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Bioethics in Nursing Practice Practice Test
Bioethics in Nursing Practice Practice Test
INSTRUCTIONS: Select the correct answer for each of the following questions. Mark only one answer for each item by making the
box corresponding to the letter of your choice on the answer sheet provided.
1.
Which of the following factors should be considered by the nurse in controlling communicable diseases?
A. Skill of the nurse in handling cases
B. Chain of infection of the disease
C. Knowledge of the patient
D. Available resources of the nurse
2.
3.
The nurse must teach family to limit their contact to infected family members during this stage of infection because patient is
highly contagious on this stage of disease.
A. Incubation
B. Prodromal
C. Illness
D. Convalescent
4.
Which of the following factors in the infection cycle serves as a basis in developing infection control methods?
A. Agent causing infection
B. Mode of transmission
C. Portal of entry
D. Susceptibility of the host
5.
The nurse knows that health education is relevant in the prevention of communicable disease because it:
A. improves individuals, families, and community health
B. protects individuals, families, & communities to disease
C. prolongs life of individuals, families and communities
D. prevents disease of individuals, families and communities
6.
Which of the following primary activities should be done by the nurse when handling a contagious patient?
A. Concurrent Disinfection
B. Epidemiological Investigation
C. Handwashing
D. Sterilization
7.
Separation of infected individuals or carriers from other individuals by placing them on conditions that will prevent direct or
indirect transmission of disease is known as?
A. Quarantine
B. Isolation
C. Terminal Disinfection
D. Sterilization
8.
If an individual acquired resistance to disease due the presence of antibodies or cells having specific action on microorganisms or
toxins, the individual is known to have?
A. Immunity
B. Pathogenicity
C. Infective dose
D. Virulence
9.
10. What is the best guide of the nurse in determining isolation of infected individuals?
A. Source of infection
B. Immune status of client
C. Mode of transmission
D. Ability of the client to do precautions
11. Infection acquired by the patient in the hospital is known as?
A. Transmission
B. Quarantine
C. Isolation
D. Nosocomial
12. In the control of communicable disease, the nurse used epidemiology to:
A. Determining factors that have brought the disease
B. Evaluate effectiveness of Under Five
C. Determine efficacy of garlic in preventing hypertension
D. All of the above
13. Which branch of epidemiology is concerned with determining the factors that affect the occurrence and distribution of disease in
the population?
A. Descriptive
B. Therapeutic
C. Analytic
D. Evaluation
14. In 2001, new strain of Polio was reported after it has been eradicated in 2000. This is a best example of a time related
occurrence?
A. Cyclical Variation
B. Short-time fluctuation
C. Secular variation
D. Long-time fluctuation
15. Epidemiology is directly concern with which of the following?
A. Factors influencing occurrence and distribution of disease, defects, disability or death of groups of individuals
B. Vital health statistics
C. Environment sanitation
D. Treatment of communicable disease
16. Immunity by antibody formation during the course of a disease is
A. Active natural
B. Active artificial
C. Passive natural
D. Passive artificial
17. Which of the following communicable diseases have to be monitored by the nurse within 24 hours?
A. Measles
B. Severe Acute Diarrhea
C. AIDS
D. Neonatal Tetanus
Situation: Rene, a month old infant is brought to the pediatrician.
18. Which of the following immunizations should Rene have at his age?
A. BCG, Hepa B 1 vaccine
B. BCG, DPT1, OPV1 vaccine
C. BCG, DPT1, OPV1, Hepa B1 vaccine
D. BCG, Hepa B 1, Measles vaccine
19. After giving BCG, which of the following statements indicates that the mother understood the instructions given by the nurse?
A. It is normal that she will have a wound at the site of injection
B. It is normal that she will have rashes lasting for 2-3 days
C. I will bring her immediately to the clinic if she developed fever
D. I will not bathe my baby for 2 days so as not to remove the vaccine
20. Measles vaccine is administered by the nurse by what route?
A. Intravenous
B. Subcutaneous
C. Intramuscular
D. Intradermal
21. Which of the following response of the nurse is correct if the mother asked the nurse when will she give Paracetamol to her infant
after a dose of DPT vaccine?
A. Give when temperature is 40 degrees Celsius
B. Give at once & every 4 hours round the clock for 24 hours
C. Give at once & when there is pain over injection site
D. Give the baby at least 3 times a day to prevent fever
22. Administration of BCG vaccine provides what type of immunity?
A. Natural Active
B. Natural Passive
C. Artificial Active
D. Artificial Passive
23. Immunity that is inherited by the body through the placenta or and not brought through a previous attack of the disease is known
as?
A. Natural Active
B. Natural Passive
C. Artificial Active
D. Artificial Passive
24. Immunity acquired as a result from previous attack of the disease will develop what type of immunity?
A. Natural Active
B. Natural Passive
C. Artificial Active
D. Artificial Passive
25. If the patient acquired immunity through the administration of immune substances produced by another person will develop what
type of immunity?
A. Natural Active
B. Natural Passive
C. Artificial Active
D. Artificial Passive
26. Maintenance of the cold chain is an important practice to keep the biologicals for immunization potent. Which biologicals
should be stored in the freezer?
A. DPT
B. Measles vaccine
C. None of these
D. Both A & B
27. Which biologicals are destroyed by freezing and therefore should be stored in the refrigerator compartment only?
A. Tetanus Toxoid
B. Hepa B
C. None of these
D. Both A & B
28. To complete Hepa B immunization, how many doses of the biological will you need?
A. 1
B. 2
C. 3
D. 4
29. Children with which condition cannot be given immunization?
A. Cough and colds
B. Diarrhea with dehydration
C. Fever of 38 degrees Celcius
D. Malnutrition
30. During an epidemic of measles, the vaccine will be given to infants at what age?
A. 3 month
B. 6 months
C. 9 months
D. 11 months
31. After giving Polio vaccine, which of the following statements indicate that the mother understood the instructions given by the
nurse?
A. He must be thirsty & I will give him glucose water.
B. I will give my baby paracetamol right away.
C. The vaccine taste awful, he should have some fruit juices.
D. I will withhold feeding for 30 minutes.
32. After the administration of Measles vaccine. The nurse must instruct the mother to:
A. Bring the baby back to the clinic if the baby develop fever and rashes
B. Bring the baby back to the clinic the baby develop abcess at the site
C. Administer antipyretic if the baby develop rashes
D. Administer antibiotic if the baby develop abcess at the site.
33. Vit. A was given after the administration of Measles vaccine. What dosage of Vitamin A is given?
A. 1 cap of 100,000 IU
B. 1 cap of 200,000 IU
C. cap 100,000 IU
D. 1 tablet of 10,000 IU
Situation: A 9 month old baby was brought to the health clinic because of high grade fever, cough and colds, and difficulty of
breathing. The nurse suspects that the child has pneumonia.
34. The nurse should assess for which of the following signs and symptoms?
A. Chest retractions
B. Fast respiratory rate
C. Noisy inspiration
D. All of the above
35. The nurse can say that the child has tachypnea if her respiratory rate is:
A. 30
B. 40
C. 50
D. 60
36. If noisy inspiration is observed, the nurse will classify the child to have:
A. Pneumonia
B. No Pneumonia
C. Very Severe or severe Pneumonia
D. Pulmonary Tuberculosis
37. After assessment, the nurse decided that the child has pneumonia. Management of pneumonia will include:
A. Administration of antibiotic for 5 days
B. Advise to come back after 2 days
C. Teaching the mother to soothe throat
D. All of these actions
38. Which of the following antibiotic will be given by the nurse to the child?
A. Amoxicillin
B. Tetracycline
C. Cotrimoxazole
D. Sulfadoxine
39. If the child is placed on antibiotic treatment, which of the following are important to teach the mother?
A. All these instructions
B. Finish the 5 day treatment even if Anna seems better
C. How much antibiotic will be given, when to give it, and how many times it will be given
D. Bring Anna back to the health center if she is not better after two days of treatment
40. The amount of antibiotic that will be given to the child is:
A. 2.5 ml
B. 5 ml
C. 7.5 ml
D. 10 ml
41. To check whether the mother has understood your instructions, which of the following will you do?
A. None of the above
B. Ask the mother to demonstrate what she has heard
C. Ask the mother to repeat the instructions that you have given
D. Ask the mother if she understood the instructions that you have given.
42. Additional instructions that the nurse will give to the mother will include the following EXCEPT:
A. Soothe the throat and relieve the cough with safe home remedies
B. Limit her food intake to prevent problems such as vomiting
C. Watch for signs of difficulty breathing
D. Bring her back to the health center if her condition worsens.
Situation: Robert, a 30 year old jeepney driver came to health center with complaints of fever, cough lasting for 4 weeks, and loss of
weight. He was suspected to have PTB.
43. Which of the following sets of signs and symptoms would best distinguish tuberculosis from a simple upper respiratory tract
infection:
A. Weight loss, hemoptysis, diarrhea
B. Cough, weight loss, low grade afternoon fever
C. Dyspnea, wheezing, cyanosis
D. Non-productive cough, weight loss, abdominal mass
44. During consultation, Robert was instructed to submit sputum for microscopy. The nurse must instruct Robert to:
A. Breathe in air deeply.
B. At the height of inspiration, cough strongly and spit the sputum in the container.
C. Observe contamination precautions.
D. All of the above
45. After 7 days, results revealed positive sputum microscopy. Robert will undergo what treatment regimen?
A. Regimen 1
B. Regimen 2
C. Regimen 3
D. Regimen 4
46. Anti-TB drugs that will be taken by Robert will be the following:
1. Intensive- Rifampicin, Isoniazid, Pyrazinamide, Ethambutol
2. Intensive- Rifampicin, Isoniazid, Pyrazinamide, Ethambutol, Streptomycin
3.
4.
A.
B.
C.
D.
1&3
2&4
1&4
2&3
A.
B.
C.
D.
69. She was advised for bedrest. The nurse should explain that its chief purpose is to:
A. Control spread of disease
B. Reduce fat breakdown for metabolism
C. Minimize liver damage
D. Decrease circulatory overload
70. Which of these following is used to protect individuals who have been exposed to infectious hepatitis?
A. Hepatitis B Vaccine
B. Anti-Tetanus Serum
C. Human Immune serum globulin
D. Rabies Vaccine
71. It is important for the nurse to know the mode of transmission of the organisms responsible for infectious hepatitis because this
knowledge provides the basis for:
A. Determining the isolation precautions
B. Planning a rehabilitative program
C. Preventing autoinfection
D. Estimating the length of isolation
Situation: Malaria is endemic in the Philippines. Knowledge of the nature of this disease will help the nurse in limiting the cases in
the Philippines.
72. Which of the ff laboratory procedures will confirm diagnosis of Malaria?
A. Stool examination
B. Urine examination
C. CSF examination
D. Blood smear
73. Which of the following control measures aimed to prevent man-mosquito contacts?
A. Mosquito net treated w/ insecticide
B. Use of repellant lotion
C. All of these
D. Use of mosquito coils
74. For plasmodium falciparum infection, which of the following is used as first line of treatment?
A. Pyrimethamine
B. Tetracycline
C. Chloroquine & primaquine tablet
D. Rifampicin
75. Clinical symptoms that you will take note of to confirm Malaria is:
A. High fever, pleural pain, & dyspnea
B. Profuse perspiration w/c lasts for 4-6 hours after chills & fever
C. Slight fever & headache
D. Tingling sensation along the spine
76. Which of the ff control measure is used for the prevention & control of malaria?
A. Use of mosquito coils
B. Releasing of larvivorous fishes in the breeding areas of the mosquitoes
C. Residual spraying
D. Alteration of the breeding places of mosquito vectors
Situation: Mr. Kevin is positive with syphilis.
77. This disease is characterized by:
A. Greenish yellow odorous discharge in females
B. Feeling of dryness & discomfort about genitals & conjunctivitis
C. Chancre at site of entry of germ w/ serrous exudates
D. Painful frequent urination & purulent discharge
78. Which of the following is the best health teaching to prevent syphilis in the community?:
A. Isolation of patient
B. Concurrent disinfection
C. Immunization
D. Avoid the mode of transmission
79. Syphilis can be transmitted to another through:
A. Sexual contact
B. Blood transfusion
C. Any of those mode of transmission
D. Indirect contact