PRIMARY HEALTH CARE POST TEST

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Enhancement Review Programfor May 2015 Nurse Licensure Examination
COMMUNICABLE NURSING
Lecturer: Rho Vince C. Malagueo RM, RN
Type of Exam: POST TEST
Prepared by: Rho Vince C. Malagueo, RM, RN
DIRECTION: Choose the letter of the BEST answer by shading the corresponding letter of your choice in the answer sheet
provided. STRICTLY NO ERASURE!

1. Growth and development progress in the following ways except
a. From cognitive to psychosexual c. From head to toe
b. From trunk to the tip of extremities d. From general to specific
2. As described by Erikson, the major psychosocial conflict of an infant is
a. Autonomy vs. shame and doubt c. Trust vs. mistrust
b. Industry vs. inferiority d. Initiative vs. guilt
3. What is the legal basis of Essential Newborn Care?
a. R.A. 9288 c. R.A. 2009
b. DOH Circular # 2009-25 d. DOH Circular # 2005-29
4. The temperature of the delivery room should be ideal for the newborn. The following are appropriate in regulating the DR
temperature, except
I. Check for the air draft
II. Turn off the airconditioning unit
III. The temperature should be at least 30 deg C
a. I, II b. I, II, III c. II, III d. III
5. Once the baby is already out, what is the appropriate initial intervention?
a. Aspirate the mouth first before the nose
b. Slap the buttocks to stimulate breathing
c. Wash the baby to remove the excess vernix caseosa
d. Wipe with dry cloth
6. What is the dangerous sequela of hyporthermia of the newborn?
a. Seizure b. respiratory depression c. Acidosis d. cold stress
Situation: Essential Newborn Care also dubbed as Unang Yakap was implemented to help reduce neonatal mortality rate in the
Philippines. The following questions apply.
7. What is the correct sequence of the interventions in ENC?
I. Aspiration of mouth then nose
II. Properly timed cord clamping & Cutting
III. Early skin-to-skin contact
IV. Immediate and thorough drying
V. Non-separation of the newborn
a. I, IV, III, II, V b. IV, III, II, V c. IV, II, III, V d. I, IV, II, III, V
8. When the baby was already out, the nurse found out that he is apneic, what is the most appropriate initial action?
a. Perform rescue breathing
b. Perform CPR
c. Dry the baby thoroughly
d. Perform Tangential foot slap
9. The following are not complications of hypothermia in the newborn, except.
I. Infection
II. Coagulation defect
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III. Acidosis
IV. Respiratory distress syndrome
V. Intravenricular Hemorrhage
VI. Delayed closure of foramen ovale.
a. I, II, II only b. I, II, III, V, VI c. I, II, III, V d. I, II, III, IV, V, VI
10. When are you going to clamp and cut the cord, except
a. Within 5 min to prevent blood incompatibility
b. Within 1-3 min
c. When the pulsation stops
d. Within 30 seconds if the baby is in distress
e. None of the above
11. Which of the following is true about the procedures in Unang Yakap?
I. Footprinting should be done routinely to prevent accidental exchange of babies
II. Always aspirate the newborn to establish airway
III. Place the cord binder and prevent it from being wet
IV. Fold the diaper above the stamp
V. If not breathing, perform tangential footslap to stimulate
VI. Wash the baby immediately then dry thouroughly
VII. Inject Vit K at the gluteus medius to prevent bleeding
VIII. Give prelacteals to enhance sucking
a. I,II,III,VIII b. I, II, VIII c. II, IV, VIII d. all except III & VI e. NOTA
12. The following are signs of proper latching, but;
I. Mouth wide open
II. Lower lip turned inward
III. More areola is seen above than below
IV. Chin hardly touches the breast
a. I only b. All except I c. I, III, IV d. I, IV e. NOTA
13. Which of the following is true about growth, except
I. Weight is more sensitive parameter than height
II. Weight is doubled at 6
th
mon
III. Height doubles at 1 year
IV. It is qualitative
a. I only b. I, II c. II, III d. IV only e. III, IV
14. Baby Mica is born with length of 50 cm. What will be her length after 6 months?
a. 56 cm b. 60 cm c. 62 cm d. 65 cm
15. Which of the following is not part of Denver Developmental Screening test?
a. Gross Motor function
b. Fine Motor Function
c. Language Function
d. Play social
e. NOTA
16. Which of the following statement is not true?
a. IQ is fixed and it increases with age
b. IQ is not fixed
c. EQ is genetically predisposed
d. NOTA
17. Which component of personality is based on conscience?
a. Ego b. Id c. Super ego d. Phallic
18. When will the super ego be developed?
a. Toddlerhood b. infancy c. Phallic stage d. School-age
19. What is the play of a toddler?
a. Solitary b. parallel c. associative d. competitive e. foreplay
20. Where is the site of gratification of a an adolescent?
a.oral b. anal c. genital d. nipples
21. What are the indicators that the child is ready to be toilet trained?
I. Child can stand and sit with support
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II. The child is able to maintain himself for at least 1 hour
III. The child can tell his mom if he has to void
a. I, II b. II, III c. I, II, III, d. III
22. When the toddler always says no to whatever the mother tells him. What will be your most appropriate response?
a. Tell the mother that the toddler is in the stage of autonomy vs. shame and doubt.
b. Tell the mother that she needs to offer choices
c. Always ignore the child
d. Ask the child what he really wants, and grant it.
23. What conflict should an elderly resolve?
a. generativity vs. stagnation c. Intimacy vs. isolation=
b. Industry vs, inferiority d. ego integrity vs. despair
24. According to Piagets theory, when does a child developed inductive reasoning?
a. Pre-operational c. Formal operation
b. Concrete operation d. Conventional
25. When will an infant starts to cry with tears?
a. 1 mon b. 2 mon c. 3 mon d. 4 mon
26. When will a child starts to walk alone?
a. 1 year old b. 15 mon c. 10 mon d. 2 yrs
27. What is the fear of a preschool?
a. stranger b. separation anxiety c. body mutilation d.rejection
Situation: Hospitalization among pediatric patients is very stressful. As a pediatric nurse, you have to support the sick child and the
parents to go through this.
28. The response that would be unusual in infants subjected to prolonged hospitalization would be
a. Lack or slowness of weight gain
b. Limited emotional response to stimuli
c. Excessive crying and clinging when approached
d. Looking at ceiling lights rather than at persons caring for them
29. Before surgery to relieve intestinal obstruction, a 3 month old is kept on NPO and has an OGT in place to calm, as well as to meet
the infants developmental needs best, you should
a. allow the infants to hold on to favorite toy
c. Hang a brightly colored mobile in the infants crib
d. Place the infant on the abdomen and permit crawling
30. To give the most support to the parents of an infant with an obvious physical defect, you should
a. Discourage them from talking about the baby
b. Encourage them to express their worries and tears
c. Tell them not to worry because the defect can be repaired
d. show them post-operative photographs of the babies who had similar defects
31. To meet the major developmental need of the newborn in the post-operative period you should
a. Give the infant a pacifier
b. Provide the infant with a soft cuddly toy
c. Provide the infant with a soft cuddly toy
d. Warm the infants formula feeding
32. Play during infancy is
a. initiated by oarents c. More important than in the later years
b. a way of teaching d. Mostly used for physical development
33. A pediatric nurse is providing instructions to a new mother regarding the psychosocial development of the newborn. Using
Eriksond psychosocial development theory, the nurse would instruct the mother to
a. Allow the newborn to signal a need
b. Anticipate all of the needs of the newborn
c. Avoid the newborn during the first 10 minutes of crying
d. Attend to the newborn immediately when crying
Situation: Separation anxiety, the fear of the toddler is very evident during hospitalization. Pediatric nurses should have a thorough to
explain this phenomenon to apprehensive parents.
34. Duringa nap, a 3-year old hospitalized boy wets his bed. The best approach would be to
a. Tell him to help with remaking the bed
b. Change his clothes and make no issue of it
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c. Change his bed, putting a rubber sheet on it
d. Explain that big boys should try call his mother
35. On the 3
rd
day of hospitalization, 1 2-year old boy had been inconsolably crying and screaming begins to regress and is now lying
quietly in the crib with blanket. You recognize that the child is in the stage of
a. Denial
b. Despair
c. Mistrust
d. Rejection
36. The nurse explains to the mother of a 2 year old girl that the childs negativism is normal for her age and that it is helping her meet
her need for:
a. Trust b. Attention c. Discipline d. Independence
37. When teaching a mother how to prevent accidents while caring for her 6 month old, the nurse should emphasize that at this age
child can usually;
a. Sit up c. Crawl lengthy distances
b. Roll over d. Stand while holding onto furniture
38. When performing a physical assessment of a newborn with Down syndrome, the nurse should carefully evaluate the infants;
a. Heart Sounds b. Anterior fontanel c. Pupillary reaction d. Lower extremities
39. If a child develops cyanosis early during a tonic-clonic seizure, it is most appropriate for the nurse to:
a. Insert an airway c. Use a padded tongue blade
b. Administer oxygen d. Observe without untervening
40. A physician orders the following for a young child with the diagnosis of Wilms tumor. The nurse should question the physician
regarding orders related to preparation for:
a. an IVP c. a nephrectomy
b. A renal biopsy d. An abdominal CT scan
41. Cleft lip is common among;
a. girls b. boys c. either d. NOTA
42. What is the preferred method of feeding the child with clift lip
a. using rubber tipped syringe c. ordinary bottle with rubber nipple
b. using cup d. NOTA
43 The newborn was born with tracheoesophageal atresia, what would the associated condition if the fetus has TEA?
a. Renal agenesis c. polyhydramnios
b. Oligohydramnios d. Heart disease
44. It is the projection of medulla to the cervical canal resulting from overgrowth of neural tube, this condition is called;
a. Reyes syndrome c. Medulla genesis imperfecta
b. Arnold-chiarri deformity d. Kawasaki disease
45. A newborn who had imperforate anus had undergone surgical repair, which of the following is not appropriate?
a. Teach the guardian rectal dilatation
b. Diaper is placed and tucked on the abdomen covering the entire genitals to prevent bedwet
c. position the newborn side lying
d. NOTA
46. Upon palpation of the abdomen, the nurse felt an olive shaped mass. This is indicative of?
a. intussusception b. pyloric stenosis c. Hirshprungs disease d. Wilms Tumor
47. What is the purpose of barium enema in newborn having intussusception?
a. diagnosis
b. for therapeutic
c. none
d. a & b
48. Where is the location of abdominal cramps in patients with Crohns Disease?
a. LLQ b. LUQ c. RUQ d. RLQ
49. Which of the following is true about diet of patient with Crohns Disease?
a. High CHON, high Calorie, High residue c. High CHON, Low Calorie, Low Residue
b. Low CHON, High Calorie, Low Residue d. Hugh CHON, High Calorie, High Residue
50. Which of the following is true about necrotizing colitis, except;
a. May result to peritonitis
b. Usual complication of exchange transfusion
c. Increase incidence among bottle fed infant
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d. May require TPN
51. What is the initial sign of hydrocephalus among infant?
a. lethargy b. seizure c. headache d. larger head circumference
52. Which of the following is not a sign of Increase ICP , except
I. Hypertension
II. Bradycardia
III. Bradypnea
IV. Low pitch shrill cry
V. Projectile vomiting
VI. Widened pulse pressure
a. IV only b. except IV c. all d. I,II,IV,V,VI
53. Which of the following drug may be helpful in hydrocephalus?
a. acetaminophen b. antibiotic c. carbonic anhydrase inhibitor d. digoxin
54. What is the appropriate position of a child post VP shunting procedure?
a. HOB elevated 45 degrees c. flat
b. Turned to affected side d. Trendelenburg
55. What is the initial sign of shunt failure?
a. abdominal pain c. dilated scalp vein
b. fever d. sunset eyes
56. Which of the following is untrue about VP shunt, except
a. shunt is connected to the heart ventricles to the peritoneum
b. it is temporary only
c. connection from the brain to the atrium of the heart
d. NOTA
57. What is the possible disorder caused by Vit B9 deficiency?
a. Non fusion of posterior laminae c. megaloblastic anemia
b. pernicious anemia d. hydrocephalus
58. Which of the following is true about Reyes syndrome, but?
I. It is an acute encephalopathy
II. It may be preceded by viral infection
III. It is treated with ASA
IV. It cause fatty liver
a. I, II b. III.IV c. III d. IV
59. Which of the following is true about Duchennes Muscular Dystrophy?
I. It is an x-linked dominant genetic disorder
II. It is characterized by atrophy and muscle weakness
III. both genders have equal case ratio
IV. It may be treated with steroids
a. I, II,III,IV b. I, II,IV c. II d. II,III
60. Which of the following is true about Cerebral Palsy?
I. permanent, progressive neurologic disorder
II. It is a motor function impairment
III. May be related to prenatal or postnatal hypoxia
IV. characterized by asymmetry in motion or control
a. I, II, III, IV b. II, III, IV c. NOTA d. I, II, IV
61. Which of the following is true about Hip dysplasia?
I. Maintain legs adducted after repair
II. Manifested by asymmetry of gluteal folds
III. Apply multiple diapers
a. I, II, III b. II only c. NOTA d. I, II
62. When the foot is lower than the heel, and turned outward, this is termed
a. calcaneo varus c. equino varus
b. calcaneo valgus d. equino valgus
63. Which if the following is true about scoliosis?
I. Common among girls
II. Exercise is part of the management
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III. The corrective management is Milwaukee brace
a. I, II, III b. I, II c. I, III d. II, III
64. Which of the following is correct regarding Milwaukee brace?
a. It is worn 24 hours a day c. It is a corrective management
b. worn for 6 months d. NOTA
65. What are the manifestations of Pataus Syndrome
I. Small head
II. Small jaw
III. small eyes
IV. Low set ears
V. Cleft lip
a. I,II,III,IV,V b. I,III,IV,V c. I,II,III,V d. I,II,III
66. The murmurs in Ventricular septal defect is usually heard on
a. 1
st
-2
nd
ICS b. 3
rd
-4
th
ICS c. 5
th
-6
th
ICS d. NOTA
67. Cyanotic Heart disease is
a. R-L shunt b. L-R shunt c. Ventricle to Atria shunt d. V-P shunt
68. What is the characteristic sign of patent ductus arteriosus?
a. Choking c. intermittent machinery murmur
b. continuous machinery murmurs d. tachycardia
69. Patent ductus arteriosus can be managed thru
a. ligation b. indomethacin c. both d. NOTA
70. Which of the following is true about coarctation of aorta except;
I.it is stricture of aorta
II. Increase BP in Upper extremities
III. Increase femoral pulse
IV. May lead to left sided heart enlargement
a. I,III b. III c. IV d. NOTA
71. Which of the following are not problems of TOF, but
I. Pulmonary stenosis
II. Left ventricular hypertrophy
III. ASD
IV. Overriding aorta
a. I,II,III,IV b. except II & III c. I,II,IV d. except I & IV
72. A child with Epiglottitis can be managed by:
a. Supine position b. tripod position c. HiB vaccination d. NOTA
73. Which if the following is an ominous sign of patient with asthmatic attack?
a. presence of wheezing b. absent wheezing c. DOB d. cyanosis
74. Which of the following food can be given to a child with glutein sensitive enteropathy?
a. Cake c. steamed corn
b. animal shape rice crackers d. except a
75. The most dreaded complication of PKU is
a. severe liver damage c. Diarrhea
b. mental retardation. D. musty odor urine
76. Which of the following activities may be allowed to a child with sickle cell anemia, except
a. drinking more fluids c. tour to a library
b. trip to Baguio d. Browsing the internet
77. Which of the following is not true about x-linked genetic conditions
a. disorders that affect male child c. the mother is never a carrier
b. disorders that affect female d. they are all passed equally to males and females
78. Which of the metabolic disorders causes cataract?
a. PKU b. galactosemia c. Congenital hypothyroidism d. cystic fibrosis
79. A baby was born 2 hours ago by Cesarean section. The newborn has a myelomeningocele with the sac intact
and has been placed in an incubator. The nurse, when planning care for the baby, should focus on potential for:
A. Disuse syndrome
B. Infection
C. Fluid volume deficit
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D. Decreased cardiac output
80. Appropriate nursing interventions for a newborns myelomeningocele sac prior to surgery include using sterile technique and:
A. Leaving the sac open to air
B. Applying petrolatum to cover the sac
C. Applying moist saline dressings
D. Applying dry dressings
81. To maintain proper alignment of the hips and lower extremities in a baby with a myelomeningocele, the nurse
should position the baby with the:
A. Hips abducted and feet in a neutral position
B. Hips adducted and feet flexed
C. Hips subluxed and feet extended
D. Hips adducted and feet in a natural position
82. Prior to surgery for a myelomeningocele, the nurse would place the baby in which of the following positions?
A. Prone
B. Right side
C. Left side
D. Dorsal
83. A newborn baby is diagnosed with a myelomeningocele. The nurse measures his head circumference daily to assess for the
development of what complication?
A. Hydrocele
B. Hordeolum
C. Hypsarrhythmia
D. Hydrocephalus
84. A 4-month-old infant is admitted to the hospital with acute diarrhea and dehydration. Initial nursing assessment
of the infant reveals:
A. Tenting of skin
B. Low hematocrit
C. Bulging fontanelle
D. Weight gain
85. A 13-year-old female client has asthma. The nurse teaches her ways to reduce possible asthma attacks and
explains the need to avoid:
A. Mild exercise
B. Turtles as pets
C. Swimming
D. Extremes in temperature
86. A 1-year-old infant with eczema is placed in elbow restraints to keep him from scratching. To prevent problems
with immobility, the nurse should:
A. Allow him out of restraints when supervised by the nurse or mother
B. Release restraints for meals and bath time
C. Release restraints one at a time every 4 hours
D. Allow him out of restraints when he is asleep at night and during naps

86. A 2-year-old child is admitted to the hospital with Hirschsprungs disease. During the nursing history, the mother describes the
childs stool to the nurse as foulsmelling and:
A. Small, hard pebbles
B. Large and frothy
C. Cordlike
D. Ribbonlike
87. The nurse explains to a toddlers parents that the treatment of choice for Hirschsprungs disease (aganglionic colon) would be:
A. Surgical removal of affected colon
B. Modified diet high in fiber
C. Medication to stimulate the colon
D. Permanent colostomy
88. A 7-year-old child is admitted to the hospital with nephrotic syndrome. During the assessment, the nurse is aware that a classic
symptom is:
A. Increased urine output
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B. Hematuria
C. Elevated blood pressure
D. Proteinuria
89. During the edematous phase of nephrotic syndrome, an important nursing intervention is to:
A. Provide meticulous skin care
B. Encourage fluid intake
C. Encourage moderate activity
D. Weigh the client every other day
90. A 7-year-old boy with nephrotic syndrome is placed on steroid therapy. Which statement by his mother indicates to the nurse an
understanding of steroid therapy?
A. Steroids will improve his acne.
B. He will have permanent Cushing features.
C. Steroids will mask infections.
D. He may get diarrhea.
91. In evaluating the effectiveness of the prednisone therapy, the nurse realizes that a child with nephrotic syndrome
will continue to take the drug until after:
A. Edema has disappeared
B. Urine no longer contains protein
C. Hematuria has resolved
D. His moon face has disappeared
92. A 3-year-old child is brought to the emergency room by her parents. She has a broken right leg. The mother tells
the admitting nurse that the child had fallen off her tricycle. The father tells the physician that the child had fallen down the stairs. The
parents are concerned about their childs condition, and it is obvious she loves them. She is quiet and not talkative. She is the youngest
of four children. During the initial assessment, what should clue the nurse to the possibility of child abuse?
A. The childs not being talkative
B. Report of conflicting data
C. The childs being the youngest child
D. Parents concern about her condition
93. Which of the following data the nurse learns about a mother in conversation support the possibility of child abuse of her 3-year-old
daughter?
A. Has a healthy self-esteem
B. Has a history of a happy childhood
C. Viewed the child differently than the other children
D. Thought the child was developmentally advanced for
her age
94. The nurse has a legal responsibility in child abuse cases to:
A. Collect additional data before taking further action
B. Directly report her suspicions to the local child protection agency
C. Discuss her suspicions with the parents
D. Notify the physician of her suspicions
95. A mother brings her 3-month-old son to the emergency room. He is crying with apparent acute abdominal pain.
After initial assessment, intussusception is suspected. What type of stool would the nurse expect the mother to report?
A. Black tarlike
B. Ribbonlike
C. Red currant-jellylike
D. Frothy and foul smelling
96. A 1-month-old infant is at the physicians office for a follow-up visit after surgery for pyloric stenosis. The nurse would identify which
of the following as the best indicator that the infant is recovering well from his surgery?
A. Mother reports infant is feeding well every 4 hours.
B. The infant has demonstrated a satisfactory weight gain.
C. The infant is in the 90th percentile in length on the growth chart.
D. Mother reports infant has a normal stool pattern.
97. A baby has died from sudden infant death syndrome (SIDS). SIDS is often initially mistaken for:
A. Failure to thrive
B. Viral infection
C. Meningitis
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D. Child abuse
98. When parents have lost an infant to SIDS, the nurse would plan to insert teaching content about the parents reactions. The nurse
would plan to include content related to:
A. Anger
B. Depression
C. Guilt
D. Hostility
99. During a parenting class for toddlers, the nurse informs parents that the major cause of blindness in children older than 2 years old
is:
A. Glaucoma
B. Trauma
C. Hyperopia
D. Infection
100. Which food would the nurse teach a mother of a child with celiac disease to avoid in the diet?
A. Oatmeal or oat products
B. Fresh fruits or vegetables
C. Chicken or poultry products
D. Cows milk and products containing milk