Community Health Nursing,Maternal And Child Nursing Practice Test

50 Questions | Total Attempts: 118

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Community Health Nursing Quizzes & Trivia

Questions and Answers
  • 1. 
    • A. 

      Ventilator assistance

    • B. 

      CVP readings

    • C. 

      EKG tracings

    • D. 

      Continuous CPR

  • 2. 
    A pregnant client is receiving oxytocin (Pitocin) for induction of labor. A condition that warrant the nurse in-charge to discontinue I.V. infusion of Pitocin is: 
    • A. 

      Contractions every 1 ½ minutes lasting 70-80 seconds.

    • B. 

      Maternal temperature 101.2

    • C. 

      Early decelerations in the fetal heart rate.

    • D. 

      Fetal heart rate baseline 140-160 bpm.

  • 3. 
    During vaginal examination of Janah who is in labor, the presenting part is at station plus two.Nurse, correctly interprets it as: 
    • A. 

      Presenting part is 2 cm above the plane of the ischial spines.

    • B. 

      Biparietal diameter is at the level of the ischial spines.

    • C. 

      Presenting part in 2 cm below the plane of the ischial spines.

    • D. 

      Biparietal diameter is 2 cm above the ischial spines.

  • 4. 
    A pregnant client is receiving magnesium sulfate for severe pregnancy induced hypertension(PIH). The clinical findings that would warrant use of the antidote , calcium gluconate is: 
    • A. 

      Urinary output 90 cc in 2 hours.

    • B. 

      Absent patellar reflexes.

    • C. 

      Rapid respiratory rate above 40/min.

    • D. 

      Rapid rise in blood pressure.

  • 5. 
    Nurse Michelle is assessing a 24 year old client with a diagnosis of hydatidiform mole. She is aware that one of the following is unassociated with this condition?  
    • A. 

      Excessive fetal activity.

    • B. 

      Larger than normal uterus for gestational age.

    • C. 

      Vaginal bleeding

    • D. 

      Elevated levels of human chorionic gonadotropin(HCG).

  • 6. 
    May arrives at the health care clinic and tells the nurse that her last menstrual period was 9 weeks ago. She also tells the nurse that a home pregnancy test was positive but she began to have mild cramps and is now having moderate vaginal bleeding. During the physical examination of the client, the nurse notes that May has a dilated cervix. The nurse determines that May is experiencing which type of abortion? 
    • A. 

      Inevitable

    • B. 

      Incomplete

    • C. 

      Threatened

    • D. 

      Septic

  • 7. 
    Nurse Ryan is aware that the best initial approach when trying to take a crying toddler’s temperature is:
    • A. 

      Talk to the mother first and then to the toddler.

    • B. 

      Bring extra help so it can be done quickly.

    • C. 

      Encourage the mother to hold the child.

    • D. 

      Ignore the crying and screaming.

  • 8. 
    Baby Tina a 3 month old infant just had a cleft lip and palate repair. What should the nurse do to prevent trauma to operative site?
    • A. 

      Avoid touching the suture line, even when cleaning.

    • B. 

      Place the baby in prone position.

    • C. 

      Give the baby a pacifier.

    • D. 

      Place the infant’s arms in soft elbow restraints.

  • 9. 
    Myra is the public health nurse in a municipality with a total population of about 20,000. There are 3 rural health midwives among the RHU personnel. How many more midwife items will the RHU need?
    • A. 

      1

    • B. 

      2

    • C. 

      3

    • D. 

      The RHU does not need any more midwife item.

  • 10. 
    Vangie is a new B.S.N. graduate. She wants to become a Public Health Nurse. Where should she apply?
    • A. 

      Department of Health

    • B. 

      Provincial Health Office

    • C. 

      Regional Health Office

    • D. 

      Rural Health Unit

  • 11. 
    When the nurse determines whether resources were maximized in implementing Ligtas Tigdas, she is evaluating
    • A. 

      Effectiveness

    • B. 

      Efficiency

    • C. 

      Adequacy

    • D. 

      Appropriateness

  • 12. 
    Which of the following is the most prominent feature of public health nursing?
    • A. 

      It involves providing home care to sick people who are not confined in the hospital.

    • B. 

      Services are provided free of charge to people within the catchments area.

    • C. 

      The public health nurse functions as part of a team providing a public health nursing services.

    • D. 

      Public health nursing focuses on preventive, not curative, services.

  • 13. 
    • A. 

      6 months

    • B. 

      4 months

    • C. 

      8 months

    • D. 

      10 months

  • 14. 
    Nurse Hazel is teaching a mother who plans to discontinue breast feeding after 5 months. The nurse should advise her to include which foods in her infant’s diet?
    • A. 

      Skim milk and baby food.

    • B. 

      Whole milk and baby food.

    • C. 

      Iron-rich formula only.

    • D. 

      Iron-rich formula and baby food.

  • 15. 
    Which action should nurse Marian include in the care plan for a 2 month old with heart failure?
    • A. 

      Feed the infant when he cries.

    • B. 

      Allow the infant to rest before feeding.

    • C. 

      Bathe the infant and administer medications before feeding.

    • D. 

      Weigh and bathe the infant before feeding.

  • 16. 
    According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?
    • A. 

      The community health nurse continuously develops himself personally and professionally.

    • B. 

      Health education and community organizing are necessary in providing community health services.

    • C. 

      Community health nursing is intended primarily for health promotion and prevention and treatment of disease.

    • D. 

      The goal of community health nursing is to provide nursing services to people in their own places of residence.

  • 17. 
    • A. 

      To educate the people regarding community health problems

    • B. 

      To mobilize the people to resolve community health problems

    • C. 

      To maximize the community’s resources in dealing with health problems.

    • D. 

      To maximize the community’s resources in dealing with health problems.

  • 18. 
    The nurse is caring for a primigravid client in the labor and delivery area. Which condition would place the client at risk for disseminated intravascular coagulation (DIC)?
    • A. 

      Intrauterine fetal death.

    • B. 

      Placenta accreta.

    • C. 

      Dysfunctional labor.

    • D. 

      Premature rupture of the membranes.

  • 19. 
    A fullterm client is in labor. Nurse Betty is aware that the fetal heart rate would be:
    • A. 

      80 to 100 beats/minute

    • B. 

      100 to 120 beats/minute

    • C. 

      120 to 160 beats/minute

    • D. 

      160 to 180 beats/minute

  • 20. 
    The skin in the diaper area of a 7 month old infant is excoriated and red. Nurse Hazel should instruct the mother to:
    • A. 

      Change the diaper more often.

    • B. 

      Apply talc powder with diaper changes.

    • C. 

      Wash the area vigorously with each diaper change.

    • D. 

      Decrease the infant’s fluid intake to decrease saturating diapers.

  • 21. 
    • A. 

      Atrial septal defect

    • B. 

      Pulmonic stenosis

    • C. 

      Ventricular septal defect

    • D. 

      Endocardial cushion defect

  • 22. 
    Malou was diagnosed with severe preeclampsia is now receiving I.V. magnesium sulfate. The adverse effects associated with magnesium sulfate is:
    • A. 

      Anemia

    • B. 

      Decreased urine output

    • C. 

      Hyperreflexia

    • D. 

      Increased respiratory rate

  • 23. 
     A 23 year old client is having her menstrual  period every 2 weeks that last for 1 week. This type of menstrual pattern is bets defined by:
    • A. 

      Menorrhagia

    • B. 

      Metrorrhagia

    • C. 

      Dyspareunia

    • D. 

      Amenorrhea

  • 24. 
    Nurse Gina is aware that the most common condition found during the second-trimester of pregnancy is:
    • A. 

      Metabolic alkalosis

    • B. 

      Respiratory acidosis

    • C. 

      Mastitis

    • D. 

      Physiologic anemia

  • 25. 
    Nurse Lynette is working in the triage area of an emergency department. She sees that several pediatric clients arrive simultaneously. The client who needs to be treated first is:
    • A. 

      A crying 5 year old child with a laceration on his scalp.

    • B. 

      A 4 year old child with a barking coughs and flushed appearance.

    • C. 

      A 3 year old child with Down syndrome who is pale and asleep in his mother’s arms.

    • D. 

      A 2 year old infant with stridorous breath sounds, sitting up in his mother’s arms and drooling.

  • 26. 
    Maureen in her third trimester arrives at the emergency room with painless vaginal bleeding. Which of the following conditions is suspected?
    • A. 

      Placenta previa

    • B. 

      Abruptio placentae

    • C. 

      Premature labor

    • D. 

      Sexually transmitted disease

  • 27. 
    A young child named Richard is suspected of having pinworms. The community nurse collects a stool specimen to confirm the diagnosis. The nurse should schedule the collection of this specimen for:
    • A. 

      Just before bedtime

    • B. 

      After the child has been bathe

    • C. 

      Any time during the day

    • D. 

      Early in the morning

  • 28. 
    In doing a child’s admission assessment, Nurse Betty should be alert to note which signs or symptoms of chronic lead poisoning?
    • A. 

      Irritability and seizures

    • B. 

      Dehydration and diarrhea

    • C. 

      Bradycardia and hypotension

    • D. 

      Petechiae and hematuria

  • 29. 
    To evaluate a woman’s understanding about the use of diaphragm for family planning, Nurse Trish asks her to explain how she will use the appliance. Which response indicates a need for further health teaching?
    • A. 

      “I should check the diaphragm carefully for holes every time I use it”

    • B. 

      “I may need a different size of diaphragm if I gain or lose weight more than 20 pounds”

    • C. 

      “The diaphragm must be left in place for atleast 6 hours after intercourse”

    • D. 

      “The diaphragm must be left in place for atleast 6 hours after intercourse” d. “I really need to use the diaphragm and jelly most during the middle of my menstrual cycle”.

  • 30. 
    How should Nurse Michelle guide a child who is blind to walk to the playroom?
    • A. 

      . Without touching the child, talk continuously as the child walks down the hall.

    • B. 

      Walk one step ahead, with the child’s hand on the nurse’s elbow.

    • C. 

      Walk slightly behind, gently guiding the child forward.

    • D. 

      Walk next to the child, holding the child’s hand.

  • 31. 
    • A. 

      Loud, machinery-like murmur.

    • B. 

      Bluish color to the lips.

    • C. 

      Decreased BP reading in the upper extremities

    • D. 

      Increased BP reading in the upper extremities.

  • 32. 
    Before adding potassium to an infant’s I.V. line, Nurse Ron must be sure to assess whether this infant has:
    • A. 

      Stable blood pressure

    • B. 

      Patent fontanels

    • C. 

      Moro’s reflex

    • D. 

      Voided

  • 33. 
    Nurse Carla should know that the most common causative factor of dermatitis in infants and younger children is:
    • A. 

      Baby oil

    • B. 

      Baby lotion

    • C. 

      Laundry detergent

    • D. 

      Powder with cornstarch

  • 34. 
    In a health teaching class, Nurse Lhynnete discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct?
    • A. 

      The older one gets, the more susceptible he becomes to the complications of chicken pox.

    • B. 

      A single attack of chicken pox will prevent future episodes, including conditions such as shingles.

    • C. 

      To prevent an outbreak in the community, quarantine may be imposed by health authorities.

    • D. 

      Chicken pox vaccine is best given when there is an impending outbreak in the community.

  • 35. 
    Barangay Pinoy had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the Barangay?
    • A. 

      Advise them on the signs of German measles.

    • B. 

      Avoid crowded places, such as markets and movie houses.

    • C. 

      Consult at the health center where rubella vaccine may be given.

    • D. 

      Consult a physician who may give them rubella immunoglobulin.

  • 36. 
    Myrna a public health nurse knows that to determine possible sources of sexually transmitted infections, the BEST method that may be undertaken is:
    • A. 

      Contact tracing

    • B. 

      Community survey

    • C. 

      Mass screening tests

    • D. 

      Interview of suspects

  • 37. 
    A 33-year old female client came for consultation at the health center with the chief complaint of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the onset of symptoms. Based on her history, which disease condition will you suspect?
    • A. 

      Hepatitis A

    • B. 

      Hepatitis B

    • C. 

      Tetanus

    • D. 

      Leptospirosis

  • 38. 
    Mickey a 3-year old client was brought to the health center with the chief complaint of severe diarrhea and the passage of “rice water” stools. The client is most probably suffering from which condition?
    • A. 

      Giardiasis

    • B. 

      Cholera

    • C. 

      Ameobiasis

    • D. 

      Dysentery

  • 39. 
    The student nurse is aware that the pathognomonic sign of measles is Koplik’s spot and you may see Koplik’s spot by inspecting the:
    • A. 

      Nasal mucosa

    • B. 

      Buccal mucosa

    • C. 

      Skin on the abdomen

    • D. 

      Skin on neck

  • 40. 
    In Integrated Management of Childhood Illness, the nurse is aware that the severe conditions generally require urgent referral to a hospital. Which of the following severe conditions DOES NOT always require urgent referral to a hospital?
    • A. 

      Mastoiditis

    • B. 

      Severe dehydration

    • C. 

      Pneumonia

    • D. 

      Severe febrile disease

  • 41. 
    Marie brought her 10 month old infant for consultation because of fever, started 4 days prior to consultation. In determining malaria risk, what will you do?
    • A. 

      Perform a tourniquet test.

    • B. 

      Ask where the family resides.

    • C. 

      Get a specimen for blood smear.

    • D. 

      Ask if the fever is present every day.

  • 42. 
    Susie brought her 4 years old daughter to the RHU because of cough and colds. Following the IMCI assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital?
    • A. 

      Inability to drink

    • B. 

      High grade fever

    • C. 

      Signs of severe dehydration

    • D. 

      Cough for more than 30 days

  • 43. 
    Jimmy a 2-year old child revealed “baggy pants”. As a nurse, using the IMCI guidelines, how will you manage Jimmy?
    • A. 

      Refer the child urgently to a hospital for confinement.

    • B. 

      Coordinate with the social worker to enroll the child in a feeding program.

    • C. 

      Make a teaching plan for the mother, focusing on menu planning for her child.

    • D. 

      Assess and treat the child for health problems like infections and intestinal parasitism.

  • 44. 
    Gina is using Oresol in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits. As a nurse you will tell her to:
    • A. 

      Bring the child to the nearest hospital for further assessment.

    • B. 

      Bring the child to the health center for intravenous fluid therapy.

    • C. 

      Bring the child to the health center for assessment by the physician.

    • D. 

      Let the child rest for 10 minutes then continue giving Oresol more slowly.

  • 45. 
    Chris a 4-month old infant was brought by her mother to the health center because of cough. His respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI) guidelines of assessment, his breathing is considered as:
    • A. 

      Fast

    • B. 

      Slow

    • C. 

      Normal

    • D. 

      Insignificant

  • 46. 
    Maylene had just received her 4th dose of tetanus toxoid. She is aware that her baby will have protection against tetanus for
    • A. 

      1 year

    • B. 

      3 years

    • C. 

      5 years

    • D. 

      Lifetime

  • 47. 
    Nurse Ron is aware that unused BCG should be discarded after how many hours of reconstitution?
    • A. 

      2 hours

    • B. 

      4 hours

    • C. 

      8 hours

    • D. 

      At the end of the day

  • 48. 
    The nurse explains to a breastfeeding mother that breast milk is sufficient for all of the baby’s nutrient needs only up to:
    • A. 

      5 months

    • B. 

      6 months

    • C. 

      1 year

    • D. 

      2 year

  • 49. 
    Nurse Ron is aware that the gestational age of a conceptus that is considered viable (able to live outside the womb) is:
    • A. 

      8 weeks

    • B. 

      12 weeks

    • C. 

      24 weeks

    • D. 

      32 weeks

  • 50. 
    Which finding might be seen in baby James a neonate suspected of having an infection?
    • A. 

      Flushed cheeks

    • B. 

      Increased temperature

    • C. 

      Decreased temperature

    • D. 

      Increased activity level