calorin intake for breast-feeding.
By how much should a
COMMUNITY HEALTH NURSING AND CARE OF THE
MOTHER AND CHILD
Situation 1 - Nurse Minette is an independent Nurse
Practitioner following-up referred clients in their
respective homes. Here she handles a case of
POSTPARTIAL MOTHER AND FAMILY focusing on HOME
CARE.
1. Nurse Minette needs to schedule a first home visit to
OB client Leah. When is a first home-care visit typically
made?
a. Within 4 days after discharge
b. Within 24 hours after discharge
c. Within 1 hour after discharge
d. Within 1 week of discharge
2. Leah is developing constipation from being on bed
rest. What measures would you suggest she take to
help prevent this?
a. Eat more frequent small meals instead of three large
one daily
b. Walk for at least half an hour daily to stimulate
peristalsis
c. Drink more milk, increased calcium intake prevents
constipation
d. Drink eight full glasses of fluid such as water daily
3. If you were Minette, which of the following actions,
would alert you that a new mother is entering a
postpartial at taking-hold phase?
a. She urges the baby to stay awake so that she can
breast-feed him in her
b. She tells you she was in a lot of pain all during labor
c. She says that she has not selected a name fir the baby
as yet
d. She sleeps as if exhausted from the effort of labor
4. At 6-week postpartum visit what should this
postpartial mother's fundic height be?
a. Inverted and palpable at the cervix
b. Six fingerbreadths below the umbilicus
c. No longer palpable on her abdomen
d. One centimeter above the symphysis pubis
5. This postpartal mother wants to loose the weight she
gained in pregnancy, so she is reluctant to increase her
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lactating mother increase her caloric intake during the
first 6 months after birth?
a. 350 kcal/day
b. 5CO kcal/day
c. 200 kcal/day
d. 1,000 kcal/day
Situation 2 - As the CPES is applicable for all professional
nurse, the professional growth and development of
Nurses with specialties shall be addressed by a Specialty
Certification Council.
The following questions apply to these special groups of
nurses.
6. Which of the following serves as the legal basis and
statute authority for the Board of nursing to
promulgate measures to effect the creation of a
Specialty Certification Council and promulgate
professional development programs for this group of
nurse-professionals?
a. R.A. 7610
b. R.A. 223
c. R.A. 9173
d. R.A. 7164
7. By force of law, therefore, the PRC-Board of Nursing
released Resolution No. 14 Series of the entitled:
"Adoption of a Nursing Specialty Certification Program
and Creation of Nursing Specialty Certification Council."
This rule-making power is called:
a. Quasi-Judicial Power
b. Regulatory Power
c. Quasi/Legislative Power
d. Executive/Promulgation Power
8. Under the PRC-Board of Nursing Resolution
promulgating the adoption of a Nursing Specialty-
Certification Program and Council, which two (2) of the
following serves as the strongest for its enforcement?
(a) Advances made in science aid technology have
provided the climate for specialization in almost all
aspects of human endeavor and
(b) As necessary consequence, there has emerged a new
concept known as globalization which seeks to remove
barriers in trade, .industry and services imposed by the
national laws of countries all over the world; and
(c) Awareness of this development should impel the
nursing sector to prepare our people in the services
sector to meet .the above challenges; and

(d) Current trends of specialization in nursing practice
recognized by; the International Council of Nurses (ICN)
of which the Philippines is a member for the benefit of
the Filipino in terms of deepening and refining nursing
practice and enhancing the quality of nursing care.
a. b & c are strong justification
b. a & b are strong justification
c. a & c are strong justification
d. a & d are strong justification
9. Which of the following is NOT a correct statement as
regards Specialty Certification?
a. The Board of Nursing intended to create the Nursing
Specialty Certification Program as a means of
perpetuating the creation of an elite force of Filipino
Nurse Professionals
b. The Board of Nursing shall oversee the administration
of the NSCP through the various Nursing Specialty
Boards which will eventually, be created
c. The Board of Nursing at the time exercised their
powers under R.A. 7164 in order to adopt the creation of
the Nursing Specialty Certification /council and Program
d. The Board of Nursing consulted nursing leaders of
national nursing associations and other concerned
nursing groups which later decided to ask a special group
of nurses of .the program for nursing specialty
certification
10. The NSCC was created for the purpose of
implementing the Nursing Specialty policy under the
direct supervision and stewardship of the Board of
Nursing. Who shall comprise the NSCC?
a. A Chairperson who is the current President of the APO
a member from .the Academe, and the last member
coming from the Regulatory Board
b. The Chairperson and members of the Regulatory
Board ipso facto acts as the CPE Council
c. A Chairperson, chosen from among the Regulatory
Board Members, a Vice Chairperson appointed by the
BON at-large; two other members also chosen at-large;
and one representing the consumer group
d. A Chairperson who is the President of the Association
from the Academe; a member from the Regulatory
Board, and the last member coming from the APO
Situation 3 - Nurse Anna is a new BSEN graduate and has
just passed her Licensure Examination for Nurses in the
Philippines. She has likewise been hired as a new
Community Health Nurse in one of the Rural Health
Units in their City, which of the following conditions may
201
be acceptable TRUTHS applied to Community Health
Nursing Practice.
11. Which of the following is the primary focus of
community health nursing practice?
a. Cure of illnesses
b. Prevention of illness
c. Rehabilitation back to health
d. Promotion of health
12. In community health nursing, which of the following
is our unit of service as nurses?
a. The Community
b. The Extended Members of every family
c. The individual members of the Barangay
d. The Family
13. A very important part of the Community Health
Nursing Assessment Process includes
a. the application of professional judgment in estimating
importance of facts to family and community
b. evaluation structures arid qualifications of health
center team
c. coordination with other sectors in relation to health
concerns
d. carrying out nursing procedures as per plan of action
14. In community health nursing it is important to take
into account the family health with an equally
important need to perform ocular inspection of the
areas activities which are powerful elements of:
a. evaluation
b. assessment
c. implementation
d. planning
15. The initial step in the PLANNING process in order to
engage in any nursing project or parties at the
community level involves:
a. goal-setting
b. monitoring
c. evaluation of data
d. provision of data
Situation 4 - Please continue responding as a
professional nurse in these other health situations
through the following questions.
16. Transmission of HIV from an infected individual to
another person occurs:
a. Most frequency in nurses with needlesticks
b. Only if there is a large viral load in the blood
c. Most commonly as a result of sexual contact
d. In all infants born to women with HIV infection
17. The medical record of a client reveals a condition in
which the fetus cannot pass through the maternal
pelvis. The nurse interprets this as:
a. Contracted pelvis
b. Maternal disproportion
c. Cervical insufficiency
d. Fetopelvic disproportion
18. The nurse would anticipate a cesarean birth for a
client who has which infection present at the onset of
labor?
a. Herpes simplex virus
b. Human papilloma virus
c. Hepatitis
d. Toxoplasmosia
19. After a vaginal examination, the nurse»e
determines that the client's fetus is in an occiput
posterior position. The nurse would anticipate that the
client will have:
a. A precipitous birth
b. Intense back pain
c. Frequent leg cramps
d. Nausea and vomiting
20. The rationales for using a prostaglandin gel for a
client prior to the induction of labor is to:
a. Soften and efface the cervix
b. Numb cervical' pain receptors
c. Prevent cervical lacerations
d. Stimulate uterine contractions
Situation 5 - Nurse Lorena is a Family Planning and
Infertility Nurse Specialist and currently attends to
FAMILY PANNING CLIENTS AND INFERTILE COUPLES. The
following conditions pertain to meeting the nursing of
this particular population group.
21. Dina, 17 years old, asks you how a tubal ligation
prevents pregnancy. Which would be the best answer?
202
a. Prostaglandins released from the cut fallopian tubes
can kill sperm
b. Sperm cannot enter the uterus, because the cervical
entrance is blocked
c. Sperm can no longer reach the ova, because the
fallopian tubes are blocked
d. The ovary no longer releases ova, as there is no where
for them to go
22. The Dators are a couple undergoing testing for
infertility. Infertility is said to exist when:
a. a woman has no uterus
b. a woman has no children
c. a couple has been trying to conceive for 1 year
d. a couple has wanted a child for 6 months
23. Another client names Lilia is diagnosed as having
endometriosis. This condition interferes with the
fertility because:
a. endometrial implants can block the fallopian tubes
b. the uterine cervix becomes inflamed and swollen
c. ovaries stop producing adequate estrogen
d. pressure on the pituitary leads to decreased FSH levels
24. Lilia is scheduled to have a hysterosalpingogram.
Which of the following, instructions would you give her
regarding this procedure?
a. She will not be able to conceive for 3 months after the
procedure
b. The sonogram of the uterus will reveal any tumors
present
c. Many women experience mild bleeding as an after
effect
d. She may feel some cramping when the dye is inserted
25. Lilia's cousin on the other hand, knowing nurse
Lorena's specialization asks what artificial insemination
by donor entails. Which would be your best answer if
you were Nurse Lorena?
a. Donor sperm are introduced vaginally into the uterus
or cervix
b. Donor sperm are injected intra-abdominally into each
ovary
c. Artificial sperm are injected vaginally to test tubal
patency
d. The husband's sperm is administered intravenously
weekly
Situation 6 - There are other important basic knowledge

in the performance of our task as Community Health
Nurse in relation to IMMUNIZATION these include:
26. The correct temperature to store vaccines in a
refrigerator is:
a. between -4 deg C and +8 deg C
b. between 2 deg C and +8 deg C
c. between -8 deg C and 0 deg C
d. between -8 deg C and +8 deg C
27. Which of the following vaccines is not done by
intramuscular (IM) injection?
a. Measles vaccine
b. DPT
c. Hepa B vaccines
d. DPT
28. This vaccine content is derived from RNA
recombinants:
a. Measles
b. Tetanus toxoids
c. Hepatitis B vaccines
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
b. Tetanus toxoid 2
c. Tetanus toxoid 1
d. Tetanus toxoid 4
Situation 7 - Records contain those, comprehensive
descriptions of patient's health conditions and needs and
at the same serve as evidences of every nurse's
accountability in the, care giving process. Nursing
records normally differ from institution to, institution
nonetheless they follow similar patterns of .meeting
needs for specifics, types of information. The following
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pertalos to documentation/records management.
31. This special form used when the patient is admitted
to the unit. The nurse completes, the information in
this records particularly his/her .basic personal data,
current illness, previous health history, health history
of the family, emotional profile, environmental history
as well as physical assessment together with nursing
diagnosis on admission. What do you call this record?
a. Nursing Kardex
b. Nursing Health History and Assessment Worksheet
c. Medicine and Treatment Record
d. Discharge Summary
32. These, are sheets/forms which provide an efficient
and time saving way to record information that must
be obtained repeatedly at regular and/or short
intervals, of .time. This does not replace the progress
notes; instead this record of information on vital signs,
intake and output, treatment, postoperative care,
postpartum care, and diabetic regimen, etc., this is
used whenever specific measurements or observations
are needed to-be documented repeatedly. What is
this?
a. Nursing Kardex
b. Graphic Flow sheets
c. Discharge Summary
d. Medicine and Treatment Record
33. These records show all medications and treatment
provided on a repeated basis. What do you call this
record?
a. Nursing Health History and Assessment Worksheet
b. Discharge Summary
c. Nursing Kardex
d. Medicine and Treatment Record
34. This flip-over card is usually kept in a portable file at
the Nurses Station. It has 2-parts: the activity and
treatment section and a nursing care plan section. This
carries information about basic demographic data,
primary medical diagnosis, current orders of the
physician to be carried out by the nurse, written
nursing care plan, nursing orders, scheduled tests and
procedures, safety precautions in-patient care and
factors related to daily living activities/ this record is
used in the charge-of-shift reports or during the beside
rounds or walking rounds. What record is this?
a. Discharge Summary
b. Medicine and Treatment Record
c. Nursing Health History and Assessment Worksheet
d. Nursing Kardex
35. Most nurses regard this as conventional recording
of the date, time and mode by which the patient leaves
a healthcare unit but this record includes importantly,
directs of planning for discharge that starts soon after
the' person is admitted to a healthcare institution, it is
accepted that collaboration or multidisciplinary
involvement (of all members of the health team) in
discharge results in comprehensive care. What do you
call this?
a. Discharge Summary
b. Nursing Kardex
c. Medicine and Treatment Record
d. Nursing Health History and Assessment Worksheet
Situation 8 - As Filipino Professional Nurses we must be
knowledgeable, about the Code of Ethics for Filipino
Nurses and practice these by heart. The next questions
pertain to this Code of Ethics.
36. Which of the following is TRUE about the Code of
Ethics of Filipino Nurses?
a. The Philippine Nurses Association for being the
accredited professional organization was given the
privilege to formulate a Code of Ethics which the Board
of Nurses promulgated
b. Code of Nurses was first formulated in 1982 published
in the Proceedings of the Third Annual Convention of the
PNA House of Delegates
c. The present code utilized the Code of Good
Governance for the Professions in the Philippines
d. Certificate of Registration of registered nurses; may be
revoked or suspended for violations of any provisions of
the Code of Ethics
37. Based on the Code of Ethics for Filipino Nurses,
what is regarded as the hallmark of nursing
responsibility and accountability?
a. Human rights of clients, regardless of creed and
gender
b. The privilege of being a registered professional nurses
c. Health, being a fundamental right of every individual
d. Accurate documentation of actions and outcomes
38. Which of the following nurses behavior is regarded
as a violation of the Code of Ethics of Filipino Nurses?
204
a. A nurse withholding harmful information to the family
members of a patient
b. A nurse declining commission sent by a doctor for her
referral
c. A nurse endorsing a person running for congress
d. Nurse Reviewers and/or nurse review center
managers who pays a considerable amount of cash for
reviewees who would memorize items from the
Licensure exams and submit these to them after the
examination
39. A nurse should be cognizant that professional
programs for specialty certification by the Board of
Nursing are accredited through the
a. Professional Regulation Commission
b. Nursing Specialty Certification Council
c. Association of Deans of Philippine Colleges of Nursing
d. Philippine Nurse Association
40. Mr. Santos, R.N. works in a nursing home, and he
knows that one of his duties is to be an advocate for his
patients. Mr. Santos knows a primary duty of an
advocate is to:
a. act as the patient's legal representative
b. complete all nursing responsibilities on time
c. safeguard the well being of every patient
d. maintain the patient's right to privacy
Situation 9 - Nurse Joanna works as an OB-Gyne Nurse
and attends to several HIGH-RISK PREGNANCIES:
Particularly women with preexisting of Newly Acquired
illness. The following conditions apply.
41. Bernadette is a 22-year old woman. Which
condition would make her more prone than others to
developing a Candida infection during pregnancy?
a. Her husband plays gold 6 days a week
b. She was over 35 when she became pregnant
c. She usually drinks tomato juice for breakfast
d. She has developed gestational diabetes
42. Bernadette develops a deep-vein thrombosis
following an auto accident and is prescribed heparin
sub-Q. What should Joanna educate her about in regard
to this?
a. Some infants will be born with allergic symptoms to
heparin
b. Her infant will be born with scattered petechiae on his
trunk

c. Heparin can cause darkened skin in newborns
d. Heparin does not cross the placenta and so does not
affect a fetus
43. The cousin of Bernadette with sickle-cell anemia
alerted Joanna that she may need further instruction
on prenatal care. Which statement signifies this fact?
a. I've stopped jogging so I don't risk becoming
dehydrated
b. I take an iron pull every day to help grown new red
blood cells
c. I am careful to drink at least eight glasses of fluid
everyday
d. 1 understand why folic acid is important for red cell
formation
44. Bernadette routinely takes acetylsalicylic acid
(aspirin) for arthritis. Why should she limit or
discontinue this toward the end of pregnancy?
a. Aspirin can lead to deep vein thrombosis following
birth
b. Newborns develop a red rash from salicylate toxicity
c. Newborns develop withdrawal headaches from
salicylates
d. Salicyates can lead to increased maternal bleeding at
childbirth
45. Bernadette received a laceration on her leg from
her automotive accident. Why are lacerations of lower
extremities potentially more serious in pregnant
women than others?
a. Lacerations can provoke allergic responses because of
gonadothropic hormone
b. Increased bleeding can occur from uterine pressure on
leg veins
c. A woman is less able to keep the laceration clean
because o f her fatigue
d. Healing is limited during pregnancy, so these will not
heal until after birth
Situation 10 - Still in your self-managed Child Health
Nursing Clinic, your encounter these cases pertaining to
the CARE OF CHILDREN WITH PULMONARY AFFECTIONS.
46. Josie brought her 3-rnonths old child to your clinic
because of cough and colds. Which of the following is
your primary action?
a. Give contrimoxazole tablet or syrup
b. Assess the patient using the chart on management of
205
children with cough
c. Refer to the doctor
d. Teach the mother how to count her child's bearing
47. In responding to the care concerns of children with
severe disease, referral to the hospital of the essence
especially if the child manifests which of the following?
a. Wheezing
b. Stopped bleeding
c. Fast breathing
d. Difficulty to awaken
48. Which of the following is the most important
responsibility of a nurse in the prevention of necessary
deaths from pneumonia and other severe diseases?
a. Giving of antibiotics
b. Taking of the temperature of the sick child
c. Provision of Careful Assessment
d. Weighing of the sick child
49. You were able to identify factors that lead to
respiratory problems in the community where your
health facility serves. Your primary role therefore in
order to reduce morbidity due to pneumonia is to:
a. Teach mothers how to recognize early signs and
symptoms of pneumonia
b. Make home visits to sick children
c. Refer cases to hospitals
d. Seek assistance and mobilize the BHWs to have a
meeting with mothers
50. Which of the following is the principal focus on the
CARI program of the Department of Health?
a. Enhancement of health team capabilities
b. Teach mothers how to detect signs and where to refer
c. Mortality reduction through early detection
d. Teach other community health workers how to assess
patients
Situation 11 - You are working as a Pediatric Nurse in
your own Child Health Nursing Clinic, the following cases
pertain to ASSESSMENT AND CARE OP THE NEWBORN AT
RISK conditions.
51. Theresa, a mother with a 2 year old daughter asks,
"at what are 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 2 years you may
b. As early as 1 year old
c. When she's 3- years old
d. When she's 6 years old?
52. You typically gag children to inspect the back of
their throat. When is it important NOT to solicit a gag
reflex?
a. when a girl has a geographic tongue
b. when a boy has a possible inguinal hernia
c. when a child has symptoms of epiglottitis
d. when children are under 5 years of age
53. 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)
b. Morphine Sulfate
c. Sodium Chloride
d. Penicillin G
54. 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 infant’s
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
55. Baby John develops hyperbilirubinemia. What is a
method used to treat hyperbilirubinemia in a newborn?
a. Keeping infants in a warm arid dark environment
b. Administration of a cardiovascular stimulant
c. Gentle exercise to stop muscle breakdown
d. Early feeding to speed passage of meconium
Situation 12 - You are the nurse in the Out-Patient-
Department and during your shift you encountered
multiple children's condition. The following questions
apply.
56. You assessed a child with visible severe wasting, he
has:
a. edema
b. LBM
c. kwashiorkor
d. marasmus
57. Which of the following conditions is NOT true about
206
contraindication to immunization?
a. do not give DPT2 or DPT3 to a child who has
convulsions within 3 days of DPT1
b. do not give BOG if the child has known hepatitis .
c. do not give OPT to a child who has recurrent
convulsion or active neurologic disease
d. do not give BCG if the child has known AIDS
58. Which of the following statements about
immunization is NOT true:
a. A child with diarrhea who is due for OPV should
receive the OPV and make extra dose on the next visit
b. There is no contraindication to immunization if the
child is well enough to go home
c. There is no contraindication to immunization if the
child is well enough to go home and a child should be
immunized in the health center before referrals are both
correct
d. A child should be immunized in the center before
referral
59. A child with visible severe wasting or severe palmar
pallor may be classified as:
a. moderate malnutrition/anemia
b. severe malnutrition/anemia
c. not very tow weight no anemia
d. anemia/very low weight
60. A child who has some palmar pallor can be
classified as:
a. moderate anemia/normal weight
b. severe malnutrition/anemia
c. anemia/very low weight
d. not very low eight to anemia
Situation 13 - Nette, a nurse palpates the abdomen of
Mrs. Medina, a primigravida. She is unsure of the date of
her last menstrual period. Leopold's Maneuver is done.
The obstetrician told mat she appears to be 20 weeks
pregnant. .
61. Nette explains this because the fundus is:
a. At the level the umbilicus, and the fetal heart can be
heard with a fetoscope
b. 18 cm, and the baby is just about to move
c. is just over the symphysis, and fetal heart cannot be
heard
d. 28 cm, and fetal heart can be heard with a Doppler

62. In doing Leopold's maneuver palpation which
among the following is NOT considered a good
preparation?
a. The woman should lie in a supine position wither
knees flexed slightly
b. The hands of the nurse should be cold so that
abdominal muscles would contract and tighten
c. Be certain that your hands are warm (by washing them
in warm water first if necessary)
d. The woman empties her bladder before palpation
63. In her pregnancy, she experienced fatigue and
drowsiness. This probably occurs because:
a. of high blood pressure
b. she is expressing pressure
c. the fetus utilizes her glucose stores and leaves her
with a Sow blood glucose
d. of the rapid growth of the fetus
64. The nurse assesses the woman at 20 weeks
gestation3 and expects the woman to report:
a. Spotting related to fetal implantation
b. Symptoms of diabetes as human placental lactogen is
released
c. Feeling fetal kicks
d. Nausea and vomiting related HCG production
65. If Mrs. Medina comes to you for check-up on June 2,
her EDO is June 11, what do you expect during
assessment?
a. Fundic ht 2 fingers below xyphoid process, engaged
b. Cervix close, uneffaced, FH-midway between the
umbilicus and symphysis pubis
c. Cervix open, fundic ht. 2 fingers below xyphoid
process, floating .
d. Fundic height at least at the level of the xyphoid
process, engaged
Situation 14: - Please continue responding as a
professional nurse in varied health situations through
the following questions.
66. Which of the following medications would the
nurse expect the physician to order for recurrent
convulsive seizures of a 10-year old child brought to
your clinic?
a. Phenobarbital
207
b. Nifedipine
c. Butorphanol
d. Diazepam
67. RhoGAM is given to Rh-negative women to prevent
maternal sensitization from occurring. The nurse is
aware that in addition to pregnancy, Rh-negative
women would also receive this medication after which
of the following?
a. Unsuccessful artificial insemination procedure
b. Blood transfusion after hemorrhage
c. Therapeutic or spontaneous abortion
d. Head injury from a car accident
68. Which of the following would the nurse include
when describing the pathophysiologv of gestational
diabetes?
a. Glucose levels decrease to accommodate fetal growth
b. Hypoinsulinemia develops early in the first trimester
c. Pregnancy fosters the development of carbohydrate
cravings
d. There is progressive resistance to the effects of insulin
69. When providing prenatal education to a pregnant
woman with asthma, which of the following would be
important for the nurse to do?
a. Demonstrate how to assess her blood glucose
b. Teach correct administration of subcutaneous
bronchodilators
c. Ensure she seeks treatment for any acute
exacerbation
d. Explain that she should avoid steroids during her
pregnancy
70. Which of the following conditions would cause an
insulin-dependent diabetic client the most difficulty
during her pregnancy?
a. Rh incompatibility
b. Placenta previa
c. Hyperemesis gravidarum
d. Abruption placentae
Situation 15 - One important toot a community health
nurse uses in the conduct of his/her activities is the CHN
Bag. Which of the following BEST DESCRIBES the use of
this vital facility for our practice?
71. The Community/Public Health Bag is:
a. a requirement for home visits
b. an essential and indispensable equipment of the
community health nurse
c. contains basic medications and articles used by the
community health nurse
d. a tool used by the Community health nurse is
rendering effective nursing procedure during a home
visit
72. What is the rationale in the use of bag technique
during home visit?
a. It helps render effective nursing care to clients or
other members of the family
b. It saves time and effort of the nurse in the
performance of nursing procedures
c. It should minimize or prevent the spread of infection
from individuals to families
d. It should not overshadow concerns for the patient
73. Which among the following is important in the use
of the bag technique during home visit?
a. Arrangement of the bag's contents must be
convenient to the nurse
b. The bag should contain all necessary supplies and
equipment ready for use
c. Be sure to thoroughly clean your bag especially when
exposed to communicable disease cases
d. Minimize if not totally prevent the spread of infection
74. This is an important procedure of the nurse during
home visits?
a. protection of the CHN bag
b. arrangement of the contents of the CHM bag
c. cleaning of the CHN bag
d. proper handwashing
75. In consideration of the steps in applying the bag
technique, which side of the paper lining of the CHN
bag is considered clean to make a non-contaminated
work area?
a. The lower lip
b. The outer surface
c. The upper lip
d. The inside surface
Situation 16 - As a Community Health Nurse relating with
people in different communities, and in the
implementation of health programs and projects you
experience vividly as well the varying forms of leadership
208
and management from the Barangay Level to the Local
Government/Municipal City Level.
76. The following statements can correctly be made
about Organization and management?
A. An organization (or company) is people. Values make
people persons: values give vitality, meaning and
direction to a company. As the people of an organization
value, so the company becomes.
B. Management is the process by which administration
achieves its mission, goals, and objectives
C. Management effectiveness can be measured in terms
of accomplishment of the purpose of the organization
while management efficiency is measured in terms of
the satisfaction of individual motives
D. Management principles are universal therefore one
need not be concerned about people, culture, values,
traditions and human relations.
a. B and C only
b. A, B and D only
c. A and D only
d. B, A, and C only
77. Management by Filipino values advocates the
consideration of the Filipino goals trilogy according to
the Filipino priority-values which are:
a. Family goals, national goals, organizational goals
b. Organizational goats, national goals, family goals
c. National goals, organizational goals, family goals
d. Family goals, organizational goals, national goals
78. Since the advocacy for the utilization of Filipino
value-system in management has been encouraged, the
Nursing sector is no except, management needs to
examine Filipino values and discover its positive
potentials and harness them to achieve:
a. Employee satisfaction
b. Organizational commits .ants, organizational
objectives and employee satisfaction
c. Employee objectives/satisfaction, commitments and
organizational objectives
d. Organizational objectives, commitments and
employee objective/satisfaction
79. The following statements can correctly be made
about an effective and efficient community or even
agency managerial-leader.
A. Considers the achievement and advancement of the
organization she/he represents as well as his people

B. Considers the recognition of individual efforts toward
the realization of organizational goals as well as the
welfare of his people
C. Considers the welfare of the organization above all
other consideration by higher administration
D. Considers its own recognition by higher
administration for purposes of promotion and prestige
a. Only C and D are correct
b. A, C and D are correct
c. B, C, and D are correct
d. Only A and B are correct
80. Whether management at the community or agency
level, there are 3 essential types of skills managers
must have, these are:
A. Human relation skills, technical skills, and cognitive
skills
B. Conceptual skills, human relation/behavioral skills,
and technical skills
C. Technical skills, budget and accounting skills, skills in
fund-raising
D. Manipulative skills, technical skills, resource
management skills
a. A and D are correct
b. B is correct
c. A is correct
d. C and D are correct
Situation 17 - You are actively practicing nurse who just
finished your Graduate Studies. You earned the value of
Research and would like to utilize the knowledge and
skills gained in the application of research to Nursing
service. The following questions apply to research.
81. Which type of research Inquiry investigates the
issue of human complexity (e.g. understanding the
human expertise)
a. Logical position
b. Naturalistic inquiry
c. Positivism
d. Quantitative Research
82. Which of the following studies is based on
quantitative research?
a. A study examining the bereavement process in
spouses of clients with terminal cancer
b. A study exploring factors influencing weight control
behavior
c. A study measuring the effects of sleep deprivation on
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wound healing
d. A study examining client's feelings before, during and
after a bone marrow aspiration
83. Which of the following studies is based on
qualitative research?
a. A study examining clients reactions to stress after
open heart surgery
b. A study measuring nutrition and weight, loss/gain in
clients with cancer
c. A study examining oxygen levels after endotracheal
suctioning
d. A study measuring differences in blood pressure
before during and after a procedure
84. An 85 year old client in a nursing home tells a nurse,
"I signed the papers for that research study because the
doctor was so insistent and I want: him to continue
taking care of me." Which client right is being violated?
a. Right of self determination
b. Right to privacy and confidentiality
c. Right to full disclosure
d. Right not to be harmed
85. "A supposition or system of ideas that is proposed
to explain a given phenomenon," best defines:
a. a paradigm
b. a concept
c. a theory
d. a conceptual framework
Situation 18 - Nurse Michelle works with a Family
Nursing Team in Calbayog Province specifically handling
a UNICEF Project for Children. The following conditions
pertain, to CARE OP THE FAMILIES PRESCHOOLERS.
86. Ronnie asks constant questions. How many does a
typical 3-year-old ask in a day's time?
a. 1,200 or more
b. Less than 50
c. 100-200
d. 300-400
87. Ronnie will need to change to a new bed because
his baby sister will need Ronnie's old crib. What
measure would you suggest that his parents take to
help decrease sibling rivalry between Ronnie and his
new sister?
a. Move him to the new bed before the baby arrives 93. An ear discharge that has been present for more
b. Explain that new sisters grow up to become best than 14 days can be classified as:
friends
c. Tell him he will have to share with the new baby a. mastoditis
d. Ask him to get his crib ready for the new baby b. chronic ear infection
c. acute ear infection
88. Ronnie's parents want to know how to react to him d. complicated ear infection
when he begins to masturbate while watching
television. What would you suggest? 94. An ear discharge that has been present for jess than
14 days can be classified as:
a. They refuse to allow him to watch television
b. They schedule a health check-up for sex-related a. chronic ear infection
disease b. mastoditis
c. They remind him that some activities are private c. acute ear infection
d. They give him "timeout" when this begins d. complicated ear infection

89. How many words does a typical 12-month-old 95. If the child has severe classification because of ear
infant use? problem, what would be the best thing that you as the
nurse can do?
a. About 12 words
b. Twenty or more words a. instruct mother when to return immediately
c. About 50 words b. refer urgently
d. Two, plus "mama" and "dada" c. give an antibiotic for 5 days
d. dry the ear by wicking
90. As a nurse. You reviewed infant safety procedures
with Bryan's mother. What are two of the most Situation 20 - If a child with diarrhea registers one sign in
common types of accidents among infants? the pink row and one in the yellow; row in the IMCI
Chart.
a. Aspiration and falls
b. Falls and auto accidents 96. We can classify the patient as:
c. Poisoning and burns
d. Drowning and homicide a. moderate dehydration
b. some dehydration
Situation 19 - Among common conditions found in c. no dehydration
children especially among poor communities are ear d. severe dehydration
infection/problems. The following questions apply.
97. The child with no dehydration needs home
91. A child with ear problem should be assessed for the treatment Which of the following is not included the
following EXCEPT: rules for home treatment in this case:

a is there any fever? a. continue feeding the child

b. ear discharge b. give oresol every 4 hours
c. if discharge is present for how long? c. know when to return to the health center
d. ear pain d. give the child extra fluids

92. If the child does not have ear problem, using IMCI, 98. A child who has had diarrhea for 14 days but has no
what should you as the nurse do? sign of dehydration is classified as:

a. Check for ear discharge a. severe persistent diarrhea

b. Check for tender swellings, behind the ear b. dysentery
c. Check for ear pain c. severe dysentery b. dysentery
d. Go to the next question, check for malnutrition d. persistent diarrhea

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99. If the child has sunken eyes, drinking eagerly, 28. C

thirsty and skin pinch goes back slowly, the 29. B
classification would be: 30. D
31. B
a. no dehydration 32. B
b. moderate dehydration 33. D
c. some dehydration 34. D
d. severe dehydration 35. A
36. C
100. Carlo has had diarrhea for 5 days. There is no 37. C
blood in the stool, he is irritable. His eyes are sunken 38. A
the nurse offers fluid to Carlo and he drinks eagerly. 39. B
When the nurse pinched the abdomen, it goes back 40. C
slowly. How will you classify Carlo’s illness? 41. D
42. D
a. severe dehydration 43. B
b. no dehydration 44. D
c. some dehydration 45. B
d. moderate dehydration 46. B
47. D
48. C
49. A
50. C
ANSWER KEY: COMMUNITY HEALTH NURSING 51. C
AND CARE OF THE MOTHER AND CHILD 52. C
53. A
1. A 54. A
2. B 55. D
3. A 56. D
4. C 57. B
5. B 58. A
6. D 59. B
7. C 60.
8. D 61. A
9. A 62. B
10. B 63. D
11. D 64. C
12. D 65. A
13. A 66. A
14. B 67. C
15. A 68. D
16. C 69. C
17. D 70. C
18. A 71. B
19. B 72. A
20. D 73. D
21. C 74. D
22. C 75. B
23. A 76. D
24. C 77. D
25. A 78. D
26. B 79. D
27. A 80. C
81. B
82. C
83. A
84. A
85. C
86. D
87. A
88. C
89. A
90. A
91. A
92. D
93. B
94. C
95. B
96. D
97. B
98. D
99. C
100. C

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