NP1: COMMUNITY HEALTH NURSING b.

10 cc or 2 tsp daily for 30 days and

Mebendazole 500 mg single dose
Situation - Jackrose 15 month old, female, weighs c. 10 cc or 2 tsp daily 30-days-and
8.5 kilograms, is not eating well and is unable to Mebendazole 250 mg single dose
breastfeed. She is not vomiting, has no convulsion d. 5 ml or 1 tsp daily for 14 days and
and not abnormally sleepy or difficult to awaken. Mebendazole 500 mg single dose
Her temperature is 38.5 °C. Use the Integrated
Management of Childhood Illness or IMCI strategy. 7. Vitamin A is given to a child with measles
because it:
1. If you are the nurse in charge to Jackrose how a. resist the viral infection in the eyes, cell
will you classify her illness? layers in the lungs gastrointestinal tract,
a. febrile with a general danger sign. mouth and throat
b. very severe febrile disease b. reinforces the body's immune response
c. severe pneumonia very severe disease c. is needed for supplementation
d. very severe disease d. helps the immune system prevent other
infections.
2. Which of the following signs is considered to be
a general danger sign in Jackrose case? 8. In giving Chloroquine (anti-malaria) you should:
a. no vomiting a. heavily guard the patient
b. has no convulsion b. explain to the mother that she should
c. temperature of 38.5 watch her child carefully for 30 minutes
d. unable to breastfeed after giving medicine
c. explain to the mother that it should be
3. Which of the following signs is NOT included in given for 2 days only
the general danger sign? d. instruct the mother to give the first dose at
a. vomits everything home
b. unable to drink or breastfeed
c. has had convulsion 9. The child's symptoms are under the
d. not eating well classification of severe dengue hemorrhagic fever
of the IMCI strategy. Which of the following
4. Which of the following steps is NOT included in treatments should be done IMMEDIATELY
the IMCI? a. observe the patient at the health center
a. identify treatment and refer urgently if the condition worsens
b. counsel and follow up b. give fluids or ORS and refer urgently to the
c. referral hospital.
d. assess and classify c. immunize the child before referral
d. give the first dose of appropriate
5. Which of the following signs should not be antibiotics and refer urgently to the
included in deciding that "the child vomits hospital
everything"?
a. child experience occasional vomiting 10. A child needs urgent referral for mastoidistis.
b. when offered fluids, may not be able to The following is a list of treatments for all ear
drink problems in IMCI classification. Which among
c. may be too weak to drink and eat at all these pre-referral treatments should NOT be
included?
6. A 3-year old child (14 kg) has anemia with some a. give the child the appropriate antibiotics
palmar pallor and needs Iron and Mebendazole, for 5 days
The card shows he was not given Mebendazole b. do not give any medications
previously. As the nurse you should give the child c. give the child the first dose of antibiotics
Iron Folate and Mebendazole in what dosage? d. give first dose of paracetamol for pain
a. 7.5 ml or tsp daily for 14 days and
Mebendazole 500 mgs single dose

LCM, RN’24
Situation: Management of resources and 15. A child should be checked for capillary refill if:
environment includes every potential and existing a. if the child has petechiae
resources which the nurse can utilize to promote b. the child's extremities feel warm
and maintain health, prevent Illness, and assist in c. there is fever for more than 7 days
the task of cure and rehabilitation. The IMCI chart d. if the extremities feel cold
prescribed by the World Health Organization is one
such resource. The following questions apply. 16. If the capillary refill takes more than 3 seconds
it may mean that the child is in:
11. The Integrated Management of Childhood a. severe febrile disease
Illness (IMCI) chart provides the necessary b. circulatory failure
procedure when identifying the appropriate c. shock
interventions to be done. However, the community d. dehydrated state
health nurse should be aware that the following
factor should be considered in utilizing the case 17. A child living in a non malaria risk area who has
management chart: stiff neck may be classified as having:
a. age of the child a. malaria
b. chief complaint b. R/O Malaria
c. danger signs c. severe febrile disease
d. problem of the child d. fever: no malaria

12. In the IMCI classification tables, color yellow 18. After assessing Janjan, your nursing diagnosis
indicates that a: is dehydration secondary to diarrhea. ORS was
a. child needs an appropriate antibiotic or administered. Which health instruction regarding
other treatment ORS therapy will you give the mother once the
b. child does not need specific medical diarrhea has stopped?
treatment a. Increase the administration of ORS
c. referral or admission is needed b. Return to the clinic
d. chief complaint that needs an urgent c. Stop the administration of ORS
attention d. Decrease the administration of ORS

Situation: Korina, 5-month old, weighs 5.2 kgs, 19. Which of the following is NOT TRUE about
temperature 38 °C, is brought to health center. Her home care for all sick infants?
mother says she is not eating well, feels hot to a. Blood in the stool is a danger sign that
touch, able to drink, no vomiting, no convulsions needs to be reported
and not lethargic, no cough. They live in a malaria b. Bring the infant to the clinic if he/she
risk area. Her fever started 2 days ago. She has no shows sign of difficulty of breathing
signs of measles, no stiff neck or runny nose. c. Breastfeed frequently, day and night
during sickness and health
13. How will you classify Korina's illness? d. Make sure the young infant stays cool at
a. plain fever all times
b. malaria
c. sever febrile disease 20. Vitamins help fight various deficiencies which
d. fever: no malaria affect the eye. As a health care provider, you are
aware that ONE of the following is a sign of Vitamin
14. The following treatments are appropriate for A deficiency:
Korina EXCEPT: a. Corneal clouding
a. follow up in 2 days b. "halo signs" (cataract/glaucoma)
b. give oral anti malaria drugs c. Fatigue
c. advise when to return immediately d. Opaque lens
d. give 1 dose of paracetamol for temp. 37.5
C

LCM, RN’24
21. Mirasol brought her child to the clinic for a. Chest indrawing should be present at all
palmar pallor suggestive of anemia. The doctor time
prescribed iron médications and it was only the b. The lower chest wall does not go in when
3rd day of taking such medication. Your next action the breaths in
would be to: c. The lower chest goes in, when the child
a. Give iron medication 3x a day breaths in
b. Give Iron and return tomorrow d. The child should be calm
c. Instruct the mother to continue giving iron
for 14 days Situation: In the Philippines, the incidence of
d. Refer the child immediately communicable diseases seems to be cyclical.
Notably some of these incidences are observable
Situation: The Integrated Management of during the summer season. You are assigned in a
Childhood Illness or IMCI technology is a World health center in the city with 4,200 households and
Health Organization, strategy which aims to cub more or less 26,000 populations. The following
the growing intantchid enaber word mortality and illness situations and questions affecting children
morbidity concerns in many countries capacity apply.
build especially the 3rd world economies like the
Philippines. Safety and quality would be any 26. A child was brought to you with generalized
nurse's focus. The following questions apply. rashes. In doing assessment you classified the child
as having measles. Aside from having generalized
22. James is an 18-month old child who has cough rashes the child also has the following illness sign,
for 7 days with no general danger signs with EXCEPT:
temperature 37.5 °C and respiratory rate of 41 a. Pustules
breaths/minute. How will you classify James b. Cough
breathing? c. Runny nose
a. Slow breathing d. Red Eyes
b. Fast breathing
c. Normal breathing 27. John, 3 years old, has had diarrhea for 5 days
d. Very fast breathing and is irritable. He has sunken eyeballs but has no
blood in his stools. He drinks eagerly when offered
23. James illness can be classified as: liquid. Skin pinch at the abdomen shows slow
a. Pneumonia return. Using Integrated Management of Childhood
b. Very service disease Illness (IMCI), John's illness maybe classified as:
c. Severe pneumonia a. No dehydration
d. No pneumonia b. Some dehydration
c. Severe dehydration
24. After 3 days, the nurse notes that James has d. Persistent Diarrhea
chest indrawing and stridor. His mother returned
him to the health center immediately. The nurse 28. Which of the following treatments should be
should: immediately considered in John's case?
a. Change the medicine to the second line a. Reassess the child after 4 hours and
antibiotics classify his dehydration
b. Advice mother to observe the child and b. Give 900-1,400 ORS during the first four
continue giving the antibiotics hours
c. Give first dose of antibiotics and refer c. Explain to the mother how to prepared
urgently ORS
d. Observe the child in the center d. Continue feeding

25 The nurse should consider the following in 29. Feny, 1 year old has had diarrhea for 2 days. She
assessing the child for chest indrawing EXCEPT: has sunken eyes, skin pinch goes back very slowly
and she is drinking poorly and is irritable. There is

LCM, RN’24
no blood in the stool. How will you classify Feny's patterns in health as recommended by
illness? international agencies;
a. Severe dehydration h. Development of sub-national centers
b. No dehydration and facilities for health promotion.
c. Persistent diarrhea disease control and prevention,
d. Some dehydration standards. regulations and technical
assistance;
Situation: In the practice of Community Health i. Promote and maintain international
Nursing it is essential to be aware of programs linkages for technical collaboration;
being implemented by the Department of Health j. Create the environment for
and the legal bases for such programs and health development of a health industrial
services. The following questions apply. complex;
k. Assume leadership in health in times of
30. shade A emergencies, calamities and disasters;
system fails;
31. In the devolution program of the government, l. Ensure quality of training and health
the following public health programs are human resource development at all
transferred to the local government to be more levels or the health care system;
accessible to the people EXCEPT m. Oversee financing or the health sector
a. Maternal and Child Health Program and ensure equity and accessibility to
b. Environmental Health and health services: and
Communicable Disease Control n. Articulate the national health research
c. Primary Health Care agenda and ensure the provision of
d. Control of Non communicable Disease sufficient resources and logistics to
attain excellence in evidenced-based
32. The Department of Health has the following interventions for health.
functions under the Executive Order 102 ЕХСЕРТ:
32. The Department of Health has the following
Section 3. Powers and Functions. To accomplish its functions under the Executive Order 102 ЕХСЕРТ:
mandate and roles the Department shall: a. Allocate personnel budget and provide
structures for cascading, health care
a. Formulate national policies and delivery to all
standards for health; b. Lead in the formulation, monitoring and
b. Prevent and control leading causes of evaluation of Rational health policies,
health and disability; plans and programs
c. Develop disease surveillance and health c. Provide direct services for health
information systems; concerns that require new complex
d. Maintain national health facilities and technologies
hospitals with modern and advanced d. Create new strategies to improve
capabilities to support local services; effectiveness of health programs and the
e. Promote health and well-being through attainment of quality health care
public information and to provide the
public with timely and relevant 33. The devolution of health services to the Local
information on health risks and hazards; Government Units (LGUs) is mandated in:
f. the resource allocation shift, specifying a. RA 6170
the effects of the streamlined set-up on b. RA 7610
the agency budgetary allocation and c. RA 6710
indicating where possible savings have d. RA 7160
been generated;
g. Develop and implement strategies to
achieve appropriate expenditure

LCM, RN’24
33. The devolution of health services to the Local c. Family
Government Units (LGUs) is mandated in: d. Individual client
a. RA 6170 37. The most important role of a community health
b. RA 7610 C. nurse is in the area of:
c. RA 6710 a. Change agent
d. RA 7160 b. Health education
c. Advocacy
34. Which of the following is a sensitive index of the d. Care provider
health conditions in a community influenced
primarily by environment rather than endogenous Situation: In community health work, you arm
factors? yourself with Community Health Nursing Concepts
a. Crude death rate. and Principles. This serves as basis for safe and
b. Infant Mortality Rate quality care for individual, families,
c. Maternal Mortality Rate population/vulnerable groups and communities.
d. Fetal Death Rate Consider these situations.

The probability of dying between birth and age one, 38. As a community health nurse covering a cluster
expressed as the number of infant deaths or deaths of Barangays, your population coverage include the
occurring before reaching 12 months of life in a following:
given period per 1,000 live births. 1. families in their homes 3. workers in factories
2. school population
(Number of resident infant deaths/Number of 4. patients in hospital
resident live births) x 1,000 a. 1, 2, and 4
b. All except 3
Infant mortality rate (IMR) is generally regarded as c. 1, 2, 3, 4
an important national indicator of health because it d. All except 4
is particularly sensitive to general structural factors,
like socio-economic development and basic living 39. You direct all your efforts toward optimum
conditions. health of the whole population in the communities
you serve. To ensure this you are:EXPECTED to
35. Community health nursing primarily aims to: 1. Receive the entry salary equivalent to Salary
a. Improve the capability of individual, Grade 10 or according to your position
families and communities to cope with classification
their health needs 2. Provide health services to individuals in the
b. Increase the productivity of the people communities you serve
c. Contribute to national development by 3. Provide health services to families in the
meeting millennium development goals communities you serve
d. Augment the work provided by the health 4. Provide health services to population especially
care professionals in the promotion of vulnerable groups within the communities you
health and prevention of illness serve
a. 1 and 3 are correct
Situation: For safety and quality purposes, it is b. 2, 3, 4 are correct.
equally important to be mindful of the roles and c. 2 and 4 are correct.
functions and the instituted systems and d. 1 and 4 are correct
procedures in relation to the practices of
Community Heath Nursing (CHN). The following 40. Part of your routine function is to conduct
questions apply. regular assessments of the community's status.
The reasons for this are the following, EXCEPT:
36. The basic unit of care in CHN is: a. Conflicts in varying forms are almost
a. Community always present in the community which
b. Groups affects the health of people

LCM, RN’24
 b. This is a requirement for undertaking the c. 20% of deaths are persons who are in the
DOH Program age of 50 years alone
c. Community situations and problems are d. 80% of deaths are persons who are in the
reflections of social conditions affecting age of 50 years alone
individuals, families, vulnerable groups
and the entire community FUNCTION OF COMMUNITY HEALTH NURSE
d. Healthy community relationships are
proven to be precursors to health Situation: Public health in the country has suffered
development in any community a lot from the exodus if a large number of Filipino
nurses and serving and migrating to other
41. When you assess the needs and plans health countries. Access to timely and quality health
interventions for a group of people in coordination services especially by the poorer and poorest
with other health professionals, you are families has been difficult to achieve. The following
demonstrating which of the following features of questions apply.
community health nursing?
1. Community health nursing involves 44. To encourage more health workers to stay in
interdisciplinary collaboration government service, Republic Act 7305 or Magna
2. Use of epidemiologic approach is part of Carta of Public Health workers was passed into law
nursing practice last 1991. "Public health workers" include all
3. Community health nursing helps ease health persons working in government health facilities
burdens of people at the community level such as the:
4. Health statistics is a good Indicator for health 1. Physicians
care performance among community health nurses 2. Nurses
a. 1 and 3 are correct 3. Midwives
b. All are correct 4. Cooks and assistant cooks in the hospital
c. 2 and 3 are correct 5. Cashier and clerical staff
d. only 1 and 2 are correct 6. Janitor staff
a. 1, 2, 3, 4, 5 and 6
Situation: You are assigned to a municipality with b. 1, 2, 3 and 4
a total population of 25,000. Of this, 1,350 persons c. 1,2 and 3 only
died within the past year. Thirty-six of these deaths d. 1,2,3,4, and 5
were due to pneumonia while 540 of those who
died are 50 and above 45. Under Republic Act 9173 of 2002 AMENDED by
42. What is the Swaroop's index in the community? Congressional joint resolution of 2009 sets the
a. 30% entry level position for nurses at what salary
b. 35% grade?
c. 40% a. Salary Grade 15
d. 45% b. Salary Grade 24
c. Salary Grade 20
Swaroop's index. Measures longevity of life aged over d. Salary Grade 10
50 years old.
46. Health education is one of the most significant
S.l =(# of deaths of people over 50 years old in a functions of a nurse especially in the prevention
calendar year/total deaths same year) x 100. and control of communicable diseases. All EXCEPT
ONE of the following statements are TRUE
540/1350×100% description of health education:
a. Health education is a collaborative effort
43. A Swaroop's index of 20% implies that: of all health Collaborative personnel
a. 20% die before the age of 50. b. Health education is integrated in the
b. 80% die before the age of 50 planning, and implementation of all health
programs and services

LCM, RN’24
 c. Health education considers the health c. Coordination with the health team
status of the people d. Prioritizing health conditions and
d. Health education is a learning process problems
whereby knowledge, attitudes and
practices of people are modified to help HEALTH CARE DELIVERY SYSTEM
improve the life and social conditions of
individuals, families and groups towards Situation: You are active participant of Project
development EntrepreNurse whose higher goals is to build
Philippine Nursing's economic milieu, however
47. As a Public health nurse, if you monitor and comes with realities embedded in the present
evaluate the performance of midwives, you are Philippine Health Care Delivery System (PHCDS).
performing the role of:
a. Manager 51. Which of the following is TRUE of the Philippine
b. Health provider Health Care System (PHCDS)?
c. Preceptor a. Health insurance companies dictate the
d. Supervisor current referral system in the country.
b. Health care delivery system in the country
Situation: Nurse Jen, initiated the organizing of the was specifically designed for the poor
"Caring Frontiers Nursing Service Company" in congruent with the Primary Health Care
Leyte. This was envisioned to deliver health care concept.
and various nursing services through home health c. The PHCDS is composed of a 3-tier referral
care services well within the scope of nursing system
practice. d. The Department of Interior and Local
Government is the country's foremost
48. Nurse Dana is one of their Registry Officials and health coordinating agency because of the
acts as a liaison between families and communities implementation of devolution
served by the company to actively engage on policy
and social change that will support and promote 52. The current frontline health care providers in
family health in their province. Nurse Dana is the PHCDS are the:
performing what role? a. Traditional healers/hilots
a. Care Provider b. Doctors
b. Counselor c. Barangay health workers
c. Client Advocate d. Rural health nurses
d. Facilitator
53. Which of the following is NOT a characteristic
49. Formulating and implementing a supervisory of the PHCDS?
plan, monitoring and evaluating beginning nurse a. Linkages with all societal sectors should
practitioners' performance in the implementation be initiated, maintained and enhanced.
of public health programs are what functions of a b. PHCDS envisions serving the entire
public health nurse? Filipino populace
a. Trainer c. PHCDS is a public health service that will
b. Coordinator benefit all Filipinos
c. Supervisor d. Local government are in full control of
d. Manager health programs

50. As an advocate, Nurse Dana places her client's 54. Which of the following is NOT presently a part
rights as priority. She is aware that advocacy work of the PHCDS?
involves which of the following? a. Private - Community Nursing Service
a. Influencing public opinion Providers
b. Obtaining a general information about the b. Health Maintenance organization
community c. Rehabilitation Center

LCM, RN’24
 d. Doctors c. 1 and 3 are correct
d. 2 and 4 are correct
55. A characteristics of healthy communities that is
a shared vision of EntrepreNurse is that it? 60. When reviewing the function of the rural health
a. Has socially controlled sub groups that do unit you can concur that the RHU should function
not influence community decisions. as a:
b. Has a smoothly functioning government a. Health arm of the LGU
that requires minimal citizen participation b. Central health resource for the
c. Makes systems and resources available to municipality
all members of the community. c. Community resource
d. Allows group in the community to resolve d. Clinic for the municipality
conflict among themselves in their own
way HOME VISIT/CLINIC VISIT/HOME CARE

56. In-patient and diagnostic care including 61. When beginning a relationship with a family on
surgery belongs to what level of health care? home visit, the community health nurse:
a. Secondary level a. is accepting and listens carefully to
b. Tertiary level problem of all family members
c. Primary level b. allows the discussion to be open and non-
d. Specialized level directional
c. focuses on the problem of one of the family
57. The function of the public health nurse in the member
current health care delivery system is? d. encourages others to speak for the main
a. Intermediate level health worker client to get an unbiased view
b. Liaison person of the community
c. Low level health worker 62. Ana has been caring for a child in the home. She
d. manager of the RHU has a tracheostomy tube and is oxygen dependent.
Ana prefers to do the care early in the morning due
58. The composition of the basic primary health to a heavy caseload. The family requests that care
care team under the Restructured Health Care be done when the child is awake by 10am. The
Delivery System include the following EXCEPT BEST response by Ana would be:
a. Public health nurse a. "I will see if I can find another nurse who
b. Midwife can meet your preferred schedule."
c. Doctor b. "If I give the care at 10am, other children
d. Barangay health worker needing my care may not be attended to.”
c. "I'm sorry, I wish I could, but I cannot do
59. What is the specific function of a community so due to heavy workload.
health nurse at the barangay level? d. "Let's look at what time is in the child's
1. Supervision of the Rural Health Midwife and best interest and then we can work out a
Barangay Health Workers assigned in specific better schedule."
barangays
2. Provide technical assistance to health programs 63. When you organized a follow-up visits. Which
and services implemented at the barangay level of the following should you do first?
3. Monitoring and evaluation of specific health a. Explain the purpose of the visit
programs and services implemented by the Health b. Wash your hands and perform the
Department from the National down to the necessary procedure
Barangay level c. Do an environmental surveillance
4. Be the representative and promoter of the d. Greet the patient/resident introduce self.
Health Programs of the sitting Mayor
a. 1, 2, and 3 are correct
b. Only 4 is correct

LCM, RN’24
64. Which of the priority conditions will be Disease cases. Seeing her in uniform, a woman
determining factors on the frequency of home remark, "You're not a nursing student, are you? I
health visits? have my chores to do today, please!" and ignores
a. Acceptance of the family of their health the nurse. Nurse Sarah IMMEDIATE course of
concerns and their coping strategies action would be to:
b. The need for health teachings and level of a. Visit the next house so as not to waste the
family understanding day's activity and return to re-visit this
c. The result of the studies conducted and home after a day or two.
level of family understanding b. Communicate the incident to the Barangay
d. Administration of medication and the Captain and get him/her to join her in her
schedules set next visit.
c. Ignore the woman's behavior, turn around
Situation: One of your responsibilities as a and simply leave her alone
community health nurse is to conduct home visits d. The feelings and behavior manifested by
to evaluate the health condition of families and the woman and get to the root causes of
communities such a behavior.

65. In every home visit, you are not only concerned 70. A student nurse visits Dona who immediately
with the client but you should also: stated that she has too much work to do and she
a. Pay particular attention to the economic has been visited and interviewed by student nurses
status of the family almost daily. After explaining the purpose of her
b. Observe the family and environment visit, the student's APPROPRIATE action would be
c. Put emphasis on the children's education to:
d. Observe the family's spiritual practices. a. Set an appointment at Dona's convenient
time.
66. In your community home visits, you have b. Select another family as a client.
scheduled several cases. Who is your LAST c. Tell her clinical instructor about the
priority? problem.
a. Family planning defaulters d. Ask the barangay chairman for assistance.
b. PTB case on D.O.T.S.
c. G4P3 3-day Post partum Situation: After 10 meaningful years of
d. G3P2 36 weeks AOG professional practice and using her savings, Nurse
Trisha decides to set up her proprietary home
67. During a home visit, socialization is important healthcare agency. This may be regarded as
in order to: another journey towards personal and
a. Do procedures professional development.
b. Establish rapport and put the client at ease
c. Identify the needs of the client 71. As owner of the agency, Nurse Trisha must be
d. Evaluate the visit concerned about
a. Making her agency yield reasonable return
68. To give clear and correct information to the of investments (ROl) for viability and
client, the nurse should consider the following standard business growth
EXCEPT: b. Finding out her agency can be exempt
a. Give several instructions at one time from paying taxes
b. Listen to what the patient is saying c. Looking for funding support from other
c. Do not use medical terms business organizations
d. Repeat important information d. Knowing which government regulatory
agencies she should report to
69. Nurse Sarah was doing case finding in a
barangay in the rural communities of Villa Isidro. 72. Nurse Trisha hires registered nurses to work
Her target is to identify undocumented Hansen's with her as home healthcare nurses whom she

LCM, RN’24
assigns to individuals and families requiring c. Local community funds generated from
nursing care in their homes. One such case is a 60- taxes
year old client who needs irrigation of his d. The home Healthcare agency owned by
colostomy following surgery for cancer. This case Nurse Trisha
may not be qualified of Phil Health reimbursement
because the client: Situation: Home care started in the early 1800s as
a. Qualifies as low-income client the primary source of care for many years to come.
b. Is under home-based care Public health nursing only began in 1893. Home
c. Is under the age of 65 health care offered a more cost effective way of
d. Is not considered handicapped meeting client needs but nurses in this practice
requires a lot of critical thinking skills and the
73. Nurse Trisha has a caseload of clients whom she ability to make decision independently. The
needs to see on a regular basis. Which of the following conditions apply.
following clients may immediately be admitted as a
matter of PRIORITY to a private home healthcare 76. A meeting with clients for home care (HC) is
program? essential in order to explain the role of the nurse
a. A woman who has delivered a normal and the advantages of this alternative health
healthy infant in a government-managed provision. Among important emphasis to be made
birthing center is that HC
b. A client in the terminal stages of cancer at a. Encourages a dependent relationship
the hospital and will be discharged for between the nurse and the client
home care b. Provides a holistic view of the client that
c. A family with three (3) family members helps nurse to establish appropriate goals
who tested positive for tuberculosis and and to plan appropriate care
just moved into a barangay c. Allows the nurse to have primary control
d. A teenage drug abuser who has refused over the environment where the client will
medical treatment but is being seen by a recover
counselor at school d. Saves the client money because the care is
provided in a one to one situation
74. A client who had open heart surgery 2 weeks
ago and about to be discharged was referred to 77. A public health nurse and a home health care
nurse Trisha Home Health Care Agency for daily nurse are meeting to discuss their roles in the
dressing changes, cardiac rehabilitation and community. The home health care nurse states that
physical therapy. The assigned home healthcare her role in home health care focuses on:
nurse should a. Illness care in the home
a. Complete the necessary assessment on a b. Health promotion in the home
weekly basis c. Disease prevention in the home
b. Develop an individualized plan of care d. Rehabilitative care in the home
c. Directly supervise the physical therapy the
client receives 78. When a client contacts an established private
d. Provide daily physical care for the client home care agency in the community for provision
on nursing care services, the nurse should explain
75. Nurse Trisha plans to present the local city that nurses in the agency:
health board a "Stop Smoking" campaign to the a. Work with for an agency that is governed by
community's local public as her social its own board
responsibility program. Trisha understands that if b. Are paid a salary exempt from income taxes
the proposal is accepted, the funding would come c. Are concerned about earning money for the
from stockholders of the home health care
a. Philanthropic donations corporation
b. Philhealth contributions d. May receive funding from various public or
public donors' agencies

LCM, RN’24
79. When planning the home care for a client who 84. An Act regarding for the mandatory Philhealth
has returned home after suffering from stroke, the coverage for all?
home health nurse should plan to supervise which a. RA. 11228
of the following? b. RA 7277
a. The speech therapist who works with the c. RA 7875
client d. RA 11223 "Universal Health Care Act™
b. The physical therapist who helps the client
regain mobility 85. What is the difference of previous Philhealth
c. The discharge planner who works with the law and UHC (Universal Health Care law?
client and family a. UHC guaranteed Philhealth membership
d. The home care aide who assists the client for ALL citizens, *Case rate method while
with personal cares the previous Philhealth law covers
multiple membership schemes.
80. During an initial home visit to assess the client's b. UHC aims to strengthen health purchasing
needs, the nurse should inform the client: policies and practices in support of the
a. About the physician's orders that mandate implementation of the Philhealth Law.
care. c. Philhealth Law presents health system
b. What must be paid by the client directly to reforms necessary to expand financial
the home health care agency protection and access to health services to
c. About the client's rights at the start of care ALL Filipinos.
d. That advanced medical directives do not d. Under the Philhealth Law, all citizens are
apply in the home setting automatically entitled to Philhealth
benefits while UHC aims to achieve
81. In evaluating the nursing care given, which of membership through a variety of
the following vital statistics in the communities subsidized and contributory schemes.
served will indicate BEST their health status?
a. 0 crude death rate for the year 2012 86. Which among the following are DIRECT
b. 90% (Swaroop's) index for the year 2011 CONTRIBUTORS of PHILHEALTH
c. 7 infant mortality rate for the year 2011 a. Lifetime members
d. O crude birth rate for the year 2011 b. 21 years old above without capacity to
pay
82. Sporadic is characterized by the following: c. Indigents
a. Epidemic terminates when supply of d. Member of 4Ps
susceptible person is exhausted.
b. Simultaneous exposure of the susceptible employer-employee relationship, or are self-earning,
person professional practitioners, migrant workers
c. Cause originated from single event.
d. Low number of susceptible persons/high 87. These constitute the only mechanism through
number of immune persons which data are routinely transmitted from one
facility to another:
83. The lowest level of reporting unit of a. Output reports
Department of Health, where it is expected to b. Reporting forms
report health services provided to its defined c. Target client list
catchment area: d. Treatment record
a. Rural Health Unit
b. Main Health Center 88. Climate Change Act of 2009 ensures that
c. Barangay Health Stations sustainable development and environmental
d. Regional Hospital protection are promulgated. To ensure effective
implementation of the framework strategy and
program of climate change which government

LCM, RN’24
agency is involved in reviewing international Situation: After passing the nurse licensure
agreements related to climate change? examination, Mitchelle is accepted as a community
a. DepEd health nurse in the rural health unit of a
b. DILG municipality. The health personnel are known to
c. DPWH her. She is aware that disease prevention is one
d. DFA important goal in Public Health Nursing.

89. Greenhouse gases refers to the constituents of 94. Mitchelle decides to make an ocular survey of
the atmosphere that contribute to the greenhouse one of the barangays of the municipality where she
effect. Which would include the following except: is assigned. Upon entrance to a barangay, Mitchelle
a. Oxygen should:
b. Carbon dioxide a. Conduct community assembly
c. Water vapor b. Courtesy call to the Barangay Captai
d. Methane c. Identify the presence of the community
d. Encourage community participation
90. According to the goals of RH, all are true except
for: 95. In order to gain support from the community,
a. Every birth should be healthy Mitchelle underscores the importance of
b. Every pregnancy should be intended community participation which are the following
c. Every sex should be free for coercion and EXCEPT:
infection a. It gives the feeling of ownership of the
d. Every woman should be given a condom to community.
protect herself from pregnancy and other b. It encourages dependence on the health
STD's workers and representatives of other
government agencies.
91. Which of the following principles are part of c. It provides the community the
proper care of vaccines EXCEPT: opportunity to assume responsibility and
a. “FIFO" principles is practiced to assure leadership
that all vaccines are utilized before its d. It creates awareness of interests
expiry date,
b. Vaccine temperature is monitored twice a 96. Community development advocates the
day in all health facilities. principles of self help and the voluntary
c. Cold chain equipment should be handled participation of the people of community.
with care to maintain potency of the Community development rests upon certain
vaccines. assumptions, this does not include;
d. Cold chain equipment consists but not a. Everyone has something to contribute to
limited to ice packs, safety collector boxes. the community
b. People have limited ability to learn.
92. This is also known as "Mandatory Infants and c. Community development provides the
Children Health Immunization Act of 2011" opportunity by which the worth of an
a. PD996 individual is revealed
b. RA 10152 d. Worth and dignity of individual are the
c. RA 7600 basic values in a democratic society
d. EO 51
93. An Act establishing a National Mental Health 97. Nurse Tekla is preparing for integration at her
Policy for the purpose of Enhancing the delivery of community. One of the purposes of integration in
integrated mental health services? COPAR is to:
a. RA 11036 a. Gather data that is necessary in the
b. RA 11223 identification of community health
c. RA 10152 problems
d. RA 11469

LCM, RN’24
 b. Understand deeply the culture and
lifestyle in the community
c. Validate the community health needs
identified earlier
d. Identify the community leaders that may
be tapped for organizing purposes

98. Nurse Isabel is choosing an activity that will

facilitate integration into the community. The
appropriate activity for this is to:
a. Organize a mahjong session
b. Participate during harvesting
c. Encourage clinic visits to every people
d. Act like a visitor

99. A step in organizing the community that

Mitchelle will do in order to have an overview of
the demographic characteristics of the community
and community health related services is:
a. Core Group formation
b. Community profiling
c. Integrate with the people
d. Area Selection

100. The community organizing (CO) should

realize that the poor:
a. Do not know what is the best health care
delivery system for their community
b. Have the capability to change or bring
about change
c. Will eventually learn but it will take time
d. Should be taken care of by the government
and the richer sections of society

LCM, RN’24
 PEDIA EXAM "Never hold by the ankles when changing
the diaper"?
1. Which assessment inding is
suggestive of an imperforate anus in a a. Muscular dystrophy
newborn? b. Osteomvelitis
c. Club foot
a. Hyperactive bowel sounds d. Osteogenesis imperfecta
b. Passage of meconium from the vagina
c. Fecal vomiting 7.Which toy could appropriately be
d. Sausage like mass in lower, left recommended for a 4-month-old infant?
quadrant
a. unbreakable mirror in a soft black and
2. When caring for a child who has had a white frame
nonsurgical hydrostatic reduction of an b. large brightly colored balloon
intussusception, which finding indicates c. doll with removable clothing and shoes
that the procedure was successful in d. push-pull toy
reducing the intussusception?
8. Which finding in an infant requires
a. Presence of bowel sounds further evaluation?
b. Absence of abdominal distention
c. Passage of normal stool a. has a strong grasp at 1 month
d. Cessation of abdominal pain b. head lag at 6 months
c. sits unsupported at 8 months
3.Which is the primary goal of care for a d. pulls self to stand at 9 months
child with a mild case of Hirschsprung's
disease? 9. Which is a sign of socialization that
would be anticipated in a 6-month-old
a. Promote parent-child bonding infant?
b. Teach colostomy care
c. Avoid exposure to gluten products a. social smile
d. Relieve constipation b. shows emotions such as jealousy
c. begins to fear strangers
4.Allowing parents to practice feeding d. smiles at mirror image
their infant is a critical aspect of care
when the child has which problem? 10. Following admission to the newborn
nursery, a newborn's rectal temperature
a. Failure to thrive is found to be 98.%, His pulse is 146 and
b. Hirschsprung's disease respirations are 36. Lung assessments
c. Cleft palate include adventitious sounds, immediate
d. Pyloric stenosis nursing interventions should be directed
at
5. Which is a priority nursing goal,
specific to a neonate who has had a a. warming the baby
cleft-lip repair? b. promoting bonding with the parents
c. calming the infant to slow the heart
a. Decrease crying rate
b. Keep nares patent d. percussion and postural drainage to
c. Protect from exposure to cold clear the lungs
d. Prevent dehydration
11. There has been a rush of difficult
6. The teaching plan for the parents of an deliveries at your hospital and the
infant with which problem would include hospital nursery currently has babies
the instruction with the following abnormalities. Which
infant should be monitored for increased 3. Ductus arteriosus
intracranial 4. Ductus venous

a. Cephalohematoma 16. Which of the following actions

b. Caput succedaneum demoistrates the muse's understanding
c. Intracranial hemorrhage about the newborn’s thermoregulatory
d. Facial petechiae ability?

12. Which of the following describes the a. Placing the newborn under a radiant
Babinski reflex? water.
b. Suctioning with a bulb syringe
a. The newborn's toes will hyperextend c. Obtaining an Apgar score
and fan apart from dorsiflexion of the big d. inspecting the newborn's unbilical cord
toe when one side of foot is stroked
upward from the ball of the heel and 17. Because the chest wall is softer in
across the ball of the foot. infants and children, they:
b. The newborn abducts and flexes all
extremities and may begin to cry when a. must inhale twice the amount of air to
exposed to sudden movement or loud breathe.
noise. b. depends more heavily on the
c. The newborn turns the head in the diaphragm for is breathing
direction of stimulus, opens the mouth, c. Grunt and gurgle whenever they
and begins to suck when cheek, lip, or breathe
corner of mouth is touched. d. expends less energy than adults do
d. The newborn will attempt to crawl when breathing
forward with both arms and legs when he
is placed on his abdomen on a flat 18. Two toddlers are playing at daycare.
surface. One child suddenly takes a toy from the
other. A nurse should recognize this
13. Which of the following groups of behavior as
newborn reflexes below are present at
birth and remain unchanged through a. aggressive.
adulthood? b. egocentric.
c. tmitation.
a. Blink, cough, rooting, and gag d. centration
b. Blink, cough, sneeze, gag
c. Rooting, sneeze, swallowing, and cough 19. When assessing a preschooler who is
d. Stepping, blink, cough, and sneeze engaging in magical thinking, a nurse
would expect to identify which of these
14. Which of the following when present thought patterns?
in the urine may cause a reddish stain on
the diaper of a newborn? a. "I can't play outside because it is
raining.”
a. Mucus b. "God will make it stop raining."
b. Uric acid crystals c. "I can make it stop raining."
c. Bilirubin d. "Maybe It won't rain tomorrow
d. Excess iron
20. A preschool child tells the nurse about
15. Before birth, wish of the following her friend named "Cassi who comes to
structures connects the right and left play when she gets home from daycare.
auricles of the heart? The parents shake their head "no and
explain to the nurse that their child has
1. Umbilical vein started talking about this friend that
2. Foramen ovale
doesn't exist. A nurse should recognize six-to-eight-word sentences in which of
this behavior as indicative of: the following children?

a. purposeful lying. a. an 18-month-old child

b. absence of other social interactions. b. a 24-month-old child
c. need for a pet. c. a 3-year-old child
d. creation of a friend d. a 5-vear-old child

21. Milestone achievements are data most 26. A child states, “I have a problem, but
likely to appear in the history of; you have to promise not to tell anyone."
The nurse's best response would be:
a. infants.
b. children. a. "I can keep a secret. You can tell me."
c. adolescents. b. "I will need to tell someone if you are
d. young adults being hurt."
c. "I will have to tell your parents
22. Two toddlers are playing at daycare. anything that you tell me."
One child suddenly takes a toy from the d. "Do not tell me anything you do not
other. A nurse should recognize this want others to know."
behavior as:
27. If a school age child's growth and
a. aggressive. development is within normal range,
b. egocentric. which of these developmental stages
c. imitation. would a nurse expect to identify?
d. centration,
a. trust
23. When assessing a preschooler who is b. industry
engaging in magical thinking, a nurse c. initiative
would expect to identify which of these d. autonomy
thought patterns?
28. The parents of an infant ask the nurse
a. "I can't play outside because it is what kind of shoe they should buy for
raining." their child. The best response by the
b. "God will make it stop raining." nurse would be:
c. "I can make it stop raining."
d. "Maybe it won't rain tomorrow." a. "Your child needs high-top shoes to
prevent the ankle from being injured as
24. A preschool child tells the nurse about they begin to walk."
her friend named "Cassi" who comes to b. "Your child's shoes should be hard
play when she gets home from daycare. leather and be difficult to bend in the
The parents shake their head "no" and middle."
explain to the nurse that their child has c. "You should buy your child shoes that
started talking about this friend that leave at least an inch between the end of
doesn't exist. A nurse should recognize the longest toe and the shoe."
this behavior as indicative d. "You should buy your child new shoes
about every 3 months between the ages
a. purposeful lying. of 2-3
b. absence of other social interactions.
c. need for a pet. 29. The parents of a newborn have been
d. creation of a friend. given instructions about which toys are
appropriate for their infant. Which of
25. When assessing the language skills of these statements, if made by the parents,
a child, a nurse would expect to identify would indicate that they correctly
understood the instructions?
a. "it will be so much fun picking out a b. Clear the mouth and the nose of mucus
jack-in-the-box." Inject vitamin K to prevent bleeding
b. " bet he'd enjoy one of those animals d. Administer Crede's prophylaxis right
that squeaks when you squeeze it." after birth to prevent gonorrheal
c. "Let's get him one of those teething conjunctivitis
rings that we can put in the freezer.
d. "We should hunt for a mirror that 34. While performing a complete
won't break." assessment of a term neonate, which of
the following findings would alert the
30. Which of these strategies would the nurse to notify the pediatrician?
nurse suggest the parents add to their
activities to promote tactile stimulation a. red reflex in the eves
for an 11-month-old? b. respiratory rate of 45 breaths/minute
c.expiratory grunt
a. Give the infant finger foods of different d. prominent xiphoid process
textures.
b. Provide soft squeeze toys of various Situation: The neonatal period is
textures. recognized internationally as the period
c. Allow the infant to play nude on a soft, from the birth of the child up to 28 days,
furry rug. but under the R.A. 9288, otherwise
d. Comb the infant's hair with a soft known as The Newborn Screening (NBS)
brush. Act of 2004.

31. When a chld demonstrates a positive 35. The newborn is a child from the time
Babinski sign wich age child would be of complete delivery to how many days
most important for nurse to follow-up? old?
a, 45
a. 4 months b. 25
b. 8 months c. 30
c. 12 months d. 7
d. 16 months ANSWER: C

32. A baby born from a primipara woman 36. Diseases that are screened under the
6 hours ago. The mother asks the nurse Newborn Screening Act of the Philippines
the white cheese. like substance under do not include:
the baby’s arms. The appropriate a. hypothyroidism
response of the nurse would be: b. phenylketonuria
c. Down's syndrome
a. "This is a normal skin variation in d. congenital adrenal hyperplasía (CAH)
newborn that goes away in a few weeks."
b. "The baby may have a skin infection." 37. Which of the following physical signs
c. 'This material, called vernix, covered would support a diagnosis of Down's
the baby before it was born. It will syndrome?
disappear in few days."
d. "Babies sometimes have sebaceous a. constipation, subnormal temperature,
glands that get plugged at birth. This apnea, bradycardia
substance is an example or that condition. b. hypotonia, simian crease, epicanthal
fold, flat occiput
33. In the immediate care of the newborn, c. blue eyes, blond hair, fair skin
which nursing action is implemented first d. mental retardation, lethargy, irritability
to ensure newborn safety?
38. Freud postulated that temper tantrum
a. Identify a newborn using a foot tag is observed in which of the following?
identical with that of the mother
a. Anal 44. To ensure emotional bond and close
b. Latency relationship with a child as he grows he
c. Oral must be provided with:
d. Phallic
a. Vocabulary lessons
39.According to Erickson, young child’s b. Educational materials
sensitivity to anxiety in response to c. Quality time by the parents
separation from signicant persons like d. Maternal stimulation
mother is a result of failure to complete
one of the developmental tasks: 45. When letting a child touch thing,
letting him smell, listen to sounds, you
a. Identity are
b. Initiative
c. Trust a. Letting him experience
d. Autonomy b. Stimulating his senses
c. Stimulating sense of sight
40. Toilet training occurs during this d. Stimulating tactile perception
phase of psychosexual development:
46. If a growing baby is given a toy, what
a. Latency will the baby do with the toy?
b. Anal
c. Phallic a. Destroy the toy
d. Oral b. Throw away
c. Put the twin the egg
41. The developmental stage of a 6 year d. Put the toy in the mouth
old child according to Erickson is:
47. What is the usual dose of
a. Cognitive tasking Aquamephyton given to normal newborn
b. Trust vs mistrust in mg?
c. Initiative vs guilt
d. Autonomy vs shame and doubt a 05
6. 0.75
43. A preschool child was noticed by c. 1.5
nurse Don Paolo having an imaginative d. 1.0
play. As a nurse the appropriate nursing
intervention is: 48. When is the immunization of the child
completed?
a. Discourage it because it is not normal
for his age a. 0-12 months
b. Allow it and say that his imaginary b. 3-4 years
friend exist с. 5-6 months
c. Discourage it because it can cause d. 12-24 months
psychiatric illness
d. Allow it but don't say that his 49. The standard tool to record vital
imaginary friend exist information about the child and kept in
the home?
43. According to Piaget, a preschool
should be able to: a. Growth Development Record
b. Growth Monitoring promotion
a. See another's point of view c. Growth Monitoring Chart
b. Exhibit intuitive thought d. Growth Monitoring Record
c. Make simple classification
d. See relationships 50. For hours after birth, which finding in
a newborn requires further assessment?
a. Yellowish sclera 56. At what age does a child speak one or
b. Bluish palms and soles two words like mama and papa?
c. Mora reflex
d. Heart rate of 160 a. 6 months
b. 7 months
51. What type of immunoglobulin is c. 10 months
passed to the baby during breastfeeding? d. 9 months

a. IgG 57. Another concern in the care of

b. Ig M toddlers is toilet training. Which of the
c. IgA following is important factor for a
d. IgE successful toilet training?

52. Baby Michael is a 4 month old infant a. Age of the child

with a tentative diagnosis of b. Developmental readiness of the child
intussusception. Which procedure will c. Toilet training at scheduled time
likely be ordered for the infant? d. Mother’s flexibility for growth and
development
a. Colonoscopy
b. Rectal biopsy 58. Knowing the infants are high risk for
c. Barium enema hypothermia. In conducting physical
d. Cholangiography assessment nurse Dimple should:

53. Baby Michael is now six months old. a. Let neck goose lamp close to the baby
After weighing at the clinic, the nurse b. Expose only the part to be examined
expects that it should be: c. Place the infant in the incubator
d. Indress the infant to be able to do an
a. Twice his birth weight accurate examination then dress him up
b. Thrice his birth weight quickly
c. Fifty percent higher his birth weight
d. More than his birth weight 59. The nurse is instructing a mother
about nutritional needs of her full term,
54. After delivery, the newborn is given to breastfeeding infant, age 2 months.
nurse Diamond by the attending Which of the following responsesshows
obstetrician, her first action should be to: that the mother understands the infants
dietary needs?
a. Dry and wrap the infant with a sterile
blanket a. We won’t start any new foods now
b. Bring the infant to the mother to hold b. We’ll start any new foods now
and see c. We’ll introduce cerial into the diet now
c. Apply identification band to infant and d. We should add new fruits to the diet
mother on a time
d. Assess the Infant for gross anomalies
such as cleft lip and number of cord 60. A mother of a 2 year-old child is
vessels concerned about the child's behavior of
saying "no" to everything. When scolded,
55. Immediate care of the eyes of the the child becomes angry ard starts crying
newborn is a treatment called: loudly, but then immediately wants to be
held Which of the following is best
a. Crede's prophylaxis interpretation of this behavior?
b. Crede's maneuver
C. APGAR a. The child not effectively coping with
d. Ortolani's maneuver stress.
b. The child's need for affections is not d. Throws ball on the floor
being met
c. This is normal behavior of a 2 year old 66. The newborn was delivered 6 hours
child ago. During assessment of the client by
d. This behavior indicates the need for nurse Caitlin, which the following
counseling findings need to be reported to the
physician?
61. An infant is 7 months old. Which of
the following comments when made by a. Nystagmus
the mother indicates normal growth and b. Posterior fontanel is closed
development of the child? c. Arms actively flexed upon stimulation
d. Respirations are irregular
a. My child is cross-eyed
b. My child can sit up by himself 67. Which of the following growth and
c. My child puts his toes into his mouth development changes is not expected in
d. My child starts to crawl an adolescent?

62. Which of the following toys is a. Growth of body hair

appropriate for a 10-month old infant as b. Voice changes.
recommended by Nurse Arizza? c. Loss of subcutaneous tissues.
d. Increased activity of sweat glands and
a. Brightly colored mobiles with sounds sebaceous glands.
b. Large interlocking blocks.
c. Push-and-pull toys. 68. A newborn baby boy was given
d. Cups of different sizes that fit inside Aquamephyton. The mother asks the
each other purpose of the medication to Nurse Anne,
Which of the following ls most
63. Which of the following findings appropriate explanation to the mother?
should Nurse Brent report to the
physician when observed in a a. This given to prevent infectious
6-month-old infant? diseases in the future
b. This is given to prevent blood clet
a. Absent of Moro reflex. formation,
b. Positive Kernig's sign. c. This is given to enhance immune
c. Positive Babinski's sign system function.
d. Absent tonic neck reflex d. This Is given to prevent bleeding

64. A child is 2 years old, which of the 69. Nurse Andrea is assigned in the
following is expected in the child when pediatric unit. Which of the following
assessed by nurse regine? patients should be assessed first by the
nurse?
a. Runs well a. A 6-month old baby boy who vomited
b. Walks with support three times on hour ago,
c. Hops on one foot b. A l-year old baby boy who cries when
d. Walks upstairs without grasping the his mother leaves.
handrails c. A 2-month old baby sir with PR=122
d.A 9-month old baby boy who mobilizes
65. Nurse Angelica assessed a 15 month through his abdomen.
old child, which can do the following
acitivity 70. A child is 8 months old. Which of the
following assessment should Nurse
a. Sits without support Arrianne find?
b. Drinks from a cup
c. Creeps a. Dancing reflex.
b. Palmar grasp reflex. 76. Nurse Chris john as maternity nurse is
c. Dorsidexion of the big toe when the providing instruction to a new mother
sole of the foot is stroked from the heel regarding, the psychosocial development
upward. of the newborn infant. Using Erikson's
d. Fencing reflex. psychosocial development theory, the
nurse Chris John would instruct the
71. When developing a plan of care for a mother to:
hospitalized child, Nurse Camille knows
that children in which age group is most a. Allow the newborn infant to signal a
likely to view illness as a punishment for need
misdeeds? b. Anticipate all of the needs of the
newborn infant
a. Infancy c. Avoid the newborn infant during the
b. Pre-school age first 10 minutes of crying
c. School ago d. Allow the infant to cry, once lessen,
d. Adolescence them attend to the infant

72. Nurse Carl James is assessing infantile 77. A mother of a three (3)-year-old tells
reflexes in a 9-month old baby; which of a Nurse Christian that the chlld is
the following would he identify as constantly rebelling and having temper
normal? tantrums. The nurse most appropriately
tells the mother to:
a. Persistent rooting
b. Bilateral parachute a. Punish the child every time the child
c. Absent moro reflex says "no" to change the behavior
d. Gasping reflex b. Allow the behavior because this is
normal at this period
73 Which among age group has the c. Set limits on the child's behavior
greatest potential to demonstrate d. Ignore the child when this behavior
regression when they are sick? occurs

a. Infant 78. The parents of a two (2)-year-old boy

b. Toddler arrive at a hospital for a visit. The child is
c. Adolescent in the playroom when the parents arrive.
d. Young adult When the parents enter the playroom, the
child does not readily approach the
74. Nurse chretienne ls recalling which parents. Nurse Christine interprets this
stage of development is most unstable behavior as indicating that:
and challenging regarding the
development of personal identity? a. The child is withdrawn
b. The child is self centered
a. Adolescence c.The child has adjusted to the
b. Middle Childhood hospitalized setting
c. Toddlerhood d. This is a normal pattern
d. Young adulthood
79. Nurse Christopher is evaluating the
75. According to Nurse Chris Jerald, the developmental level of a two (2)-year-old.
age group that would have the most Which of the following does the nurse
tendency towards eating expect to observe in this child?

a. Adolescence a. Uses a fork to eat

b. Toddlerhood b. Uses a cup to drink
c. Preschool c. Uses a knife for cutting food
d. Infancy d. Pours own milk into a cup
80. Nurse Clarisse assesses the 84. Which of the following behavior of a
communication patterns of a five month preschooler indicates that the child is in
old infant. She determines that the infant the stage of intative?
is demonstrating the highest level of
developmental achievement expected if a. Child wants to finish his game of
the infant: Candyland before his dressing is changed
b. The child cries and has a temper
a. Uses simple words such as “mama” tantrum when he is sent to bed to go to
b. Uses monosyllabic babbling sleep
c. Links syllables together c. The child ignores his parents and
d. Coos when comforted continues to watch television with other
child
81. A 16 year old boy is hospitalized, d. The child talks to his friends on the
according to Erik Erikson, what is an telephone and arranges for them to visit
appropriate intervention?
85. After teaching a group of mothers
a. Tell the frinds to visit the child about temper tantrums, Nurse Airah
b. Encourage the boy to learn missed knows that the teaching has been
school lessons effective when one of the mother's states
c. call the priest to intervene which of the following?
d. Ask the patient's girlfriend to visit
a. "I will ignore the temper tantrum"
82. Dancun as a clinical instructor asks a b. "I should pick up the child during the
nursing student to report about the tantrum."
psychosocial stages sof development by c. I”Il talk to my daughter during the
Sigmund Freud. Which of the following tantrum."
explains the latency period? Select all that d. "I would put my child in time out."
apply.
86. Which of the following is appropriate
a. No psychosexual development takes toy for an 8-month-old infant?
place during this stage
b. Energy is directed to physical and a. Finger paint
intellectual activities b. Jack-in-the-box
c. Children spend more time interacting C. Small rubber ball
with same-sex peers d. Play gym strung across the crib
d. This stage begins at puberty and
continious mature adult sexuality 87. Mrs. Diaz, a G2P1 with class II cardiac
e. Males have a tendency to develop disease, is now in the thirty fourth week
Oedipus Complex of gestation. She is scheduled for a
Nonstress Test (NST). The nurse after
83. Which of the following best describes explaining the procedure, evaluates that
the development of a school age child Mrs. Diaz understands the teaching when
Select all that appy. she says:

a. Death has yet no meaning a. "I hope the baby doesn't get distressed
b. Same-sex peers are more important after this procedure."
than family b. "If my baby's heart reacts normally
c. Causes of injuries include bicycle during the test, he should do okay during
crashes, head injuries and sprains delivery."
d. School-age children are concerned c."I hate receiving injections, but now I
about how they appear to others . understand why it is necessary."
e. Children enjoys playing board games d. I "understand now why i need to be
and sports confined for 1-2 days."
88. You're performing a routine health C. "If my child throws up the diuretic, I
asessment on a 5 year old. You use the can give him another right away."
Denver Developmental Screening Test to c. "I realize my child has to be monitored
determine: closely while on the diuretics."

a. Intelligence 93. A child has been diagnosed with

b. physical competency Kawasaki disease. The father is asking
c. reading ability about the disease, and the nurse explains
d. effect of cultural practices on that Kawasaki disease is:
development
a. a circulatory deficit with decreased
89. Benie a pediatric nurse, understands cardiac output.
the various characteristics that will b. a mixed cardiac defect that affects both
influence the healthy growth and the systemic and the pulmonic
development of a child. Upon assessment, circulations.
the child's birth weight was 8 lbs. The c. an inflammatory disorder caused by
child now weighs 18 pounds. In group A beta-hemolytic Streptococcus
documenting this result, Bennet knows infection.
that this weight is: d. a systemic, acute inflammatory disease
also known as mucocutaneous lymph
a. Below the expected weight. node syndrome.
b. Appropriate for the child's age.
C. Above the expected weight. 94. The nurse is caring for a child with
d. Individualized and thus unpredictable. Kawasaki disease. The child is in the
subacute phase of the disease, which
90. In formulating the diagnosis, which of would explain which manifestation?
the following should Bennet consider?
a. swollen hands and feet,
a. Knowledge deficit b. sloughing off of the skin on the lips,
b. Health Seeking Behavior hands, and feet.
b. Anxiety c. no outward signs and symptoms.
d. Altered health maintenance d. enlarged cervical lymph nodes.

91. Which measure would Bennet suggest 95. The nurse has assumed care of a
an infant's mother use to relieve teething child with suspected rheumatic fever. The
discomfort? lab reports have just come back. The
nurse reviews them and knows that
a. Provide her with a fluid diet for 2 days. which lab report would be helpful in
b. Offer her Aspergum to chew. confirmation of this diagnosis?
c. Ask her pediatrician for a sedative for
her. a. Antistreptolysin O titer
d. Give her a cold teething ring to chew. b. Erythrocyte sedimentation rate
c. Glucose tolerance test
92. The nurse is caring for a child with d. Red blood count
congestive heart failure and has just
finished teaching the parents about 96. The nurse is monitoring the intake
diuretics and why they are given. The and output of an infant with congestive
nurse realizes more teaching is needed heart failure. Which of the following
when the father states: indicators alerts the nurse that the child
is accumulating fluid?
a. "The diuretic should be given at the
same time each day."
b. "The diuretic helps take away the a. Sunken fontanel
fluid." b. Bradycardia
c. Crackles heard on auscultation should the nurse suggest to minimize
d. Capillary refill of 2 seconds reflux?

97. A 2-week-old infant is recovering A. Discontinue breastfeeding

from surgery for pyloric stenosis. The B. Position the baby with his head up
mother comments, "Now that the surgery after feeding.
is over, Timmy should not have intestinal C. Give continuous nasogastric tube
obstruction ever again." An appropriate feeding.
nursing response would be: D. Decrease frequency of feedings as
much as possible.
a. "You need to talk with the doctor
about vour son's future."
b. "You are correct, Timmy will never
again experience intestinal obstruction."
C. "Recurrence of obstruction is unlikely,
but we will review symptoms, you should
watch for."
d."Timmy will not have obstruction as a
child but will have digestive problems as
an adult."

98. A pediatric client has been diagnosed

with rickets. The nurse knows the child's
mother understands the treatment when
she states that she will give the child
additional amount of:

a. milk, cheese, and yogurt

b. ice cream, jello, and pudding
c. whole grain cereal and bread
d. citrus fruit
ANSWER: A

99. The nurse is providing teaching to

parents of an infant with Hirschsprung's
disease. Which of the following
statements best describes Hirshsprung's
disease?

A. It results in frequent evacuation of

solids, liquids, and gas.
B. There is passage of excessive amounts
of meconium.
C. It results in excessive peristaltic
movements within the gastrointestinal
tract.
D. The colon has a segment with limited
nerve supply that prevents normal
movement.

100. A 4-month-old has gastrosophageal

reflux is thriving without other
complications. Which of the following