Pre-Board Review Dec 2007 - II
nurse, the professional growth and development of Nurses with
COMMUNITY HEALTH NURSING AND CARE OF THE
MOTHER AND CHILD
Situation 1 - Nurse Minette is an independent Nurse
Practitioner following-up referred clients in their respective
homes. Here she handles a case of POSTPARTIAL MOTHER
AND FAMILY focusing on HOME CARE.
1. Nurse Minette needs to schedule a first home visit to OB
client Leah. When is a first home-care visit typically
made?
a. Within 4 days after discharge
b. Within 24 hours after discharge
c. Within 1 hour after discharge
d. Within 1 week of discharge
2. Leah is developing constipation from being on bed rest.
What measures would you suggest she take to help
prevent this?
a. Eat more frequent small meals instead of three large one
daily
b. Walk for at least half an hour daily to stimulate peristalsis
c. Drink more milk, increased calcium intake prevents
constipation
d. Drink eight full glasses of fluid such as water daily
3. If you were Minette, which of the following actions,
would alert you that a new mother is entering a postpartial
at taking-hold phase?
a. She urges the baby to stay awake so that she can breast-
feed him in her
b. She tells you she was in a lot of pain all during labor
c. She says that she has not selected a name fir the baby as
yet
d. She sleeps as if exhausted from the effort of labor
4. At 6-week postpartum visit what should this postpartial
mother's fundic height be?
a. Inverted and palpable at the cervix
b. Six fingerbreadths below the umbilicus
c. No longer palpable on her abdomen
d. One centimeter above the symphysis pubis
5. This postpartal mother wants to loose the weight she
gained in pregnancy, so she is reluctant to increase her
calorin intake for breast-feeding. By how much should a
lactating mother increase her caloric intake during the first
6 months after birth?
a. 350 kcal/day
b. 500 kcal/day
c. 200 kcal/day
d. 1,000 kcal/day
Situation 2 - As the CPES is applicable for all professional
specialties shall be addressed by a Specialty Certification
Council.
The following questions apply to these special groups of
nurses.
6. Which of the following serves as the legal basis and
statute authority for the Board of nursing to promulgate
measures to effect the creation of a Specialty Certification
Council and promulgate professional development
programs for this group of nurse-professionals?
a. R.A. 7610
b. R.A. 223
c. R.A. 9173
d. R.A. 7164
7. By force of law, therefore, the PRC-Board of Nursing
released Resolution No. 14 Series of the entitled:
"Adoption of a Nursing Specialty Certification Program
and Creation of Nursing Specialty Certification Council."
This rule-making power is called:
a. Quasi-Judicial Power
b. Regulatory Power
c. Quasi/Legislative Power
d. Executive/Promulgation Power
8. Under the PRC-Board of Nursing Resolution
promulgating the adoption of a Nursing Specialty-
Certification Program and Council, which two (2) of the
following serves as the strongest for its enforcement?
(a) Advances made in science aid technology have provided
the climate for specialization in almost all aspects of human
endeavor and
(b) As necessary consequence, there has emerged a new
concept known as globalization which seeks to remove barriers
in trade, .industry and services imposed by the national laws of
countries all over the world; and
(c) Awareness of this development should impel the nursing
sector to prepare our people in the services sector to meet .the
above challenges; and
(d) Current trends of specialization in nursing practice
recognized by; the International Council of Nurses (ICN) of
which the Philippines is a member for the benefit of the Filipino
in terms of deepening and refining nursing practice and
enhancing the quality of nursing care.
a. b & c are strong justification
b. a & b are strong justification
c. a & c are strong justification
d. a & d are strong justification
9. Which of the following is NOT a correct statement as
regards Specialty Certification?
a. The Board of Nursing intended to create the Nursing
Specialty Certification Program as a means of perpetuating the
creation of an elite force of Filipino Nurse Professionals
b. The Board of Nursing shall oversee the administration of the
NSCP through the various Nursing Specialty Boards which will
eventually, be created
c. The Board of Nursing at the time exercised their powers
under R.A. 7164 in order to adopt the creation of the Nursing
Specialty Certification /council and Program
d. The Board of Nursing consulted nursing leaders of national
nursing associations and other concerned nursing groups
which later decided to ask a special group of nurses of .the
program for nursing specialty certification
10. The NSCC was created for the purpose of
implementing the Nursing Specialty policy under the
direct supervision and stewardship of the Board of
Nursing. Who shall comprise the NSCC?
d. carrying out nursing procedures as per plan of action
14. In community health nursing it is important to take into
account the family health with an equally important need
to perform ocular inspection of the areas activities which
are powerful elements of:
a. evaluation
b. assessment
c. implementation
d. planning
15. The initial step in the PLANNING process in order to
engage in any nursing project or parties at the community
level involves:

a. A Chairperson who is the current President of the APO a a. goal-setting

member from .the Academe, and the last member coming from b. monitoring
the Regulatory Board c. evaluation of data
b. The Chairperson and members of the Regulatory Board ipso d. provision of data
facto acts as the CPE Council
c. A Chairperson, chosen from among the Regulatory Board Situation 4 - Please continue responding as a professional
Members, a Vice Chairperson appointed by the BON at-large; nurse in these other health situations through the following
two other members also chosen at-large; and one representing questions.
the consumer group
d. A Chairperson who is the President of the Association from 16. Transmission of HIV from an infected individual to
the Academe; a member from the Regulatory Board, and the another person occurs:
last member coming from the APO
a. Most frequency in nurses with needlesticks
Situation 3 - Nurse Anna is a new BSEN graduate and has just b. Only if there is a large viral load in the blood
passed her Licensure Examination for Nurses in the c. Most commonly as a result of sexual contact
Philippines. She has likewise been hired as a new Community d. In all infants born to women with HIV infection
Health Nurse in one of the Rural Health Units in their City,
which of the following conditions may be acceptable TRUTHS 17. The medical record of a client reveals a condition in
applied to Community Health Nursing Practice. which the fetus cannot pass through the maternal pelvis.
The nurse interprets this as:
11. Which of the following is the primary focus of
community health nursing practice? a. Contracted pelvis
b. Maternal disproportion
a. Cure of illnesses c. Cervical insufficiency
b. Prevention of illness d. Fetopelvic disproportion
c. Rehabilitation back to health
d. Promotion of health 18. The nurse would anticipate a cesarean birth for a client
who has which infection present at the onset of labor?
12. In community health nursing, which of the following is
our unit of service as nurses? a. Herpes simplex virus
b. Human papilloma virus
a. The Community c. Hepatitis
b. The Extended Members of every family d. Toxoplasmosia
c. The individual members of the Barangay
d. The Family 19. After a vaginal examination, the nurse»e determines
that the client's fetus is in an occiput posterior position.
13. A very important part of the Community Health Nursing The nurse would anticipate that the client will have:
Assessment Process includes
a. A precipitous birth
a. the application of professional judgment in estimating b. Intense back pain
importance of facts to family and community c. Frequent leg cramps
b. evaluation structures arid qualifications of health center d. Nausea and vomiting
team
c. coordination with other sectors in relation to health concerns 20. The rationales for using a prostaglandin gel for a client
prior to the induction of labor is to: c. Artificial sperm are injected vaginally to test tubal patency
d. The husband's sperm is administered intravenously weekly
a. Soften and efface the cervix
b. Numb cervical' pain receptors Situation 6 - There are other important basic knowledge in the
c. Prevent cervical lacerations performance of our task as Community Health Nurse in relation
d. Stimulate uterine contractions to IMMUNIZATION these include:

Situation 5 - Nurse Lorena is a Family Planning and Infertility 26. The correct temperature to store vaccines in a
Nurse Specialist and currently attends to FAMILY PANNING refrigerator is:
CLIENTS AND INFERTILE COUPLES. The following
conditions pertain to meeting the nursing of this particular a. between -4 deg C and +8 deg C
population group. b. between 2 deg C and +8 deg C
c. between -8 deg C and 0 deg C
21. Dina, 17 years old, asks you how a tubal ligation d. between -8 deg C and +8 deg C
prevents pregnancy. Which would be the best answer?
27. Which of the following vaccines is not done by
a. Prostaglandins released from the cut fallopian tubes can kill intramuscular (IM) injection?
sperm
b. Sperm cannot enter the uterus, because the cervical a. Measles vaccine
entrance is blocked b. DPT
c. Sperm can no longer reach the ova, because the fallopian c. Hepa B vaccines
tubes are blocked d. DPT
d. The ovary no longer releases ova, as there is no where for
them to go 28. This vaccine content is derived from RNA
recombinants:
22. The Dators are a couple undergoing testing for
infertility. Infertility is said to exist when: a. Measles
b. Tetanus toxoids
a. a woman has no uterus c. Hepatitis B vaccines
b. a woman has no children d. DPT
c. a couple has been trying to conceive for 1 year
d. a couple has wanted a child for 6 months 29. This is the vaccine needed before a child reaches one
(1) year in order for him/her to qualify as a "fully
23. Another client names Lilia is diagnosed as having immunized child".
endometriosis. This condition interferes with the fertility
because: a. DPT
b. Measles
a. endometrial implants can block the fallopian tubes c. Hepatitis B
b. the uterine cervix becomes inflamed and swollen d. BCG
c. ovaries stop producing adequate estrogen
d. pressure on the pituitary leads to decreased FSH levels 30. Which of the following dose of tetanus toxoid is given
to the mother to protect her .infant from neonatal tetanus
24. Lilia is scheduled to have a hysterosalpingogram. and likewise provide 10 years protection for the mother?
Which of the following, instructions would you give her
regarding this procedure? a. Tetanus toxoid 3
b. Tetanus toxoid 2
a. She will not be able to conceive for 3 months after the c. Tetanus toxoid 1
procedure d. Tetanus toxoid 4
b. The sonogram of the uterus will reveal any tumors present
c. Many women experience mild bleeding as an after effect Situation 7 - Records contain those, comprehensive
d. She may feel some cramping when the dye is inserted descriptions of patient's health conditions and needs and at the
same serve as evidences of every nurse's accountability in the,
25. Lilia's cousin on the other hand, knowing nurse care giving process. Nursing records normally differ from
Lorena's specialization asks what artificial insemination institution to, institution nonetheless they follow similar patterns
by donor entails. Which would be your best answer if you of .meeting needs for specifics, types of information. The
were Nurse Lorena? following pertalos to documentation/records management.

a. Donor sperm are introduced vaginally into the uterus or 31. This special form used when the patient is admitted to
cervix the unit. The nurse completes, the information in this
b. Donor sperm are injected intra-abdominally into each ovary records particularly his/her .basic personal data, current
illness, previous health history, health history of the
family, emotional profile, environmental history as well as
physical assessment together with nursing diagnosis on
admission. What do you call this record?
a. Nursing Kardex
b. Nursing Health History and Assessment Worksheet
c. Medicine and Treatment Record
d. Discharge Summary
32. These, are sheets/forms which provide an efficient and
time saving way to record information that must be
obtained repeatedly at regular and/or short intervals, of
.time. This does not replace the progress notes; instead
this record of information on vital signs, intake and
output, treatment, postoperative care, postpartum care,
and diabetic regimen, etc., this is used whenever specific
measurements or observations are needed to-be
documented repeatedly. What is this?
a. Nursing Kardex
b. Graphic Flow sheets
c. Discharge Summary
d. Medicine and Treatment Record
33. These records show all medications and treatment
provided on a repeated basis. What do you call this
record?
a. Nursing Health History and Assessment Worksheet
b. Discharge Summary
c. Nursing Kardex
d. Medicine and Treatment Record
34. This flip-over card is usually kept in a portable file at
the Nurses Station. It has 2-parts: the activity and
treatment section and a nursing care plan section. This
carries information about basic demographic data,
primary medical diagnosis, current orders of the physician
to be carried out by the nurse, written nursing care plan,
nursing orders, scheduled tests and procedures, safety
precautions in-patient care and factors related to daily
living activities/ this record is used in the charge-of-shift
reports or during the beside rounds or walking rounds.
What record is this?
a. Discharge Summary
b. Medicine and Treatment Record
c. Nursing Health History and Assessment Worksheet
d. Nursing Kardex
35. Most nurses regard this as conventional recording of
the date, time and mode by which the patient leaves a
healthcare unit but this record includes importantly,
directs of planning for discharge that starts soon after the'
person is admitted to a healthcare institution, it is
accepted that collaboration or multidisciplinary
involvement (of all members of the health team) in
discharge results in comprehensive care. What do you call
this?
a. Discharge Summary
b. Nursing Kardex
c. Medicine and Treatment Record
d. Nursing Health History and Assessment Worksheet
Situation 8 - As Filipino Professional Nurses we must be
knowledgeable, about the Code of Ethics for Filipino Nurses
and practice these by heart. The next questions pertain to this
Code of Ethics.
36. Which of the following is TRUE about the Code of
Ethics of Filipino Nurses?
a. The Philippine Nurses Association for being the accredited
professional organization was given the privilege to formulate a
Code of Ethics which the Board of Nurses promulgated
b. Code of Nurses was first formulated in 1982 published in the
Proceedings of the Third Annual Convention of the PNA House
of Delegates
c. The present code utilized the Code of Good Governance for
the Professions in the Philippines
d. Certificate of Registration of registered nurses; may be
revoked or suspended for violations of any provisions of the
Code of Ethics
37. Based on the Code of Ethics for Filipino Nurses, what
is regarded as the hallmark of nursing responsibility and
accountability?
a. Human rights of clients, regardless of creed and gender
b. The privilege of being a registered professional nurses
c. Health, being a fundamental right of every individual
d. Accurate documentation of actions and outcomes
38. Which of the following nurses behavior is regarded as
a violation of the Code of Ethics of Filipino Nurses?
a. A nurse withholding harmful information to the family
members of a patient
b. A nurse declining commission sent by a doctor for her
referral
c. A nurse endorsing a person running for congress
d. Nurse Reviewers and/or nurse review center managers who
pays a considerable amount of cash for reviewees who would
memorize items from the Licensure exams and submit these to
them after the examination
39. A nurse should be cognizant that professional
programs for specialty certification by the Board of
Nursing are accredited through the
a. Professional Regulation Commission
b. Nursing Specialty Certification Council
c. Association of Deans of Philippine Colleges of Nursing
d. Philippine Nurse Association
40. Mr. Santos, R.N. works in a nursing home, and he
knows that one of his duties is to be an advocate for his
patients. Mr. Santos knows a primary duty of an advocate
is to:
a. act as the patient's legal representative
b. complete all nursing responsibilities on time
c. safeguard the well being of every patient
d. maintain the patient's right to privacy
Situation 9 - Nurse Joanna works as an OB-Gyne Nurse and
attends to several HIGH-RISK PREGNANCIES: Particularly
women with preexisting of Newly Acquired illness. The
following conditions apply.
41. Bernadette is a 22-year old woman. Which condition
would make her more prone than others to developing a
Candida infection during pregnancy?
a. Her husband plays gold 6 days a week
b. She was over 35 when she became pregnant
c. She usually drinks tomato juice for breakfast
d. She has developed gestational diabetes
42. Bernadette develops a deep-vein thrombosis following
an auto accident and is prescribed heparin sub-Q. What
should Joanna educate her about in regard to this?
a. Some infants will be born with allergic symptoms to heparin
b. Her infant will be born with scattered petechiae on his trunk
c. Heparin can cause darkened skin in newborns
d. Heparin does not cross the placenta and so does not affect
a fetus
43. The cousin of Bernadette with sickle-cell anemia
alerted Joanna that she may need further instruction on
prenatal care. Which statement signifies this fact?
a. I've stopped jogging so I don't risk becoming dehydrated
b. I take an iron pull every day to help grown new red blood
cells
c. I am careful to drink at least eight glasses of fluid everyday
d. 1 understand why folic acid is important for red cell
formation
44. Bernadette routinely takes acetylsalicylic acid (aspirin)
for arthritis. Why should she limit or discontinue this
toward the end of pregnancy?
a. Aspirin can lead to deep vein thrombosis following birth
b. Newborns develop a red rash from salicylate toxicity
c. Newborns develop withdrawal headaches from salicylates
d. Salicyates can lead to increased maternal bleeding at
childbirth
45. Bernadette received a laceration on her leg from her
automotive accident. Why are lacerations of lower
extremities potentially more serious in pregnant women
than others?
a. Lacerations can provoke allergic responses because of
gonadothropic hormone
b. Increased bleeding can occur from uterine pressure on leg
veins
c. A woman is less able to keep the laceration clean because o
f her fatigue
d. Healing is limited during pregnancy, so these will not heal
until after birth
Situation 10 - Still in your self-managed Child Health Nursing
Clinic, your encounter these cases pertaining to the CARE OF
CHILDREN WITH PULMONARY AFFECTIONS.
46. Josie brought her 3-rnonths old child to your clinic
because of cough and colds. Which of the following is
your primary action?
a. Give contrimoxazole tablet or syrup
b. Assess the patient using the chart on management of
children with cough
c. Refer to the doctor
d. Teach the mother how to count her child's bearing
47. In responding to the care concerns of children with
severe disease, referral to the hospital of the essence
especially if the child manifests which of the following?
a. Wheezing
b. Stopped bleeding
c. Fast breathing
d. Difficulty to awaken
48. Which of the following is the most important
responsibility of a nurse in the prevention of necessary
deaths from pneumonia and other severe diseases?
a. Giving of antibiotics
b. Taking of the temperature of the sick child
c. Provision of Careful Assessment
d. Weighing of the sick child
49. You were able to identify factors that lead to
respiratory problems in the community where your health
facility serves. Your primary role therefore in order to
reduce morbidity due to pneumonia is to:
a. Teach mothers how to recognize early signs and symptoms
of pneumonia
b. Make home visits to sick children
c. Refer cases to hospitals
d. Seek assistance and mobilize the BHWs to have a meeting
with mothers
50. Which of the following is the principal focus on the
CARI program of the Department of Health?
a. Enhancement of health team capabilities
b. Teach mothers how to detect signs and where to refer
c. Mortality reduction through early detection
d. Teach other community health workers how to assess
patients
Situation 11 - You are working as a Pediatric Nurse in your
own Child Health Nursing Clinic, the following cases pertain to
ASSESSMENT AND CARE OP THE NEWBORN AT RISK
conditions.
51. Theresa, a mother with a 2 year old daughter asks, "at
what are can I be able to take the blood pressure of my
daughter as a routine procedure since hypertension is
common in the family?" Your answer to this is:
a. At 2 years you may
b. As early as 1 year old
c. When she's 3- years old
d. When she's 6 years old?
52. You typically gag children to inspect the back of their
throat. When is it important NOT to solicit a gag reflex?
a. when a girl has a geographic tongue
b. when a boy has a possible inguinal hernia
c. when a child has symptoms of epiglottitis
d. when children are under 5 years of age
53. Baby John was given a drug at birth to reverse the
effects of a narcotic given to his mother in' labor. What
drug is commonly used for this?
a. Naloxone (Narcan)
b. Morphine Sulfate
c. Sodium Chloride
d. Penicillin G
54. Why are small-for-gestational-age newborns at risks
for difficulty maintaining body temperature?
a. They do not have as many fat stores as other infant’s
b. They are more active than usual so throw off covers
c. Their skin is more susceptible to conduction of cold
d. They are preterm so are born relatively small in size
55. Baby John develops hyperbilirubinemia. What is a
method used to treat hyperbilirubinemia in a newborn?
a. Keeping infants in a warm arid dark environment
b. Administration of a cardiovascular stimulant
c. Gentle exercise to stop muscle breakdown
d. Early feeding to speed passage of meconium
Situation 12 - You are the nurse in the Out-Patient-Department
and during your shift you encountered multiple children's
condition. The following questions apply.
56. You assessed a child with visible severe wasting, he
has:
a. edema
b. LBM
c. kwashiorkor
d. marasmus
57. Which of the following conditions is NOT true about
contraindication to immunization?
a. do not give DPT2 or DPT3 to a child who has convulsions
within 3 days of DPT1
b. do not give BOG if the child has known hepatitis .
c. do not give OPT to a child who has recurrent convulsion or
active neurologic disease
d. do not give BCG if the child has known AIDS
58. Which of the following statements about immunization
is NOT true:
a. A child with diarrhea who is due for OPV should receive the
OPV and make extra dose on the next visit
b. There is no contraindication to immunization if the child is
well enough to go home
c. There is no contraindication to immunization if the child is
well enough to go home and a child should be immunized in
the health center before referrals are both correct
d. A child should be immunized in the center before referral
59. A child with visible severe wasting or severe palmar
pallor may be classified as:
a. moderate malnutrition/anemia
b. severe malnutrition/anemia
c. not very tow weight no anemia
d. anemia/very low weight
60. A child who has some palmar pallor can be classified
as:
a. moderate anemia/normal weight
b. severe malnutrition/anemia
c. anemia/very low weight
d. not very low eight to anemia
Situation 13 - Nette, a nurse palpates the abdomen of Mrs.
Medina, a primigravida. She is unsure of the date of her last
menstrual period. Leopold's Maneuver is done. The
obstetrician told mat she appears to be 20 weeks pregnant. .
61. Nette explains this because the fundus is:
a. At the level the umbilicus, and the fetal heart can be heard
with a fetoscope
b. 18 cm, and the baby is just about to move
c. is just over the symphysis, and fetal heart cannot be heard
d. 28 cm, and fetal heart can be heard with a Doppler
62. In doing Leopold's maneuver palpation which among
the following is NOT considered a good preparation?
a. The woman should lie in a supine position wither knees
flexed slightly
b. The hands of the nurse should be cold so that abdominal
muscles would contract and tighten
c. Be certain that your hands are warm (by washing them in
warm water first if necessary)
d. The woman empties her bladder before palpation
63. In her pregnancy, she experienced fatigue and
drowsiness. This probably occurs because:
a. of high blood pressure
b. she is expressing pressure
c. the fetus utilizes her glucose stores and leaves her with a
Sow blood glucose
d. of the rapid growth of the fetus
64. The nurse assesses the woman at 20 weeks gestation3
and expects the woman to report:
a. Spotting related to fetal implantation
b. Symptoms of diabetes as human placental lactogen is
released
c. Feeling fetal kicks
d. Nausea and vomiting related HCG production
65. If Mrs. Medina comes to you for check-up on June 2,
her EDO is June 11, what do you expect during
assessment?
a. Fundic ht 2 fingers below xyphoid process, engaged
b. Cervix close, uneffaced, FH-midway between the umbilicus
and symphysis pubis
c. Cervix open, fundic ht. 2 fingers below xyphoid process,
floating .
d. Fundic height at least at the level of the xyphoid process,
engaged
Situation 14: - Please continue responding as a professional
nurse in varied health situations through the following
questions.
66. Which of the following medications would the nurse
expect the physician to order for recurrent convulsive
seizures of a 10-year old child brought to your clinic?
a. Phenobarbital
b. Nifedipine
c. Butorphanol
d. Diazepam
67. RhoGAM is given to Rh-negative women to prevent
maternal sensitization from occurring. The nurse is aware
that in addition to pregnancy, Rh-negative women would
also receive this medication after which of the following?
a. Unsuccessful artificial insemination procedure
b. Blood transfusion after hemorrhage
c. Therapeutic or spontaneous abortion
d. Head injury from a car accident
68. Which of the following would the nurse include when
describing the pathophysiologv of gestational diabetes?
a. Glucose levels decrease to accommodate fetal growth
b. Hypoinsulinemia develops early in the first trimester
c. Pregnancy fosters the development of carbohydrate
cravings
d. There is progressive resistance to the effects of insulin
69. When providing prenatal education to a pregnant
woman with asthma, which of the following would be
important for the nurse to do?
a. Demonstrate how to assess her blood glucose
b. Teach correct administration of subcutaneous
bronchodilators
c. Ensure she seeks treatment for any acute exacerbation
d. Explain that she should avoid steroids during her pregnancy
70. Which of the following conditions would cause an
insulin-dependent diabetic client the most difficulty during
her pregnancy?
a. Rh incompatibility
b. Placenta previa
c. Hyperemesis gravidarum
d. Abruption placentae
Situation 15 - One important toot a community health nurse
uses in the conduct of his/her activities is the CHN Bag. Which
of the following BEST DESCRIBES the use of this vital facility
for our practice?
71. The Community/Public Health Bag is:
a. a requirement for home visits
b. an essential and indispensable equipment of the community
health nurse
c. contains basic medications and articles used by the
community health nurse
d. a tool used by the Community health nurse is rendering
effective nursing procedure during a home visit
72. What is the rationale in the use of bag technique
during home visit?
a. It helps render effective nursing care to clients or other
members of the family
b. It saves time and effort of the nurse in the performance of
nursing procedures
c. It should minimize or prevent the spread of infection from
individuals to families
d. It should not overshadow concerns for the patient
73. Which among the following is important in the use of
the bag technique during home visit?
a. Arrangement of the bag's contents must be convenient to
the nurse
b. The bag should contain all necessary supplies and
equipment ready for use
c. Be sure to thoroughly clean your bag especially when
exposed to communicable disease cases
d. Minimize if not totally prevent the spread of infection
74. This is an important procedure of the nurse during
home visits?
a. protection of the CHN bag
b. arrangement of the contents of the CHM bag
c. cleaning of the CHN bag
d. proper handwashing
75. In consideration of the steps in applying the bag
technique, which side of the paper lining of the CHN bag is
considered clean to make a non-contaminated work area?
a. The lower lip
b. The outer surface
c. The upper lip
d. The inside surface
Situation 16 - As a Community Health Nurse relating with
people in different communities, and in the implementation of
health programs and projects you experience vividly as well
the varying forms of leadership and management from the
Barangay Level to the Local Government/Municipal City Level.
76. The following statements can correctly be made about
Organization and management?
A. An organization (or company) is people. Values make
people persons: values give vitality, meaning and direction to a
company. As the people of an organization value, so the
company becomes.
B. Management is the process by which administration
achieves its mission, goals, and objectives
C. Management effectiveness can be measured in terms of
accomplishment of the purpose of the organization while
management efficiency is measured in terms of the satisfaction
of individual motives
D. Management principles are universal therefore one need
not be concerned about people, culture, values, traditions and
human relations.
a. B and C only
b. A, B and D only
c. A and D only
d. B, A, and C only
77. Management by Filipino values advocates the
consideration of the Filipino goals trilogy according to the
Filipino priority-values which are:
a. Family goals, national goals, organizational goals
b. Organizational goats, national goals, family goals
c. National goals, organizational goals, family goals
d. Family goals, organizational goals, national goals
78. Since the advocacy for the utilization of Filipino value-
system in management has been encouraged, the Nursing
sector is no except, management needs to examine
Filipino values and discover its positive potentials and
harness them to achieve:
a. Employee satisfaction
b. Organizational commits .ants, organizational objectives and
employee satisfaction
c. Employee objectives/satisfaction, commitments and
organizational objectives
d. Organizational objectives, commitments and employee
objective/satisfaction
79. The following statements can correctly be made about
an effective and efficient community or even agency
managerial-leader.
A. Considers the achievement and advancement of the
organization she/he represents as well as his people
B. Considers the recognition of individual efforts toward the
realization of organizational goals as well as the welfare of his
people
C. Considers the welfare of the organization above all other
consideration by higher administration
D. Considers its own recognition by higher administration for
purposes of promotion and prestige
a. Only C and D are correct
b. A, C and D are correct
c. B, C, and D are correct
d. Only A and B are correct
80. Whether management at the community or agency
level, there are 3 essential types of skills managers must
have, these are:
A. Human relation skills, technical skills, and cognitive skills
B. Conceptual skills, human relation/behavioral skills, and
technical skills
C. Technical skills, budget and accounting skills, skills in fund-
raising
D. Manipulative skills, technical skills, resource management
skills
a. A and D are correct
b. B is correct
c. A is correct
d. C and D are correct
Situation 17 - You are actively practicing nurse who just
finished your Graduate Studies. You earned the value of
Research and would like to utilize the knowledge and skills
gained in the application of research to Nursing service. The
following questions apply to research.
81. Which type of research Inquiry investigates the issue
of human complexity (e.g. understanding the human
expertise)
a. Logical position
b. Naturalistic inquiry
c. Positivism
d. Quantitative Research
82. Which of the following studies is based on quantitative
research?
a. A study examining the bereavement process in spouses of
clients with terminal cancer
b. A study exploring factors influencing weight control behavior
c. A study measuring the effects of sleep deprivation on wound
healing
d. A study examining client's feelings before, during and after a
bone marrow aspiration
83. Which of the following studies is based on qualitative
research?
a. A study examining clients reactions to stress after open
heart surgery
b. A study measuring nutrition and weight, loss/gain in clients
with cancer
c. A study examining oxygen levels after endotracheal
suctioning
d. A study measuring differences in blood pressure before
during and after a procedure
84. An 85 year old client in a nursing home tells a nurse, "I
signed the papers for that research study because the
doctor was so insistent and I want: him to continue taking
care of me." Which client right is being violated?
a. Right of self determination
b. Right to privacy and confidentiality
c. Right to full disclosure
d. Right not to be harmed
85. "A supposition or system of ideas that is proposed to
explain a given phenomenon," best defines:
a. a paradigm
b. a concept
c. a theory
d. a conceptual framework
Situation 18 - Nurse Michelle works with a Family Nursing
Team in Calbayog Province specifically handling a UNICEF
Project for Children. The following conditions pertain, to CARE
OP THE FAMILIES PRESCHOOLERS.
86. Ronnie asks constant questions. How many does a
typical 3-year-old ask in a day's time?
a. 1,200 or more
b. Less than 50
c. 100-200
d. 300-400
87. Ronnie will need to change to a new bed because his
baby sister will need Ronnie's old crib. What measure
would you suggest that his parents take to help decrease
sibling rivalry between Ronnie and his new sister?

a. Move him to the new bed before the baby arrives
b. Explain that new sisters grow up to become best friends
c. Tell him he will have to share with the new baby
d. Ask him to get his crib ready for the new baby
88. Ronnie's parents want to know how to react to him
when he begins to masturbate while watching television.
What would you suggest?
a. instruct mother when to return immediately
b. refer urgently
c. give an antibiotic for 5 days
d. dry the ear by wicking
Situation 20 - If a child with diarrhea registers one sign in the
pink row and one in the yellow; row in the IMCI Chart.
96. We can classify the patient as:

a. They refuse to allow him to watch television a. moderate dehydration

b. They schedule a health check-up for sex-related disease b. some dehydration
c. They remind him that some activities are private c. no dehydration
d. They give him "timeout" when this begins d. severe dehydration

89. How many words does a typical 12-month-old infant 97. The child with no dehydration needs home treatment
use? Which of the following is not included the rules for home
treatment in this case:
a. About 12 words
b. Twenty or more words a. continue feeding the child
c. About 50 words b. give oresol every 4 hours
d. Two, plus "mama" and "dada" c. know when to return to the health center
d. give the child extra fluids
90. As a nurse. You reviewed infant safety procedures with
Bryan's mother. What are two of the most common types 98. A child who has had diarrhea for 14 days but has no
of accidents among infants? sign of dehydration is classified as:

a. Aspiration and falls a. severe persistent diarrhea

b. Falls and auto accidents b. dysentery
c. Poisoning and burns c. severe dysentery b. dysentery
d. Drowning and homicide d. persistent diarrhea

Situation 19 - Among common conditions found in children 99. If the child has sunken eyes, drinking eagerly, thirsty
especially among poor communities are ear and skin pinch goes back slowly, the classification would
infection/problems. The following questions apply. be:

91. A child with ear problem should be assessed for the a. no dehydration
following EXCEPT: b. moderate dehydration
c. some dehydration
a is there any fever? d. severe dehydration
b. ear discharge
c. if discharge is present for how long? 100. Carlo has had diarrhea for 5 days. There is no blood
d. ear pain in the stool, he is irritable. His eyes are sunken the nurse
offers fluid to Carlo and he drinks eagerly. When the nurse
92. If the child does not have ear problem, using IMCI, pinched the abdomen, it goes back slowly. How will you
what should you as the nurse do? classify Carlo’s illness?

a. Check for ear discharge a. severe dehydration

b. Check for tender swellings, behind the ear b. no dehydration
c. Check for ear pain c. some dehydration
d. Go to the next question, check for malnutrition d. moderate dehydration

93. An ear discharge that has been present for more than
14 days can be classified as:

a. mastoditis
b. chronic ear infection
c. acute ear infection
d. complicated ear infection

94. An ear discharge that has been present for jess than
14 days can be classified as:

a. chronic ear infection

b. mastoditis
c. acute ear infection
d. complicated ear infection

95. If the child has severe classification because of ear

problem, what would be the best thing that you as the
nurse can do?