is aware the Chairman of the Municipal Health board is:

A. Mayor

B. Municipal Health Officer

C. Public Health Nurse

D. Any qualified physician

21. Before adding potassium to an infant’s I.V line , Nurse Ron must be sure to assess whether this infant
has:

A. Stable blood pressure

B. Patient fontanelles

C. Moro’s reflex

D. Voided

22. Mickey a 3 year old client was brought to the health center with the chief complaint of severe
diarrhea and the passage of “rice-watery” stools. The client is most probably suffering from which
condition?

A. Giardiasis
B. Cholera

C. Amebiasis

D. Dysentery

23. The student nurse is aware that the pathognomonic sign measles is Koplik’s spot and you may
Koplik’s spot by inspecting the:

A. Nasal mucosa

B. Buccal mucosa

C. Skin on the abdomen

D. Skin on neck

24. The most prevalent from of meningitis among children aged 2 months to 3 years is caused by which
microorganism?

A. Hemophilus influenzae

B. Morbillivirus

C. Streptococcus pneumoniae

D. Neisseria meningitidis

25. Myrna a public health nurse will conduct outreach immunization in a barangay Masay with a
population of about 1500. The estimated number of infants in the barangay would be:

A. 45 infants

B. 50 infants

C. 55 infants

D. 65 infants

26. Emily has gestational diabetes and it is usually managed by which of the following therapy?

A. Diet

B. Long-actin insulin

C. Oral hypoglycemic
D. Oral hypoglycemic drug and insulin

27.Magnesium sulfate is given to Jemma with preeclampsia to prevent which to prevent which of the
following condition?

A. Hemorrhage

B. Hypertension

C. Hypomagnesemia

D. Seizure

28. Which of the follow drug is the antidote for magnesium sulfate toxicity?

A. Calcium gluconate ( Kalcinate)

B. Hydralazine (Apresonline)

C. Naloxone (Narcan)

D. Rho (D) immune globulin ( RhoGAM)

29. To promote comfort during labor, the nurse advices a client to assume certain position and avoid
others. Which position may cause maternal hypotension and fetal hypoxia?

A. Lateral position

B. Squatting position

C. Supine position

D. Standing position

30. Maureen , a primigravida client , age 20, has just completed a difficult , forceps-assisted delivery of
twins. Her labor was unusually long and required oxytocin (Pitocin) augmentation. The nurse who’s
caring for her should stay alert for:

A. Uterine inversion

B. Uterine atony

C. Uterine involution

D. Uterine discomfort