.
DAVAO ** BAGUIO ** ILOILO ** GENSAN **
CABANATUAN MANILA HEAD OFFICE
COMPREHENSIVE EXAMINATION NURSE LICENSURE –
NURSING PRACTICE II SET A
NURSING PRACTICE II: COMMUNITY HEALTH NURSING AND
CARE OF THE MOTHER AND
CHILD
GENERAL INSTRUCTIONS:
1. This test booklet contains 100 test questions.
2. Read INSTRUCTIONS TO EXAMINEES printed on your
answer sheet.
3. Shade only one (1) box for each question on your answer
sheets. Two or more boxes shaded
will invalidate your answer.
4. AVOID ERASURES.
5. This is PRC property. Unauthorized possession,
reproduction, and/or sale of this test is
punishable by law. Per RA 8981.
INSTRUCTIONS:
1. Detach one (1) answer sheet from the bottom of your
Examinee ID/Answer Sheet Set.
2. Write the subject title “Nursing Practice II” on the box
provided.
3. Shade Set Box “A” on your answer sheet if your test
booklet is Set A; Set Box “B” if your
test booklet is Set B.
SITUATION: Immunization is necessary in order to save
lives, not only for children but also for the
mother. 1. Tetanus vaccination is given to the mother. How
many years will TT4 last?
A. 3 B. 5 C. 10 D. Life
2. TT1 will give how many percent protections to the
mother?
A. 75% B. 80% C. 90% D. 99%
3. What TT gives protection to all infants born to that
mother who received that specific vaccination?
A. TT2 B. TT5 C. TT3 D. TT4
4. In a population of 77,500. What is your estimate of the
population of pregnant woman needing
tetanus toxoid vaccination?
A. 2712.5 B. 2713 C. 2325 D. 2332.5
5. Which of the following is an inactivated toxin?
A. BCG B. Measles C. Tetanus Toxoid D. Hepatitis B
6. TT administration uses what route?
A. IM B. IV C. SQ D. Oral
7. Christina receives DPT 3 during infancy. The first TT
vaccination for her will
provide:
A. 5 years protection C. 3 years protection
B. 10 years protection D. No protection until the second TT
vaccination
8. Measles vaccination provides atleast how many percent
of protection in children age 9
months?
A. 50% B. 75% C. 80% D. 99%
9. The most common fatal complication of measles is
usually associated with:
A. Pneumonia B. Diarrhea C. LTB D. Seizures
10. Which of the following immunization is a plasma
derivative?
A. BCG B. Measles C. Tetanus toxoid D. Hepatitis B
SITUATION: Diagnostic examinations performed in pregnant
clients are useful in determining the
health of the unborn child. The following questions refer
this.
11. Instruction to the mother prior to amniocentesis
includes:
A. Ask the woman to void
B. Tell her that 30 ml of amniotic fluid will be taken
C. Ask the woman to drink
D. Instruct to lie in left lateral position
12. Amniocentesis can be done as early as:
A. 6-8
th week B. 11-12
th week C. 14-16
th week D. 18-20
th week 13. The rationale of voiding
prior to amniocentesis is to:
A. Prevent puncture to the vagina C. Prevent vena cava
syndrome B. Prevent puncture
to the bladder D. Promote comfort during the procedure
14. After the procedure, the woman is instructed the rest
quietly for a period of: A. 8 hours B.
30 minutes C. 15 minutes D. 4 hours
15. If Amniocentesis reveals a low value, the physician
might suspect genetic or chromosomal
abnormality such as Down syndrome. Genetic testing is
another viable option for the family. The
nurse should know that genetic testing should only be done
if:
A. Both parents want it performed C. It is necessary for the
child to survive B. It is in
the best interest of the child D. No one objects
16. Francis is admitted in active labor. The nurse locates A. 40 breaths per minute or more C. 30 breaths per minute
fetal heart sounds in the upper left quadrant or more B. 50 breaths per
of the mother’s abdomen. The nurse would recognize minute D. 60 breaths per minute
which of the following? 23. Nina, the 2
A. Francis will probably deliver very quickly and without nd child has diarrhea for 5 days. There is no blood in the
problems] stool. She is irritable, and her
B. This indicates Francis will probably have a breech delivery eyes are sunken. The nurse offered fluids and and the child
C. The fetus is in the most common anterior fetal positions drinks eagerly. How would you classify
D. this position is referred to as being left anteriopelvic Nina’s illness?
17. Maybelle is scheduled to have an ultrasound A. Some dehydration C. Severe dehydration B. Dysentery D.
examination. What instructions would you give her No dehydration
before her examination? 24. Nina’s treatment should include the following EXCEPT:
A. The intravenous fluid infused to dilate your uterus does A. Reassess the child and classify him for dehydration
not hurt the fetus B. For infants under 6 months old who are not breastfed,
B. you will need to drink at least 3 glasses of fluid before the give 100-200 ml clean water as well
procedure C. void immediately before the procedure to during this period
reduce your bladder C. Give in the health center the recommended amount of
size ORS for 4 hours.
D. you can have medicine for pain for any contractions D. Do not give any other foods to the child for home
cause by the test treatment
2 25.While on treatment, Nina 18 months old weighed 18 kgs.
18. At 17 weeks’ gestation, a type 1 diabetic undergoes an and her temperature registered at 37
ultrasound examination. What information degrees C. Her mother says she developed cough 3 days
about the fetus at this time in pregnancy would be the ago. Nina has no general danger signs.
results of this examination provide? She has 45 breaths/minute, no chest in-drawing, no stridor.
A. Placental maturity C. Gestational age How would you classify Nina’s
B. Estimated fetal weight D. Fetal lung maturity manifestation?
19. Fetal lung maturity is depicted by an L:S Ratio of: A. No pneumonia C. Pneumonia
A. 2:1 B. 1:2 C. 3:3 D. 2:2 20. Genetic counselling can also be B. Severe pneumonia D. Bronchopneumonia
performed. The ideal SITUATION: There are other important basic knowledge in
time for genetic counselling is: the performance of our task as
A. When the first born child exhibit defects or malformation Community Health Nurse in relation to IMMUNIZATION,
B. After marriage these include:
C. At the first trimester of pregnancy 26. The correct temperature to store vaccines in a
D. Before the first pregnancy refrigerator is:
SITUATION: Two children were brought to you. One with A. Between -4 deg C and +8 deg C
chest indrawing and the other had diarrhea. B. Between 2 deg C and +8 deg C
The following questions apply: C. Between -8 deg C and 0 deg C
21. Using Integrated Management and Childhood Illness D. Between -8 deg C and +4 deg C
(IMCI) approach, how would you classify the 3
1 27. Which of the following vaccines is not done by
st child? intramuscular (IM) injection?
A. Bronchopneumonia C. Severe pneumonia A. Measles vaccine C. Hepa-B vaccine
B. No pneumonia: cough or cold D. Pneumonia B. DPT D. Tetanus toxoids
22. The 1 28. This vaccine content is derived from RNA recombinants.
st child who is 13 months has fast breathing using IMCI A. Measles C. Hepatitis B vaccines
parameters he has: B. Tetanus toxoids D. DPT
29. This is the vaccine needed before a child reaches one (1)
year in order for him/her to qualify as a
“Fully immunized child”.
A. DPT B. Measles C. Hepatitis B D. BCG
30. Which of the following dose of tetanus toxoid is given to
the mother to protect her infant from
neonatal tetanus and likewise provide 10 years protection
for the mother?
A. Tetanus toxoid 3 C. Tetanus toxoid 1
B. Tetanus toxoid 2 D. Tetanus toxoid 4
31. The nurse instructs the caregivers of a newborn to
notch the diapers or fold them in such a way as
to expose the cord. The major purpose of exposing the cord
is to:
A. Remind caregivers to do cord care C. Provide air
circulation for the cord B. Keep the
diaper from rubbing the cord D. Allow visualizations at all
times
32. The level of health of an individual, family, group,
population, or community is called:
A. Health assets C. Quality of life
B. Health status D. Health needs
33. The nurse is teaching a group of expectant mothers
about the prevention of diaper dermatitis. The
nurse explains that one of the preventive measures is the
use of:
A. Absorbent disposable diapers C. Plastic panties over
diapers B. Baby powder or
cornstarch D. Cloth diaper
34. The Code of Nurses
A. Delineates all obligations and responsibilities of the nurse
B. Is a binding oath, which tells nurses how to make ethical
decisions
C. Assists the nurse in formulating a personal belief system
D. Supports the concept of respect for all persons
35. The obligation to correctly perform one’s assigned
duties is:
A. Delegation C. Responsibility
B. Assignment D. Accountability
SITUATION: You are working as a Pediatric Nurse in you
own Child Health Nursing Clinic. The
following cases pertain to ASSESSMENT AND CARE OF THE
NEWBORN AT RISK conditions.
36. Theresa, a mother with a 2 year old daughter asks, “at
what age can I be able to take the blood
pressure of my daughter as a routine procedure since
hypertension is common in the family?” Your
answer to this is:
A. At 10 years old you may
B. As early as 1 year old
C. When she’s 3 years old
D. When she’s 6 years old
4
37. You typically gag children to inspect the back of their
throat. When is it important NOT to elicit a
gag reflex?
A. When a girl has a geographic tongue C. When a child has
symptoms of epiglottitis
B. When a boy has a possible inguinal hernia D. When
children are under 5 years of age
38. Baby John was given a drug at birth to reverse the
effects of a narcotic given to his mother in
labor. What drug is commonly used for this?
A. Naloxone (Narcan) C. Sodium Chloride
B. Morphine Sulfate D. Penicillin G
39. Why are small-for-gestational-age newborns at risks for
difficulty maintaining body temperature?
A. They do not have as many fat stores as other infants
B. They are more active than usual so throw off covers
C. Their skin is more susceptible to conduction of cold
D. They are preterm so are born relatively small in size
40. Baby John develops hyperbilirubinemia. What is a
method used to treat hyperbilirubinemia in a
newborn?
A. Keeping infants in a warm and dark environment
B. Administration of cardiovascular stimulant
C. Gentle exercise to stop muscle breakdown
D. Early feeding to speed passage of meconium
41. 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
42. 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
43. 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
44. 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
45. 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:
5 B. Increased urine output D. Decreased heart rate
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
46. 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
47. 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 files C. Doctor’s office
B. Records and reports D. Family health record
48. 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
49. 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
50. 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
SITUATION: In the toddler period, enormous changes take
place in a child and, consequently, in a
family. As a nurse, we must support the child’s growing
independence with patience and sensitivity and
learn methods of handling the child’s frustrations that arise
from the quest for autonomy. The following
questions are about the care of the toddler patient.
51. Which assessment finding is an early sign of heart
failure in a toddler?
A. Increased respiratory rate C. Decreased weight
52. The physician prescribes digoxin (Lanoxin) elixir for a
toddler with heart failure. Immediately
before administering this drug, the nurse must check the
toddler's:
A. Serum sodium level.
B. Urine output.
C. Weight.
D. Apical pulse.
53. A 2-year-old child with a low blood level of the
immunosuppressive drug cyclosporine comes to a
liver transplant clinic for her appointment. The mother says
the child hasn't been vomiting and
6
hasn't had diarrhea, but she admits that her daughter
doesn't like taking the liquid medication.
Based on knowledge of the drug, which of the following
would the nurse instruct the mother to
do?
A. Let your daughter take her medication only when she
wants it; it's okay for her to miss some
doses.
B. Offer the medication diluted with regular milk, chocolate
milk, or orange juice to
make it
more palatable.
C. Insert a nasogastric (NG) tube and administer the
medication using the tube as ordered by
the physician.
D. Give the ordered dose a little bit at a time over 2 hours
to ensure administration of the
medication.
54. A toddler is hospitalized with multiple injuries. Although
the parent states that the child fell down
the stairs, the child's history and physical findings suggest
abuse as the cause of the injuries.
What should the nurse do first?
A. Refer the parent to a support group such as Parents
Anonymous.
B. Report the incident to the proper authorities.
C. Prepare the child for foster care placement.
D. Restrict the parent from the child's room.
55. The mother of a hospitalized 3-year-old girl expresses
concern because her daughter is wetting
the bed. What should the nurse tell her?
A. "It's common for a child to exhibit regressive behavior
when anxious or
stressed." B. "Your child is probably angry about being
hospitalized. This is her way of acting
out." C. "Don't worry. It's common for a 3-year-old child to
not be fully toilet-trained." D.
"The nurses probably haven't been answering the call
button soon enough. They will try to
respond more quickly."
56. A 2-year-old child is brought to the emergency
department with a history of upper airway
infection that has worsened over the last 2 days. The nurse
suspects the child has croup. Signs of
croup include a hoarse voice, inspiratory stridor, and:
A. A barking cough C. Sudden onset
B. A high fever D. Dysphagia
57. A toddler with bacterial meningitis is admitted to the
inpatient unit. Which infection control
measure should the nurse be prepared to use?
A. Reverse isolation C. Standard precautions
B. Strict hand washing D. Respiratory isolation
58. An 18-month-old male child is admitted to the pediatric
unit with a diagnosis of celiac disease.
What finding would the nurse expect in this child?
A. A concave abdomen C. A protuberant abdomen B. Bulges
in the groin area
D. A palpable abdominal mass
59. A toddler with a ventricular septal defect (VSD) is
receiving digoxin (Lanoxin) to treat heart failure.
The nurse should monitor the child for early signs of digoxin
toxicity, which include:
A. Dradycardia
B. Tachycardia
C. Hypertension
D. Hyperactivity
7
60. For a child with a circumferential chest burn, what is the
most important factor for the nurse to
assess?
A. Wound characteristics C. Breathing pattern
B. Body temperature D. Heart rate
SITUATION: Elvira is asking questions during labor and
delivery.
61. Elvira didn’t recognize for over an hour that she was in
labor. A sign of true labor is:
A. Sudden increase energy from epinephrine release
B. “Nagging” but constant pain in the lower back.
C. Urinary urgency from increased bladder pressure.
D. “Show” or release of the cervical mucus plug.
62. Elvira asks you which fetal position and presentation are
ideal. Your best answer would be:
A. Right occipitoanterior with full flexion C. Right
occipitoposterior with no flexion B.
Left transverse anterior in moderate flexion D. Left
sacroanterior with full flexion
63. Elvira is having long and hard uterine contractions.
What length of contraction would you report as
abnormal?
A. Any length over 30 seconds C. A contraction that peaks at
20 seconds B. A contraction
over 70 seconds in length D. A contraction shorter than 60
seconds
64. You assess Elvira’s uterine contractions. In relation to
the contraction, when does a late
deceleration begin?
A. Forty-five seconds after the contraction is over.
B. Thirty seconds after the start of a contraction.
C. After every tenth or more contraction.
D. After a typical contraction ends.
65. Elvira has an amniotomy. After this procedure, which of
the following would be an important
nursing assessment?
A. Ask her if her pain level is tolerable postprocedure.
B. Assess maternal heart rate to detect possible bleeding.
C. Assess fetal heart rate to detect possible cord prolapsed.
D. Document the amount of amniotic fluid that has been
lost.
SITUATION: Donna is a client in labor
66. Donna asks you what is the purpose of a doula in labor.
Your best answer would be:
A. She times contractions and keeps them from becoming
too lengthy.
B. She can cook for a woman in labor to keep her from
becoming dehydrated.
C. She can serve as a support person and coach during
labor.
D. She replaces the husband as a woman’s support person.
67. Donna asks you if she could use warm-water tub
bathing during labor. Your best answer would be:
A. No. No one is allowed to tub bathe during labor.
B. Yes, as long as her membranes are not ruptured.
C. No, because warm water can diminish labor contractions
D. Yes, as long as the warm water doesn’t raise her
temperature.
68. Donna chooses to have epidural anesthesia. What are
the two risks associated with this?
A. Hypotension and prolonged second stage of labor.
B. Severe headache and coldness of all extremities.
C. Continued back pain and short first stage of labor
D. Hypertension and a reduced red blood cell count.
8 television. What would you suggest?
69. There is no reason to think that Donna will need a
general anesthetic. If she did, what type of drug
is usually prescribed to minimize the risk of aspiration of
vomitus?
A. An anticonvulsant such as diazepam (Valium).
B. A nerve relaxant such as Phenobarbital.
C. Metoclopramide (Reglan) to speed gastric emptying.
D. Oxytocin to increase the effectiveness of labor
70. Donna reports in early labor she isn’t having much pain.
You assess that her contractions are
also not strong. What position usually promotes efficient
uterine contractions in any labor?
A. Sitting or standing C. Lying prone
B. Lying supine D. Side-lying position
SITUATION: Angelo is 2 ½ year old boy you see at a pediatric
clinic. His mother tells you that he has
changed completely in the past 6 months from an easy-to-
care-for a baby into a “monster” who
refuses to do anything she asks. The only word he says
anymore is “no.” He has a temper tantrum
every night at dinner over some type of food. She tells you
this has changed parenting from “fun” to a
“real chore.” Angelo has a sister, Celina, a toddler.
71. What kind of sentence should Angelo, a 2 year old, have
mastered?
A. Red ripe tomatoes C. Old McDonald
B. Daddy come D. Please, please
72. Angelo answers every request of his mother by saying
“No!” How can she minimize this?
A. Tell Angelo she doesn’t want him to say no anymore.
B. Answer all Angelo’s questions by saying, No!
C. Reduce the number of questions she asks Angelo.
D. Explain he is not using good communication skills.
73. Angelo’s mother uses “timeout” for punishment. What
is a good rule for this?
A. The child should sit still for as many minutes as his age.
B. The child should sit still for as many minutes as he
misbehaved.
C. Timeout activities can include quiet play or reading
books.
D. Children are not ready for timeout until schoolage.
74. Celina asks constant questions. How many does a typical
3-year-old ask in a day’s time? A. Less
than 50 B. 100-200 C. 300-400 D. 1,200 or more
75. Celina’s parents want to know how to react to her when
she begins to masturbate while watching
A. They give her “time out” when this begins.
B. They refuse to allow her to watch television.
C. They remind her some activities are private.
D. They schedule for a health check up for vaginal disease.
SITUATION: Nursing research is the term used to describe
the evidence used to support nursing
practice. Nursing, as an evidence based area of practice, has
been developing since the time of
Florence Nightingale to the present day, where many
nurses now work as researchers based in
universities as well as in the health care setting.
76. Mr. DSJ Plans to undertake a research of Community 1
and 2 on how they manage their health
using Primary health care after an organization and training
seminars. This type of research is:
A. Experimental
B. Historical
C. Descriptive
D. Basic
77. The independent variable is:
9 85. After your management of Kiko’s condition. Your
A. Primary Health Care C. Organization and training
seminars B. Community 1 and 2 D.
Management of their health
78. In this design, the variable that is being manipulated is
1. Independent 3. Dependent
2. Organization and training seminars 4. Management of
Primary Health Care A. 1, 2 B.
1, 4 C. 2, 3 D. 3, 4 79. In general, the research process
follows the ff. ordered sequence:
1. Determination of design 4. Collection and analysis of data
2. Statement of the
problem 5. Review of related literature 3. Definition of
variables
A. 2, 5, 3, 1, 4 C. 2, 5, 3, 4, 1
B. 3, 5, 4, 1, 2 D. 2, 5, 1, 3, 4
80. Studies done in natural setting such as this one, posses
difficulty of controlling which variable?
A. Independent B. Dependent C. Extraneous D. Organismic
SITUATION: Kiko, 7 weeks old, was brought by his mother to
the health center because of diarrhea
occurring 4 to 5 times a day.
81. Your assessment revealed that Kiko has sunken eyes
and he is restless and irritable. What will be
your diagnosis?
A. No sign of dehydration
B. Some dehydration
C. Severe dehydration
D. You need to asses him further to be able to make a
diagnosis
82. Based on your diagnosis, which of the following is best
done for Kiko?
A. Accompany Chico to the nearest facility where IV fluids
can be given
B. Give Chico 200 to 400 ml. Oresol in 4 hours
C. Give Chico’s mother instruction in home management
D. Keep him in your health center for close observation
83. In Kiko’s assessment, what other problems do you have
to consider?
A. The presence of blood on his stools C. Fever or
hypothermia
B. Severe undernutrition D. All of these
84. Kiko’s mother says Chico has been having diarrhea for 6
days now. You will decide that Kiko has:
A. Acute diarrhea C. Persistent Diarrhea
B. You cannot be certain D. Sub-acute diarrhea
assessment revealed that he has no more sign of
dehydration. What instruction will you give to Kiko’s
mother?
A. Continue breastfeeding him frequently
B. Give him Oresol 50-100ml after every loose stool
C. Observed him for danger sign
10
D. All of these instruction
SITUATION: Ear infections are the most common cause of
deafness in low income areas. The nurse
should be able to assess early signs and symptoms of ear
infection in order to prevent hearing loss,
which in turn, leads to learning problems.
86. Among the following, the most serious complication of
an ear infection is:
A. Hearing loss C. Pain
B. Mastoiditis D. Deafness leading to Learning problems 87.
Which of the following
behavior best suggests that the child is experiencing ear
pain?
A. Frequent tugging of the ear C. Voracious appetite
B. Sleepiness D. Irritability
88. An ear infection of 15 days is classified as:
A. Acute otitis media C. Mastoiditis
B. Chronic otitis media D. Subacute otitis media
89. If the child presents with swelling and tenderness
behind the ear, how would you classify this child?
1. Green
2. Yellow
3. Pink
4. Urgent referral plus a dose of antibiotic and paracetamol
5. Treat with the same 5 day antibiotic treatment as
pneumonia
6. Dry the ear by wicking
A. 1, 6 B. 2, 5 C. 3, 4 D. 1, 4 90. All of the following are
danger signs that needs to be routinely
checked in all children except:
A. Convulsions C. Blood in the stool
B. Lethargy D. Vomiting
91. Nursing is to assist an individual sick or well in the
performance of activities that contributes to
health and recovery is a definition based on the theory of:
A. Virginia Henderson C. Madeleine Leininger
B. Dorothea Orem D. Faye Abdellah
92. Which of the following questions by the nurse would be
best fit the philosophy of the nursing
mutual participation model of care (NMPMC)?
A. “Have you brushed your child’s teeth today?”
B. “How does your child look to you today?”
C. “Where have you been all morning?”
D. “Do you think your child’s color is worse”?
93. There are numerous definitions of the word “health”.
Which definition below is from Florence
Nightingale?
A. A state or a process of being and becoming an integrated
and whole person
B. The state of being free from illness or injury
C. Being well and using every power the individual
possesses to the fullest extent D.
A state of complete physical, social, and mental well-being
and not merely the absence of
disease or infirmity
94. Informal communication takes place when individuals
talk and is best described by saying the
participants:
11
A. Are involved in a preexisting informal relationship
B. Talk with slang words
C. Have no particular agenda or protocol
D. Are relaxed
95. Tertiary care by the home health nurse is directed
toward children with:
A. Problems in mobility C. Minor problems
B. Short-term needs D. Clinically apparent disease 96. The
endometrium
thickens during which phase of the menstrual cycle?
A. Secretory phase C. Proliferative phase
B. Menstrual phase D. Ischemic phase
97. The nurse is preparing to auscultate fetal heart tones in
a pregnant client. Abdominal palpation
reveals a hard, round mass under the left side of the rib
cage; a softer, round mass just above the
symphysis pubis; small, irregular shapes in the right side of
the abdomen; and a long, firm mass
on the left side of the abdomen. Based on these findings,
what is the best place to auscultate fetal
heart tones?
A. Right lower abdominal quadrant C. Left upper abdominal
quadrant B. Right
upper abdominal quadrant D. Left lower abdominal
quadrant
98. A measurement tool to articulate the nursing workload
for a specific patient or groups of
patients over a specific period of time is called:
A. Staffing pattern C. Benchmarking
B. Skill mix D. Patient classification
99. The mother of a 9 month-old infant is concerned that
the head circumference of her baby is
greater than the chest circumference. The BEST response by
the nurse is:
a. “These circumference normally are the same, but in
some babies this just differs.”
b. “Perhaps your baby was small for gestational age or
premature.”
c. “This is normal until the age of 1 year, when the chest will
be greater.” d. “Let me
ask you a few questions, and perhaps we can figure out the
cause of this difference.”
100. Karen, A 28 year old post hysterectomy client has
come to the health center. She inquired about
BSE and asked you when BSE should be performed. You
answered her that BSE Is best
performed:
A. 7 days after menstruation C. During menstruation
B. At the same day each month D. Before menstruation
Study. Study in earnest. If you are to be salt and light, you
need knowledge. Or do you
imagine that an idle and lazy life will entitle you to receive
infused knowledge?
END OF EXAM
AIM HIGH NURSES!!! GOD BLESS
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