Nursing Practice II – Community Health Nursing and CAre of Mother and Child
Community Health Nursing (CHN) / OB (Obstetric)
PART 1 Board Exam test questions 1 - 50
SET A
NURSING PRACTICE B:
COMMUNITY HEALTH NURSING
DIRECTION: Choose the letter of the BEST answer by shading the corresponding letter of your choice on the answer sheet provided. STRICTLY NO ERASURE!
1. A child who is 13 months has fast breathing if he has:
A. 30 breaths per minute or more
B. 60 breaths per minute
C. 40 breaths per minute or more
D. 50 breaths per minute
2. Which of the following is true about discharge planning?
A. basic discharge plans involve referral to community resources
B. discharge plans involve referral to community resources
C. simple referral involves use of a discharge planner
D. complex referral includes interdisciplinary collaboration
3. A nurse may keep opened vials of OPV for use in the next session if:
A. you have taken out the vaccine at the health center for some other reasons
B. the expiry date has not passed
C. the vaccines have been stored at a temperature between 0 deg C and 8 deg C
D. the vaccines have change its color
4. The primary preventive measures against HIV-AIDS is:
A. withdrawal C. foams and gels use
B. virus killing drugs D. condom use
5. Ms. Amodia, RN works for a home health agency and cares for an older adult mental patient. On reporting to work, she observes numerous bruise and red marks on her patients face. Her patient seems upset. Ms. Amodia suspects that either abuse has occurred. Ms. Amodia should:
A. contact the mobile police to investigate the abuse
B. make an appointment with an elder adult counselor
C. wake her son and ask him who would hurt his mother
D. call her supervisor right away to report the findings
6. If there develops severe pre-eclampsia, what would be the drug you would anticipate to be prescribed and that you would have to administer?
A. a loop diuretic C. ranitidine (zantac)
B. magnesium sulfate D. a non-steroidal inflammatory agent
7. As a community health nurse you always bear in mind that the purpose of empowering victims of violence is to:
A. tell them how to solve their problems
B. convince victims to leave their abusers
C. help clients become aware that they have control over their lives
D. develop safety escape plans for them
8. Maria is developing constipation from being on bed rest. What measure would you suggest she take to help prevent this?
A. drink 8 full glasses of fluid such as water daily
B. drink more milk, increased calcium intake prevents constipation
C. eat more frequent small meals instead of three large ones daily
D. walk for at least half an hour daily to stimulate peristalsis
9. A bilateral amputee is assisted by his wife and children to the commode for bowel evacuation. This example best demonstrates the family’s assistance to meet which need?
A. Elimination C. nutrition and metabolism
B. activity D. health perception and health maintenance
10. Which of the following is the most important reason for doing a literature review for constructing a research study?
A. helpful information on demographic instrument development could be uncovered
B. existing knowledge about the identified problem can be found
C. a determination of the study’s feasibility could be extrapolated
D. the research design can be copied from another study
11. Martina develops endometritis. What would be the best activity for her?
A. lying in bed with a cold cloth on her forehead
B. reading while resting in a trendelenburg position
C. sitting with her feet elevated while playing cards
D. walking around her room listening to music
12. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins
13. Fely has diarrhea for 2 days. She has sunken eyes, skin pinch goes back very slowly, and she is drinking poorly and irritable. She is not able to drink and there is no blood in the stool. How will you classify Fely’s illness?
A. persistent diarrhea C. severe dehydration
B. some dehydration D. no dehydration
14. The infectious agent that causes pulmonary tuberculosis is:
A. mycobacterium tubercle C. Wuchereria bancrofti
B. Hansen’s bacillus D. mycobacterium diphtheria
15. Your client, who happens to be female resident of the barangay you are covering, is an adult survivor who states: “Why couldn’t I make him stop the abuse? If I were stronger person, I would have been able to make him stop. Maybe it was my fault to be abused”. Based on this, which would be your most appropriate nursing diagnosis?
A. social isolation C. chronic low self-esteem
B. anxiety D. ineffective family coping
16. Maybelle is also scheduled to have an amniocentesis to test for fetal maturity. What instructions would you give her before this procedure?
A. void immediately before the procedure to reduce your bladder size
B. no more amniotic fluid forms afterward, that is why only a small amount is removed
C. the intravenous fluid infused to dilate your uterus does not hurt the fetus
D. the x-ray used to reveal your fetus position has no long-term effects
17. When planning teaching strategy for a pregnant woman, the nurse should do which of the following?
A. give information about how the woman can manage the specific problems she identifies as relevant in her life
B. omit information related to minor pains of pregnancy to prevent the woman from developing hypochondria
C. provide all information to the woman in a group session with other pregnant women so she can have someone
to discuss it with
D. during the first prenatal visit, teach a woman the care measures necessary for health promotion
throughout the pregnancy
18. Which of the following symptoms is LESS commonly noted in EARLY pregnancy?
A. frequency of urination C. varicosities
B. chills and fever D. Braxton Hicks’ Contractions
19. Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct her to do which of the following?
A. eat more dairy products and green leafy vegetables to provide an additional 300 calories each day
B. increase her intake of carbohydrates-breads and sweets to prevent protein metabolism
C. eat whenever she feels hungry because her body will let her know when she needs nutrients and extra calories
D. limit intake of amino acids to prevent development of diabetic ketoacidosis
20. The nurse is assisting Mr. and Mrs. Cruz to prepare for childbirth in the home setting. Which of the following supplies should be readily available for the infant immediately after birth?
A. vitamin K to avoid bleeding
B. mild soap without perfume so as not to irritate the skin
C. bulb syringe to suction fluid and mucous from the mouth
D. heating lamp to avoid chilling from water evaporation
21. Which of the following could be included in the outcome criteria for a patient with a nursing diagnosis, “Knowledge deficit related to potential for altered tissue perfusion in fetus or mother related to maternal cardiovascular disease”?
A. bedrest is maintained at home after the 36th week of gestation
B. fetal heart rate will remain between 120 and 160 beats a minute
C. jugular vein distention is evident when lying at 45 degrees
D. maternal blood pressure maintained above 150 systolic
22. Pregnant women should be taught to be careful to avoid accidental injury. They are prone to falls for which of the following reasons?
A. additional weight from pregnancy may disturb balance when walking
B. fetal activity stimulates the nerves of the legs and causes weakness
C. high levels of hormones often impair judgment resulting in reckless behavior
D. increased adrenalin released during pregnancy causes women to move faster than usual
23. When a nurse uses the IMCI model, the IMCI chart uses illness classification, e.g. the pink row needs:
A. no specific treatments such as antibiotics C. appropriate antibiotics
B. urgent referral D. no urgent measures
24. Which of the four signs of good attachment is true in this statement?
A. the chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is visible above than below
B. the chin should touch the breast, the mouth is wide open while the lower lip turned outward and more areola visible above than below
C. the chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola visible below than above
D. the chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible above than below
25. Which type of research inquiry investigates the issues of human complexity ( e. g. understanding the human expertise?)
A. positivism C. logical position
B. quantitative research D. natural inquiry
26. Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse in charge of Carol, how will you classify her illness?
A. a child at a general danger sign C. severe pneumonia
B. very severe febrile disease D. severe malnutrition
27. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?
A. their skin is more susceptible to conduction of cold
B. they are preterm so are born relatively small in size
C. they do not have as many fat stored as other infants
D. they are more active than usual so they throw off comes
28. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for during this procedure?
A. headache and vomiting C. a high choking voice
B. a swollen tender tongue D. abdominal bleeding and pain
29. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever?
A. use plan C if there is bleeding from the nose or gums
B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test
C. give aspirin
D. prevent low blood sugar
30. In assessing the patient’s condition using the Integrated Management of Childhood Illness approach strategy, the first thing that a nurse should do is to:
A. ask what are the child’s problem C. check for the four main symptoms
B. check the patient’s level of consciousness D. check for the general danger signs
31. A child with diarrhea is observed for the following EXCEPT:
A. how long the child has diarrhea C. presence of blood in the stool
B. skin Petechiae D. signs of dehydration
32. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home management at this case?
A. give drugs every 4 hours C. give the child more fluids
B. continue feeding the child D. inform when to return to the health center
33. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred to:
A. beneficence C. respect for person
B. nonmaleficence D. autonomy
34. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of:
A. justice and beneficence C. beneficence and nonmaleficence
B. fidelity and nonmaleficence D. fidelity and justice
35. Being a community health nurse, you have the responsibility of participating in protecting the health of people. Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not see them washing their hands. What should you say/do?
A. “Miss, may I get the bread myself because you have not washed your hands”
B. All of these
C. “Miss, it is better to use a pick up forceps/ bread tong”
D. “Miss, your hands are dirty. Wash your hands first before getting the bread”
36. If a child with diarrhea has 2 or more signs in the IMCI pink row chart, the classification will be:
A. moderate dehydration C. no dehydration
B. some dehydration D. severe dehydration
37. If the capillary refill takes more than 3 seconds it may mean:
A. the child is in shock C. circulatory failure
B. the child is dehydrated D. the child is alright
38. Leprosy is a chronic disease of the skin and peripheral nerves. Which of the following signs are present in the early stage?
A. loss of eyebrows C. contractures
B. clawing of fingers D. thickening or painful nerves
39. In asking the mother about her child’s problem the following communication skills should be used EXCEPT:
A. use words that the mother understand C. listen attentively
B. give time for the mother to answer the question D. ask checking questions
40. Patients eligible under the short term chemotherapy (STC) are the following EXCEPT:
A. all newly discovered and reconfirmed sputum positive cases
B. those with cavitary lung findings after two successive negative sputum examination
C. patients without having been given consent for anti-TB treatment
D. patients willing to undergo treatment
41.When planning comfort measures to help the woman in active labor to tolerate her pain, the nurse must consider
which of the following?
A. early labor contractions are usually regular, coordinated, and very painful
B. if women are properly prepared, they will require no pain medication to manage their pain
C. pain medication given during the latent phase of labor is not likely to impair contractions
D. the acceleration phase of labor can be a time of true discomfort and high anxiety
42. Francis is admitted in active labor. The nurse locates fetal heart sounds in the upper left quadrant of the mother’s abdomen. The nurse would recognize which of the following?
A. Francis will probably deliver very quickly and without problems]
B. This indicates Francis will probably have a breech delivery
C. The fetus is in the most common anterior fetal positions
D. this position is referred to as being left anteriopelvic
43. While interviewing a woman in labor, the nurse would address which of the following?
A. whether the pregnancy was planned C. maternal concerns regarding fetal health
B. the use of medications during pregnancy D. all of the above
44. If a woman will be placing her baby for adoption, which of the following nursing measures should be implemented during the labor stages?
A. avoid discussing the baby during the historical assessment to minimize the woman’s anxiety
B. support the woman as needed by accepting the decisions she makes regarding holding the baby
C. protect the woman from visitors and family members who might try to change her mind
D. take the baby away as soon as possible after birth to prevent bonding from occurring
45. During the third stage of labor, the nurse may have which of the following responsibilities?
A. administration of intramuscular Oxytocin to facilitate uterine contractility
B. monitoring for blood loss greater than 100 cc, which would indicate gross hemorrhage
C. noting if the placenta makes a Schultz presentation, which is a sign of gross complication
D. pushing down on the relaxed uterus to aid in the removal of the placenta
46. Immediately following episiotomy repair, the nurse would do which of the following?
A. cleanse the woman’s anal area, then perineum and vulva, to remove any fecal incontinence or vaginal secretions
B. monitor the woman for shaking and complaints of chill sensations, which may indicate an adverse reaction
to medications
C. palpate the uterus fundus for size, consistency and position and take vital signs to obtain baseline data
D. remove all coverings except a clean, light hospital gown to prevent the development of postpartal fever
47. Mr. Tony has been hospitalized for months following special spinal cord surgery. The boys club in his hometown was renamed the Tony boys club, and a parade is planned to honor Mr. Tony. Such community action should positively influence Mr. Tony’s:
A. self-perception and self concept C. health perception and health maintenance
B. cognition and perception D. coping and stress tolerance
48. Which of the following conditions is not true about contraindication to immunization?
A. do not give BCG if the child has known hepatitis
B. do not give BCG if the child has known AIDS
C. do not give DPT to a child who has recurrent convulsion or active neurologic disease
D. do not give DPT2 or DPT3 to a child who has had convulsions within 3 days of DPT1
49. Which of the following might prevent the conduct of a research study?
A. in order to gather data for the research, excessive risk to subject is required
B. costs for conducting the study are low compared to the potential benefits from the researcher
C. the identified problem is covered in the literature
D. the research problem is based on untested nursing theories
50. Marsha is concerned she may loose an excessive amount of blood with cesarean surgery. What is the usual amount of blood loss with cesarean birth?
A. 250 – 350 ml C. 100 – 220 ml
C. 500 – 1000 ml D. 300 – 500 ml
CLICK HERE PART 2 (51- 100) 'NP1 Nursing Board Exam December 2006 Answer Key 'Community Health Nursing and CAre of Mother and Child'
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