Jun 21, 2010

NP2 Nursing Board Exam December 2006 Answer Key 'Community Health Nursing and Care of Mother and Child'

100 Nursing Board Exam test questions of December 2006 Nurse Licensure Examination (NLE)
Nursing Practice II – Community Health Nursing and CAre of Mother and Child
Community Health Nursing (CHN) / OB (Obstetric)

PART 2 Board Exam test questions 51 - 100

51. If the child is 4 months, which of the following questions SHOULD NOT be included in checking the general danger signs?
            A. ask if the child is eating well during illness          C. ask if the child has had no convulsion
            B. ask if the child is able to breastfeed                 D. ask if the child vomits everything

52. Arnie, like all newborns, can loose body heat by conduction. Under which conditions is this most apt to occur?
            A. if the nursery is cooled by air conditioning        C. if Arnie is placed in a cold bassinet
            B. if the infant is wet from amniotic fluid               D. if there is a breeze from an open window

53. You have just entered Mr. Tiangco’s room and observed him lying on the floor next to the bed. The side rails on the bed are down. When you asked Mr. Tiangco what happened, he replies. “I was asleep and the next thing I knew I was on the floor”. Which of the following examples of documentation is MOST APPROPRIATE for this situation?
            A. Lying on floor next to bed. No complaints verbalized. Side rails down. Appears to have fallen out of bed
                  while asleep.
B. Mr. Tiangco was found lying on the floor next to his bed. When asked what happened, he stated “ I was asleep and  the next thing I knew I was on the floor”.
            C. Lying on the floor, side rails down. Rolled out of bed while asleep.
            D. Mr. Tiangco fell out of bed while asleep; both side rails were left down.

54. The application of public health, medical and engineering practices to health services and effectiveness of workers may be termed as:
            A. community health                                           C. school health
            B. occupational health                                                D. mental health

55. A literature review should be:
            A. brief and limited                                         C. systematic and exhaustive
            B. broad and theoretical                                      D. general and context

56. The Santiago Family lives in a makeshift house in Julugan, Tanza, Cavite. Composed of 8 members, the eldest son Rhio is 7 years old. Rhean is 6, Queenie and Quency are twins 5, Peter is 4 and the youngest is 6 months old named Oscar. Aling Rosa works in a laundry earning Php 1,500.00 a month and husband Mang Sony works as fish vendor earning Php 150.00 per day. Peter and the twins are enrolled in the day care. Rhio and Rhean stopped studying to help their parents for their younger brothers and sisters. With the current condition besetting the Santiago family, which of the following interventions can lend assistance to them?
            A. refer the children to a hospice care facility
            B. assist Aling Rosa to be referred  to the DSWD for livelihood assistance
            C. give Aling Rosa’s family a  Php 2,000.00 worth of capital for them to put a fishball stand
            D. advise Aling Rosa to use contraceptive pills

57. Every year we discover new methods or gadgets to improve man’s life. The research typed used of this nature is:
            A. applied                                                        C. experimental
            B. developmental                                                           D. quantitative

58. When should the mother give complementary foods to a 5 months old infant?
            A. if the child gives adequate weight for his age
            B. if the child shows interest in semi solid foods
            C. supplementary foods should be given before breastfeeding
            D. if the child is breastfed less than 8 times in 24 hours

59. Hepatitis A is differentiated from hepatitis B by their mode of transmission. Hepatitis B is transmitted through:
            A. insect bites                                                    C. transfusion and injection
            B. urine                                                             D. fecal waste

60. The nurse wants to immunize a 1 year old child for measles. The child has been classified as having pneumonia and no anemia and not very low weight. The child’s mother does not want her child to be immunized and instead they will just return as soon as the child is better. How will the nurse explain the importance of immunizing the child with measles now?
            A. the child’s condition is not a hindrance to immunization according to W.H.O.
            B. the child has lower resistance and more prone to disease
            C. the child will recover faster if the child will be immunized
            D. it is the child’s schedule to have the immunization

61. To implement the case finding aspect of TB control, sputum examination should be done to the following groups:
            A. children 0-9 years old with cough for 2 weeks or more
            B. all persons of all ages above 1 year with symptoms indicative of tuberculosis
            C. children below 10 years old with fever for 3-5 days
            D. all persons ages 10 years and over with progressive loss of weight

62. Mr. Barmonte was brought home with an advance directive, but the nurse is not sure that she can follow his wishes. The nurse should:
            A. follow the directive even though the nurse is uncomfortable with the directives
            B. call Mr. Barmonte’s lawyer
            C. discuss with the interdisciplinary team in charge of Mr. Barmonte and the organization’s ethics committee
            D. ignore the advance directive

63. A term concerning body resistance which refers to protein present in the serum of the blood:
            A. antibodies                                                   C. antigen
            B. antitoxin                                                        D. allergen

64. A health care service in which risk factors are identified, occupational safety measures reduce, and a public education program begun is:
            A. health promotion                                        C. treatment facility
            B. illness prevention                                           D. rehabilitation

65. A community health nurse (CHN) visits the Gomez family weekly. Although family income seems adequate, Mrs. Gomez is unable to budget it over a 4-week period. The nurse asks what may be done to help Mrs. Gomez shrugs her shoulders and says, “Tomorrow may never come.” Mrs. Gomez’s reaction is described as:
            A. reflecting her culture, values, and time orientation
            B. one of not caring about her family’s needs
            C. her belief that income may not be adequate as perceived by the CHN
            D. indicating that her budget needs is a private matter

66. A positive or negative feeling toward a person, object, or idea is known as a/an:
            A. merit                                                             C. moral
            B. value                                                                       D. attitude

67. When the nurse assists the clients in understanding personal values, this is an example of value:
            A. validation                                                      C. clarification
            B. discovery                                                      D. choice

68. While doing a nutritional assessment of a low-income family, the community health nurse determines the family’s diet is inadequate in protein content. The nurse could suggest which of the following foods to increase protein content with little increase in food expenditure?
            A. oranges and potatoes                                     C. rice and macaroni
            B. potatoes and rice                                           D. peas and beans

69. A new mother who is breast-feeding her baby asks the nurse when she should start her feeding baby vegetables. The nurse would suggest the  MOST APPROPRIATE age to begin vegetables is:
            A. 3 to 4 months                                                C. 6 to 8 months
            B. 4 to 5 months                                                D. 9 to 12 months

70. Assessment areas for the nurse is working with the family on health promotion strategies would include:
            A. the television shows that they watch                C. the perceived health status and illness patterns of the
            B. the family and all the relative’s statuses                       D. the mental status of family and friends

71. The nurse manager wishes to implement a new way of determining the vacation schedule for the staff. The senior staff opposes the change while the newer staff seems more accepting of the change. An effective strategy for resolving this difference in acceptance would be to:
            A. explain that the change will occur as designed, regardless of the staff’s preference
            B. tell the staff that if they really do not want the change, it will not be implemented
            C. provide extensive and detailed rationale for the proposed change
            D. encourage each side to share their views with each other

72. The following are the duties of the Public Health Nurse EXCEPT:
            A. leave to the BHW the responsibilities of educating the community
            B. provision of nursing care to the sick and well individuals
            C. provision of technical and administrative support to rural health midwives
            D. conduct of pre and post consultation conference for clinic patients

73. An 8 month old has fast breathing if he has:
 A. 40 breaths per minute                                               C. 38 breaths per minute
             B. 55 breaths per minute                                           D. 45 breaths per minute

74. The following are the concerns of the Public Health Nurse on the third trimester of pregnancy EXCEPT:
            A. advice for the mother to take oral contraceptive
            B. where to give birth
            C. proper timing in the separation of mother to other siblings
            D. type of feeding

75. When a child with persistent diarrhea returns for follow-up visit after 5 days, the nurse should ask the mother if the diarrhea has stopped when:
            A. the child has less than 3 loose bowels per day
            B. the child has 4 semi formed stool
            C. the child has 5 formed stools
            D. the child has 3 loose stools/day

76. In barangay Y, one of the identified problems is unavailability of toilet facility for the residents. The appropriate intervention is:
            A. secure donations in the form of toilet bowls
            B. ask help from local government
            C. none of the above
            D. conduct a community assembly and discuss the consequences of this problems      
77. A home visit is a professional interaction between the community health nurse and his patient or the family. Where could the nurse get available information about the patient or the family to be visited?
            A. document file                                     C. doctor’s office
            B. records and reports                                        D. family health record

78. In planning a home visit, the nurse considers the individual needs. Which of the following is a priority?
            A. needs of all family members                           C. follow-up of medication and treatment
            B. needs recognized by the family                 D. clinic schedules after home visit

79. Which of the following is the  FIRST action of the nurse during a home visit?
            A. greet the client or the household members
            B. state the purpose or objective of the visit
            C. give necessary health teaching
            D. inquire about welfare and health condition of the client

80. Which factor must be considered by the nurse as vital to determine frequency  of the home visit?
            A. available resources                                        C. acceptance of the family
            B. policy of the agency                                       D. past nursing services

81. Eating habits of the family has changed due to the existing fast food establishment in the area. What health risk should you warn the family?
            A. food-borne infection                                              C. increase weight
            B. indigestion                                                     D. hand washing

82. To show a mother how to help her to have good attachment of the infant during breast feeding. Which of the following statement SHOULD NOT be included?
            A. place the infant in your most convenient position
            B. touch the infant’s lips with her nipples
            C. wait until the infant’s mouth is widely open
            D. move the infant quickly onto her breast, aiming the infant’s lips well below the nipple

83. When members of the community identify needs, work on its solutions with confidence in the spirit of cooperation. The process is:
A. nurse’s professional effort                               C. community organizing
B. government assistance                                               D. leadership through traditional leaders

84. In assessing the level of family cohesion, you have determined that the family is very close and has very high loyalty, and members are highly dependent on one another. You would document this as which level of cohesion:
            A. separated                                                      C. connected
            B. enmeshed                                                   D. disengaged

85. Mrs. Ayuyao, 77 year old, has been admitted with pneumonia. Her husband asks the nurse about the living will. As a license nurse, you remember that living wills:
            A. are legally binding in all states
            B. allow the court to decide when the care can be given
            C. allow the individual to express his or her wishes regarding care
            D. allow health workers to withhold fluids and medications

86. Maybelle is scheduled to have an ultrasound examination. What instructions would you give her before her examination?
            A. The intravenous fluid infused to dilate your uterus does not hurt the fetus
            B. you will need to drink at least 3 glasses of fluid before the procedure
            C. void immediately before the procedure to reduce your bladder size
            D. you can have medicine for pain for any contractions cause by the test

87. What is the most common type of health problem seen in the health care system?
            A. poor prenatal care                                          C. immobility
            B. lack of information available to patients  D. increased rate of chronic disease

88. Which of the following is the best type of disease prevention?
            A. immunization                                                 C. community social events
            B. yearly physical exam                                      D. behavior that promotes health

89. Nurses who deliver community-based care must have which of the following qualities?
            A. adaptability                                                    C. ability to be self-directed
            B. tolerance of various lifestyle                            D. all of the above

90. A nurse has scheduled a hypertension clinic. This service would be an example of which of the following types of health care?
            A. tertiary prevention                                         C. primary prevention
            B. secondary prevention                                            D. protection

91. When providing care in a home,  how might the nurse best implement infection control?
            A. cleanse the hands before and after giving direct patient care
            B. remove the patient’s wound dressings from the home
            C. dispose off patient’s syringes in the patient’s garbage
            D. disinfect all work areas in the patient’s home

92. Which of the following is a leading health problem of school-age children?
            A. earaches                                                       C. obesity
            B. attention disorders                                         D. malnutrition

93. If the child does not have ear problem, what should the nurse do?
            A. check for tender swelling behind the ear                      C. check for ear drainage
            B. check for ear pain                                          D. got to diet question, check for malnutrition

94. Nona had her pelvic measurement taken. What size should the ischial tuberosity diameter be, to be considered adequate?
            A. have the width of the symphysis pubis C. 11 cm
            B. 8 cm                                                             D. twice the width of the conjugate diameter

95. In classifying the child’s illness using the IMCI color-coded triage, each illness is classified according to whether it requires the following EXCEPT:
            A. urgent pre-referral treatment and referral                    C. immunization
            B. simple advice on home management                           D. specific medical treatment

96. Which of the following is an example of hostile environment in terms of sexual harassment?
            A. the boss assures you of a big promotion if you go out on a couple of dates with him
            B. your supervisor makes masturbatory gestures every time you walk pass him
            C. the personnel manager hints that the job will be yours if you cooperate sexually with him
            D. your boss suggests that your “raise” is dependent upon having sex with him
97. Which among these activities is the concern of the Primary Level?
            A. administration of BCG vaccine for a 10 days old baby
            B. insertion of a nasogastric tubes to patients
            C. administer diuretics such as furosemide per doctors order
            D. regulate intravenous fluid drop rates

98. Which of the following vaccine in the Expanded Program of Immunization have a 4 weeks interval?
            A. OPV                                                             C. BCG
            B. AMV                                                              D. Tetanus Toxoid

99. The nurse who is planning a health promotion program with clients in the community will have the LEAST focus on:
            A. assisting the clients to make informed decisions
            B. organizing methods to achieve optimal mental health
            C. reducing genetic risk factors for illness
            D. providing information and skills to maintain lifestyle changes

100. A holistic belief system by the nurse would be most evident if the nurse:
            A. incorporates client perceptions of health when planning care
            B. encourages behavior modification program
            C. supports goal-directed learning to improve health
            D. accepts death as an outcome of life
CLICK HERE PART 1  (1 - 50) 'NP1 Nursing Board Exam December 2006 Answer Key 'Community Health Nursing and CAre of Mother and Child'

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