Beruflich Dokumente
Kultur Dokumente
(RCAP)
1. Lisa, 22 years old, has just been accepted in an ambulatory health care
clinic. She approached you to report an outbreak of influenza in their
neighborhood and has shared with you how she anxiously awaits her first
job. A major developmental focus of Liza and her age group is:
a. Resolving how one will confront death
b. Finding oneself and developing initial commitments
c. Deciding what worth can be shared with next generation
d. Rebelling against parental control in matters of dating and going out
with friends
2. In one of your clinics, you met Mrs. Rosario, 42 y/o, who begins to feel
anxious about her life. Her husband has been very busy having been
promoted as CEO at their company. Her oldest child is already working
and the two younger ones are in school. She finds herself daydreaming
about having another baby. You would consider her situation as:
a. Out of control midlife crisis
b. Serious developmental abnormality
c. Healthy life satisfaction
d. Expected midlife disillusionment
3. Mr. Cruz, 50 year old, is known to be obsessed with his graying and
balding hair. He makes frequent negative references to his body and
energy level and at one time has told to his wife to probably leave him for
a younger man. His behavior probably indicates:
a. Awareness of aging and mortality
b. Desire to be separated from the wife
c. Loss of sexuality
d. Mental and neurotic disorder
4. Aling Martha is 75 years old who is very active in church activities. She is
in good physical health but was brought to your clinic by the eldest
daughter who has been disturbed because Aling Martha always talks
about “When she dies…”She has given away some possession to friends
and close relatives. She also told her family about wanting to be cremated
when the “time” comes. She says she is fine and just want to be realistic
and ready. Your nursing intervention would likely be:
a. Just ignore the complaints of the eldest daughter
b. Refer her to the hospital for further observation
c. Obtain a prescription for anti-depressant
d. Explain that her behavior is developmentally normal
6. A school nurse was called to attend to a bruised skin of Tim, a 4-year old
pre-school pupil. When attending to the needs of this child, the nurse
should remember that children of age are afraid of:
a. Mutilation c. Death
b. Isolation d. Starvation
7. When caring for a 6 month old baby, the nurse should emphasize to the
mother how to prevent accidents. At this age, the toys that are
appropriate for this baby are:
a. Blocks c. Match box
b. Rattles d. Balls
8. Mother wants to know what to do when her 5 year old boy temper
tantrum. The nurse would suggest that the mother allows the child to
express anger by the use of a:
a. Punching bag c. Pounding board
b. Baseball bat d. Wad of clay
Situation 3 – Aling Betty, a retired school teacher and a sari-sari store owner
came to the health center complaining of easy fatigability. She is very much
worried about her health, although according to her, her work in the store is
very light.
11. Based on the above situation, which of the following statements BEST
exemplify a health promotion priority goal for Aling Betty:
a. Plan a therapeutic diet for her
b. Encourage her to have a bed rest
c. Allay or reduce her stress
d. Have a regular physical examination
12. In doing risk appraisal for Aling Betty, which of the following behaviors
of the nurse is most appropriate?
a. Perform the physical assessment including technical gynecological
history
b. Develop client trust in you by explaining in technical terms, her
condition
c. Show an attitude of concern considering her individuality as a person
d. Show a helping attitude by supervising her ADL (activities of daily
living)
13. The objective of a risk appraisal for Aling Betty is finding out the:
a. Health Threats in the community
b. Health habits and practices
c. Danger sign of diseases
d. Undesirable health practices
15. Upon taking the blood pressure, aling Betty’s BP registered at 170/100
of Hg. Which of the following factors would you consider at most risk? Her:
a. Past illness
b. Dietary pattern
c. Daily activities of living
d. Sleeping habits
Situation 4 – Mrs. Martha Duque, 35 years old, G4P4 expressed her desire to
undergo bilateral tubal ligation (BTL). Her youngest child is one year old.
16. In counseling Mrs. Duque and her husband about BTL, which of the
following should be the main focus of the nurse?
a. Review family and personal circumstances that could affect their
decision
b. Motivate the couple to accept the technology
c. Assist the couple to make a sound, well informed decision to undergo
the procedure
d. If the couple has any doubt, offer another contraceptive method
19. Mrs. Duque asks “Will it be possible for me to get pregnant after the
procedure?” The BEST response of the nurse will be:
a. “The doctors here are all specialists, I wouldn’t worry if I were here.”
b. “Absolutely not, this a permanent sterility.”
c. “There are some reports of women getting pregnant, but this is
comparatively rare.”
d. “What made you asks?”
20. Other methods of contraception are explored. Mr. Duque expresses his
non-preference for vasectomy. Which of the following is the main reason
why this method is not a popular choice among men?
a. Very costly
b. Restoration of fertility does not always succeed
c. Sterility is not immediate
d. Diminishes macho image
21. One student asks Rubi to discuss what a zygote is. Her answer will
likely be a:
a. Daughter cell
b. Cell that results from the fertilization of the ovum by a spermatozoa
c. Union of an egg by a sperm
d. Matured ovum
23. Rubi discusses how the zygote enters the uterus which usually takes
place in how many hours after fertilization?
a. 180 c. 48
b. 72 d. 150
24. The mulberry-like ball of cells that results from cleavage is called:
a. Blastocyst c. Blastomere
b. Trophoblast d. Morula
Situation 6 – Monica, 16 y/o single and pregnant for the first time is admitted
to the labor room due to the passage of watery vaginal discharge, one hour
PTA. IE revealed 3 – 4 cms. cervical dilatation, 80% effaced: station O and (-)
BOW.
26. What is the rationale for placing Monica on complete bed rest upon
admission? This will prevent:
a. Infection c. Fetal distress
b. Fatigue d. Cord prolapsed
28. What position is best for Monica in order to prevent fetal hypoxia?
a. Left lateral c. Trendelenberg
b. Dorsal recumbent d. Semi-fowler’s
30. Station O means that the presenting part of the fetus is:
a. Still floating
b. One centimeter above the ischial spine
c. At the level of the ischial spine
d. One cm. below the ischial spine
31. She admitted girl Lopez, full term whose mother has a history of PROM.
Mika anticipates that the girl Lopez will be:
a. Exposed to billilite
b. Placed inside the incubator
c. Given IV fluids
d. Given doses of antibiotic
32. Boy Francisco, 36 weeks AOG, has cryptorchidism, which refers to:
a. Undescended testes
b. Unretracted foreskin of the penis
c. Ventral location of the urinary meatus
d. Presence of fluid in the scrotal sac
33. Girl Rubio, develops jaundice. When does physiologic jaundice occur?
a. After the 7th day
b. Upon birth
c. Twenty four hours after birth
d. Between the 2nd and 5th day
34. Boy Chua demonstrates a tonic reflex, which is described as:
a. Fanning of the toes when a sharp object is pressed in the sole of his
foot
b. Extension of his leg on the same side to which his head is turned
c. Turning of the head toward the side of the cheek that was touch
d. Grasping of any object placed in his hand
35. When the crib of Girl Perez is jarred, she develops sudden outward
extension of her arms then slowly relaxes. What reflex is this:
a. Parachute c. Landau
b. Babinksi d. Moro
Situation 8 – Anton, a 12 month old boy was visited by Nurses Patricia for
growth monitoring.
37. In choosing toys for Anton. What criteria should considered a priority?
a. Educational purpose c. Safety
b. Development function d. Recreation use
40. The birth weight of Anton was 3,200 grams, which at 12 months would
normally be approximately how many pounds?
a. 28 c. 24
b. 14 d. 21
42. Ansell asked for a cup of ice cream after dinner, but his mother refused
because he has a cough. He begun throwing his silverware. Which of the
following will help the mother deal with outburst?
a. Spank him for misbehaving
b. Tell him to leave the dining table
c. Withhold his playtime privileges
d. Let him express his frustrations
44. When is the BEST time for his mother to bring Ansell to his dentist?
a. At 2 – 3 years of age c. When he experiences
toothache
b. Before entering pre-school d. As soon as a tooth falls
out
46. What does hospitalization mean for Juan Miguel at his age?
a. Exposure to a strange place
b. Separation from friends
c. Experiencing pain due to surgery
d. Separation from his family
47. Base on his level cognitive development, which of the following is Juan
Miguel capable of doing?
. Forming attitudes and value system
. Interpersonal perceptions and concept of self
Following rules and own responsibility for himself
. Reasoning and logical thought
a. I, II and IV c. I, II and III
b. II, III and IV d. I, II and IV
48. Juan Miguel cries out loud during IV insertion. Which of the following
responses of the nurses is therapeutic?
a. “You will feel more pain if you cry.”
b. “Next time we won’t let your mother stay with you if you cry.”
c. “Big boys don’t cry.”
d. “I know it hurts so it’s okay to cry.”
49. While Juan Miguel was sleeping, Julian passed away. Which of the
following BEST describes his concept of death?
a. Cessation of corporal life c. Temporary departure
b. Form of sleep d. Person
50. Which is the BEST response of the nurse when asked by Juan Miguel,
what happened to Julian?
a. “He is now dead.”
b. “He is just sleeping.”
c. “He is going to heaven.”
d. “The angels came and took him away.”
53. What would be the most appropriate activity for Marvin to enhance his
social development?
a. Internet surfing c. Joining youth club
b. Computer games d. Basketball games
54. He was admitted to the hospital because of fracture. Who among the
following nurses will be effective in dealing with an adolescent like
Marvin? A nurse who:
a. Involves the patients in enforcing rules of the ward
b. Never argues
c. Tolerates some mild swearing or off color language
d. States a definite expectation
57. This kind of immunity is acquired resulting from previous attack of the
disease or repeated exposure to doses of an organism?
a. Anaphylactic c. Passive
b. Active d. Natural
60. Before introduction of any foreign substance to the body, it is the duty
of the nurse to prepare a syringe with adrenalin or aminophylline to
counteract allergies or anaphylactic shock. What do you call this
procedure?
a. Horse-serum c. Sensitivity
b. Antidote d. Dermatologist
Situation 13 – Care of the elderly is included in the WHO Health for all. In the
Phil. The elderly is properly cared for at home.
62. Respiratory disease affect the elderly. Which nursing function is best to
assist your grandparents?
a. Guidance counseling
b. Referral to specialist
c. Home care management
d. Functions specific to disease
65. In our country, Senior citizens are give the privilege in purchase of
their medicines. How much is the discount?
a. 20% c. 10%
b. 15% d. 25%
66. The nurse should know that the examination of drinking water by
government or non-government municipality through the RHU. Planning
must be assisted by the Environment Health Service:
a. Sanitary Engineer c. Department of Health
b. Municipality d. City of Health
68. Approved types of toilet facilities may need water or not depending on
receiving space. What type of toilet s without need of water?
a. Pit latrines c. Flush toilet
b. Water sealed d. Aqua privies
73. The general objective of EPI is to reduce morbidity and mortality among
children BCG is given at birth followed by 2 doses. When are 2nd and 3rd
doses given?
a. Pre-school booster
b. One and a half months after one month after
c. Two months after the 1st dose
d. Every month for 2 months
75. Which collaborating agency in the world helps erase Polio children?
a. Canadian International Development Agency
b. WHO
c. Rotary International
d. UNICEF
76. What is the term which means the entry and development or
multiplication of an infectious agent into the body of man or animal?
a. Incidence c. Infestation
b. Infection d. Incubation
77. What is the term which means resistance of the body associated with
the presence of antibodies or cells having specific action on
microorganism or toxins?
a. Immunity c. Morbidity
b. Mortality d. Pathogenicity
78. What is an incidence rate used to include all person in the population
who become chronically ill?
a. Immunity c. Mortality
b. Pathogenicity d. Morbidity
79. What is the rate calculated in the same way using a numerator number
of deaths occurring during a stipulated time?
a. Immunity c. Mortality
b. Pathogenicity d. Morbidity
80. What kind of infection occurs after patient has been admitted or even
after discharge which acquired during hospitalization?
a. Transmission c. Isolation
b. Quarantine d. Nosocomial
82. A physician orders an x-ray examination for Mang Tomas and you refer
him to a nearby government agency with x-ray facilities. What is the
purpose of this laboratory aid to diagnosis?
Situation 18 – Mrs. Cruz has breast cancer. Your aim is to relieve physical
and mental distress
86. Which of the following is your vital role in cancer care?
a. Arrange for spiritual consultation
b. Allow patient to get angry
c. Maintain dignity of patient
d. Control pain
88. The rural doctor orders Mrs. Cruz to see a facility with radiation. What
is the level of care in this facility?
a. Specialty c. Tertiary
b. Secondary d. Primary
89. When Mrs. Cruz came home, she had some medication. Which ones
are antimetabolites?
a. Five F-U c. Ampicillin
b. Cytoxan d. Beta blockers
Situation 20 – Mr. Alcantara, a 42 year old married man, was brought to the
emergency room after a mauling incident. He was intoxicated, shouting
wildly and threatening everyone he sees.
98. During interview with his wife, she asks the nurse, “Is there anything I
can do to help my husband resolve his drinking problem?” The nursing
intervention MOST appropriate for the nurse to implement would be:
a. Help Mrs. Alcantara evaluate and clarify the underlying causes of the
drinking problem
b. Tell Mrs. Alcantara that the rehabilitation center and its staff will help
the husband with his drinking problem
c. Tell Mrs. Alcantara that she had done everything to help her husband
d. Help Mrs. Alcantara realize that only her husband can solve his
problem