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SITUATION: In order for the public health nurse to fully appreciate the public health system in this country,

it is important to have an understanding of the development of the Philippine health care delivery system. 1. The classic definition of public health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort, is formulated by: A. World Health Organization B. Dr. C.E.Winslow C. Dr. Margaret Shetland D. Ruth B. Freeman 2. Public health is a core element of governments attempts to improve and to promote the health and welfare of their citizens. WHO defined public health as: A. science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort. B. art of applying science in the context of politics so as to reduce inequalities in health while ensuring the best health for the greatest number. C. a set of fundamental activities that address the determinants of health, protect a populations health and treat disease. D. practice of nursing in the local/national health departments where nursing skills are applied. 3. What mandated the department of Health in its new role as the national authority on health providing technical and other resource assistance to concerned groups? A. Executive Order 102 B. Republic Act 7160 C. Republic Act 7164 D. Executive Order 119 4. This provided for the decentralization of the entire government, hence, the health care delivery system. A. Executive Order 102 B. Republic Act 7160 C. Republic Act 7164 D. Executive Order 119 5. The three major roles of the Department of Health as a national authority in health are the following, except: A. Enabler and Capacity builder B. Administrator of specific services C. Decision-maker of peoples health D. Leadership in health 6. The new DOH vision is the leader, staunch advocate and model in promoting Health for All in the Philippines. Its mission is embodied in the following statement: A. Provide leadership in the formulation, monitoring and evaluation of national programs B. Ensure the highest achievable standards of quality health care C. Administer direct services for emergent health concerns deem necessary for public welfare. D. Guarantee equitable, sustainable and quality health for all Filipinos, especially the poor. 7. The overriding goal of the Department of Health is: A. Health sector reform B. Primary Health Care C. Control of Communicable Diseases D. Philippine Health Care Delivery System 8. This refers to the framework for the implementation of the Health Sector Reform Agenda: A. FOURmula One for Health B. Primary Health Care C. DOH Programs D. Philippine Health Care Delivery System 9. There are three goals of the FOURmula One for Health, which one is not included? A. Health financing B. Better health outcomes C. More responsive health systems D. Equitable health care financing

10. What strategy of the FOURmula One aims to improve and ensure the accessibility and availability of basic end essential health care both in public and private facilities? A. Health financing B. Health service delivery C. Health regulation D. Good governance 11. The Philippine health Insurance Corporation through the National Health Insurance Program and the DOH will lead this FOURmula ONE component jointly: A. Health financing B. Health service delivery C. Health regulation D. Good governance 12. This provides the road map for stakeholders in health and health-related sectors to intensity and harmonize their efforts to attain the DOH mission and Vision. A. FOURmula ONE B. The NOH 2005-2010 C. Primary Health Care D. Local Government Code SITUATION: Devolution made local government executives responsible to operate local health care services. 13. The four composition of the Inter-Local Health Zone are: A. LGUs, people, boundaries, health facilities B. People, boundaries, health facilities, funding C. People, boundaries, health facilities, health workers D. Primary health care, boundaries, health facilities, health workers 14. It is defined by the WHO as essential health care made accessible to individuals and families in the community by means acceptable to them: A. Inter-Local Health System B. Primary Health Care C. The NOH 2005-2010 D. Mandate of Devolution 15. The core strategy of the PHC concept is characterized by: A. Mandate of Devolution B. Partnership and empowerment of the people C. Community-based, accessible and acceptable services D. Essential health care services 16. Which one is not an element of the primary health care? A. Active community participation B. Environmental sanitation C. Control of CD D. Health education 17. The following are strategies of PHC, except: A. Reorientation and reorganization of the national health care system B. Effective preparation for health action at all levels C. Mobilization of the people D. Universal coverage of health insurance 18. Various categories of health workers make up the primary health care team. The types vary in different communities depending upon the following: A. Health education, available health manpower resources, local health needs and problems B. Health education, available health manpower resources, political and financial feasibility C. Available health manpower resources, local health needs and problems, political and financial feasibility. D. Local health needs and problems, political and financial feasibility, and health education 19. Under the restructed health care delivery system, a physician, a public health nurse and midwives compose the: A. Intermediate level health workers B. Frontliners C. Grassroot health workers D. Barangay Health Workers

20. This refers to trained community health workers or health auxillary volunteer or a traditional birth attendant or healer A. Intermediate level health workers B. Frontliners C. Grassroot health workers D. Barangay Health Workers SITUATION: The public health nurse analyzes the data collected in community health assessment in accordance with the nurses conception of the source of the problems and needs that can be met through nursing interventions. 21. What category of health problem occurs when there is a gap between actual and achievable health status? A. Health deficit B. Health threat C. Foreseeable crisis D. Health need 22. No regular check-up is an example of: A. Health deficit B. Health threat C. Foreseeable crisis D. Stress point 23. Mrs.Tadejo came to the health center and asked about ways on how to conceive a child. She has a history of repeated miscarriages. This condition falls under: A. Health deficit B. Health threat C. Foreseeable crisis D. Stress point 24. These are conditions that promote disease or injury and prevent people from realizing their health potential. A. Health deficit B. Health threats C. Foreseeable crisis D. Stress point 25. In an epidemiological study conducted in Barangay C, it was noted that the children eligible for basic immunization are not adequately immunized against Hepatitis B and Measles. This situation is considered: A. Health deficit B. Foreseeable crisis C. Health threat D. Stress point 26. It includes stressful occurrences such as death or illness of a family member: A. Health deficit B. Health threat C. Foreseeable crisis D. Stress point 27. It exists when there is a health problem that can be alleviated with medical or social technology. A. Health need B. Nursing need C. Nursing problem D. Stress points 28. This refer to a situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures and a commitment to act on the part of the provider or client. A. Health need B. Nursing need C. Health problem D. Stress point 29. The process of assessment in community health nursing includes the following, except: A. Intensive fact finding B. Application of professional judgment in estimating the importance of the facts C. Analysis of data D. Goal setting

SITUATION: The plan for community nursing action or care is based on the actual and potential problems that were identified and prioritized. 30. Planning community nursing actions include these steps: A. Goal setting, constructing a plan of action, developing an operational plan B. Identification of needs, goal setting, developing operational plan C. Goal setting, constructing a plan of action, implementation of planned care D. Constructing a plan of action, implementation of planned acre, evaluation of the plan 31. It is a declaration of purpose of intent that gives essential direction to action. A. Goal B. Vision C. Mission D. Philosophy 32. It describes the phase in the community health nursing process concerned with choosing from among the possible courses of action, selecting the appropriate types of nursing intervention, identifying resources for care and coming up with operational plan: A. Goal setting B. Constructing a plan of action C. Developing an operational plan D. Implementation of plan of action 33. Specific objectives are stated in behavioral terms, except: A. Specific B. Manageable C. Attainable D. Time-bounded 34. In what phase of the community health nursing process are evaluation parameters developed? A. Assessment B. Diagnosis C. Planning D. Implementation SITUATION: The public health nurse carry out nursing procedures which are consistent with the nursing care plan, are adapted to present situations which promotes a safe and therapeutic environment. 35. The main reason why public health nurses involve the client and the family in the care provided is: A. To delegate caring responsibility to the client and family B. To maximize health human resources C. To motivate them to assume responsibility for their care D. To alleviate public nurses from further responsibilities 36. There are three classic frameworks from which nursing care is delivered. This framework or element includes the physical settings, conditions through which nursing care is given such as objectives, building, budget, staffs A. Structural elements B. Process elements C. Outcome elements D. Quality assurance elements 37. This include the steps of the nursing process itself. A. Structural elements B. Process elements C. Outcome elements D. Quality assurance elements 38. Included in this framework are changes in the clients health status resulting from nursing interventions. A. Structural elements B. Process elements C. Outcome elements D. Quality assurance elements

39. Which evaluation process include conformity with accepted community and public health standards of practice, advancement of nursing skills through continued field experience and continuing education? A. Evaluation based on professional practice B. Evaluation of structure C. Evaluation based on information gathered D. Quality assurance evaluation 40. This includes cost benefit-ration, qualifications and number of members of the health care team: A. Evaluation based on professional practice B. Evaluation of structure C. Evaluation based on information gathered D. Quality assurance evaluation SITUATION: The nurse plays a very important role in building a closer ties with the patient to gain their trust and confidence and particularly in the implementation and promotion of health care. 41. In clinic visits triaging, the community health nurse manages program based cases. Example of programbased cases are the following, except: A. Diarrhea B. Pneumonia classification C. Tuberculosis D. Coronary artery disease 42. In the standard blood pressure measurement, the sequence in the applying the BP cuff and stethoscope is: i. Palpate brachial pulse correctly ii. Keep the patients arm level with his or her heart by placing it on a table iii. Bare patients arms iv. Apply cuff snugly with creases A. i, ii, iii,iv B. iii, iv, ii, i C. iii, i, ii, iv D. i, iii, iv, ii Which of the following is incorrect in obtaining BP reading by auscultation? A. Stethoscope head is placed over the brachial pulse. B. For obese patients, use the bell of the stethoscope to auscultate the pulse C. Inflate the cuff rapidly until the column or needle reaches 30mmHg above palpated SBP D. Deflate the cuff slowly and listen for pulse sounds This is a family-nurse contact which allows the health worker to assess the home and family situations in order to provide the necessary nursing care and health related activities. A. Clinic visit B. Home survey C. Family interview D. Home visit Which of the following is the main principle involved in preparing for home visit? A. A home visit must have a purpose B. Planning for home visit should make use of all available information about the client and family C. Consider and give priority to the essential needs of the individual and family D. The plan should be flexible This refers to the tool which enables the nurse during her visit, to perform a procedure with ease and deftness, to save time and effort, with the end view of rendering effective nursing care. A. Bag technique B. Public health bag C. Home visit D. Black bag It is an essential and indispensable equipment of a public health nurse: A. Bag technique B. Public health bag C. Home visit D. Home-based record

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48. Which one is a correct pointer to consider in the use of the public health bag? A. The bag should contain all the necessary articles that will be used solely for emergency needs B. The bag and its contents are not considered sterile C. The arrangement of the contents of the bag should be the one most convenient to the user D. The arrangement of the contents of the bag should be the one most convenient to the patient. 49. To prevent contamination, the following are done correctly in bag technique, except: A. Upon arrival, place the bag on the table lined with clean paper B. Take out the apron and put it on with the ride side in C. Close the bag after putting on the apron D. After giving treatment, clean all the things used and perform handwashing. SITUATION: Giving to the individual patient the nursing care required by his specific illness help him reach a level of functioning at which he can maintain himself or die peacefully with dignity. 50. Which of the following principles in nursing care in the home is incorrect? A. Nursing care utilizes a medical plan of care and treatment B. Nursing care given at home should not be used as a teaching opportunity to the patient C. The performance of nursing care should recognize dangers in the patients over prolonged acceptance of support and comfort D. Nursing care is a good opportunity for detecting abnormal signs and symptoms in the patient 51. The following are guidelines in isolation technique in the home: i. All articles used by the patient should not be mixed with articles used by the rest of the members of the household ii. Frequent washing and airing of beddings are imperative iii. The one caring for the sick member should be provided with a protective gown that should be used only within the room of the sick iv. Articles soiled with discharges should first be boiled in water 30 minutes before laundering. A. B. C. D. i, ii, iii, iv i. ii. iii ii, iii, iv i, iii, iv

SITUATION: Community Organizing plays an important role in building the capability of people for future community actions and empowerment. 52. This stage refers to the process of assessing and defining needs, opportunities and resources involved in initiating community health action program: A. Community Organizing B. Community Analysis C. Design and Initiation D. Dissemination-Reassessment 53. It entails the evaluation of the driving force of the community which may facilitate or impede the advocate change. A. Assessing community capacity B. Defining the community C. Assessing community barriers D. Assessing readiness for change 54. Which step will provide a community profile of the needs and resources, and will become the basis for designing prospective community interventions for health promotion? A. Assessing community capacity B. Defining the community C. Synthesizing data and setting priorities D. Assessing readiness for change 55. In what stage of the community organizing is the organization structure for the core group chosen? A. Community Analysis B. Design and Initiation C. Implementation D. Consolidation

56. This organizational structure is a group of citizens (5 to 10) which emerges to form a partnership with a government agency. A. Leadership board B. Coalition C. Grass-roots D. Citizen panels 57. It refers to existing local leaders working for a common cause: A. Leadership board B. Coalition C. Grass-roots D. Citizen panels 58. The program at this point has experienced some degree of success and has weathered through implementation problems: A. Community Analysis B. Design and Initiation C. Implementation D. Program maintenance-Consolidation 59. This is the result of good group process based on trust, respect, and openness. A. Positive environment B. Integrated intervention activities into community networks C. Established recruitment plan D. Community feedback 60. This requires a built in mechanism for continuous recruitment and training of new members. A. Positive environment B. Integrated intervention activities into community networks C. Established recruitment plan D. Community feedback SITUATION: The prominence of health promotion came about as a result of the changing patterns of health. 61. It is a composite expression of the social and cultural circumstances that condition and constrain behavior: A. Lifestyle B. Culture C. Health beliefs D. Health taboos 62. According to this person, health is promoted by providing a descent standard of living, good labor conditions, education, physical culture, means of rest and recreation. A. Dr. Margaret Shetland B. Henry Sigerist C. Dr. C.E Winslow D. Virginia Henderson 63. This provides for the main guiding principle in health promotion efforts adopted by 38 countries. A. Nuremberg Code B. Ottawa Charter C. PHC Charter D. WHO health promotion and education charter 64. Defines health promotion broadly as, the process of enabling people to increase control over and to improve their health. A. Ottawa Charter B. WHO C. Health and Welfare Canada D. UNICEF 65. Improvement in health requires a secure foundation in these basic prerequisites, which one is not included? A. Peace B. Shelter C. Social justice D. Political leaders

66. This refers to any combination of learning experience designed to facilitate voluntary adoptions of behaviors conducive to health. A. Health promotion B. Health education C. Health culture D. Health lifestyle 67. It is considered the backbone of the prevention of diseases: A. Epidemiology B. Health promotion C. Disease prevention D. Health education 68. According to Morris, epidemiology is used for the following, except: A. Study the history of the health population and rise and fall of diseases and changes in their characters B. Diagnose the health of the community and the condition of the people C. Estimate the risk of diseases, accident, defects and the chances of avoiding them D. Complete the clinical picture of chronic disease and describe natural history 69. The agent, host, environment are components of the: A. Ecologic triangle B. Epidemiologic triangle C. Infectious triad D. Transmission triad 70. It is any organism that harbors and provides nourishment for another organism: A. Agent B. Host C. Environment D. Mode of transmission 71. It is the intrinsic property of microorganism to survive and multiply to produce disease: A. Agent B. Host C. Environment D. Mode of transmission SITUATION: Statistics refers to a systematic approach of obtaining, organizing and analyzing numerical facts so that conclusion may be drawn from them. 72. It refers to the systematic study of vital events such as births, illnesses, marriages, divorce, separation and deaths. A. Statistics B. Vital statistics C. Demography D. Morbidity and mortality rates 73. Which of the following statements is incorrect? A. Statistics of disease and death do not necessarily indicate the state of health of a community B. Statistics on population and the characteristics such as age, sex, distribution are obtained from the NSO C. Statistics on population and the characteristics such as age, sex, distribution are obtained from the Office of the Local Civil Registrar D. Births and deaths are registered mainly in the NSO 74. The main sources of data in vital statistics are: A. Population census, registration of vital data B. Health survey, studies and researches C. Population census, house to house interview D. A and B 75. It is a good index of the general health condition of a community since it reflects the changes in the environment and medical condition in a community: A. Infant mortality rate B. Vital statistics C. Maternal mortality rate D. Fetal death rate

76. Infant mortality rate measures the risk of dying during the 1st year of life. It is reflected in the following formula: A. IMR = Total No. of death under 1 year of age registered in a given calendar year X 1000 ___________________________________________________________ Total No. of registered live births of the same calendar year B. IMR = Total No. of registered live births registered in a given calendar year _________________________________________________________ Total No. of death under 1 year of age in a calendar year C. IMR = Total No. of registered live births a given calendar year _________________________________________________________ Total No. of death under 1 year of age in a calendar year D. IMR = Total No. of deaths and live births registered in a given calendar year _________________________________________________________ Total No. of death under 1 year of age in a calendar year 77. It measures the proportion of the population which exhibits a particular disease at a particular time. This can only be measured following a survey of the population concerned, data deals with total (new and old) number of cases A. Prevalence rate B. Incidence rate C. Attack rate D. Proportionate mortality 78. This type of presentation of data shows the relative importance of parts to the whole: A. Line graph B. Curved graph C. Bar graph D. Area diagram SITUATION: The FHSIS aims to provide summary of data on health services delivery and selected program accomplished indicators of the barangay, municipality, district, provincial, regional and national levels. 79. Among the components of FHSIS, it is the fundamental block or foundation: A. Output reports B. Reporting forms C. Target client list D. Treatment records 80. These constitute the only mechanism through which data are routinely transmitted from one facility to another: A. Output reports B. Reporting forms C. Target client list D. Treatment record 81. In FHSIS, it is defined as any DOH health care facility that renders or delivers public-care related services to targeted beneficiaries: A. RHU B. FHSIS unit C. Reporting unit D. BHC X 1000 X1000 X 1000

SITUATION: There are other fields of nursing where public health nurses are working. They are in schools and work settings. 82. In school nursing, this shall be done initially to provide data for evaluation and for planning purposes, A. School health and nutrition survey B. Putting up a functional school clinic C. Health assessment D. Ear examination 83. In a scheduled school nursing health assessment, the nurse prepares the following, except: A. Two to three chairs B. Wastebasket C. Tongue depressor, penlight D. Clamps and surgical scissors 84. Anita has a visual acuity of 20/40 should be: A. Assess further by the nurse B. Asked to come back next week for another test C. Referred D. Asked to wear glasses 85. In DepEd, weight-for-age and height -for-age indicators are used for: A. Children below 10 years B. Children 10 years and above C. Children below 7 years D. Children 7 years and above 86. Which is not true about Nutritional status determination and management in children? A. Appropriate school feeding programs with rice, milk or fortified noodles are given to children with below normal nutritional status for 120 feeding days B. Deworming is a prerequisite before feeding program C. Parental consent is not a must before deworming is done D. Height and weight measurement offers the most acceptable parameter to determine the nutritional status of children. 87. Which of the following cases needs home visitation? A. Pupils whose parents are not afraid of medical procedures B. Pupils who recovered from communicable diseases C. Pupils who are malnourished D. Pupils who were absent frequently for the last school year but are regularly present for the current school year 88. This legal basis of the school health program state that every effort should be enacted to promote the childs welfare and enhance his happy opportunities for a useful happy life.: A. PD 603 B. PD 803 C. PD 491 D. LOI 441 SITUATION: Public Health nurses have significant roles in ensuring the health of the family. Every effort should be made to provide packages of health services to the family for a better and quality life. 89. Maria, a primi mother on her third trimester of pregnancy came for her third prenatal visit. Her succeeding prenatal visits after 8th month of pregnancy till delivery would be: A. Every two weeks B. Every week C. Once a month D. Every two days 90. Neonatal tetanus is one of the public health concerns that we need to address. How many series of tetanus toxoid vaccines should Mrs. Intal, 34 weeks pregnant, before delivery? A. One dose of TT B. Two doses of TT C. Three doses of TT D. Five of doses of TT

91. Micronutrient supplementation is vital for pregnant women. What is the recommended dose of Vitamin A for pregnant mothers? th A. 10,000 IU twice a week starting 4 month B. 100,000 IU twice a week starting 4th month C. 10,000 IU once a week starting 1st month D. 200,000 IU every month 92. In the new recommended schedule of post partum care visits, when is the 2nd visit done? A. First 24 hours B. First week postpartum C. 6 weeks postpartum D. 4 weeks postpartum 93. Mrs. Atilla who just gave birth to her first baby asked you why she must give the colostrums to her baby when it doesnt look like a regular milk at all. You explained to her the benefits of giving the colostrums, which one is not? A. It prepares your babys stomach to digest milk B. Its components are the same with the normal breast milk C. It contains many protective substances against infection D. It does not cause tummy ache or diarrhea 94. Which one is not a contraindication to immunization? A. DPT to a child who has had convulsions within three days of previous dose B. Live vaccines to immunosuppressed C. Reconstituted freeze-dried vaccine with normal saline D. Moderate fever and malnutrition 95. This day is designated as immunization day and is adopted in all parts of the community. A. Monday B. Tuesday C. Wednesday D. Friday 96. Emira brought her two months old infant to the clinic for immunization. She asked you when her child can be considered fully immunized. A child is said to be Fully Immunized Child when a child receives: A. One dose of BCG, 3 doses of OPV, 3 doses of DPT, 2 doses of HB and one dose of measles before a childs first birthday B. One dose of BCG, 3 doses of OPV, 3 doses of DPT, 3 doses of HB and one dose of measles before a childs first birthday C. One dose of BCG, 4 doses of OPV, 3 doses of DPT, 2 doses of HB and one dose of MMR before a childs first birthday D. One dose of BCG, 3 doses of OPV, 3 doses of DPT, 3 doses of HB and one dose of measles before five years old. 97. The standard minimum interval between DPT doses: A. 6 weeks B. 4 weeks C. 3 weeks D. 2 months 98. Vaccines most sensitive to heat is/are: A. OPV and measles B. Hep B and OPV C. Measles and OPV D. BCG and OPV 99. This vine is recommended to expel round worms ascariasis but it should not be given to children below four years old: A. Niyug-niyogan B. Ampalaya C. Sambong D. Akapulko

SITUATION: Ms. Luna Mytica, a Public Health Nurse assigned at the Main Health Center of the Municipality of Bacoor has just completed a Basic Training course on IMCI for Frontline Health Workers a week ago. She is reviewing her notes. Numbers 1- refers to the background of IMCI. 1. Based on studies, deaths and illnesses among children below 5 years old are due to: A. acute respiratory Infections, diarrhea, measles, malaria, malnutrition B. acute respiratory infections, malaria, dengue hemorrhagic fever C. diarrhea, malaria, ear infection, typhoid fever, dengue hemorrhagic fever D. diarrhea, measles, malaria, dengue hemorrhagic fever, ear infection 2. Which of the following are sensitive indicators of inequity and poverty? A. maternal mortality and infant mortality rate B. maternal morbidity and infant mortality rate C. infant and childhood mortality rate D. infant and maternal mortality rate 3. Children who are most commonly and severely ill and who are malnourished are those found in: A. most vulnerable and underprivileged populations of low income countries B. neglected geographical areas in middle income countries C. A only is correct D. A and B are correct 4. In the World Health organization (WHO), the following are quality of care indicators of inequities in child health, except: A. Minimal or non-existent laboratory services B. Limited supplies and equipment C. More opportunities to practice complicated clinical procedures D. reliance on history and signs and symptoms 5. During the mid 1990s, WHO and other partner agencies developed the IMCI which is: A. an evidence-based, syndromic approach to case management of the 0-5 year age group B. a case management approach which stresses the importance of evaluation of evidence from clinical research C. a more realistic approach and cost-effective way to manage 0-5 children D. all of the above 6. IMCI is an approach can be used to determine the following except: A. health problems the child may have B. severity of the childs condition C. actions that can be taken to care for the child D. availability for support systems for health 7. IMCI has several components. Which of the following does not belong? A. improvement of the case management skill of health personnel B. improvements in hospital care C. improvements in the overall health system required for effective management of childhood illness D. improvements in family and community healthcare practices 8. IMCI guidelines are based on the following principles, except: A. all sick children must be examined for general danger signs which indicate the need for immediate treatment B. all sick children must also be routinely assessed for nutritional and immunization status, feeding problem, care for development problem and other potential problems C. only a limited number of carefully- selected clinical signs are used, based on evidence of their sensitivity and specificity to detect diseases D. the IMCI guidelines address all of the major reasons a sick child is brought to a clinic

9. Which of the following principles of IMCI is not true: A. a combination of individual signs lead to a childs diagnosis B.IMCI management procedures use a limited number of essential drugs C. IMCI encourages active participation of caretakers in the treatment of children D. an essential component of IMCI guidelines is the counseling of caretakers about home management, including counseling about feeling, care for the development, fluids and when to return to a health facility 10. The IMCI case management process as applied in the first level health facility has the following important elements: A. assessment, classification, identification of treatment, treatment, referral, counseling and follow up care B. Assessment, classification, referral, emergency triage assessment and health counseling C. assessment, classification, home treatment, referral and follow up care D. assessment, classification, treatment, follow up care, health counseling 11. The IMCI case management procedures are recommended to which age groups: A. children 2months up to 5 years C. infants 0 up to 2 months B. infants 1 week up to 2 months D. A and B only 12. The IMCI classification indicated the severity of conditions which call for specific actions based on whether the child: A. should be urgently referred to another level of care B. requires specific treatment C. maybe safely managed at home D. all of the above SITUATION: The success of home treatment depends on how well the mother or the caretaker knows how to give treatment, understand its importance and knows when to refer or return to a health care provider. 13. A mother is advised to return for follow up for 2 days if the patient is: A. Persistent Diarrhea b) Feeding problem c) Anemia d) Dysentery 14. A mother is advised to return for follow up for 2 days if the patient is a. Persistent Diarrhea c) Measles with eye and mouth complications b. Acute ear infection d) Feeding problem 15. Advised to return for follow up days for 5 days, if the patient is a. Malaria c) Dengue hemorrhagic fever unlikely b. Measles with eye and mouth complication d) Chronic ear infection 16. Advised to return for follow up for 5 days , if the patient is a. Pneumonia b) Dysentery c) Acute ear infection d) Pallor 17. If child has Fever Dengue hemorrhagic Fever unlikely also to return if: a. Drinking poorly b) Becomes sicker c) Persistent abdominal pain d) Develops fever 18. If child has No pneumonia cough and cold, also to return if a. Becomes sicker b) Develops fever c) Persistent vomiting d) Difficult breathing 19. First line of antibiotic for very severe disease. Mastoiditis and acute ear infection: a. Cotrimoxazole b) Amoxicillin c) Streptomycin d) Nalidixic acid 20. First line of defense for very severe pneumonia: a. Amoxicillin b) Ampicillin c) Streptomycin d) Quinolones 21. First line of antibiotic recommended for Cholera for 3 days a. Cotrimoxazole b) Amoxicillin c) Nalidixic Acid d) Tetracycline 22. Treatment for Bloody Diarrhea a. Tetracycline b) Streptomycin c) Ciprofloxacin d) Cotrimoxazole SITUATION: Anna is 18 months old. Her mother brought her to the health center because the child felt hot and has rash. The health worker saw that Anna looks like skin and bones. 23. Anna is manifesting what type of malnutrition a. Protein- energy malnutrition c) Carbohydrate deficient b. Iron deficiency anemia d) Kwashiorkor 24. Anna is suffering from what form of protein-energy malnutrion a. Marasmus b) Kwashiorkor c) Kawasaki d) Nagasaki 25. Another form of severe malnutrition, wherein tissues become filled with fluid and look swollen or puffed up: a. Kawasaki b) Kwashiorkor c) Marasmus d) Protein deficient

26. Children classified as having anemia they should be treated with oral iron. During treatment the child should be seen: a. Every two weeks b) Every one week c) Every 10 days d) Every 12 days 27. Additional iron treatment should be given for how many days? a. 10 days b) 12 days c) One week d) Two weeks 28. Areas evidence of helminthes which are contributors to anemia and malnutrition, regular deworming is given a. Every 4 to 6 months b) Every 3 to 5 months c) Every 1 month d) Every 2 months 29. Using IMCI guidelines, what classification of malnutrition/anemia are at high risk of death from various severe diseases a. Anemia/Very low weight c) Low weight age b. Severe malnutrition/anemia d) Very severe low weight age 30. A child first sign of vitamin A deficiency is manifested by a. Color blindness b) Night blindness c) Xeropthalmia d) Photophobia SITUATION: Six month old Raul, and weighs 10 kg was brought to the health center because of diarrhea for 8 days. No general dangers sign, and was not coughing. 31. The first priority of a PHN in assessing Diarrhea is to know / ask: a. Frequency b) Consistency c) Melena d) Bloody stool 32. The framework of IMCI CDD are the following except: a. Consistency b) Frequency c) Duration d) Severity 33. Raul have one sign in the pink and one sign in the yellow, his classification for dehydration is: a. Severe dehydration c) No dehydration b. Moderate dehydration d) Some dehydration 34. The rules for treatment for no dehydration are the following except: a. Reassess and classify c) Avoid giving sweet tea/ drinks b. Continue feeding d) When to return immediately 35. Zinc supplementation is given to the child before the start of diarrhea for the following reasons except: a. Reduce the duration c) Risk of dehydration b. Severity lessened d) Reduce the occurrence of new episodes 36. Dose of Zinc supplementation is given to infants below six months of age: a. 12mg/day b) 10mg/day c) 15mg/day d) 20mg/day 37. Factors to consider in Plan A for No dehydration are the following, except one: a. Acceptable c) Effective b. Easy to prepare d) Safe when given in small volumes SITUATION: Ethel is 15m0nths old. She weighs 15 kg. Her temperature is 37.5. Ethels mother said the child had diarrhea for 18 days. Ethel does not have any general danger signs. She does not have difficult in breathing 38. The health worker assessed her diarrhea. And is classified as a. Moderate diarrhea b) Severe diarrhea c) Acute diarrhea d) Persistent diarrhea 39. Episodes of diarrhea that causes nutritional and deaths in children a. Loose watery stool b) Acute diarrhea c) Dysentery d) Persistent diarrhea 40. Proper feeding is the most important aspect of treatment for most children with persistent diarrhea. The following are the goals except one: a. Provide sufficient intake of energy, protein, vitamins and minerals b. Avoid giving foods and drinks that may aggravate diarrhea c. Routine treatment with antimicrobials is effective d. Ensure adequate food intake during convalescence to correct any malnutrition 41. Episodes of diarrhea that causes dehydration and contributes to malnutrition in children a. Dysentery b) Very severe diarrhea c) Persistent diarrhea d) Acute diarrhea 42. A child with diarrhea is assessed for the following except: a. How long the child had diarrhea c) Signs of dehydration b. Blood in stool d) Weight in age

SITUATION: Baby Jose 12 month old, weights 10 kg was brought to the health center because of diarrhea in the last 8 days. There were no danger signs and he does not have cough and difficulty in breathing. 43. Upon assessment, Baby Jose does does not have sunken eyes. He is restless and thirsty. And skin goes back slowly when pinched. His condition can be classified as: a. No dehydration b) Severe dehydration c) Some dehydration d) Moderate dehydration 44. Treatment plan for Some dehydration includes the following but one is not: a. Begin feeding the child at the health center c) Frequent small sips b. Select appropriate plan d) Fluids to be given in large volumes 45. If Baby Jose vomits, the mother is instructed to: a. Stop the feeding and bring the child to the health center b. Indication that the child needs urgent referral c. Pause for 10 minutes and continue more slowly d. Assess the child again and compute for fluids needed for the first 4 hours 46. Included in the health teaching is the amount of fluid to be given to Baby Jose. The amount to be given to Baby Jose for the first 4 hours is: a. 900 ml b) 800ml c) 750ml d) 650ml 47. Assessment of feeding in young infants is similar to that in older children. It includes three main type of questions but one is not: a. Feeding pattern during this illness b. Types of complimentary foods or fluids, frequency of feeding c. Number of vomiting episodes d. Breastfeeding frequency and night feeds 48. If baby Jose is drinking poorly at home, this is a basis for a. Change the treatment plan c) Reassess and classify b. Return immediately d) Compute for ORS needed for the first 4 hours SITUATION: Six month old Baby Jay, was brought to the health center because of fever of 37.5 degrees centigrade. He was coughing for 3 days and weights 7 kg. 49. Upon admission the care giver of Baby Jay is expected to perform initial assessment of the sick child. The first thing to check is for danger signs, which includes the following except: a. Unusually sleepy, does not respond when touched, shaken or spoken to b. Fits , spasm or jerky movements c. Not able to hold anything down at all. What goes down comes back up d. No single clinical sign has a better combination of sensitivity and specificity 50. If Baby jay, would have an RR of 55, he would be considered to have : a. Slow breathing b) Chest indrawing c) Moderate breathing d) Fast breathing 51. There are three clinical signs used to assess a sick child with cough and breathing. Which of the clinical signs indicates severe pneumonia: a. Fast Breathing b) Respiratory rate c) Lower chest wall indrawing d) Cough of more than 30 days 52. Stridor is a harsh noise made when the child inhales and observe in a calm child. Children having stridor is an indicative of: a. Risk of obstruction and should be referred b. Wheezing sound is an indicative of asthma c. Children with bronchiolitis d. Inward movement of the bony structure of the chest wall with inspiration 53. Further examination revealed that he has rashes, red eyes, and mouth ulcers. There were no pus draining from the eye, no clouding of the cornea. Most probable that Baby jay has a. Malaria b) Measles c) Dengue d) Pneumonia 54. If Baby jay has measles currently or within the last three months, he should be assessed for: a. Immunization of the child c) Capillary refill of more than 3 seconds b. Possible complications d) Nutritional status 55. The dosage of Vitamin A supplement given to Baby Jay would be a. 100,000mg b) 100,000 IU c) 200,000 IU d) 200,000 mg 56. It can be expected that at his age, he should at least have: a. BCG only c) BCG,OPV3,DPT3, and HepB3 b. BCG,OPV2,DPT2,HepB2,and AMV d) All of the above

SITUATION: 3 year old Joy, was brought to the health center because of pain in her ears for 15 days. Upon inspection, you noted the presence of pus draining from his ear. The post auricular lymph nodes were not swollen. 57. The above condition is classified as: a. Chronic ear infection b) No ear infection c) Mastoiditis d) Acute ear infection 58. Management of Joys condition will include the following except: a. Drying the ear by wicking c) Paracetamol for pain b. Administration of antibiotics for 5 days d) None of the above 59. Wicking the ear is done with: 1. Roll of clean, absorbent cloth or a strong tissue paper 2. Placing the wick in Joys ears 3. Do wicking only after each bath 4. Replacing the wick with a clean one when wet a)1 and 2 b) 3 & 4 c) 1 & 4 d) 2 & 4 60. The most serious complication of ear infection: a. Ear discharge of more than 14 days c) Ear pain b. Ear discharge of less than 14 days d) Ear piercing 61. The appropriate antibiotic is a. Gentian violet b) Metronidazole c) Quinolones d) Cotrimoxazole 62. Children presenting with tenderness and swelling of the mastoid bone should be referred and given the first dose of antibiotic and: a. Urgent referral c) Single dose of paracetamol b. Give appropriate antibiotic for 5 days d) Treat with first line of Antibiotic SITUATION: Baby D was brought in for check up. She had a high grade fever of 39 degrees centigrade for 5 days. No cough and colds. And lives in a place with known Malaria cases 63. A positive malaria blood smear will show the presence of: a. Fever Malaria unlikely c) No Malaria b. Very severe febrile disease d) Malaria 64. All children with fever and any general danger sign or stiff neck are classified as: a. Febrile disease c) Malaria b. Severe febrile disease d) Severe dengue hemorrhagic fever 65. In areas where malaria P. falciparum is present, such children should also receive a pre-referral dose of antimalarial: a. Intramuscular chloramphenicol c) COARTEM b. Intramuscular Quinine d) Fansidar 66. A high malaria risk setting is defined as: a. More than 5% of cases of febrile disease in children ages 2 to 59 mos are malaria b. Less than 5% of cases of febrile disease in children ages 2 to 59 mos are malaria c. Children under 5 are not living in endemic for malaria d. Children more than 5 are not living in endemic for malaria 67. Advise to return for follow up, if the child Fever malaria unlikely: a. 4 days b) 3 days c) 2 days d) 5 days 68. Chloroquine is an oral antimalarial given for how many days a. 2 b) 3 c) 4 d) 5 69. In malaria risk area, treating plasmodium Vivax for 14 days is what drug of choice a. Sulfadoxine b) Chloroquine c) Primaquine d) Quinine SITUATION: Bano a 5 year old was brought to the health center after having a fever of 5 days. Upon assessment, the mother denied any episodes of nose bleeding, nor bleeding from his gums. He has persistent abdominal pain, and a capillary refill of more than 3 seconds. Banos neighborhood was recently hit with dengue outbreak 70. Admission assessment to be performed to confirm the probability of Dengue is the a. Complete Blood Count c) Hemoconcentration b. Platelet Count d) Tourniquet test 71. The assessment data shows that Bano must probably will have a. Very severe febrile disease c) Very severe Dengue hemorrhagic fever b. Dengue hemorrhagic fever unlikely d) Severe dengue hemorrhagic fever

72. Immediate control of hemorrhage can be managed through the following except: a. Keep the patient at rest during bleeding episodes b. Maintain an elevated position of trunk c. Promote vasoconstriction d. Provision of warmth-through light weight covers 73. The following are the measures to prevent the multiplication of dengue carrying mosquitoes,except: a. Draining water holding containers b. Usage of chemically treated mosquito nets c. Personal protective measures; eg. Repellents d. Do routine fogging 74. Bano is positive tourniquet test. Another sign to check for possible dengue is a. Hemoconcentration c) Cold clammy extremities b. Hemoglobin and hematocrit determination d) Platelet count SITUATION: Belen is 4 years old. She weighs 13 kg. Her axillary temperature is 38 degrees centigrade, has rash, cough. 75. Belen has measles and displays severe stomatitis with deep extensive mouth ulcers and classified as: a. Severe complicated measles c) Measles with mouth complications b. Uncomplicated measles d) Measles 76. If Belen is classified as severe complicated measles, her classification is indicated by what color: a. Pink b) Orange c) Yellow d) Green 77. Clinical signs manifested by Belen are as follows but one is not: a. Any danger sign c) Pus draining from the eye b. Deep Extensive Mouth Ulcers d) Clouding of the cornea 78. Treatment with the presence of eye and mouth complications: a. Tetracycline ointment b) Gentian violet c) Referral d) Home treatment 79. The definition of measles is fever of 37.5 and above, plus of the following but one is not a. Hirshmanns rash b) Conjunctivitis c) Coryza d) Cough SITUATION: Raven, 7 months old, admitted at the health center with a chief complaint of cough for 5 days, associated with fever and vomiting. 80. Normal RR for a 7month old is a. Below 50 bpm b) Below 40 bpm c) 50 bpm d) 40 bpm 81. As a nurse, you suspect Raven to have a. Measles b) Malaria c) Dengue d) Pneumonia 82. The focus assessment for pneumonia are the following except: a. Lower chest wall indrawing b) Stridor c) Tactile fremitus d) Fast breathing 83. The second line of antibiotic for pneumonia is: a. Amoxicillin b) Gentamicin c) Cotrimoxazole d) Ampicillin 84. The parameter to say that raven is not suffering from anymore from pneumonia a. RR of 48 bpm c) Decrease stridor breath sound b. No cough manifestation d) Bronchovesicular breath sound 85. Chest indrawing should only be considered if: a. Inward movement of the bony structure b. Blocked nose or breastfeeding can all cause temporary chest indrawing c. Consistently present in a calm child d. It is more specific than intercostals indrawing SITUATION: Matet a PHN, just finished attending an IMCI course and went back to the RHU to implement what she had learned. 86. Assessment procedure for age 2 months up to 5 years includes a number of steps that must be taken by the health care provider which includes 3 but one is not a. History taking and communicating with the caretaker about the childs problem b. Checking the main symptom c. Assessing childs feeding and nutritional status d. Teaching the mother the signs and symptoms of the disease

87. Matet should be a good communicator. It is critical to communicate effectively with the childs mother or caretaker. The steps to good communication are the following except: a. Use local words and avoid medical terminology b. Need time to reflect and decide if a clinical sign is present c. Ask additional questions to help her/him give clear answer d. Ask , Look and Listen 88. It is useful indicator of severe pneumonia. It is more specific than intercostal indrawing. a. Stridor b) Grunting c) Wheezing d) Lower chest wall indrawing 89. The health care must check for the main symptom. The first three often result in death. Which symptom causes childhood disability in low and middle income countries a. Cough and difficulty in breathing b) Diarrhea c) Ear problems d) Fever 90. Which of the following therefore is an important responsibility of a nurse in the aid of giving treatment for childhood illnesses; a. Weighing of the sick child c) Correct counseling b. Provision of careful assessment d) Giving antibiotics SITUATION: The IMCI strategy includes both preventive and curative interventions that aim to improve practices in health facilities, the health system and at home. Elaine should be aware of the components of the integrated approach. 91. The IMCI guidelines are based on the following principles of integrated care except: a. Examined the general danger signs b. Improve in the case management skills of staff c. Routinely assessed for major symptoms d. IMCI address most but not all, of a major reason a sick child is brought to a clinic 92. Clinical signs and symptoms have different degrees of reliability and diagnostic values and importance. This age group refers a. Children age 2 months up to 4 years c) Young infants age 1 week up to 2 months b. Children 0-8 years of age d) Children age 3 months up 93. Essential component of the IMCI guidelines a. Limited number of carefully selected clinical signs b. All signs will lead to a classification rather than diagnosis c. Counseling of caretakers d. Improve the management of health workers 94. The IMCI training was designed to teach integrated management of sick infants and children to a. Mothers to classify and treat patients of pneumonia c) First level of health workers b. Secondary level of health workers d) Seek early consultation, and avoid complications 95. The basic components of IMCI are the following but one is not a. Improving case management skills of health workers c) Improving the diagnosis of health workers b. Improving the health system d) Improving family and community practices 96. Facility that classify, and identify treatment, referral, assess and do follow up care is a. Child survival facility c) Home management b. Outpatient health facility d) Referral facility 97. Facility that do emergency triage assessment and treatment diagnosis and monitoring of patient progress: a. Outpatient health facility c) Appropriate health facility b. Referral health facility d) Child survival facility SITUATION: Bayani is 18 months old. He weighs 12 kg and temperature is 37.8. His mother brought him to the RHU complaining that Bayani has cough for 4 days, harsh noise and wheezing problem. 98. The first step to do as a RHU nurse is: a. Check vital signs c) Classify him as severe b. Examined for major symptoms d) Check for the general danger signs 99. If bayani is classified from severe pneumonia, what clinical signs is manifested a. Very severe pneumonia c) Stridor in a calm child b. Cough or cold d) Fast breathing

100. 101.

102.

Severe pneumonia is classified as pink. The first thing a nurse will do is a. Give paracetamol to relieve pain c) Antibiotic for 5 days b. First dose of antibiotic d) Give vitamin A A classification as pink row indicates: a. The child will be given remedial measures c) First dose of antibiotic, antimalarial drug b. Means the child does not need specific medical treatment d) Follow up A child classified as having severe pneumonia or very severe disease is a. Seriously ill b) No pneumonia c) Very severe pneumonia d) Fast breathing

SITUATION: A PHN should keep herself abreast with the technical updates of IMCI since it was over seven years that has been introduced. 103. The drug of choice better than injectable chloramphenicol for very severe pneumonia is a. Oral amoxillin b) Cotrimoxazole c) Injectable ampicillin d) None of the above 104. The classification of a child with the fast breathing, and wheezing as a sign is: a. Severe pneumonia with wheezing c) No pneumonia: Cough.cold b. Pneumonia with wheezing d) No pneumonia 105. The drug of choice where antimicrobial resistance to cotrimoxazole and should be given twice daily at a dose of 25mg/kg per dose: a. Gentamicin b) Amoxicillin c) Streptomycin d) Chloramphenicol 106. In countries, where nalidixic acid is still effective against shigellosis, the second line antimicrobial for treating strains of Shigella a. Cotrimoxazole b) Tetracycline c) Ciprofloxacin d) Gentamicin 107. Malaria case management has been greatly affected by the emergence and spread of chloroquine resistance. The first line of antimalarial drug is: a. Atemether-lumefrantine (COARTEM) c) Pyremethamine b. Sulfadoxine d) Primaquine 108. The second line of antimalarial drug a. Sulfadoxine-pyrimethamine c) Amodiaquine b. Artesunate d) Primaquine 109. Treatment for Chronic ear infection that is given for at least two weeks in addition to dry ear wicking: a. Oral amoxicillin b) Topical ointment c) Cotrimoxazole d) Amoxicillin 110. The drug of choice for the management of supportive otitis media in countries where antimicrobial resistance to cotrimoxazole is high a. Amoxicillin b) Gentamicin c) Penicillin d) Gramicidin 111. Complimentary feeding is conducted from a. Up to 6 months (180 days of age) c) Only if the child is older than 4 months b. 6 months up to 23 months d) When the child is classified as severe malnutrion "When the solution is simple, God is answering." Albert Einstein