* NLE * NCLEX * CGFNS * HAAD * P RO M E TRICS * D H A * M ID WIFE RY * LE T * RAD TE CH * CRIM INO LO G Y * D E NTISTRY * P H ARM ACY *

FINAL COACHING EXAMINATION

1.The Philippine health care system has three B. Return demonstration on certain
levels. Tertiary level provides ______ procedures
A. Early diagnosis & treatmen C. Encourages active participation
B. Health promotion D. Use visual aids in the barangay
C. Emergency care health station only
D. Rehabilitation 6. Sanitary inspection/supervision, waste
2._____ is a basic unit of service in the disposal, control of food handlers are
community. activities on :
A. Society A. Health education
B. Barangay B. Nutrition
C. Family C. Environmental sanitation
D. Health center D. Control of diarrhea
3.Barangay health station is normally 7. Families having many children, low socio-
composed of ____ population. economic status, lives in congested areas are
A. 6000 some characteristics of a ____
B. B. 5000 A. Poor
C. C. 4000 B. Less fortunate
D. D. 7000 C. High risk family
4. When you take part in public health D. Unhappy
regulation ( E. G. giving of Immunization ) 8. Baby lu is for immunization. How will BCG
Protect people from certain diseases you are immunization be administered ?
doing ____ A. Single dose given intramuscularly
A.Social control B. Single dose given subcutaneously
B. Socialization C. 2 doses given subcutaneously
C. Social inter-participation D. Single dose given intradermally
D. Mutual support 9. BCG immunization is usually given at birth.
5.A midwife should always give clear , correct Midwife must reassure mother that the
and easy to understand instructions to her following are EXCEPT:
clients . she shall consider the following A. Ulcer heals it self and leaves a
EXEPT___ scar
A.Using medical terms B. Apply alcohol to the site of injection
B Listen To the clients comments in case an ulcer appears
C.Asked if instructions were C. 2 weeks a small red swelling
understood appears
D. Repeat important instructions D. 5-6 weeks small abscess appears
6. When a midwife does health education which ulcerates
activities in the community she uses the 10. The vaccine that is reconstituted with
following method, EXCEPT______ diluent and given intra-dermally is ____
A. Use visual teaching methods A. Anti-measles
understandable by all B. Hepatitis-
 C. MMR B. Census
D. BCG C. Demography
11. BCG is given intradermal, but if site D. Biostatistics
injection develops an abscess, which of the 18. Two pregnant women came to the facility
following is considered? . One is G2P1 who has received the regular
A. Normal course of the vaccine dose of tetanus Toxoid in her last pregnancy.
B. Wrong technique of administration The other received tetanus toxoid one month
C. It will dry without medication ago . What dose of tetanus Toxoid be given
D. It will develop a scar in 2-3 weeks to both ?
12. The contraindication to BCG immunization A.TT4 & TT2
is B. TT2 & TT2
A. Child with aids C. TT3 & TT3
B. Cough D. TT3& TT2
C. Fever 19. Which of the following should the
D. None midwives know about the vaccines they
13. Which of the following is an indication administrer to infants
that the DPT immunization of a child should 1. Indications
not be Completed? 2. Dosage
A. Loss of weight 3. Preparation
B. Mild respiratory infection 4. Contraindications
C. Diarrhea after the second dose A. 4 only
D. Convulsion after the first dose B. 1 and 4 only
14. A 6 months old child had convulsion after C. 1,2,3 and 4
first dose of DPT was given. Hence. D. 1 and 2 only
A. Reassurance of the child and his 20. When the midwife summarize the number
mother is necessary that the of fully immunized child (FIC) in her
convulsion is only a catchment areas , she is doing :
mild side effect A.Evaluation
B. Giving of antipyretics is necessary B. Surveillance
C. The normal course of the C. Monitoring
immunization should be discontinued D. Target setting
D. Giving of second dose of DPT 21. Which of the following statement will
should be delayed show that baby is NOT in good attachment to
15. Immunity to neonatal tetanus in infants his mother’s breast while breastfeeding?
who were born to immune mothers lasts for: A. The chin is touching the breast
A. 10 moths B. More areola is visible from below
B. B. 18 months the baby’s mouth
C. C. 5 months C. The lower lip is turned outwards
D. D. 12 months D. The tongue is far forward in the
16.A pregnant woman who receives two mouth
doses of TT has immunity of 22. in the care of a neonate, which of the
A. Lifetime following should be given priority aside
B. 5 years from maintaining a patent airway?
C. 4 years A. Facilitating parent-infant
D. 3 years bonding
17. When you study human population size , B. Initiating the first feeding
distribution and composition, you are C. Maintaining a neutral thermal
referring to _____ environment
A. Literacy rate
 D. Preventing infection C. 3&2
23. in one of your postnatal visits, you D. 1&3
discuss with mother B the care of her baby’s 28. Before the postpartum mother and her
umbilical cord. Which of these is the baby are discharge from the
correct practice? birthing center/hospital , health instructions
A. Place the diaper in such a way that are given. Which of these is
this covers the umbilicals stump INAPPROPRIATE?
B. Dress the umbilical stump daily with A. To keep the baby warm
hydrogen peroxide B. Give sugar water if baby cries in
C. Apply antibiotic ointment to the between feelings
umbilical stump daily C. Do not give pacifiers
D. Keep the cord clean, dry and D. Continue breastfeeding
uncovered 29. which of the following is an evidence of
24. Which of the following should be done as some dehydration in an infant?
soon as the umbilical cord is off? A. Breathing is irregular and shallow
A. Wash area with betadine B. Not able to drink
B. Observe cleanliness as no treatment C. Eyelids are puffy
is needed D. Skin pinch goes back slowly
C. Apply mild baby powder 30. Which of the following signs does not
D. Apply alcohol to prevent infection. refer to iron deficiency anemia in infants?
25. one of the objectives in the care of the A. Resistance to infection
newborn is to prevent infection. Which of B. Swollen face and limbs
these interventions can be done to C. Weakness and dizziness
achieve this objective. D. Paleness of the inner side of lower
A. Uncover only an area of the body at eyelids
a time when assessing infant 31. Which of the following should be included
B. Daily bath of the infant in the infant’s feeding inorder to prevent
C. Frequent hand washing of the iron Deficiency anemia?
caregiver A. Green leafy vegetables and eggs
D. Covering the newborn adequately B. Potato and margarine
with a warm blanket C. Banana and oranges
D. Squash and other yellow
26. In the care of the newborn during the vegetables.
first 2 hour after birth which of the following 32. Which of the following signs will indicate
should be given least priority ? that the baby is NOT well attached to the
A. Performing eye prophylaxis mother’s breast while breastfeeding.
B. Placing the baby on skin-to-skin A. Lower lip is turned outward
contact with mother’s breast B. More areola is seen above the
C. Initiating breast feeding baby’s mouth
D. Measuring baby’s length and C. Indrawing of the baby’s cheeks
weight D. Baby’s chin is touching her mother’s
27. Ideally, newborn screening test is done breast
the 33. . A condition seen in infants which is
1. 24 hours after birth characterized by extreme protein deficiency
2. 22 hours after birth is referred to as_________
3. 48-72 hours of life A. Anemia
4. 28 days after birth B. Kwashiorkor
A. 2&4 C. Rickets
B. 1&4 D. Marasmus
 38. In order to prevent the spread of DHF ,
34. Mrs. Lee’s 1 year old child is sick of which of the following should you teach
measles . in order to prevent the other kris, Mother?
children from Acquiring the disease, A. Practice proper handwashing after
which of the following should be AVOIDED? attending to kris
A. Improper preparation / cooking of B. Avoid direct contact with nose and
child’s feeding throat discharges of kris
B. Direct skin-to-skin contact with the C. Let kris sleep under a mosquito
sick child. net
C. Direct contact with mouth and nasal D. Food prepared as supplementary
discharges of the sick child feeding for kris should be well cooked
D. Use of unclean eating utensils. 39. A patient with low grade fever , cough for
Situation 3- kris, 11 months old is in the 2 weeks , gradual loss of weight are possible
health center as she is febrile for 2 days. You signs of ___
suspect that she is sick of dengue A. Pneumonia
hemorrhagic fever (DHF) B. Malaria
35. As you assess kris, which of the following C. Dengue
question is NOT important to ask ? D. TB symptomatic
A. Has kris had any bleeding from the 40. The basic preparation when you intend to
nose or gums? conduct a community assembly is
B. Has kris had persistent vomiting ? A. Interpret proposed program
C. Has kris had cold or cough B. Prepare agenda
D. Has kris had black stools? C. Prepare program
35. As part of your assessment which of the D. Reside in the community
following need to be done ? 41. The punong barangay in La Union has
1. Look for sken petechiae received awards for being a good leader and
2. Feel for cold clammy perspiration is being emulated by others because of its
3. Look for mouth ulcers strong and progressive community. How do
A. 3 only you illustrate his place? It is a barangay that
B. 1 only ____
C. 1&2 only A. Has pathetic attitude
D. 2 & 3 only B. Has good interaction &
36. Which of the following signs/ symptoms collaboration
will confirm your suspicion that child is sick C. Has minimal support from people
of DHF. D. Needs little supervision
A. Generalized rashes 42. The process by which you are able to
B. Red eyes, runny nose and cough know the people through gathering of
C. Bleeding from the nose and specific profile of the community is through
persistent vomiting community_____
D. Edema of both feet A. Development
37. Since kris is sick of DHF which of the B. Assessment
following should NOT be done C. Participation
A. Referring kris to a hospital D. Empowerment
B. Treating kris to prevent low blood 43. Phases of COPAR include the following
sugar EXCEPT to ____
C. Giving of aspirin A. Work for the people
D. Giving of oral rehydration solution B. Look for communities to serve
C. Recognize the role of local
communities
 D. Train organized groups 50. The establishment of facts about a
44. Action plan in community has the disease, verify diagnosis, occurrence, present
following criteria except____ a picture of the situation is called
A. Time frame/resources needed A. Maternal death review
B. Objectives / activities B. Surveillance
C. Benefit C. Epidemiological investigation
D. Expected outcome D. Environmental investigation
45. In organizational planning , which of the 51 .when a midwife organizes community
following is NOT considered? into group to encourage active participation
A. Inform the community about the plan in health programs/ activities she is doing
B. Hire outside expert to help ______
C. Encourage group participation A. Determination of needs
D. Involve the leaders in planning B. Community mobilization
C. Preparation entry
46.The action by a midwife in preparing the D. Program formation
community in primary health care is _______ 52. Tetanus toxoid 3 gives you _____
A. Social preparation immunity
B. Community assembly A. 98%
C. Recruit BHW B. 85%
D. Clinic visit C. 95%
47.When you monitor & evaluate activities D. 90%
you are determining the extent to which 53. What side effects of immunization that
objectives has been achieved through its ___ mothers are afraid of ?
A. Relevancy A. Abscess
B. Effectiveness B. Fever
C. Appropriateness C. Local soreness
D. Progress D. All of these
48.Why do we give Vit. A to high-risk children 54. The following are diseases managed
like those with severe pneumonia, severe under the IMCI program of the
persistent diarrhea measles , severe department of health, EXCEPT
malnutrition , or very low weight A. Malnutrition
A. Helps immune system to prevent other B. Dengue
infections C. Heart disease
B. Prevent corneal clouding, a sign of vit. D. Measles
A that can progress to blindness 55. children as well as pregnant women are
C. All of these susceptible to IDD. which supplement is
D. Vit. A help resist the measles virus given for its prevention?
infection in the eye as well as in the A. Folic acid
layer of cells B. Feso4
49. After assessment a 3 years old baby has C. Vit. A
chest indrawing with temperature of 38.5, D. Iodine caps
based on the IMCI program , it is classified 56.The mother of any sick child should
as: return
A. Very severe disease immediately to health worker with which
B. pneumonia of the following signs?
C. Local bacterial infection A. Pneumonia
D. No pneumonia, fever B. Diarrhea
C. Malnutrition
D. Malaria
 1) The child has severe pneumonia
57.The child with cough 2) The child has to be referred to the
also manifests with hospital immediately
wheezing and chest indrawing. 3) Soothe the throat and relieve cough with
Which of the a safe remedy
following should be done before 4) Treat to prevent low blood sugar
classifying child’s illness? A. 1, 2, 4
A. Give first dose of appropriate B. 2, 3, 4
antibiotic C. 1, 2, 3
B. Soothe the throat with safe remedy D. 1, 3, 4
C. Give trial rapid acting inhaled Situation:Kamille, 1-year-
bronchodilator old baby was brought by
D.Count the breaths and look for her mother with chief complaint of cough for
chest 3 days.
58. In the primary health care ( PHC) 62.If Kamille would only experience chest
approach, community participation is in drawing, how would you classify this:
encouraged A. Severe Pneumonia
A. Integration of PHC in barangay B. No Pneumonia
plans C. Pneumonia
B. Community building and D. Cough or cold
organizing
C. Accessible health services 63.Based on Kamille’s condition, which of
D. Budget allocation for such activity the Health Midwife on duty: Irritable with
59. When should the midwife advise the sunken eyes. We can classify the patient as:
mother with A. Moderate dehydration
pneumonia to come for follow – up visit: B. Severe dehydration
A. 2 days C. No dehydration
B. 5 days D. Some dehydration
C. 1 week Situation:Jade, a 6-
D. 2 weeks month old infant sought
60. Which of the following treatment is consultation at the nearby health center
necessary to due to diarrhea.
continue for a child with wheeze even it 64.The following signs were noted by the
disappeared after rapid acting Ruraltreatment. Which of the following is
bronchodilator? not included in the rules of home treatment
A. Oral Salbutamol may be given in this case?
B. Give Vitamin A A. Know when to return to the health
C. Give inhaled bronchodilator for 5 center
days B. Give the child extra fluids
D. Follow up in 2 days C. Give Oresol every 4 hours
61. Genilyn brought her 5- D. Continue feeding the child
month old son to the 65.Based on your answer on Jade’s condi
health center because of 2 tion, which of the following treatment wo
days cough and uld you implement?
colds. On assessment, A. Give Zinc supplement
the child has stridor and B. Give food and fluid (Plan B)
convulsion. Based on this C. Give Vitamin A
finding, the following D. Advise mother to treat diarrhea at
statements are true and applicable: home
 71.The child with blood in the stool
66.The child with no dehydration needs would receive which of the following
home and has no sign of dehydration, it is treatment?
classified as: A. Ciprofloxacin for 3 days
A. Severe complicated dehydration B. Vitamin A
B. Dysentery C. Multivitamins and minerals for
C. Severe persistent diarrhea 14 days
D. Persistent diarrhea D. ORS at home
Situation:AlingJessa brought her 5-month old Situation: You are a RuralHealth Midwife
Pearl to seekconsultation about the infant’s assigned at the main health center of the
diarrhea. Municipality of T’boli.
67.Which of the following treatment is Two children were brought to you. The f
expected to be given for Pearl? irst child, Alex has chest indrawing and the
A. Refer to hospital other child, Albert has diarrhea.
B. Give Ciprofloxacin for 3 days 72.The main components of the IMCI
C. Tell the mother to return in 2 days strategy include all of the following EXCEPT:
D. fluids A. Improving the case management
68. If Pearl’s diarrhea persists for 14 days but skills of the health care staff
has no indrawing again. B. Improving the over-
with coughing for more than 3 all health system of the country
weeks, which of the following should be C.Improving family and community
done next? health practices
A. Refer assessment for TB or D. Improving children health
asthma 73. Using the IMCI strategy, how would you
B. Advise mother when to return classify
immediately Alex?
C. Refer urgently to the hospital A. Bronchopneumonia
D. Give multivitamins and minerals for B. No pneumonia, cough and cold
14 days C. Severe pneumonia
69. Another patient 3-year old named D. Pneumonia
Christian, has diarrhea for 5 days. He is 74.Albert, the 2nd child has diarrhea for
irritable. His eyes are sunken. The midwife 5 days. Upon assessment, you noted that
offers fluid to the child there is no blood in her stool and that she is
and she drinks eagerly. When the midwife irritable and her eyes are sunken.
pinched the abdomen, it goes back slowly You offered her fluids and the
How would you classify the child’s illness? child drank eagerly. How would you class
A. No dehydration ify Albert’s illness?
B. Severe dehydration A. a. Some dehydration
C. Moderate dehydration B. Severe dehydration
D. Some dehydration C. Dysentery
D. No dehydration
70.If another child with diarrhea
has blood in the stool, which of the follo 75.You know that Albert’s treatment
wing would you classify the illness? includes the following EXCEPT:
A. Severe Persistent Diarrhea A. Reassess the child and classify his
B. Dysentery dehydration
C. Persistent Diarrhea B. Ors for 4 hours
D. No Dehydration C. Assess childs status
D. assess Extensive mouth ulcers
 81. Which of the following treatment should
be given
76. Upon taking the information you find out for a child with pus draining from the eyes?
that Albert is 2 years old and A. Vitamin A
weighed 18 kg. Based on B. Gentian Violet
the treatment plan for Albert, how much C. Tetracycline ointment
amount of ORS must be given to him for the D. Silver Nitrate Ointment
first 4 hours considering the following data? 82. Upon physical examination, Bryanne is
A. 2200-400 ml ORS abnormally sleepy or lethargic and with s
B. 700 – 900 ml ORS tiff neck, the midwife classifies the fever as
C. 4400-700 ml ORS to?
D. 900- 1400 ml ORS A. Very Severe Febrile Disease/ Malaria
Situation: Becca, a 2-year old child was B. Malaria
brought to the nearest RHU due to diarrhea. C. Fever: Malaria Unlikely
77.The midwife assessed Becca and noted D. Fever: No Malaria
the following: abnormally sleepy with sun 83. Which of the following treatment would
ken eyes.Which of the following would be Bryanne should receive?
the correct classification? A.Advise the mother when to retur
A. Severe Dehydration ning immediately
B. Some Dehydration B. Give Vitamin A
C. Severe Persistent Diarrhea C. Administer Tepid Sponge Bath
D. Persistent Diarrhea PRN
78The Barangay where Becca’s family is D. Give the first dose of quinine
residing has reported epidemic of cholera
what would you do as the midwife? 84.Which of the following assessment wo
A. Advise mother when to return uld confirm the diagnosis of Severe
immediately Complicated Measles?
B. Give zinc supplements A. Pus draining from the eye
C. Give antibiotic for cholera B. Measles now/within 3 months
D. Treat diarrhea at home C. Mouth ulcer
Situation: The following numbers relate to D. extensive mouth ulcers
assessment and management of child with 85. Which treatment should be prioritized for
fever. Severe Complicated Measles?
79.When the child has fever, the A. Give an appropriate antibiotic
midwife would classify it as to which of the B. Apply tetracycline eye ointment
following, EXCEPT: C. Treat mouth ulcers with gentian
A. Malaria violet
B. Measles D. Urgent referral
C. Dysentery Situation: Among common condition found
D. Dengue Hemorrhagic Fever in children especially among poor
80.If the child has measles with the follo communities are ear infections/ problems.
wing manifestations: clouding of the cornea, 86.The child complains of tender swelling
deep and extensive mouth ulcers, which of behind the left ear, which of the
the following is the correct classification? following would the midwife classify the ear
A. Severe, complicated measles problem?
B. Measles with mouth complications A. Mastoiditis
C. Measles B. Chronic Ear Infection
D. Very Severe Febrile Disease C. Acute Ear Infection
D. Complicated Ear infection
 D. Counsel the mother about feeding
87. If the child has chronic ear infection, recommendations
what would be the best thing that you as the Situation: The following question reflects
midwife can do? about child assessment for malnutrition and
A. Instruct mother when to return anemia.
immediately 93.A child was observed to have some
B. Instill Quinolone ear drops for 2 palmar pallorand very low weight for age
weeks how would you classify the child’s nutritional
C. Refer urgently to the hospital status?
D. Give first dose of Paracetamol for A. Anemia
pain B. Severe Anemia
88. According to the triage of IMCI chart, C. Severe Malnutrition
acute ear D. No Anemia
infection is classified under: 94.Which of the following treatment
A. Pink row would you expect to be given to the child?
B. Green row A. Iron supplementation
C. Between Pink and Yellow B. Urgent referral to the hospital
D. Yellow row C. Give immunization
89. Acute and chronic ear infection can be D. Give an appropriate antibiotic
managed by using rolled absorbent cloth to
clear and dry the ear. This is called: 95.If the child does not have anemia, usi
A.Irrigating ng IMCI, what should the midwife the do?
B .Bandaging A. Check for deworming status
C. Wicking B. Check for malnutrition
D. Cooling C. Go to the next question, check the
Situation: Checking the nutritional status child’s immunization status
and anemia is also included in assessing the D. Check for Vitamin A supplementation
child aged 2 months and 5 years.
90. Which of the following parameter is 96.The first dose of Vitamin A
necessary to include in assessing the child’s supplement is scheduled to be given when:
nutritional status age 6 months or more? A. At 12 months
A. Palmar pallor B. At 6 months
B. MUAC C. At birth
C. Weight if appropriate for age D. At 2 years
D. Muscle tone 97. Health Education with emphasis on
Nutrition is a
91.A child with severe palmar pallor part of intervention done during ____:
would beclassified as: A. Prenatal Check up
A. Severe Anemia B. Intranatal Period
B. No anemia C. Post Natal Check up
C. Anemia D. Mothers Classes.
D. Moderate anemia 98.The following are the steps in commu
92.A oneyear old child has been nity organization EXCEPT:
classified with anemia, which of the follow A. Program Formation
ing treatment is included? B. Rehabilitation
A. Refer urgently to the hospital C. Fact Finding
B. Give Vitamin A D. Needs Determination
C. Give Albendazole 99.The following statement about Rabies
is true EXCEPT:
 A. Deadly bacteria providing skills, capability training, and wo
B. Causes Encephalitis rking with the people collectively and
C. Bite from dogs, cats efficiently on their problem.
D. Attacks the Central Nervous System A. Social Integration
100._____ continuous and dynamic B. Organization
process of encouraging people to C. Entry Phase
understand/ develop their D. COPAR
awareness of their existing conditions by