Community Health Nursing Questions III
Community Health Nursing Questions III
Situation 13: Alternative medicines include the use of herbal medicines, and the practice of acupressure, acupuncture and aromatherapy.
61. The herbal plant used for the treatment of rheumatism and gout as it lowers uric acid level is:
a. Ulasimang bato c. Sambong
b. Akapulko d. Yerba Buena
62. Based on the principle that life is the result of Qi or life energy, what is the alternative medicine practice that maintains health, treats diseases, and alleviates pain by massaging certain points on the body surface?
a. Tai Chi c. Acupressure
b. Cupping d. Acupuncture
63. Which of the following refers to ear acupuncture?
a. Auriculotherapy c. Moxibustion
b. Homeopathy d. QiGong
64. Yoga, which is good for spiritual cleansing and rebirth, is an alternative health care that is used for the development of fitness wave. Which among the following is not included as a result of this physical fitness practice?
a. Strength c. Peace
b. Flexibility d. Endurance
65. Which of the following laws paved way for the creation of the Philippine Institute of Traditional and Alternative Health Care?
a. R.A. 7610 c. R.A. 7160
b. R.A. 8423 d. PD 965
Situation 14: All birth attendants shall ensure clean and safe deliveries at home or at the facilities (RHUs/hospitals) and proper nursing care during the post partum periods.
66. Which among the following criteria allows the nurse to perform home deliveries?
a. Mother with a gynecoid pelvis
b. Previous caesarian section
c. Grand multigravida
d. Breech presentation
67. All of the following are considered as pointers for safe home delivery, except:
a. Clean hands c. Clean cord
b. Clean surface d. Clean scissors
68. Nurse Noemi teaches a mother on breastfeeding, but the latter worries about her small breasts. Which of the following statements of the mother indicates that she needs no further instructions?
a. “I need to exercise in order to increase the size of my breast.”
b. “I will shift to infant formula.”
c. “The size of my breasts does not affect lactation.”
d. “My breasts will gradually increase as I breastfeed my baby.”
69. The law that provides mandate for newborn screening is which of the following?
a. R.A. 9288 c. R.A. 7600
b. R.A. 7846 d. R.A. 8749
70. Presidential Decree 651 refers to the Birth Registration Law. Which record should be submitted to the local civil registrar's office within 30 days after the mother's delivery?
a. Municipal Form 102
b. FHSIS/E-3
c. FHSIS/E-2
d. Community tax Certificate
Situation 15: The Department of Health launched in July 1976 the Expanded Program on Immunization (EPI) in cooperation with the World Health Organization (WHO) and the UNICEF.
71. Which law does not pertain to the practice of EPI in the Philippines?
a. P.D. 996 c. P.P. 1066
b. P.P. 773 d. R.A. 3573
72. The EPI is one of the programs being delivered by Community Health Nurses. Which among its principles is pro-people?
a. Case finding and treatment on site
b. A basic health service
c. Based on epidemiological situation
d. Mass approach rather than individuals
73. Among the vaccines, OPV and AMV are the most sensitive to heat. Kept on the freezer, what should be their storage temperature?
a. 15 to 25 c. -2 to -8
b. 2 to 8 d. -15 to -25
74. A child is said to be “Fully Immunized Child” when a child receives which of the following vaccines before a child's first birthday?
a. 1 BCG, 3 OPV, 3 DPT, 3 Hepa B, 1 AMV and 2 TT
b. 1 BCG, 3 OPV, 3 DPT and 3 Hepa B
c. 1 BCG, 3 OPV, 3 DPT, 3 Hepa B and 1 Measles Vaccine
d. 1 BCG, 3 OPV, 3 DPT, 3 Hepa B and 2 Tetanus Toxoid
75. Which among the following statements about immunization is not true?
a. A child with diarrhea who is due for OPV should receive an additional extra dose on the next visit
b. A child should be immunized in the health center before doing any referral
c. DPT2 and DPT3 is contraindicated to a child who has had convulsions or shock within 3 days the previous dose
d. No extra doses must be given to a child who missed any dose of vaccine
Situation 16: Care of children with pulmonary infections is one of the responsibilities of the public health nurse in the community, wherein Control of Acute Respiratory Infections (CARI) Program can be utilized.
76. Which of the following is the principal focus of CARI program of the DOH?
a. Enhance health team capabilities to assess patients
b. Teach mothers and community health workers how to detect and where to refer
c. Mortality reduction through early detection
d. Improve family and community practices and health system
77. Which of the following is the most important responsibility of a nurse in the prevention of unnecessary deaths from pneumonia and other severe diseases?
a. Giving antibiotics as prompt treatment
b. Doing careful focused assessment
c. Taking temperature of the sick child
d. Weighing the sick child
78. Mianne, a public health nurse, was able to identify factors that lead to respiratory problems in the community where her health facility serve. Her primary role therefore in order to reduce morbidity due to pneumonia is:
a. Make a home visit to families with sick children
b. Seek assistance and mobilize health workers
c. Refer identified ARI problems to nearest hospital
d. Teach mothers how to recognize early signs and symptoms of pneumonia
79. In responding to the concerns of children with severe disease, referral to the hospital is essential especially if the child manifests which of the following?
a. Difficulty to awaken or sleeping abnormality
b. Lower chest indrawing
c. Wheezing with chest indrawing
d. Fast breathing with stridor
80. While on treatment, Jermel, 18 months old weighed 18 kgs and her temperature registered at 37°C. Her mother says she developed cough 3 days ago. Jermel has no general danger signs. She has 45 breaths/minute, no chest indrawing, no stridor. With Jermel's condition, what should the nurse do?
a. Classify the child's condition as severe pneumonia
b. Classify the child's condition as pneumonia
c. Give amoxicillin BID for 3 days
d. Assess further the condition of the child by giving a trial of rapid-acting inhaled bronchodilator
Situation 17: Keno Langot, 4 years old, has had diarrhea for 5 days. He weighs 15 kg. There is no blood in the stool, he is irritable. His eyes are sunken. Nurse Pangitaon offers fluid to Keno and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly.
81. Nurse Pangitaon should classify the child's condition as:
a. No dehydration
b. Some dehydration
c. Severe dehydration
d. Severe persistent diarrhea
82. In treating the condition of the child, nurse Pangitaon knows that she should utilize which treatment plan?
a. Plan A c. Plan C
b. Plan B d. Plan D
83. How many milliliter (ml) will be given to Keno in 4 hours?
a. 700-900 ml c. 1000-1200 ml
b. 800-1100 ml d. 900-1400 ml
84. If a child vomits while receiving ORS, what is the most appropriate action?
a. Discontinue taking the ORS
b. Wait for 10 minutes, then continue but more slowly
c. Measure the amount of vomitus
d. Switch the oral rehydration to fruit juices
85. After 4 hours of giving interventions to Keno, the child has one sign each both in the pink and yellow rows. Nurse Pangitaon should classify this condition as:
a. Severe dehydration c. Mild dehydration
b. Some dehydration d. No dehydration
Situation 18: The following conditions refer to conditions of sick children.
86. Clair who had recently traveled to a malaria-risk area developed fever with stiff neck. The child can be classifies by the public health nurse as:
a. Very Severe Febrile Disease/Malaria
b. Very Severe Febrile Disease
c. Malaria
d. Fever: Malaria Unlikely
87. If a child with a fever of 38.8°C is blood smear positive with no runny nose, the nurse should do the following as forms of specific treatment, except:
a. Treat the child with an oral antimalarial drug
b. Give first dose of quinine
c. Give one dose of paracetamol
d. Advise to follow up in 2 days if fever persists
88. Angeli is classified as having Measles with Eye or Mouth Complications should be given which of the following for pus draining from the eye?
a. Gentian violet
b. Tetracycline eye ointment
c. First dose of antibiotics
d. Vitamin A
89. Jeremy, who lived in a dengue risk area, develops fever and experienced bleeding episodes from the nose and was tested positive in tourniquet test. The nurse should classify the child under which card color?
a. Red c. Green
b. Yellow d. Pink
90. Bo Kugon who has visible severe wasting or severe palmar pallor should be classified as:
a. Severe malnutrition/anemia
b. Moderate malnutrition/anemia
c. Anemia or Very low weight for age
d. Malnutrition with severe anemia
Situation 19: Ear problems are among the common conditions found in children especially in poor communities.
91. If a child has an ear problem, the nurse should do the following for assessment, except:
a. Determine presence of ear pain
b. Ask if there is any fever
c. Look for ear discharges
d. Check for swelling behind the ears
92. Nurse Toto found out that the ear discharge has been present for less than 2 weeks. This can be classified by Nurse Toto as what condition?
a. Mastoiditis
b. Chronic ear infection
c. Acute ear infection
d. No ear infection
93. The ear discharge has been present for more than 14 days. After doing specific treatment, Nurse Toto counseled the mother to bring back her child to the center after how many days for follow-up check-up?
a. 2 days c. 5 days
b. 3 days d. 7 days
94. Upon focused ear assessment, Nurse Toto decides that the child has severe classification because of ear problem. Utilizing the pink card, the best thing that Nurse Toto should do is:
a. Urgently refer the child to the nearest hospital
b. Give amoxicillin for 3 days
c. Teach the mother how to dry the ear of the child by wicking
d. Instruct the mother to return her child in 5 days
95. If the child does not have ear problem, what should Nurse Toto do following the protocol of IMCI chart?
a. Check for other problems
b. Check for danger signs
c. Check for immunization status
d. Check for nutritional status
Situation 20: The nurse should know the following IMCI treatment standards using appropriate medications.
96. When giving an appropriate oral antibiotic for a child with pneumonia, acute ear infection, very severe disease, and mastoiditis, the nurse knows that the first line drug is:
a. Amoxicillin c. Nalidixic acid
b. Penicillin d. Cotrimoxazole
97. When treating dysentery, which one is considered as the first line of drug?
a. Nalidixic acid c.Tetracycline
b. Ciprofloxacin d. Cotrimoxazole
98. Which of the following antimalarial drugs is considered as the first line drug?
a. Sulfadoxine and Pyrimethamine
b. Primaquine
c. Chloroquine
d. Artemeter-Lumefantrine
99. Nurse Bella Dona knows that a child should be given albendazole as a single advised dose in the center, except if:
a. Hookworm/whipworm infection is a problem among children in the area
b. Child is 2 years of age or older
c. Child did not have a dose of the drug in the previous 6 months
d. Child complains of severe abdominal pain
100. To treat oral thrush, the mother should:
a. All mentioned below
b. Wash hands
c. Wash mouth with clean soft cloth wrapped around the finger and wet with salt water
d. Paint the mouth with half-strength gentian violet
Community Health Nursing Answers III
60. Answer: A
Rationale: Hospital waste management program is an important requirement for registration and renewal of licenses of newly constructed and existing hospitals.
61. Answer: A Rationale: Ulasimang bato or Pansit-pansitan (Peperonia pellucida) is the herbal plant used for the treatment of rheumatism and gout as it lowers uric acid level.
62. Answer: C Rationale: Based on the principle that life is the result of Qi or life energy, Acupressure is the alternative medicine practice that maintains health, treats diseases, and alleviates pain by massaging certain points on the body surface. Tai Chi (option A) is also known as the Chinese shadow boxing. Cupping (option B) uses suctions. Acupuncture (option D) uses needles.
63. Answer: A Rationale: Auriculotherapy is also known as ear acupuncture. Homeopathy (option B) uses diluted remedy. Moxibustion (option C) uses heat on acupuncture site. QiGong (option D) uses gentle movement, deep breathing and meditation. QiGong is the activation (Gong) of life energy (Qi).
64. Answer: C Rationale: Yoga, which is good for spiritual cleansing and rebirth, is an alternative health care that is used for the development of fitness wave. It promotes strength, flexibility and endurance.
65. Answer: B Rationale: Republic Act 8423 or the Traditional and Alternative Medicine Act paved way for the creation of the Philippine Institute of Traditional and Alternative Health Care. Option A is the Anti-child Abuse Law (R.A. 7610). Option C is the Devolution Law (R.A. 7160). Option D requires that couples intending to get married must first undergo a family planning an responsible parenthood instruction prior to the issuance of a marriage license.
66. Answer: A Rationale: The following are qualified for home delivery: full term; less than 5 pregnancies; cephalic presentation; without existing diseases such as diabetes, bronchial asthma, heart disease, hypertension, goiter, tuberculosis and sever anemia; no history of complications like hemorrhage during previous deliveries; no history of difficulty delivery and prolonged labor; no previous caesarian section; imminent deliveries; no premature rupture of membranes (bag of water); adequate pelvis (gynecoid); and abdominal enlargement is appropriate for age of gestation.
67. Answer: D Rationale: The 3 pointers during home deliveries are Clean hands , Clean surface and Clean cord.
68. Answer: C Rationale: When breastfeeding it is important to teach mothers that the size of their breasts doesn't affect lactation. Option A is incorrect because exercise doesn't increase the size of the breasts. Option B is incorrect because breastfeeding is encouraged and recommended for the first six months of an infant's life. Option D is incorrect because will not increase in size when the baby breastfeed on it.
69. Answer: A Rationale: Republic Act 9288 or the Newborn Screening Act is the law that provides mandate for newborn screening. Option B is the national Hepatitis B Immunization Act (R.A. 7846). Option C is the Rooming in and Breastfeeding Act (R.A. 7600). Option D is the Clean Air Act (R.A. 8749).
70. Answer: A Rationale: Municipal Form 102 or the Birth Certificate is the record that should be submitted to the local civil registrar's office within 30 days after the mother's delivery. This is according to the Birth Registration Law or Presidential Decree 651. FHSIS/E-3 (option B) refers to the Perinatal death report. FHSIS/E-2 (option C) refers to the maternal death report. Community tax Certificate (option D) is the cedula.
71. Answer: D Rationale: The Department of Health launched in July 1976 the Expanded Program on Immunization (EPI) in cooperation with the World Health Organization (WHO) and the UNICEF. There are laws that pertain to the practice of EPI in the Philippines. Presidential Decree 996 (option A) is Compulsory Immunization Act, providing for compulsory basic immunization for infants and children below 8 years of age. Presidential Proclamation 773 is the declaration of April 17 and May 15 and every third Wednesday of April and May from 1996 to 2000 as “Knock Out Polio Days.” Presidential Proclamation 1066 is the Tetanus elimination campaign, declaring a national neonatal tetanus elimination campaign starting 1997. Republic Act 3573 (option D) is not connected with EPI because it is the Communicable Disease Act.
72. Answer: D Rationale: The EPI is one of the programs being delivered by Community Health Nurses. One of its principles that is considered as pro-people is the principle that states “The whole community rather than just the individual is to be protected, thus mass approach is utilized.”
73. Answer: D Rationale: Among the vaccines, OPV and AMV (vowels) are the most sensitive to heat. They are to be kept on the freezer with a storage temperature of -15 to -25°C. Those vaccines least sensitive to heat such as DPT, Hepa B, BCG and TT (consonants) are stored in the body of the refrigerator with a storage temperature of 2 to 8°C.
74. Answer: C Rationale: A child is said to be “Fully Immunized Child” when a child receives 1 BCG, 3 OPV, 3 DPT, 3 Hepa B and 1 Measles Vaccine before a child's first birthday.
75. Answer: A Rationale: In Immunization, no extra doses must be given to a child who missed any dose of vaccine making option A incorrect. Options B, C and D are correct statements.
76. Answer: B Rationale: The principal focus of CARI program of the DOH is to teach mothers and community health workers how to detect and where to refer.
77. Answer: B Rationale: Doing careful focused assessment is the most important responsibility of a nurse in the prevention of unnecessary deaths from pneumonia and other severe diseases. This is because a thorough assessment supported with laboratory results is necessary for the classification, confirmation and the treatment of the disease.
78. Answer: D Rationale: The principal focus of CARI program of the DOH is to teach mothers and community health workers how to detect and where to refer.
79. Answer: A Rationale: Difficulty to awaken or sleeping abnormality is one of the danger signs. It should be classified in the pink row and referral to the nearest hospital is an essential intervention.
80. Answer: D Rationale: Before classifying the child as Pneumonia, the child is assess further by giving a trial of rapid-acting inhaled bronchodilator. This is to rule out Asthma, since children with asthma also exhibits fast breathing. If the symptom still persists then by now the child can be classified as having pneumonia. The patient in the situation is manifesting fast breathing because base on her age, which is 18 months, it is considered fast breathing when her respiratory rate exceeds 40 breaths/minute (1-5 years old).
81. Answer: B Rationale: The child is classified under Some dehydration because he manifested more than 2 symptoms in the yellow row. They are as follows: irritable, sunken eyes, drinks eagerly and skin pinch goes back slowly.
82. Answer: B Rationale: Since the child is classified under the yellow row, the appropriate intervention is following Plan B, which is the administration of ORS (oral rehydration solution). Plan A (option A) is used for children classified under the green row that requires only home management. Plan C (option C) is the administration of IVF that is used for children classified under the pink row. There is no Plan D.
83. Answer: C Rationale: When giving ORS to a child, the nurse first check if the weight is available before considering the age. By simply multiplying the child's weight with 75 (15 kg x 75 = 1125 ml), you can determine the amount of ORS to be given. Option D is correct if the weight is not mentioned or unavailable (2-5 years old = 900-1400 ml).
84. Answer: B Rationale: If a child vomits while receiving ORS, the appropriate action of the nurse is to wait for 10 minutes, then continue giving the ORS but more slowly.
85. Answer: B Rationale: If the child has one sign each both in the pink and yellow rows, the child is classified under the yellow row (Some dehydration).
86. Answer: A Rationale: A child who has just traveled to a malaria-risk area and exhibiting fever with stiff neck should be classified under the pink row (Very Severe Febrile Disease/Malaria).
87. Answer: B Rationale: A child with a positive blood smear with no runny nose is classified under the yellow row. The following are specific treatments to be given: Treat the child with an oral antimalarial drug (option A); Give one dose of paracetamol (option C); and Advise to follow up in 2 days if fever persists (option D).
88. Answer: B Rationale: Tetracycline eye ointment is given to patients with pus draining from their eyes. Gentian violet (option A) is for mouth ulcers.
89. Answer: D Rationale: A child who lived in a dengue risk area, develops fever and experienced bleeding episodes from the nose and was tested positive in tourniquet test should be classified under the pink row.
90. Answer: A Rationale: A child manifesting visible severe wasting or severe palmar pallor should be classified under the pink row (Severe malnutrition/anemia).
91. Answer: B Rationale: When assessing children for ear infection, the nurse should determine first presence of ear pain and swelling behind the ears, look for ear discharges, and ask the duration if it is acute or chronic. Asking for the presence of fever (option B) is inappropriate.
92. Answer: C Rationale: Ear infection that has been present for less than 14 days are considered acute while those exceeding 14 days are classified as chronic.
93. Answer: C Rationale: In chronic ear infection, the nurse should counsel the mother to bring back her child to the center after 5 days.
94. Answer: A Rationale: The appropriate intervention for a child classified under the pink row is the urgent referral of the child to the nearest hospital.
95. Answer: D Rationale: In performing IMCI, the nurse should follow the correct sequence of assessment. They are as follows: IMCI ARI, IMCI CDD, IMCI Fever, IMCI Ear problem, Malnutrition, Immunization and other local bacterial infection.
96. answer: A Rationale: According to the new IMCI chart, Amoxicillin is the appropriate oral antibiotic for a child with pneumonia, acute ear infection, very severe disease, and mastoiditis.
97. Answer: B Rationale: According to the new IMCI chart, Ciprofloxacin is the first line drug for treating dysentery.
98. Answer: D Rationale: According to the new IMCI chart, Artemeter-Lumefantrine is considered as the first line antimalarial drug.
99. Answer: D Rationale: A child should be given albendazole as a single advised dose in the center if: Hookworm/whipworm infection is a problem among children in the area; the child is 2 years of age or older; and the child did not have a dose of the drug in the previous 6 months.
100. Answer: A Rationale: To treat oral thrush, the mother should do the following interventions: Wash hands; Wash mouth with clean soft cloth wrapped around the finger and wet with salt water; and Paint the mouth with half-strength gentian violet.
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