NLE Sample Questions 2

Nursing Practice 2

NURSING PRACTICE TEST 2

1. Registered nurses can be identified as a:
A. organization C. group
B..culture D. subculture

2. Among children candidates for organ transplant, when all selected children have
appropriate tissue matches for the same donated organ, the basis for the decision as to which child gets the organ is that the organ is given to the child who:
A. will receive the most benefit from the new organ
B. is most likely to die without the transplant
C. is selected by the lottery system for available organs
D is at the top of the list and has waited the longest time

3. The nurse uses what equipment to check for fluid between the parietal and visceral layers of the tunica vaginalis, the outermost covering of the testes?
A. 30 cc syringe C. Fluid meter
B. Transilluminatof D. Manometer

4. Which of the following examples best defines the term role reversal?
A. A lazy person becomes very productive in the family.
B. The good child takes on a bad child role.
C. A person who has been a good provider quits his or her job.
D. The child assumes a caregiver role toward the caregiver.

5. When a nurse breaches the duty of confidentiality, he or she can be disciplined by both the employer and the Board of Nursing. In addition to this discipline, he or she can:
A. be held responsible for any damages that result
B. be fined by the federal government
C. be sentenced for up to 1 year in jail
D. immediately lose his or her nursing license

6. A strategy for change that focuses on teaching workers new technology is:
A. normative-reeducative C. providing information
B. training D. power coercive

7. The; nurse knows that the occurence of shoulder dystocia during labor is
most likely related to;
A. polyhydramnios C. preterm birth
B. maternal age D. macrosomia

8. The nurse instructs the mother that when overstimulated the infant will:
A. show increased alertness and eye contact
B. respond with coordinated, synchronous body movement
C. look away to reduce the intensity of the interaction
D. drift off to deep sleep to shut out the interaction

9. Some strategies to maintain professional health are listed below. Which is NOT necessarily correct?
A. Networking with others in the health care field
B. Join a professional organization
C. Goal setting
D. Read fiction and nonfiction materials

10. The nurse is assessing an 6 month old infant for hood tog, pulling the infant by the hands from a supine to a sitting position. The head does not stay in line with the body when being putted forward. Which of the following statements best represents the significance of this finding?

A. Head lag should not be tested until the child is over 1 year of age.
B. Significant head lag after the age of 6 months may indicate brain injury and needs further investigations.
C. The nurse has not conducted the test correctly and must do it again using proper technique.
D. This is a normal finding, as the infant's head will not stay in line until after 3 months of age.

11. Which statement is correct regarding the use of the cervical cap?
A. It may affect Pap smear results.
B. It does not need to be fitted by a physician.
C It does not require the use of a spermicide
D. It must be removed within 24 hours.

12. The major components of the communication process are :
A. verbal, written, and nonverbal
B. speaker, listener and reply
C. facial expression, tone of voice, and gestures
D. message, sender, channel, receiver, and feedback

13. The extent of burns in children are normally assessed and expressed in terms of:
A. the amount of body surface that is unburned
B. percentages of total body surface area (TBSA)
C. how deep the deepest burns are
D. the severity of the burns on a 1 to 5 burn scale

14. The school nurse notices a child who is wearing old, dirty, poor fitting clothes; is always hungry; has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of playing outside until midnight. The nurse will suspect that this child is;
A. being raised by a parent of level intelligence quotient (IQ)
B. an orphan
C. a victim of child neglect
D. the victim of poverty

15 Which of the following indicates the type(s) of acute renal failure?
A. Four types: hemorrhagic with and without clotting, and nonhemorrhagic with and without clotting.
B. One type: acute
C. Throe types; prerenal, intrarenal and postrenal
D. Two types: acute and subacute

16. A means of facilitating professional staff development is by building upon skills, abilities, and experience of each practitioner is called :
A. the novice to expert model C. career enhancement
B. situational leadership model D. clinical ladder

17. Which of the following questions by the nurse would best fit the philosophy of the nursing mutual participation model of care (NMPMC)?
A. "Have you brushed your child's teeth today"?
B. "How does your child look to you today"?
C. "Where have you been all morning"?
D. "Do you think your child's color is worse"?

18. There are numerous definitions of the word "health". Which definition below is from Florence Nightingale?
A. A state or a process of being and becoming an integrated and whole person
B. The state of being free from illness or injury
C. Being well and using every power the individual possesses to the fullest extent.
D. A state of complete physical, social, and mental well-being and not merely the absence of disease or infirmity

19. Informal communication takes place when individuals talk and is best described by saying the participants:
A. are involved in a preexisting informal relationship
B. talk with slang words
C. have no particular agenda or protocol
D. are relaxed


20 Tertiary care by the home health nurse is directed toward children with: A. problems in mobility C. minor problems
B. short-term needs D. clinically apparent disease

21. The endometrium thickens during which phase of the menstrual cycle?
A. Secretory phase C. Proliferative phase
B. Menstrual phase D. Ischemic phase

22. A measurement tool to articulate the nursing workload for a specific patient or groups of patients over a specific period of time is called :
A. staffing pattern C. benchmarking
B. skill mix D patient classification

23. The mother of a 9-rnonth-old infant is concerned that the head circumference of her baby is greater than the chest circumference. The BEST response by the nurse is :
A. “These circumferences normally are the same, but in some babies this just differs”
B. "Perhaps your baby was small for gestational ago or premature."
C. “This is normal until the age of 1 year, when the chest will be greater."
D. "Let me ask you a few questions, and perhaps we can figure out the cause of this difference."

24. Which of the following approaches would work best when the nurse is communicating with an infant?
A, Use an adult voice just as you would for anyone.
B. Communicate through the caregivers.
C. Allow the child lime to warm up to the nurse.
D. Respond only after the child cries for a little while.

25. Evidence-based care started in medicine as a way to:
A. promote technological advances in medicine i
B. incorporate collaboration within all health care disciplines
C. integrate individual experience with clinical research
D. teach medical students the art and science of medicine

26. The nurse assessing newborn babies and infants during their hospital stay after birth will notice which of the following symptoms as a primary manifestation of Hirschsprung's disease?
A. A fine rash over the trunk
B. Failure to pass meconium during the first 24 to 40 hours after birth
C. The skin turns yellow and then brown over the first AQ hours of life
D. High-grade fever

27. A client is 7 months pregnant and has just been diagnosed as having a partial placenta previa. She is stable and has minimal spotting and is being sent home. Which of these instructions to the client may indicate a need for further teaching?
A. Maintain bed rest with bathroom privileges.
B. Avoid intercourse for three days.
C. Call if contractions occur
D. Stay on left side as much as possible when lying down.

28. Which d the following groups of people in the world disproportionately represents the homeless population?
A. Hispanics C. African Americans
B. Asians D. Caucasians

29. The nurse notices that the infant is wearing a plastic-coaled diaper. If a topical medication • were to be prescribed and it were to go on the stomach or buttocks, the nurse would teach the caregivers to:
A. avoid covering the area of the topical medication with the diaper
B. avoid the use of clothing on top of the diaper
C. put the diaper on as usual
D. apply an icepack for 5 minutes to the outside of the diaper

30. The nurse assessing a child of adolescent with ,a diagnosis of dysrythmic disorder would find which of me following symptoms?
A. Labile mood and hyperactive thyroid with an increase in circulating thyroid hormones and associated symptoms .
B. Severe shaking of the hands when trying to hold a glass of water or other object
C. A depression that is deeper, more acute, and more likely to lead to suicide than major depressive disorder
D. A depressed or irritable mood for most of the day, on most days, for 2 or more years and low energy or fatigue.

31. You were the nurse assigned to work with a child who has had whole brain radiation. You have assessed the child to be sleeping up to 20 hours a day and is having some nausea, malaise, fever, and dysphasia. Based on this assessment, you ate to work with the parents in which of the following areas?
A. Accepting a reoccurrence of the tumor
B. Dealing with the side effects of radiation therapy
C. Caring for the dying child
D. Accepting the imminent death of their child

32. The nurse is planning interventions for a child who has inflammatory bowel disease (IBD) with a nursing diagnosis of "Nutrition: Less than body requirements. "Which of the following interventions will be most helpful in resolving this nursing problem?

A. Two large meals a day instead of several minimeals and snacks
B. Special IBD diet (diet that has been proven effective for treating IBD)
C. Salt-free diet high in potassium, vitamins, and minerals
D. Diet as tolerated with lactose, hydrolyzed milk instead of milk products, and omission of highly seasoned foods, and reduction of fiber

33. Emotional intelligence consists of a number of competencies. Some of these are listed below. Which is NOT a characteristic of emotional intelligence?
A. Self-esteem C. Empathy
B. Self-awareness D. Self-regulation

34. Data collection for driving and restraining forces, including costs, desirability, and feasibility, is a:
As people issue C. political issue
B. structural issue D. technology issue

35. One of four factors describing the experience of sexually abused children and the effect it has on their growth and development is somatization that occurs when:
A. a child blames him-or herself for the sexual abuse and begins to withdraw and isolate
B. newspapers and the media don't keep sexual abuse private and accidentally or on purpose reveal the name of the victim
C. the child has been blamed by the abuser for his or her sexual behaviors, saying that the child asked to be touched or did not make the abuser stop
D. the child is shared by other members of the family or friends when the sexual abuse becomes public knowledge

36. The painful phenomenon known as "back labor" occurs in a client whose fetus in what position?
A. Brow Position C. Breech Position
B. Right Occipito-Anterior Position D. Lett Occipito-Posterior Position

37. FOCUS methodology stands for:
A. Focus, Organize, Clarify, Understand. Solution
B. Focus, Opportunity, Continuous, Utilize, Substantiate
C. Focus, Organize, Clarify, Understand, Substantiate
D. Focus, Opportunity, Continuous(process), Understand Solution

38. While community health nurses focus on the individual or the family, which of the following do they also have as their final objective?
A The well-being of the chronically ill
B. The financial well being of the family
C. The well-being of the extended family
D. The well-being of the community

39. Which of the following is the best example of the ethical principle of fidelity?
A. Doing whatever the client or the client's physician asks of you
B. Keeping a promise to return to the client's room at a given time
C Being a good friend to the client by sharing secrets
D. Saving the client time and money by not wasting supplies

40. Which of the following factors is most important in determining the success of relationships used in delivering nursing care?
A. Type of illness of the client
B. Transference and countertransference
C Effective communication
D. Personality of the participants

41. Which of the following statements best describes the term glove typo burn?
A. The parent was wearing heavy gloves or stockings on his or her hands while immersing the child in hot scalding water.
B. The parents have dipped the child into hot liquid while he or she was asleep.
C. The child was wearing a glove when immersed in hot liquid.
D. The bum has the look of a glove immersed in hot scalding water.

42. The school nurse keeps a list of enrolled students who have medical or religious objections lo immunizations and those who are likely to have decreased immunity The nurse likely keeps this just to:
A. provide statistics for the Department of Health
B. reassure the family that the nurse will respect the family's wishes at all times
C. meet national government requirements
D. facilitate exclusion in case of an outbreak of a highly communicable disease in the school

43. Preschoolers are able to see things from which of the following perspectives?
A. Their peers'
B. Their own and their caregivers'
C. Their own and their mother's
D. Only their own

44. In conflict management, the win-win approach occurs when:

A. there are two conflicts and the parties agree to each win one
B. each party gives in on 50% of the disagreements making up the conflict
C. both parties involved are committed to solving the conflict
D. the conflict is settled out of court so the legal system and the parties win

45. According to the social-interactional systemic perspective of child abuse and neglect, four factors place the family members at risk for abuse. These risk factors are the family itself, the caregiver the child, and

A. the presence of a family crisis C. the national emphasis on sex
B. genetics D. chronic poverty

46. When a person is discussing the strong influences that child-rearing methods have on the development of the child, this person is most probably coming from which of the following viewpoints or theories?

A. Naturalistic C. Neoclassic
B. Nature D. Nurture

47. In working with the caregivers of a child with an acute or chronic illness, the nurse would :
A. teach care dairy and let the caregivers do a return demonstration just before discharge
B. delegate care of the child to a nurse's aide and make certain he or she understands the care delegated and completes it
C. teach care early and allow the caregivers to provide daily care for as many aspects of the child's care as possible
D. take responsibility for the child's care until the day before discharge, and then give caregivers instructions

48 Which of the following signs and symptoms would you moot likely find when assessing an infant with Arnold-Chiari malformation?

A. Weakness of the leg muscles, loss of sensation in the legs, and restlessness
B. Difficulty swallowing, diminished or absent gag reflex, and respiratory distress.
C. Difficulty sleeping, hypervigilant, and an arching of the back
D. Paradoxical irritability, diarrhea, and vomiting.

49. A patient calls you and frantically reports that her child has gotten into her ferrous sulfate pills and ingested a number of these pills. The child is now vomiting, has Bloody diarrhea, and is complaining of abdominal pain. You will tell the mother to;
A. call emergency medical services (EMS) and get the child to the emergency room
B. relax because these symptoms will pass and the child will be fine
C. administer syrup of ipecac
D. call the poison control center

50. A client says she heard from a friend that you slop having periods once you are on the pill". The most appropriate response would be

A "The pill prevents the uterus from making such endometrial lining; that is why periods may often be scant or skipped occasionally."
B. "if your friend has missed her period, she should stop taking the pills and get a pregnancy test as soon as possible"
C. "The pill should cause a normal menstrual period every rnonth. It sounds like your friend has not been taking the pills properly."
D. "Missed periods can be very dangerous and may lead to the formation of precancerous cells."

51. You are the nurse assigned to work with a child with acute glomerulonephritis. Try following the prescribed treatment regimen, the child experiences a remission. You are not checking to make sure the child does not have a relapse. Which finding would most lead you to the conclusion that a relapse is happening?
A. Elevated temperature, cough, sore throat, changing complete blood count (CBC) with differential. B. A urine dipstick measurement of 2+ proteinuria or more for 3 days, or the child found to have 3-4+ proteinuria plus edema.
C. The mine dipstick showing glucose in the urine for 3 days. Extreme thirst, increase in urine output. and a moon face.
D. A temperature of 37.8 degrees C(100 degrees F), flank pain,burning, frequency, urgency on voiding, and cloudy urine

52. The nurse is working with an adolescent who complains of being lonely and having a lack of fulfillment in her life. This adolescent shies away from intimate relationships at times, yet at other limes she appears promiscuous. The nurse will likely work with this adolescent in which of the following areas?

A. Isolation C. Lack of fulfillment
B. Loneliness D. Identity

53. The use of interpersonal decision making, psychomotor skills, and application of knowledge expected in the role of a licensed health care professional in the context of public health welfare and safety is an example of:
A. delegation C. responsibility
B. supervision D. competence

54. A child suffers a head injury in a tumbling accident in gym class. The nurse's best course of action is to.
A. get the child up walking and make sure he or she stays awake
B. leave the child and go get help
C. leave the child in the care of an older child and go get help
D. stay with the child, keep assessing, and have someone call the caregivers

55. The American Academy of Pediatrics suggests that caregivers do which of the following things in regard to physical activities for preschoolers?
A. Push the child lo practice sports activities while they are more flexible.
B. Encourage a variety of physical activities in a noncompetitive environment.
C. Have the child engage in competitive sports to see where they excel.
D. Keep physical activities to a minimum until the child is in grade school.

56 Which of the following arrangements is generally considered lo be best for the parents of a hospitalized infant or young child?
A. Rooming-in
B. Separate caregiver sleeping room on the unit
C. Day visits and sleeping at home
D. Slaying at a nearby hotel or motel

57. When one person allows the conflict to be reserved at his or her own expense, this is referred to in conflict management as;
A. losing C. the win-lose approach
B. winning while losing D. the lose-win approach

58. Which of the following statements best describes acquaintance rape?
A. Sexual intercourse when one person engaging in the activity is unsure about wanting to do so
B. When two people don't love each other and engage in sexual activities
C. When someone on a date tricks the other person into having sexual intercourse
D. Sexual intercourse committed with force or the threat of force without a person's consent

59. The school nurse is teaching a health education and hygiene course to a group of high schools males. Which includes a number of young men who are on competitive sports teams. Which of the following health practices would the nurse most stress in preventing the transmission of human immunodeficiency virus (HIV) virus in case any team member has HIV or acquired immunodeficiency syndrome (AIDS)?

A. No sharing of underarm deodorant or shower soap
B. No storing of razors or toothbrushes
C. Making certain towels have been washed in boiling water
D. Avoiding physical contact such as sports hugs or swats

60. At 17 weeks' gestation, a type 1 diabetic undergoes an ultrasound examination. What information about the fetus at this time in pregnancy would the results of this examination provide?
A. Placental maturity C. Gestational age
B. Estimated fetal weight D. Fetal lung maturity

61. Which of the following beet describes a difference in communicating with school-age children versus toddlers?
A. Toddlers require more empathy and more touching and holding.
B. For toddlers, preparation for procedures is just before the procedure and much earlier for school-aged children.
C. Caregivers need less information when care involves a school-aged child.
D. The number of words is more when communicating with a toddler than it is with a school-aged children.

62. Genetic testing should be performed on a child only if:
A. the parents both want it performed
B. it is in the best interests of the child
C. it is necessary for the child to survive
D. no one objects

63. Infant head control is judged by the:
A. ability to hold head without support
B. presence or absence, of head lag
C. rigidity of the neck and head
D. amount of neck wrinkling

64 Which of the following roles BEST exemplifies the expanded role of the nurse?
A. Circulating nurse in surgery
B. Medication nurse
C. Obstetrical nurse
D. Pediatric nurse practitioner

65. The tone and pitch of the voice, volume, inflection, speed, grunts and other vocalizations are referred to by which of the following terms?
A. Paraverbal clues C. Third element
B. Ancillary speech D. Enhancements

66. The plan-do-study-act cycle begins with :
A. four stages C. three questions
B. five agendas D. two concepts

67. During your shift, you noted one of your pregnant clients considered us 'waiting case". manifest morning sickness and which later progressed. Winch assessment finding may indicate a possible developing complication?
A. Maternal pulse 90 G. FHT 155
B. Trace glucose in the urine D. 1+ ketones in the urine

68.The nurse is working with a child who is going to have a bone marrow aspiration. The physician orders TAC (tetracaine, adrenaline, and cocaine). Which of the following is the route of administration ?
A. Application to the skin, covered with a dressing prior to the procedure
B. Subcutaneous
C. IV using a very slow drip over approximately 4 hours prior to procedure
D. Nasal inhalation

6S According to DeRosa and Kochura's(2006) article entitled "Implement Culturally Competent Health Care in your Workplace." cultures have different patterns of verbal and nonverbal communication. Which difference does NOT necessarily belong?
A. Personal behavior C. Subject matter
B. Eye contact D. Conversational style

70 The nurse instructs (he caregivers of a newborn to notch the diapers or fold them in such a way as to expose the cord. The major purpose of exposing the cord is to :
A. remind the caregivers to do cord care
B. keep the diaper from rubbing the cord
C. provide air circulation for the cord
D. allow visualization at ail times

71. The level of health of an individual, family, group, population, or community is called ;
A. health assets C. quality of life
B. health status D. health needs

72. The nurse is teaching a group of expectant mothers about the prevention of diaper dermatitis. The nurse explains that one of the preventive measures is the use of:
A. absorbent disposable diapers C. plastic panties over diapers
B. baby powder or cornstarch D. cloth diaper

73. The Code of Nurses
A. delineates all obligations and responsibilities of the nurse
B. is a binding oath, which tells nurses how to make, ethical decisions
C assists the nurse in formulating a personal belief system
D. supports the concept of respect for all persons

74. The obligation to correctly perform one's assigned duties is .
A. delegation C. responsibility
B. assignment D accountability

75. During a routine postpartum assessment following a normal vaginal delivery, the nurse notes the fundus to be slightly boggy.Which action should the nurse take to decrease the risk of uterine inversion during uterine massage?
A Massage only until camping begins.
B. Place one hand en the abdomen above the symphysis pubis.
C Ask the client to ambulate to the bathroom to empty her bladder.
D. Position the client in a slight Trendelenburg position.

SITUATIONAL
Situation 1 - Nurse Lisa manages her own Reproductive and Children's Nursing Clinic in Sorsogon and necessarily she attends to health conditions of mothers and children. The following conditions pertain to the GROWING FETUS.

76. Obstetrical client Marichu asks how much longer Nurse Lisa will refer to the baby inside her as an embryo What would be your best explanation?
A. Her baby will be a fetus as soon as the placenta forms
B. From the time of implantation until 5 to 8 weeks, the baby is an embryo
C. After the 20th week of pregnancy, the Baby is called a zygote
D. This term to used during the time before fertilization

77. Marichu is worried that her baby will be born with a congenital heart disease. What assessment of a fetus at birth is important to help detect congenital heart defect?
A. Determining that the color of the umbilical cord is not green.
B. Assessing whether the umbilical cord has two arteries and one vein.
C. Assessing whether the Wharton's jelly of the cord has a pH higher than 7.2
D. Measuring the length of the cord to be certain trust it is longer than 3 feet.

78. Additionally, Nurse Lisa would gather more information about Manchu's worry about what ma/ threaten the health of her baby. What would Nurse Lisa hope to find?
A. Has Marichu been overly anxious about something
B. Has Marichu suffered from any communicable/contagious disease at the time of her early stage of pregnancy.
C. Has Marichu engaged in sexual activity during the fetal development state of her child
D. Has Marichu engaged in any detrimental activities during the fetal development stage e.g. smoking, drinking, taking drugs, a bad fall, or attempts to terminate pregnancy.

79. Marichu is scheduled to have an ultrasound examination. What instruction would you give her before her examination?
A You can have medicine for pain for any contractions caused by the test.
B. Drink at least 3 glasses of fluid before the procedure
C. The intravenous fluid infused to dilate your uterus does not hurt the fetus.
D. Void immediately before the procedure to reduce your bladder size.

80. Marichu is scheduled to have an amniocentesis to test for fetal maturity. What instruction would you give her before this procedure?
A. The x-ray used to reveal your fetus position has no long term effects.
B. The intravenous fluid infused to dilate your uterus does not hurt the fetus.
C. No more amniotic fluid forms afterward, which is why only a small amount is removed.
D. Void immediately before the procedure to reduce you; bladder size.

Situation 2 - Health Instructions are essentially given to pregnant mothers.

81. A public health nurse would instruct a pregnant woman to notify the physician immediately if which of the following symptoms occur during pregnancy?
A. Presence of dark color in the neck
B. Increased vaginal discharge
C. Swelling of the face
D. Breast tenderness

82. A woman who is 9 weeks pregnant comes to the Health Center with moderate bright red vaginal bleeding. On physical examination, the physician finds the client's cervix 2 cm dilated. Which term best describes the client's condition?
A. Missed Abortion C. Inevitable abortion
B. Incomplete abortion D. Threatened abortion

83. In a big qovernment hospital Nurse Pura is taking, care of a woman with a diagnosis of abruptio placenta. What complication of this condition is of most concern to Nurse Pura?
A. Urinary tract infection
B. Pulmonary embolism
C. Hypocalcemia
D. Disseminated intravascular coagulation

84. Which of the following findings on a newly delivered woman's chart would indicate she is at risk for developing postpartum hemorrhage?
A. Post-term delivery C. Grand rnulti parity
B. Epidural anesthesia D. Premature rupture of membrane

85.Mrs. Hacienda Gracia 35 y.o. postpartum client is at risk of thrombophlebitis. Which of the following nursing interventions decreases her chance of developing postpartum thrombophlebitis?
A. breasfeeding the newborn
B. early ambulation
C. administration of anticoagulant postpartum
D. immobilization and elevation of the lower extremities

Situation 3 - With the increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. The following conditions apply.

86. Which among the following is the primary focus of prevention of cancer?
A. Elimination of conditions causing cancer
B. Diagnosis and treatment
C. Treatment of early stage
D. Early Detection

87. In the prevention and control of cancer which of the following activities is the most important function of the community health nurse?

A. Conduct of community assemblies
B. Referral to cancer specialist those clients with symptoms of cancer
C. Use the nine warning signs of cancer as parameters in our process of detection, control, and treatment modalities
D. Teach women about proper/correct nutrition

88. Who among the following are recipients of the secondary level of care for cancer cases?

A. Those under early case detection
B. Those under post case treatment
C. Those scheduled for surgery
D. Those undergoing treatment

89. Who among the following are recipients of the tertiary level of care for cancer cases?
A. Those under early treatment C. Those under early detection
B. Those under supportive care D. Those scheduled for surgery

90. In Community Health nursing, despite the availability and use of many equipment and devices to facilitate the job of the community health nurse, the best tool any nurse should well be prepared to apply is a scientific approach. This approach ensures quality of care even at the community setting. This in nursing parlance is nothing less than the:
A. nursing diagnosis C. nursing research
B. nursing protocol D. nursing process


Situation 4 - Dengue hemorrhagic fever is a common health concern in Philippine society. It does not only pose a threat to health but more so to the lives of both young and old and well as rich and marginalized sectors of society. The following conditions apply

91. An important rote of the community health nurse in the prevention and control of Dengue H-fever includes:
A advising the elimination of vectors by keeping water containers covered
B. conducting strong health education drives/campaign directed towards proper garbage disposal .
C. explaining to the individuals, families, groups and community the nature of the disease and its causation
D. practicing residual spraying with insecticides

92. Community health nurses should be alert in observing a Dengue suspect. The following is NOT an indicator for hospitalization of H-fever suspects.
A. Marked anorexia, abdominal pain and vomiting
B. Increasing hematocrit count
C. Fever for more than 2 days
D. Persistent headache

93. The community health nurses' primary concern in the immediate control of hemorrhage among patients with dengue is :
A. advising low fiber and non-fat diet.
B. providing warmth through light weight covers
C. observing closely the patient for vital signs leading to shock
D. keeping the patient at rest

94. Which of these signs may NOT be REGARDED as a truly positive signs indicative of Dengue H-Fever?
A, Prolonged bleeding time
B. Appearance of at least 5 petechiae
C. Steadily increasing hematocrit count
D. Fall in the platelet count

95. Which of the following is the most important treatment of patients with Dengue H-fever?
A. Give aspirin for fever
B. Replacement of body fluids
C. Avoid unnecessary movement of patient
D. Ice cap over the abdomen in case of melena

Situation 5 - Two children were brought to you. One with chest in-drawing and the other had dtarrijea. The following questions apply.

96. Using the Integrated Management & Childhood Illness (1MCI) approach, how would you classify the 1st child?
A. Bronchopneumonia C. Severe pneumonia
B. No pneumonia: cough or cold D. Pneumonia

97. The 1st child who is 13 months has fast breathing using IMCI parameters he has:
A. 40 breaths per minute or more
B. 50 breaths per minute
C. 30 breaths per minute or more
D. 60 breaths per minute

98. Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool. She is irritable, and her eyes are sunken. The nurse offered fluids and the child drinks eagerly. How would you classify Nina's illness?
A. Some dehydration C. Severe dehydration
B. Dysentery D. No dehydration

99. Nina's treatment should include the following EXCEPT.
A reassess the child and classify him for dehydration
B. for infants under 6 months old who are not breastfed, give 100-200 ml clean water as well during this period
C. give in the health center the recommended amount of ORS for 4 hours
D. do-not give any other foods to the child for home treatment

100. While on treatment, Nina, 18 months old weighed 10 kgs. and her temperature registered at 37° C. Her mother says she developed cough 3 days ago. Nina has no general danger signs. She has 45 breaths/minute, no chest in-drawing, no stridor. How would you classify Nina's manifestation?
A. No pneumonia C. Pneumonia
B. Severe pneumonia D. Bronchopneumonia