Beruflich Dokumente
Kultur Dokumente
Situation 1: Mariah is a 31 year old lawyer who has been married for 6 months.
She consults you for guidance in relation with her menstrual cycle and her desire
to get pregnant.
1. She wants to know the length of her menstrual period. Her previous
menstruation is October 22 to 26. Her LMB is November 21. Which of the
following number of days will be her correct response?
a. 29
b. 28
c. 30
d. 31
2. You advised her to observe and record the signs of Ovulation, which of the
following signs will she likely not down?
1. A 1 degree Fahrenheit rise in basal body temperature
2. Cervical mucus becomes copious and clear
3. One pound increase in weigh
4. Mittelscmerz
a. 1, 2, 4
b. 1, 2, 3
c. 2, 3, 4
d. 1, 3, 4
3. You instruct Mariah to keep record of her basal temperature every day. Which
of the following instructions in incorrect?
a. If coitus has occurred, this should be reflected in the client
b. It is best to have coitus on the evening following a drop in BBT to become
pregnant
c. Temperature should be taken immediately after waking and before getting out
of bed
d. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings about
this change in her BBT?
a. Estrogen
b. Progesterone
c. gonadotropine
d. follicle stimulating hormone
5. The following month, Mariah suspects she is pregnant. Her uterine is positive
for Human Chorionic Gonadotropin. Which structure produces HCG?
a. Pituitary gland
b. Trophoblastic cells of the embryo
c. Uterine deciduas
d. Ovarian follicles
7. The nurse palpates the abdomen of Mariah. Now at 5 month gestation, what
level of the abdomen can the fundic height be palpated?
a. Symphysis pubis
b. Midpoint between the umbilicus and the xiphoid process
c. Midpoint between the symphysis pubis and the umbilicus
d. Umbilicus
8. She worries about her small breasts thinking that she probably will not be able
to breastfeed her baby. Which of the following responses of the nurse is correct?
a. “the size of your breast will not affect your lactation”
b. “you can switch to bottle feeding”
c. “you can try to have exercise to increase the size of your breast”
d. “Manual expression of milk is possible”
9. She tells the nurse that she does not take milk regularly. She claims that she
does not want to gain too much weight during her pregnancy. Which of the
following nursing diagnosis is the priority?
a. Potential self esteem disturbance related to physiologic changes in pregnancy
b. Ineffective individual coping related to physiologic changes in pregnancy
c. Fear related to the effects of pregnancy
d. Knowledge deficit regarding nutritional requirements of pregnancies related to
lack of information sources
10. Which of the following interventions will likely ensure compliance of Mariah?
a. Incorporate her food preferences that are adequately nutritious in her meal
plan
b. Consistently counsel toward optimum nutritional intake
c. Respect her right to reject dietary information if she chooses
d. Inform her of the adverse effects of inadequate nutrition to her fetus
Situation 3: Susan is a patient in the clinic where you work. She is inquiring
about pregnancy.
11. Susan tells you she is worried because she develops breasts later than most
of her friends. Breast development is termed as:
a. Adrenarche
b. Mamarche
c. Thelarche
d. Menarche
12. Kevin, Susan’s husband tells you that he is considering vasectomy after the
birth of their new child. Vasectomy involves the incision of which organ?
a. The testes
b. The vas deferens
c. The epididymis
d. The scrotum
14. Susan typically has menstrual cycle of 34 days. She told you she had coitus
on days 5, 10, 15, ad 20 of her menstrual cycle. Which is the day on which she
is most likely to conceive?
a. 8th day
b. 10th day
c. Day 15
d. Day 20
15. While talking with Susan, 2 new patients arrived and they are covered with
large towels and the nurse noticed that there are many cameramen and news
people outside of the OPD. Upon assessment the nurse noticed that both of them
are still nude and the male client’s penis is still indie the female client’s vagina
and the make client said that “I can’t pull it”. Vaginismus was your first
impression. You know that the psychological cause of vaginismus is related to:
a. The male client inserted the penis too deeply that it stimulates vaginal
closure.
b. The penis was too large that’s why the vagina triggered its defense to attempt
to close it.
c. The vagina does not want to be penetrated.
d. It is due to learning patterns of the female client where she views her as bad
or sinful.
16. Supposed that Dana, 17 years old, tells you she wants to use fertility
awareness method of contraception. How will she determine her fertile days?
a. She will notice that she feels hot as if she has an elevated temperature
b. She should assess whether her cervical mucus is thin, copious, clear and
watery
c. She should monitor her emotions for sudden anger or crying
d. She should assess whether her breasts feel sensitive to cool air
17. Dana chooses to use COC as her family planning method. What is the danger
sign of COC you would ask her to report?
a. A stuffy or runny nose
b. Arthritis like symptoms
c. Slight weight gain
d. Migraine headache
18. Dana asks about subcutaneous implants and she asks how long the implants
will be effective. Your best answer is:
a. One month
b. Twelve months
c. Five years
d. 10 years
19. Dana asks about female condoms. Which of the following is true with regards
to female condoms?
a. The hormone the condom releases might cause mild weigh gain
b. She should insert the condom before any penile penetration
c. She should coat the condom with spermicide before use
d. Female condoms, unlike male condoms, are reusable
20. Dana has asked about GIFT procedure. What makes her a good candidate for
GIFT?
a. She has patent fallopian tubes, so fertilized ova can be implanted on them
b. She is RH negative, a necessary stipulation to rule out RH incompatibility
c. She has normal uterus, so the sperm can be injected through the cervix into it
d. Her husband is taking sildenafil, so all sperms will be motile
Situation 5: Nurse Lorena is a Family Planning and Infertility Nurse Specialist and
currently attends to FAMILY PLANNING CLIENTS and INFERTILE COUPLES. The
following conditions pertain to meeting the nursing needs of this particular
population group.
21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which
would be the best answer?
a. Prostaglandins released from the cut fallopian tubes can kill sperm
b. Sperm cannot enter the uterus because the cervical entrance is blocked
c. Sperm can no longer reach the ova, because the fallopian tubes are blocked
d. The ovary no longer releases ova as there is nowhere for them to go
22. The Dators are a couple undergoing testing for infertility. Infertility is said to
exist when:
a. The woman has no uterus
b. A woman has no children
c. A couple has been trying to conceive for 1 year
d. A couple has wanted a child for 6 months
25. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks
what artificial insemination by donor entails. Which would be your best answer if
you were Nurse Lorena?
a. Donor sperm are introduced vaginally into the uterus or cervix
b. Donor sperm are injected intra-abdominally into each ovary
c. Artificial sperm are injected vaginally to test tubal pregnancy
d. The husband’s sperm is administered intravenously weekly
Situation 6: You are assigned to take care of a group of patients across the
lifespan.
26. Pain in the elder persons require careful assessment because they
a. Experience reduced sensory perception
b. Have increased sensory perception
c. Are expected to experience chronic pain
d. Have a decreased pain threshold
28. The elderly patient is at higher risk for urinary incontinence because of
a. Increased glomerular filtration
b. Diuretic use
c. Decreased bladder capacity
d. Dilated urethra
29. Which of the following is the MOST COMMON sign of infection among the
elderly?
a. Decreased breath sounds with crackles
b. Fever
c. Pain
d. Change in mental status
31. Preschoolers are able to see things from which of the following perspectives?
a. Their peers
b. Their own and their caregivers
c. Their own and their mother’s
d. Only their own
33. According to the social intersectional perspective of child abuse and neglect,
four factors place the family members at risk for abuse. These risk factors are
the family itself, the caregiver, the child and
a. The presence of family crisis
b. Genetics
c. The national emphasis on sex
d. Chronic poverty
34. Which of the following signs and symptoms would you most likely find when
assessing an infant with Arnold-Chiari malformation?
a. Weakness of the leg muscles, loss of sensation in the legs, and restlessness
b. Difficulty swallowing, diminished or absent gag reflex, and respiratory distress
c. Difficulty sleeping, hyper-vigilant, and an arching of the back
d. Paradoxical irritability, diarrhea and vomiting
35. A parent calls you and frantically reports that her child has gotten into her
famous ferrous sulfate pills and ingested a number of these pills. Her child is now
vomiting, has bloody diarrhea, and is complaining of abdominal pain. You will tell
the mother to
a. Call emergency medical services (EMS) and get the child to the emergency
room
b. Relax because these symptoms will pass and the child will be fine
c. Administer syrup of ipecac
d. Call the poison control center
36. A client says she heard from a friend that you stop having periods once you
are on the “pill”. The most appropriate response would be:
a. “The pill prevents the uterus from making such endometrial lining that is why
periods may often be scant or skipped occasionally.”
b. “If your friend has missed her period, she should stop taking the pills and get
a pregnancy test as soon as possible.”
c. “The pill should cause a normal menstrual period every month. It sounds like
your friend has not been taking the pills properly.”
d. “Missed period can be very dangerous and may lead to the formation of
precancerous cells.”
37. The nurse assessing newborn babies and infants during their hospital stay
after birth will notice which of the following symptoms as a primary
manifestation of Hirschsprung’s disease?
a. A fine rash over the trunk
b. Failure to pass meconium during the first 24 to 48 hours after birth
c. The skin turns yellow and then brown over the first 48 hours of life
d. High-grade fever
38. A client is 7 months pregnant and has just been diagnosed as having a
partial placenta previa. She is stable and has minimal spotting and is being sent
home. Which of these instructions to the client may indicate a need for further
teaching?
a. Maintain bed rest with bathroom privileges
b. Avoid intercourse for three days
c. Call if contractions occur
d. Stay on left side as much as possible when lying down
39. A woman has been rushed to the hospital with ruptured membrane. Which of
the following should the nurse check first?
a. Check for the presence of infection
b. Assess for prolapsed of the umbilical cord
c. Check the maternal heart rate
d. Assess the color of the amniotic fluid
40. The nurse notes that the infant is wearing a plastic-coated diaper is a topical
medication were to be prescribed and it were to go on the stomachs or buttocks,
the nurse would teach the caregivers to
a. Avoid covering the area of the topical medication with the diaper
b. Avoid the use of clothing on top of the diaper
c. Put the diaper on as usual
d. Apply an icepack for 5 minutes to the outside of the diaper
41. Which of the following factors is most important in determining the success
of relationships used in delivering nursing care?
a. Type of illness of the client
b. Transference and counter-transference
c. Effective communication
d. Personality of the participants
42. Grace sustained a laceration on her leg from automobile accident. Why are
lacerations of lower extremities potentially more serious among pregnant women
than other?
a. Lacerations can provoke allergic responses due to gonadotropic hormone
release
b. A woman is less able to keep the laceration clean because of her fatigue
c. Healing is limited during pregnancy so these will not heal until after birth
d. Increased bleeding can occur from uterine pressure on leg veins
43. In working with the caregivers of a client with an acute or chronic illness, the
nurse would
a. Teach care daily and let the caregivers do a return demonstration just before
discharge
b. Difficulty swallowing, diminished or absent gag reflex and respiratory distress
c. Difficulty sleeping, hypervigilant, and arching of the back
d. Paradoxical irritability, diarrhea, and vomiting
44. Which of the following roles BEST exemplifies the expanded role of the
nurse?
a. Circulating nurse in surgery
b. Medication nurse
c. Obstetrical nurse
d. Pediatric nurse practitioner
46. You are the nurse assigned to work with a child with acute
glomerulonephritis. By following the prescribed treatment regimen, the child
experiences a remission. You are now checking to make sure the child does not
have a relapse. Which finding would most lead you to the conclusion that a
relapse is happening?
a. Elevated temperature, cough, sore throat, changing complete blood count
(CBC) with differential
b. A urine dipstick measurement of 2+ proteinuria or more for days or the child
found to have 3-4+ proteinuria plus edema
c. The urine dipstick showing glucose in the urine for 3 days, extreme thirst,
increase in urine output, and a moon face
d. A temperature of 37.6 degrees (100 degrees F), flank pain, burning
frequency, urgency on voiding, and cloudy urine
47. The nurse is working with an adolescent who complains of being lonely and
having a lack of fulfillment in her life. This adolescent shies away from intimate
relationships at times yet at other times she appears promiscuous. The nurse will
likely work with this adolescent in which of the following areas?
a. Isolation
b. Loneliness
c. Lack of fulfillment
d. Identity
48. The use of interpersonal decision making, psychomotor skills, and application
of knowledge expected in the role of a licensed health care professional in the
context of public health welfare and safety is an example of
a. Delegation
b. Supervision
c. Responsibility
d. Competence
49. The painful phenomenon known as back labor occurs in a client whose fetus
in what position?
a. Brow position
b. Right occipito-anterior position
c. Breech position
d. Left occipito-posterior position
Situation 7: The infant and child mortality rate in the low to middle income
countries is ten times higher than industrialized countries. In response to this,
the WHO and UNICEF launched the protocol Integrated Management of childhood
Illnesses to reduce the morbidity and mortality against childhood illnesses.
51. If a child with diarrhea registers two signs in the yellow row in the IMCI
chart, we can classify the patient as
a. Moderate dehydration
b. Some dehydration
c. Severe dehydration
d. No dehydration
52. Celeste has had diarrhea for 8 days. There is no blood in the stool, he is
irritable, his eyes are sunken, the nurse offers fluid to Celeste and he drinks
eagerly. When the nurse pinched the abdomen, it goes back slowly. How will you
classify Celeste’s illness?
a. Moderate dehydration
b. Some dehydration
c. Severe dehydration
d. No dehydration
53. A child who is 7 weeks has had diarrhea for 14 days but has no sign of
dehydration classified as
a. Persistent diarrhea
b. Sever dysentery
c. Dysentery
d. Severe persistent diarrhea
54. The child with no dehydration needs home treatment. Which of the following
is not included in the rules for home treatment in this case?
a. Forced fluids
b. When to return
c. Give vitamin A supplement
d. Feeding more
56. An important role of the community health nurse in the prevention and
control of Dengue H-fever includes
a. Advising the elimination of vectors by keeping water containers covered
b. Conducting strong health education drives/campaign directed towards proper
garbage disposal
c. Explaining to the individuals, families, groups and community the nature of
the disease and its causation
d. Practicing residual spraying with insecticides
58. The community health nurses primary concern in the immediate control of
hemorrhage among patients with dengue is
a. Advising low fiber and non-fat diet
b. Providing warmth through light weight covers
c. Observing closely the patient for vital signs leading to shock
d. Keeping the patient at rest
59. Which of these signs may NOT be REGARDED as truly positive signs
indicative of Dengue H-fever?
a. Prolonged bleeding time
b. Appearance of at least 20 petechiae within 1cm square
c. Steadily increasing hematocrit count
d. Fall in the platelet count
60. Which of the following is the most important treatment of patients with
Dengue H-fever?
a. Give aspirin for fever
b. Replacement of body fluids
c. Avoid unnecessary movement of patient
d. Ice cap over the abdomen in case of melena
61. In correcting misconceptions and myths about certain diseases and the
management, the health worker should first
a. Identify the myths and misconceptions prevailing in the community
b. Identify the source of these myths and misconceptions
c. Explain how and why these myths came about
d. Select the appropriate IEC strategies to correct them
64. If ever convulsions occur after administering DPT, what should the nurse
best suggest to the mother?
a. Do not continue DPT vaccination anymore
b. Advise mother to comeback after 1 week
c. Give DT instead of DPT
d. Give pertussis of the EPT and remove DT
Situation 10: With the increasing documented cases of CANCER the best
alternative to treatment still remains to be PREVENTION. The following
conditions apply.
66. Which among the following is the primary focus of prevention of Cancer?
a. Elimination of conditions causing cancer
b. Diagnosis and treatment
c. Treatment at early stage
d. Early detection
67. In the prevention and control of cancer, which of the following activities is
the most important function of the community health nurse?
a. Conduct community assemblies
b. Referral to cancer specialist those clients with symptoms of cancer
c. Use the nine warning signs of cancer as parameters in our process of
detection, control and treatment modalities
d. Teach woman about proper/correct nutrition
68. Who among the following are recipients of the secondary level of care for
cancer cases?
a. Those under early case detection
b. Those under post case treatment
c. Those scheduled for surgery
d. Those undergoing treatment
69. Who among the following are recipients of the tertiary level of care for
cancer cases?
a. Those under early treatment
b. Those under supportive care
c. Those under early detection
d. Those scheduled for surgery
70. In Community Health Nursing, despite the availability and use of many
equipment and devices to facilitate the job of the community health nurse, the
best tool any nurse should be prepared to apply is a scientific approach. This
approach ensures quality of care given at the community setting. This is nursing
parlance is nothing less than the
a. Nursing diagnosis
b. Nursing protocol
c. Nursing research
d. Nursing process
Situation 11: Two children were brought to you. One with chest indrawing and
the other has diarrhea. The following questions apply:
71. Using Integrated Management and Childhood Illness (IMCI) approach, how
would you classify the 1st child?
a. Bronchopneumonia
b. No pneumonia: cough or cold
c. Severe pneumonia
d. Pneumonia
72. The 1st child who is 13 months has fast breathing. Using IMCI parameters,
he has:
a. 40 breaths per minute or more
b. 50 breaths per minute
c. 30 breaths per minute or more
d. 60 breaths per minute
73. Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool.
She is irritable, and her eyes are sunken. The nurse offered fluids and the child
drinks eagerly. How would you classify Nina’s illness?
a. Some dehydration
b. Dysentery
c. Severe dehydration
d. No dehydration
75. While on treatment, Nina 18 months old weighed 18 kg. 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 per minute, no
chest in-drawing, no stridor. How would you classify Nina’s manifestation?
a. No pneumonia
b. Severe pneumonia
c. Pneumonia
d. Boronchopneumonia
76. Carol is 15 months old and weighs 5.5 kg and it is her initial visit. Her
mother says that Carol is not eating well and unable to breastfeed, he has no
vomiting, has no convulsion and not abnormally sleepy or difficult to awaken.
Her temperature is 38.9 C. Using the Integrated Management of Childhood
Illness or IMCI strategy, if you were the nurse in charge of Carol, how will you
classify her illness?
a. A child at a general danger sign
b. Very severe febrile disease
c. Severe pneumonia
d. Severe malnutrition
77. Why are small for gestational age newborns at risk for difficulty maintaining
body temperature?
a. Their skin is more susceptible to conduction of cold
b. They are preterm so are born relatively small in size
c. They do not have as many fat stored as other infants
d. They are more active than usual so they throw off comes
78. Oxytocin is administered to Rita to augment labor. What are the first
symptoms of water intoxication to observe for during this procedure?
a. Headache and vomiting
b. A swollen tender tongue
c. A high choking voice
d. Abdominal bleeding and pain
79. Which of the following treatment should NOT be considered if the child has
severe dengue hemorrhagic fever?
a. Use plan C if there is bleeding from the nose or gums
b. Give ORS if there is skin petechiae, persistent, vomiting, and positive
tourniquet test
c. Give aspirin
d. Prevent low blood sugar
80. In assessing the patient’s condition using the IMCI approach strategy, the
first thing that a nurse should do is to:
a. Ask what are the child’s problem
b. Check the patient’s level of consciousness
c. Check for the four main symptoms
d. Check for the general danger signs
82. The child with no dehydration needs home treatment. Which of the following
is NOT indicated in the care for home management at this case?
a. Give drugs every 4 hours
b. Continue feeding the child
c. Give the child more fluids
d. Inform when to return to the health center
83. Ms. Jordan, RN, believes that a patient should be treated as individual. This
ethical principle that the patient referred to
a. Beneficence
b. Nonmaleficence
c. Respect for person
d. Autonomy
84. When patients cannot make decisions for themselves, the nurse advocate
relies on the ethical principle of
a. Justice and beneficence
b. Fidelity and nonmaleficence
c. Beneficence and nonmaleficence
d. Fidelity and justice
85. Being a community health nurse, you have the responsibility of participating
in protecting the health of people. Consider this situation: Vendors selling bread
with their bare hands. They receive money with these hands. You do not see
them washing their hands. What should you do?
a. “miss, may I get the bread myself because you have not washed your hands”
b. All of these
c. “Miss, it is better to use a pick up forceps /bread tong”
d. “Miss, your hands are dirty. Wash your hands first before getting the bread”
86. A female client asks the nurse about the use of a cervical cap. Which
statement is correct regarding the use of the cervical cap?
a. It may affect Pap smear results
b. It does not need to be fitted by the physician
c. It does not require the use of spermicide
d. It must be removed within 24 hours
88. The extent of burns in children are normally assessed and expressed in
terms of
a. The amount of body surface that is unburned
b. Percentages of total body surface area (TSBA)
c. How deep the deepest burns are
d. The severity of the burns on a 1 to 5 burn scale
89. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes
is always hungry, has no lunch money, and is always tired. When the nurse asks
the boy his tiredness, he talks of playing outside until midnight. The nurse will
suspect that this child is:
a. Being raised by a parent of low intelligence quotient (IQ)
b. An orphan
c. A victim of child neglect
d. The victim of poverty
90. Which of the following indicates the type(s) of acute renal failure?
a. Four types: hemorrhagic with and without clotting, and non-hemorrhagic with
and without clotting
b. One type: acute
c. Three types: pre-renal, intrarenal and post-renal
d. Two types: acute and subacute
Situation 13: Mike, 16 years old, has been diagnosed to have AIDS. He worked
as an entertainer in a cruise ship.
93. You are assigned in a private room of Mike. Which procedure should be of
outmost importance?
a. Alcohol wash
b. Universal precaution
c. Washing isolation
d. Gloving technique
95. Exercise precaution must be taken to protect health workers dealing with the
AIDS patients. Which among these must be done as priority?
a. Boil used syringe and needles
b. Use gloves when handling specimens
c. Label personal belonging
d. Avoid accidental wound
Situation 14: Michelle is a 6 year old pre-schooler. She was reported by her
sister to have measles but she is at home because of fever, upper respiratory
problem and white spots in her mouth.
96. Rubeola is an Arab term meaning Red. The rash appears on the skin in
invasive stage prior to eruption behind the ears. As a nurse, your physical
examination must determine complication especially:
a. Otitis media
b. Bronchial pneumonia
c. Inflammatory conjunctiva
d. Membranous laryngitis
97. To render comfort measure is one of the priorities which includes care of the
skin, eyes, ears, mouth and nose. To clean the mouth, your antiseptic solution is
in some form of which one below?
a. Water
b. Sulfur
c. Alkaline
d. Salt
98. As a public health nurse, you teach mother and family members the
prevention of complication of measles. Which of the following should be closely
watched?
a. Temperature fails to drop
b. Inflammation of the conjunctive
c. Inflammation of the nasopharynx
d. Ulcerative stomatitis
99. Source of infection of measles is secretion of nose and throat of infected
person. Filterable virus of measles is transmitted by
a. Water supply
b. Droplet
c. Food ingestion
d. Sexual contact
ANSWER KEY:
1. D
2. A
3. D
4. B
5. B
6. A
7. D
8. A
9. D
10. A
11. C
12. B
13. D
14. D
15. D
16. B
17. D
18. C
19. B
20. A
21. C
22. C
23. A
24. D
25. A
26. A
27. A
28. C
29. D
30. D
31. D
32. C
33. A
34. B
35. D
36. C
37. B
38. B
39. B
40. A
41. C
42. D
43. A
44. D
45. C
46. B
47. D
48. D
49. D
50. A
51. B
52. B
53. D
54. C
55. D
56. C
57. C
58. C
59. B
60. B
61. A
62. a
63. d
64. c
65. C
66. A
67. A
68. A
69. B
70. D
71. C
72. A
73. A
74. D
75. C
76. B
77. C
78. A
79. C
80. A
81. B
82. A
83. C
84. C
85. C
86. A
87. D
88. B
89. C
90. C
91. C
92. C
93. B
94. B
95. B
96. B
97. D
98. C
99. B
100. D