Tuesday, February 18, 2014

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

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

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.When assessing a newborn diagnosed with ductus arteriosus, Nurse Melissa should expect that the child most likely would have an:

a. Loud, machinery-like murmur.
b. Bluish color to the lips.
c. Decreased BP reading in the upper extremities
d. Increased BP reading in the upper extremities.


2.The reason nurse May keeps the neonate in a neutral thermal environment is that when a newborn becomes too cool, the neonate requires:

a. Less oxygen, and the newborn’s metabolic rate increases.
b. More oxygen, and the newborn’s metabolic rate decreases.
c. More oxygen, and the newborn’s metabolic rate increases.
d. Less oxygen, and the newborn’s metabolic rate decreases.


3.Before adding potassium to an infant’s I.V. line, Nurse Ron must be sure to assess whether this infant has:

a. Stable blood pressure
b. Patant fontanelles
c. Moro’s reflex
d. Voided


4.Nurse Fe should know that the most common causative factor of dermatitis in infants and younger children is:

a. Baby oil
b. Baby lotion
c. Laundry detergent
d. Powder with cornstarch


5.During tube feeding, how far above an infant’s stomach should the nurse hold the syringe with formula?

a. 6 inches
b. 12 inches
c. 18 inches
d. 24 inches


6. In a mothers’ class, Nurse Lhynnete discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct?

a. The older one gets, the more susceptible he becomes to the complications of chicken pox.
b. A single attack of chicken pox will prevent future episodes, including conditions such as shingles.
c. To prevent an outbreak in the community, quarantine may be imposed by health authorities.
d. Chicken pox vaccine is best given when there is an impending outbreak in the community.


7.Barangay Wakwak had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the barangay Wakwak?

a. Advice them on the signs of German measles.
b. Avoid crowded places, such as markets and movie houses.
c. Consult at the health center where rubella vaccine may be given.
d. Consult a physician who may give them rubella immunoglobulin.


8. May Anne a public health nurse knows that to determine possible sources of sexually transmitted infections, the BEST method that may be undertaken is:

a. Contact tracing
b. Community survey
c. Mass screening tests
d. Interview of suspects


9. Claudine, a 33-year old female client came for consultation at the health center with the chief complaint of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the onset of symptoms. Based on her history, which disease condition will you suspect?

a. Hepatitis A
b. Hepatitis B
c. Tetanus
d. Leptospirosis


10. Ronie a 3-year old client was brought to the health center with the chief complaint of severe diarrhea and the passage of “rice water” stools. The client is most probably suffering from which condition?

a. Giardiasis
b. Cholera
c. Amebiasis
d. Dysentery


11.The most prevalent form of meningitis among children aged 2 months to 3 years is caused by which microorganism?

a. Hemophilus influenzae
b. Morbillivirus
c. Steptococcus pneumoniae
d. Neisseria meningitidis


12.The student nurse is aware that the pathognomonic sign of measles is Koplik’s spot and you may see Koplik’s spot by inspecting the:

a. Nasal mucosa
b. Buccal mucosa
c. Skin on the abdomen
d. Skin on neck


13.Angel was diagnosed as having Dengue fever. You will say that there is slow capillary refill when the color of the nailbed that you pressed does not return within how many seconds?

a. 3 seconds
b. 6 seconds
c. 9 seconds
d. 10 seconds


14.In Integrated Management of Childhood Illness, the nurse is aware that the severe conditions generally require urgent referral to a hospital. Which of the following severe conditions DOES NOT always require urgent referral to a hospital?

a. Mastoiditis
b. Severe dehydration
c. Severe pneumonia
d. Severe febrile disease


15.Myrna a public health nurse will conduct outreach immunization in a barangay Masay with a population of about 1500. The estimated number of infants in the barangay would be:

a. 45 infants
b. 50 infants
c. 55 infants
d. 65 infants


16.The community nurse is aware that the biological used in Expanded Program on Immunization (EPI) should NOT be stored in the freezer?

a. DPT
b. Oral polio vaccine
c. Measles vaccine
d. MMR


17.It is the most effective way of controlling schistosomiasis in an endemic area?

a. Use of molluscicides
b. Building of foot bridges
c. Proper use of sanitary toilets
d. Use of protective footwear, such as rubber boots


18.Several clients is newly admitted and diagnosed with leprosy. Which of the following clients should be classified as a case of multibacillary leprosy?

a. 3 skin lesions, negative slit skin smear
b. 3 skin lesions, positive slit skin smear
c. 5 skin lesions, negative slit skin smear
d. 5 skin lesions, positive slit skin smear


19.Nurses are aware that diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the following is an early sign of
leprosy?

a. Macular lesions
b. Inability to close eyelids
c. Thickened painful nerves
d. Sinking of the nosebridge


20. Perlita brought her 10 month old infant for consultation because of fever, started 4 days prior to consultation. In determining malaria risk, what will you do?

a. Perform a tourniquet test.
b. Ask where the family resides.
c. Get a specimen for blood smear.
d. Ask if the fever is present everyday.


"Try not to become a man of success, but rather try to become a man of value."

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