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.
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
- 26.Which of the following signs indicates the need for sputum examination for AFB?
- A.
Hematemesis
- B.
Fever for 1 week
- C.
Cough for 3 weeks
- D.
Chest pain for 1 week
- 27.Which clients are considered targets for DOTS Category I?
- A.
Sputum negative cavitary cases
- B.
Clients returning after a default
- C.
Relapses and failures of previous PTB treatment regimens
- D.
Clients diagnosed for the first time through a positive sputum exam
- 28.To improve compliance to treatment, what innovation is being implemented in DOTS?
- A.
Having the health worker follow up the client at home
- B.
Having the health worker or a responsible family member monitor drug intake
- C.
Having the patient come to the health center every month to get his medications
- D.
Having a target list to check on whether the patient has collected his monthly supply of drugs
- 29.Diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the following is an early sign of leprosy?
- A.
Macular lesions
- B.
Inability to close eyelids
- C.
Thickened painful nerves
- D.
Sinking of the nosebridge
- 30.Which of the following clients should be classified as a case of multibacillary leprosy?
- A.
3 skin lesions, negative slit skin smear
- B.
3 skin lesions, positive slit skin smear
- C.
5 skin lesions, negative slit skin smear
- D.
5 skin lesions, positive slit skin smear
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