Maternal & Child Health

Nursing Exam 7: NLE Pre-

Boards (100 Items)

Introduction

Simulated board examination questions with this 100-item examination about

the concepts of Community Health Nursing and Maternal & Child Health
Nursing. Preparing for the NLE or any board examination would be easier with
this study guide.

Topics

Topics or concepts included in this exam are:

 Integrated Management of Childhood Illnesses (IMCI)

 Postpartum Nursing Care
 Documentation and Reporting in Nursing
 Family Planning
 Nursing Laws (Philippines)

Situation 1 – Nurse Minette is an independent nurse practitioner following-up

referred clients in their respective homes. Here she handles a case
of POSTPARTUM 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 postpartum at taking-hold phase?

a. She urges the baby to stay awake so that she can breastfeed 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 for the baby as yet
d. She sleeps as if exhausted from the effort of labor

4. At 6-week postpartum visit what should this postpartum 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 postpartum mother wants to lose the weight she gained in

pregnancy, so she is reluctant to increase her caloric 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. 5CO kcal/day
c. 200 kcal/day
d. 1,000 kcal/day

Situation 2 – As the CPES is applicable for all professional nurse, the

professional growth and development of Nurses with 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 and 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?

a. A Chairperson who is the current President of the APO a member from .the
Academe, and the last member coming from the Regulatory Board
b. The Chairperson and members of the Regulatory Board ipso facto acts as the
CPE Council
c. A Chairperson, chosen from among the Regulatory Board Members, a Vice
Chairperson appointed by the BON at-large; two other members also chosen at-
large; and one representing the consumer group
d. A Chairperson who is the President of the Association from the Academe; a
member from the Regulatory Board, and the last member coming from the APO

Situation 3 – Nurse Anna is a new BSEN graduate and has just passed her
Licensure Examination for Nurses in the Philippines. She has likewise been hired
as a new Community Health Nurse in one of the Rural Health Units in their City,
which of the following conditions may be acceptable TRUTHS applied to
Community Health Nursing Practice.

11. Which of the following is the primary focus of community health

nursing practice?

a. Cure of illnesses
b. Prevention of illness
c. Rehabilitation back to health
d. Promotion of health
12. In Community Health Nursing, which of the following is our unit of
service as nurses?

a. The community.
b. The extended members of every family.
c. The individual members of the Barangay.
d. The family.

13. A very important part of the Community Health Nursing Assessment

Process includes:

a. the application of professional judgment in estimating importance of facts to

family and community.
b. evaluation structures arid qualifications of health center team.
c. coordination with other sectors in relation to health concerns.
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. goal-setting
b. monitoring
c. evaluation of data
d. provision of data
Situation 4 – Please continue responding as a professional nurse in these other
health situations through the following questions.

16. Transmission of HIV from an infected individual to another person

occurs:

a. Most frequency in nurses with needlesticks.

b. Only if there is a large viral load in the blood.
c. Most commonly as a result of sexual contact.
d. In all infants born to women with HIV infection.

17. The medical record of a client reveals a condition in which the fetus
cannot pass through the maternal pelvis. The nurse interprets this as:

a. Contracted pelvis
b. Maternal disproportion
c. Cervical insufficiency
d. Fetopelvic disproportion

18. The nurse would anticipate a cesarean birth for a client who has
which infection present at the onset of labor?

a. Herpes simplex virus

b. Human papillomavirus
c. Hepatitis
d. Toxoplasmosis

19. After a vaginal examination, the nurse determines that the client’s
fetus is in an occiput posterior position. The nurse would anticipate that
the client will have:

a. A precipitous birth
b. Intense back pain
c. Frequent leg cramps
d. Nausea and vomiting

20. The rationales for using a prostaglandin gel for a client prior to the
induction of labor is to:

a. Soften and efface the cervix

b. Numb cervical’ pain receptors
c. Prevent cervical lacerations
d. Stimulate uterine contractions

Situation 5 – Nurse Lorena is a Family Planning and Infertility Nurse Specialist

and is currently attending to a meeting. The following conditions pertain to
meeting the nursing of this particular population group.

21. Dina, 17 years old, asks you how a tubal ligation prevents
pregnancy. Which would be the best answer?

a. Prostaglandins released from the cut fallopian tubes can kill sperm
b. Sperm cannot enter the uterus, because the cervical entrance is blocked
c. Sperm can no longer reach the ova, because the fallopian tubes are blocked
d. The ovary no longer releases ova, as there is no where for them to go

22. The McMichaels are a couple undergoing testing

for infertility. Infertilityis said to exist when:

a. a woman has no uterus

b. a woman has no children
c. a couple has been trying to conceive for 1 year
d. a couple has wanted a child for 6 months

23. Another client names Lilia is diagnosed as having endometriosis.

This condition interferes with the fertility because:
a. endometrial implants can block the fallopian tubes
b. the uterine cervix becomes inflamed and swollen
c. ovaries stop producing adequate estrogen
d. pressure on the pituitary leads to decreased FSH levels

24. Lilia is scheduled to have a hysterosalpingogram. Which of the

following, instructions would you give her regarding this procedure?

a. She will not be able to conceive for 3 months after the procedure
b. The sonogram of the uterus will reveal any tumors present
c. Many women experience mild bleeding as an after effect
d. She may feel some cramping when the dye is inserted

25. Lilia’s cousin on the other hand, knowing nurse Lorena’s

specialization asks what artificial insemination by donor entails. Which
would be your best answer if you were Nurse Lorena?

a. Donor sperm are introduced vaginally into the uterus or cervix

b. Donor sperm are injected intra-abdominally into each ovary
c. Artificial sperm are injected vaginally to test tubal patency
d. The husband’s sperm is administered intravenously weekly

Situation 6 – There are other important basic knowledge in the performance of

our task as Community Health Nurse in relation to IMMUNIZATION these
include:

26. The correct temperature to store vaccines in a refrigerator is:

a. between -4 deg C and +8 deg C

b. between 2 deg C and +8 deg C
c. between -8 deg C and 0 deg C
d. between -8 deg C and +8 deg C
27. Which of the following vaccines is not done by intramuscular (IM)
injection?

a. Measles vaccine
b. DPT
c. Hepa B vaccines
d. DPT

28. This vaccine content is derived from RNA recombinants:

a. Measles
b. Tetanus toxoids
c. Hepatitis B vaccines
d. DPT

29. This is the vaccine needed before a child reaches one (1) year in
order for him/her to qualify as a “fully immunized child”.

a. DPT
b. Measles
c. Hepatitis B
d. BCG

30. Which of the following dose of tetanus toxoid is given to the mother
to protect her infant from neonatal tetanus and likewise provide 10
years protection for the mother?

a. Tetanus toxoid 3
b. Tetanus toxoid 2
c. Tetanus toxoid 1
d. Tetanus toxoid 4
Situation 7 – Records contain those, comprehensive descriptions of patient’s
health conditions and needs and at the same serve as evidences of every
nurse’s accountability in the, caregiving process. Nursing records normally differ
from institution to, institution nonetheless they follow similar patterns of
meeting needs for specifics, types of information. The following pertains to
documentation/records management.

31. This special form used when the patient is admitted to the unit. The
nurse completes, the information in this 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 Flowsheets
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 bedside 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 wellbeing of every patient
d. maintain the patient’s right to privacy

Situation 9 – Nurse Joanna works as an OB-Gyn Nurse and attends to several

HIGH-RISK PREGNANCIES: Particularly women with preexisting or 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 golf 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 grow 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. Salicylates 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 gonadotropic 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-months old child to your clinic because of cough
and colds. Which of the following is your primary action?

a. Give cotrimoxazole 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 OF
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 with her 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 gestation 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. Fundal 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 pathophysiology 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. Abruptio 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. They refuse to allow him to watch television

b. They schedule a health check-up for sex-related disease
c. They remind him that some activities are private
d. They give him “timeout” when this begins

89. How many words does a typical 12-month-old infant use?

a. About 12 words
b. Twenty or more words
c. About 50 words
d. Two, plus “mama” and “dada”

90. As a nurse. You reviewed infant safety procedures with Bryan’s

mother. What are two of the most common types of accidents among
infants?

a. Aspiration and falls

b. Falls and auto accidents
c. Poisoning and burns
d. Drowning and homicide

Situation 19 – Among common conditions found in children especially among

poor communities are ear infection/problems. The following questions apply.
91. A child with ear problem should be assessed for the following
EXCEPT:

a is there any fever?

b. ear discharge
c. if discharge is present for how long?
d. ear pain

92. If the child does not have ear problem, using IMCI, what should you
as the nurse do?

a. Check for ear discharge

b. Check for tender swellings, behind the ear
c. Check for ear pain
d. Go to the next question, check for malnutrition

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

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

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

a. chronic ear infection

b. mastoiditis
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?

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. moderate dehydration
b. some dehydration
c. no dehydration
d. severe dehydration

97. The child with no dehydration needs home treatment Which of the
following is not included the rules for home treatment in this case:

a. continue feeding the child

b. give oresol every 4 hours
c. know when to return to the health center
d. give the child extra fluids

98. A child who has had diarrhea for 14 days but has no sign
of dehydrationis classified as:

a. severe persistent diarrhea

b. dysentery
c. severe dysentery b. dysentery
d. persistent diarrhea
99. If the child has sunken eyes, drinking eagerly, thirsty and skin
pinch goes back slowly, the classification would be:

a. no dehydration
b. moderate dehydration
c. some dehydration
d. severe dehydration

100. Carlo has had diarrhea for 5 days. There is no blood in the stool, he
is irritable. His eyes are sunken the nurse offers fluid to Carlo and he
drinks eagerly. When the nurse pinched the abdomen, it goes back
slowly. How will you classify Carlo’s illness?

a. severe dehydration
b. no dehydration
c. some dehydration
d. moderate dehydration

Answers

Here are the answers for the exam. Unfortunately, rationales are not given. If
you need clarifications or disputes, please direct them to the comments section
and we’ll be glad to give you an explanation.

1. A
2. B
3. A
4. C
5. B
6. D
7. C
8. D
9. A
10. B
11. D
12. D
13. A
14. B
15. A
16. C
17. D
18. A
19. B
20. D
21. C
22. C
23. A
24. C
25. A
26. B
27. A
28. C
29. B
30. D
31. B
32. B
33. D
34. D
35. A
36. C
37. C
38. A
39. B
40. C
41. D
42. D
43. B
44. D
45. B
46. B
47. D
48. C
49. A
50. C
51. C
52. C
53. A
54. A
55. D
56. D
57. B
58. A
59. B
60.C
61. A
62. B
63. D
64. C
65. A
66. A
67. C
68. D
69. C
70. C
71. B
72. A
73. D
74. D
75. B
76. D
77. D
78. D
79. D
80. C
81. B
82. C
83. A
84. A
85. C
86. D
87. A
88. C
89. A
90. A
91. A
92. D
93. B
94. C
95. B
96. D
97. B
98. D
99. C
100. C