PNLE: Community Health Nursing Part 5 (Practice Mode)- Rnpedia
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- 1.In the Philippines, which condition is the most frequent cause of death associated with schistosomiasis?
- A.
Liver cancer
- B.
Liver cirrhosis
- C.
Bladder cancer
- D.
Intestinal perforation
- 2.What is the most effective way of controlling schistosomiasis in an endemic area?
- A.
Use of molluscicides
- B.
Building of foot bridges
- C.
Proper use of sanitary toilets
- D.
Use of protective footwear, such as rubber boots
- 3.When residents obtain water from an artesian well in the neighborhood, the level of this approved type of water facility is
- A.
I
- B.
II
- C.
III
- D.
IV
- 4.For prevention of hepatitis A, you decided to conduct health education activities. Which of the following is IRRELEVANT?
- A.
Use of sterile syringes and needles
- B.
Safe food preparation and food handling by vendors
- C.
Proper disposal of human excreta and personal hygiene
- D.
Immediate reporting of water pipe leaks and illegal water connections
- 5.Which biological used in Expanded Program on Immunization (EPI) should NOT be stored in the freezer?
- A.
DPT
- B.
Oral polio vaccine
- C.
Measles vaccine
- D.
MMR
- 6.You will conduct outreach immunization in a barangay with a population of about 1500. Estimate the number of infants in the barangay.
- A.
45
- B.
50
- C.
55
- D.
60
- 7.In Integrated Management of Childhood Illness, 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.
Severe pneumonia
- D.
Severe febrile disease
- 8.A client was diagnosed as having Dengue fever. You will say that there is slow capillary refill when the color of the nailbed that you pressed does not return within how many seconds?
- A.
3
- B.
5
- C.
8
- D.
10
- 9.A 3-year old child was brought by his mother to the health center because of fever of 4-day duration. The child had a positive tourniquet test result. In the absence of other signs, which is the most appropriate measure that the PHN may carry out to prevent Dengue shock syndrome?
- A.
Insert an NGT and give fluids per NGT.
- B.
Instruct the mother to give the child Oresol.
- C.
Start the patient on intravenous fluids STAT.
- D.
Refer the client to the physician for appropriate management.
- 10.The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by inspecting the _____.
- A.
Nasal mucosa
- B.
Buccal mucosa
- C.
Skin on the abdomen
- D.
Skin on the antecubital surface
- 11.Among the following diseases, which is airborne?
- A.
Viral conjunctivitis
- B.
Acute poliomyelitis
- C.
Diphtheria
- D.
Measles
- 12.Among children aged 2 months to 3 years, the most prevalent form of meningitis is caused by which microorganism?
- A.
Hemophilus influenzae
- B.
Morbillivirus
- C.
Steptococcus pneumoniae
- D.
Neisseria meningitidis
- 13.Human beings are the major reservoir of malaria. Which of the following strategies in malaria control is based on this fact?
- A.
Stream seeding
- B.
Stream clearing
- C.
Destruction of breeding places
- D.
Zooprophylaxis
- 14.The use of larvivorous fish in malaria control is the basis for which strategy of malaria control?
- A.
Stream seeding
- B.
Stream clearing
- C.
Destruction of breeding places
- D.
Zooprophylaxis
- 15.Mosquito-borne diseases are prevented mostly with the use of mosquito control measures. Which of the following is NOT appropriate for malaria control?
- A.
Use of chemically treated mosquito nets
- B.
Seeding of breeding places with larva-eating fish
- C.
Destruction of breeding places of the mosquito vector
- D.
Use of mosquito-repelling soaps, such as those with basil or citronella
- 16.A 4-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.
Amebiasis
- D.
Dysentery
- 17.In the Philippines, which specie of schistosoma is endemic in certain regions?
- A.
S. mansoni
- B.
S. japonicum
- C.
S. malayensis
- D.
S. haematobium
- 18.A 32-year old 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 his history, which disease condition will you suspect?
- A.
Hepatitis A
- B.
Hepatitis B
- C.
Tetanus
- D.
Leptospirosis
- 19.MWSS provides water to Manila and other cities in Metro Manila. This is an example of which level of water facility?
- A.
I
- B.
II
- C.
III
- D.
IV
- 20.You are the PHN in the city health center. A client underwent screening for AIDS using ELISA. His result was positive. What is the best course of action that you may take?
- A.
Get a thorough history of the client, focusing on the practice of high risk behaviors.
- B.
Ask the client to be accompanied by a significant person before revealing the result.
- C.
Refer the client to the physician since he is the best person to reveal the result to the client.
- D.
Refer the client for a supplementary test, such as Western blot, since the ELISA result may be false.
- 21.Which is the BEST control measure for AIDS?
- A.
Being faithful to a single sexual partner
- B.
Using a condom during each sexual contact
- C.
Avoiding sexual contact with commercial sex workers
- D.
Making sure that one’s sexual partner does not have signs of AIDS
- 22.The most frequent causes of death among clients with AIDS are opportunistic diseases. Which of the following opportunistic infections is characterized by tonsillopharyngitis?
- A.
Respiratory candidiasis
- B.
Infectious mononucleosis
- C.
Cytomegalovirus disease
- D.
Pneumocystis carinii pneumonia
- 23.To determine possible sources of sexually transmitted infections, which is the BEST method that may be undertaken by the public health nurse?
- A.
Contact tracing
- B.
Community survey
- C.
Mass screening tests
- D.
Interview of suspects
- 24.Antiretroviral agents, such as AZT, are used in the management of AIDS. Which of the following is NOT an action expected of these drugs.
- A.
They prolong the life of the client with AIDS.
- B.
They reduce the risk of opportunistic infections
- C.
They shorten the period of communicability of the disease.
- D.
They are able to bring about a cure of the disease condition.
- 25.A barangay 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.
Advice them on the signs of German measles.
- B.
Avoid crowded places, such as markets and moviehouses.
- C.
Consult at the health center where rubella vaccine may be given.
- D.
Consult a physician who may give them rubella immunoglobulin.
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