Friday, February 14, 2014

Pre-Board Exam Drill: Maternal Child and Community Health Nursing B

This is a 30 point Pre-Board Exam Drill on Maternal and Child Nursing and Community Health Nursing SET B.

Test your knowledge on nursing concepts, test your test-taking skills and develop your attitude in attacking board exam questions. Answer these questions on a piece of paper. Check your answers and don't forget to review the rationale behind the correct answer. Good luck with your exam!

1.According to Freeman and Heinrich, community health nursing is a developmental service. Which of the following best illustrates this statement?

a. The community health nurse continuously develops himself personally and professionally.
b. Health education and community organizing are necessary in providing community health services.
c. Community health nursing is intended primarily for health promotion and prevention and treatment of disease.
d. The goal of community health nursing is to provide nursing services to people in their own places of residence.


2.Nurse Marie is aware that the disease declared through Presidential Proclamation No. 4 as a target for eradication in the Philippines is?

a. Poliomyelitis
b. Measles
c. Rabies
d. Neonatal tetanus


3. Nure Franciene knows that the step in community organizing that involves training of potential leaders in the community is:

a. Integration
b. Community organization
c. Community study
d. Core group formation


4. Nurse Anna a public health nurse takes an active role in community participation. What is the primary goal of community organizing?

a. To educate the people regarding community health problems
b. To mobilize the people to resolve community health problems
c. To maximize the community’s resources in dealing with health problems.
d. To maximize the community’s resources in dealing with health problems.


5.Tertiary prevention is needed in which stage of the natural history of disease?

a. Pre-pathogenesis
b. Pathogenesis
c. Prodromal
d. Terminal


6.The nurse is caring for a primigravid client in the labor and delivery area. Which condition would place the client at risk for disseminated intravascular coagulation (DIC)?

a. Intrauterine fetal death.
b. Placenta accreta.
c. Dysfunctional labor.
d. Premature rupture of the membranes.


7.A fullterm client is in labor. Nurse Betty is aware that the fetal heart rate would be:

a. 80 to 100 beats/minute
b. 100 to 120 beats/minute
c. 120 to 160 beats/minute
d. 160 to 180 beats/minute


8.The skin in the diaper area of a 7 month old infant is excoriated and red. Nurse Gretel should instruct the mother to:

a. Change the diaper more often.
b. Apply talc powder with diaper changes.
c. Wash the area vigorously with each diaper change.
d. Decrease the infant’s fluid intake to decrease saturating diapers.


9.Nurse Carlos knows that the common cardiac anomalies in children with Down Syndrome (tri-somy 21) is:

a. Atrial septal defect
b. Pulmonic stenosis
c. Ventricular septal defect
d. Endocardial cushion defect


10. Nurse Cristeta was diagnosed with severe preeclampsia is now receiving I.V. magnesium sulfate. The adverse effects associated with magnesium sulfate is:

a. Anemia
b. Decreased urine output
c. Hyperreflexia
d. Increased respiratory rate


11. Mrs. Pregy Der, a 23 year old client is having her menstrual period every 2 weeks that last for 1 week. This type of menstrual pattern is bets defined by:

a. Menorrhagia
b. Metrorrhagia
c. Dyspareunia
d. Amenorrhea


12. Mrs. Caby Nhet is admitted to the labor and delivery unit. The critical laboratory result for this client would be:

a. Oxygen saturation
b. Iron binding capacity
c. Blood typing
d. Serum Calcium


13.Nurse Dorothy is aware that the most common condition found during the second-trimester of pregnancy is:

a. Metabolic alkalosis
b. Respiratory acidosis
c. Mastitis
d. Physiologic anemia


14.Nurse Imo Gin is working in the triage area of an emergency department. She sees that several pediatric clients arrive simultaneously. The client who needs to be treated first is:

a. A crying 5 year old child with a laceration on his scalp.
b. A 4 year old child with a barking coughs and flushed appearance.
c. A 3 year old child with Down syndrome who is pale and asleep in
his mother’s arms.
d. A 2 year old infant with stridorous breath sounds, sitting up in his
mother’s arms and drooling.


15. Mrs. Calista in her third trimester arrives at the emergency room with painless vaginal bleeding. Which of the following conditions is suspected?

a. Placenta previa
b. Abruptio placentae
c. Premature labor
d. Sexually transmitted disease


16.A young child named Louella is suspected of having pinworms. The community nurse collects a stool specimen to confirm the diagnosis. The nurse should schedule the collection of this specimen for:

a. Just before bedtime
b. After the child has been bathe
c. Any time during the day
d. Early in the morning


17.In doing a child’s admission assessment, Nurse Angelique should be alert to note which signs or symptoms of chronic lead poisoning?

a. Irritability and seizures
b. Dehydration and diarrhea
c. Bradycardia and hypotension
d. Petechiae and hematuria


18.To evaluate a woman’s understanding about the use of diaphragm for family planning, Nurse Trish asks her to explain how she will use the appliance. Which response indicates a need for further health teaching?

a. “I should check the diaphragm carefully for holes every time I use it”
b. “I may need a different size of diaphragm if I gain or lose weight more than 20 pounds”
c. “The diaphragm must be left in place for atleast 6 hours after intercourse”
d. “I really need to use the diaphragm and jelly most during the middle of my menstrual cycle”.


19.Hypoxia is a common complication of laryngotracheobronchitis. Nurse Oliver should frequently assess a child with laryngotracheobronchitis for:
a. Drooling
b. Muffled voice
c. Restlessness
d. Low-grade fever


20.How should Nurse Melanie Marquez guide a child who is blind to walk to the playroom?

a. Without touching the child, talk continuously as the child walks down the hall.
b. Walk one step ahead, with the child’s hand on the nurse’s elbow.
c. Walk slightly behind, gently guiding the child forward.
d. Walk next to the child, holding the child’s hand.


Failure is the condiment that gives success its flavor.” -Capote

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