PNLE: Community Health Nursing Part 4 (Exam Mode)- Www.Rnpedia.Com
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- 1.In immunizing school entrants with BCG, you are not obliged to secure parental consent. This is because of which legal document?
- A.
P.D. 996
- B.
R.A. 7846
- C.
Presidential Proclamation No. 6
- D.
Presidential Proclamation No. 46
- 2.Which immunization produces a permanent scar?
- A.
DPT
- B.
BCG
- C.
Measles vaccination
- D.
Hepatitis B vaccination
- 3.A 4-week old baby was brought to the health center for his first immunization. Which can be given to him?
- A.
DPT1
- B.
OPV1
- C.
Infant BCG
- D.
Hepatitis B vaccine 1
- 4.You will not give DPT 2 if the mother says that the infant had
- A.
Seizures a day after DPT 1.
- B.
Fever for 3 days after DPT 1.
- C.
Abscess formation after DPT 1.
- D.
Local tenderness for 3 days after DPT 1.
- 5.A 2-month old infant was brought to the health center for immunization. During assessment, the infant’s temperature registered at 38.1°C. Which is the best course of action that you will take?
- A.
Go on with the infant’s immunizations.
- B.
Give Paracetamol and wait for his fever to subside.
- C.
Refer the infant to the physician for further assessment.
- D.
Advise the infant’s mother to bring him back for immunization when he is well.
- 6.A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently, her baby will have protection against tetanus for how long? A. B. C. D.
- A.
1 year
- B.
3 years
- C.
10 years
- D.
Lifetime
- 7.A 4-month old infant was brought to the health center because of cough. Her respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI) guidelines of assessment, her breathing is considered
- A.
Fast
- B.
Slow
- C.
Normal
- D.
Insignificant
- 8.Which of the following signs will indicate that a young child is suffering from severe pneumonia?
- A.
Dyspnea
- B.
Wheezing
- C.
Fast breathing
- D.
Chest indrawing
- 9.Using IMCI guidelines, you classify a child as having severe pneumonia. What is the best management for the child?
- A.
Prescribe an antibiotic.
- B.
Refer him urgently to the hospital.
- C.
Instruct the mother to increase fluid intake.
- D.
Instruct the mother to continue breastfeeding.
- 10.A 5-month old infant was brought by his mother to the health center because of diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and his eyes are sunken. Using the IMCI guidelines, you will classify this infant in which category?
- A.
No signs of dehydration
- B.
Some dehydration
- C.
Severe dehydration
- D.
The data is insufficient.
- 11.Based on assessment, you classified a 3-month old infant with the chief complaint of diarrhea in the category of SOME DEHYDRATION. Based on IMCI management guidelines, which of the following will you do?
- A.
Bring the infant to the nearest facility where IV fluids can be given.
- B.
Supervise the mother in giving 200 to 400 ml. of Oresol in 4 hours.
- C.
Give the infant’s mother instructions on home management.
- D.
Keep the infant in your health center for close observation.
- 12.A mother is using Oresol in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits. 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.
- 13.A 1 ½ year old child was classified as having 3rd degree protein energy malnutrition, kwashiorkor. Which of the following signs will be most apparent in this child?
- A.
Voracious appetite
- B.
Wasting
- C.
Apathy
- D.
Edema
- 14.Assessment of a 2-year old child revealed “baggy pants”. Using the IMCI guidelines, how will you manage this child?
- 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.
- 15.During the physical examination of a young child, what is the earliest sign of xerophthalmia that you may observe?
- A.
Keratomalacia
- B.
Corneal opacity
- C.
Night blindness
- D.
Conjunctival xerosis
- 16.To prevent xerophthalmia, young children are given Retinol capsule every 6 months. What is the dose given to preschoolers?
- A.
10,000 IU
- B.
20,000 IU
- C.
100,000 IU
- D.
200,000 IU
- 17.The major sign of iron deficiency anemia is pallor. What part is best examined for pallor?
- A.
Palms
- B.
Nailbeds
- C.
Around the lips
- D.
Lower conjunctival sac
- 18.Food fortification is one of the strategies to prevent micronutrient deficiency conditions. R.A. 8976 mandates fortification of certain food items. Which of the following is among these food items?
- A.
Sugar
- B.
Bread
- C.
Margarine
- D.
Filled milk
- 19.What is the best course of action when there is a measles epidemic in a nearby municipality?
- A.
Give measles vaccine to babies aged 6 to 8 months.
- B.
Give babies aged 6 to 11 months one dose of 100,000 I.U. of Retinol
- C.
Instruct mothers to keep their babies at home to prevent disease transmission.
- D.
Instruct mothers to feed their babies adequately to enhance their babies’ resistance.
- 20.A mother brought her daughter, 4 years old, 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
- 21.Management of a child with measles includes the administration of which of the following?
- A.
Gentian violet on mouth lesions
- B.
Antibiotics to prevent pneumonia
- C.
Tetracycline eye ointment for corneal opacity
- D.
Retinol capsule regardless of when the last dose was given
- 22.A mother brought her 10 month old infant for consultation because of fever, which started 4 days prior to consultation. To determine malaria risk, what will you do?
- A.
Do a tourniquet test.
- B.
Ask where the family resides.
- C.
Get a specimen for blood smear.
- D.
Ask if the fever is present everyday.
- 23.The following are strategies implemented by the Department of Health to prevent mosquito-borne diseases. Which of these is most effective in the control of Dengue fever?
- A.
Stream seeding with larva-eating fish
- B.
Destroying breeding places of mosquitoes
- C.
Chemoprophylaxis of non-immune persons going to endemic areas
- D.
Teaching people in endemic areas to use chemically treated mosquito nets
- 24.Secondary prevention for malaria includes
- A.
Planting of neem or eucalyptus trees
- B.
Residual spraying of insecticides at night
- C.
Determining whether a place is endemic or not
- D.
Growing larva-eating fish in mosquito breeding places
- 25.Scotch tape swab is done to check for which intestinal parasite?
- A.
Ascaris
- B.
Pinworm
- C.
Hookworm
- D.
Schistosoma
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Sample QuestionMay 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?
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