PNLE: Community Health Nursing Part 4 (Exam Mode)- Www.Rnpedia.Com

30 Questions | Total Attempts: 1192

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Community Health Nursing Quizzes & Trivia

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Questions and Answers
  • 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