CHN 5 Flashcards by mico .

Which of the following are the four chronic disease referred to by WHO?

A. Cardiovascular Disease ,Cancer, Diabetes Mellitus, Chronic Obstructive Lung Disease
B. Cardiovascular Disease ,Cancer, Diabetes Mellitus, Dementia
C. Cardiovascular Disease ,Arthritis, Diabetes Mellitus, Chronic Obstructive Lung Disease
D. Cardiovascular Disease ,Cancer, acute kidney disorder, Chronic Obstructive Lung Disease

A. Cardiovascular Disease ,Cancer, Diabetes Mellitus, Chronic Obstructive Lung Disease

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The WHO reveals that the NUMBER ONE cause of death from chronic diseases worldwide is Ischemic heart disease, using the 2024 estimate, the top three are _______.

A.Ischemic heart disease, neoplasm, stroke
B. Ischemic heart disease, neoplasm, diabetes mellitus
C. Ischemic heart disease, , stroke, tuberculosis
D. Ischemic heart disease, neoplasm, genitourinary disorder

A.Ischemic heart disease, neoplasm, stroke

IREVIEW YUNG TOP 10 LEADING CAUSE OF DEATH

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In the Philippines, which is the TOP Killer according to the Department of Health (2023 data)?
A. Asthma
B. Cancer
C. Tuberculosis
D. Cardiovascular Diseases

D. Cardiovascular Diseases

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When studying chronic diseases, the multifactorial etiology of illness is considered. What does this imply?
A. Single organism that causes the disease, such as cholera, must be studied in more detail.
B. Focus should be on the factors or combinations and levels of factors contributing to disease.
C. The rise in infectious and communicable disease must be the main focus.
D. Genetics and molecular structure of disease is paramount.

B. Focus should be on the factors or combinations and levels of factors contributing to disease.

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Determinants of health to address the development of cancer in a community includes, Which of the following is NOT Included?
A. Proximity of the community to chemical plants that emit poisonous gases.
B. High percentage of tobacco use among the residents.
C. Prevailing diet high in processed food and fat.
D. Availability of the health facilities.

D. Availability of the health facilities.

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Which of the following are the four chronic disease referred to by WHO?
Cardiovascular Disease
Cancer
Dementia
Arthritis
Diabetes Mellitus
Chronic Obstructive Lung Disease
1,2,3 and 4
1,2,5 and 6
2,3,4 and 5
2,4,5 and 6

1,2,5 and 6

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The WHO reveals that the NUMBER ONE cause of death from chronic diseases worldwide, using the 2015 estimate, is _______.
Tuberculosis
Diabetes Mellitus
Ischemic Heart Disease
Pneumonia

Ischemic Heart Disease

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In the Philippines, which is the TOP Killer according to the Department of Health (2009 data)?
A.Asthma
B.Cancer
C.Tuberculosis
D.Cardiovascular Diseases

D.Cardiovascular Diseases

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When studying chronic diseases, the multifactorial etiology of illness is considered. What does this imply?
A.Single organism that causes the disease, such as cholera, must be studied in moredetail.
B.Focus should be on the factors or combinations and levels of factors contributing to disease.
C.The rise in infectious and communicable disease must be the main focus.
D.Genetics and molecular structure of disease is paramount.

B.Focus should be on the factors or combinations and levels of factors contributing to disease.

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Determinants of health to address the development of cancer in a community include: Which is not included?
A.Proximity of the community to chemical plants that emit poisonous gases.
B.High percentage of tobacco use among the residents.
C.Prevailing diet high in processed food and fat.
D. Availability of the health facilities.

D. Availability of the health facilities.

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The goal of primary prevention in NCDs is to:

a.Prevent complications
b.Detect disease early
c.Prevent disease occurrence
D.Rehabilitate patients

c.Prevent disease occurrence

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The Philippines had its first case of death due to e-cigarette or vaping use-associated lung injury (EVALI), the Department of Health (DOH) announced on May 31. DOH Asst. Sec. Albert Domingo in a media forum said the victim, a 22-year-old from Laguna, died of a heart attack following a severe lung injury.The victim, who used vape for the past two years, had no known comorbidities. Dr. Margarita Isabel Fernandez and several doctors of the Philippine General Hospital (PGH) wrote a research published in the Respirology Case Reports journal of the Asian Pacific Society of Respirology.
Based on their research, the victim had a sudden onset severe chest pain for two days after doing a sports activity. He was running out of air (dyspnea), sweating excessively (diaphoresis), and having muscle pain (myalgia). RA 9211, also known as the tobacco regulation Act of 2003, regulating the __________ use, sale, distribution and advertisement of tobacco products.
a. packaging
b. usage
c. consumption
d. manufacturing
e. price hike

a. packaging

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RA 9165, “Comprehensive Dangerous Drugs Act,” is an example of:

a. Health promotion
b.Disease prevention
c.Health legislation
d.Tertiary care

c.Health legislation

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Which of the following NCDs is most associated with obesity?

a. Asthma
b.Type 2 Diabetes
c.Tuberculosis
d.Measles

b.Type 2 Diabetes

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The recommended amount of physical activity for adults according to WHO is:
a. 60 minutes per day, vigorous
b.30 minutes per day, moderate
c.2 hours daily, vigorous
d.10 minutes daily, light

b.30 minutes per day, moderate

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Which DOH program focuses on healthy lifestyle to combat NCDs?
a. Hilot Pinoy Program
b.Healthy Lifestyle Program (Go4Health)
c.Garantisadong Pambata
d.Directly Observed Treatment Shortcourse (DOTS)

b.Healthy Lifestyle Program (Go4Health)

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Which of the following is NOT considered a non-communicable disease?
a. Hypertension
b.Diabetes Mellitus
c.CVA
d.Dengue fever

d.Dengue fever

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The main government agency responsible for implementing NCD control programs in the Philippines is:

a. DOH
b.DSWD
c.DepEd
d.DILG

a. DOH

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The goal of primary prevention in NCDs is to:

A.Prevent complications
B.Detect disease early
C.Prevent disease occurrence
D.Rehabilitate patients

C.Prevent disease occurrence

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The “Philippine Package of Essential NCD Interventions (PhilPEN)” focuses on:

a. Providing free insulin
b.Early detection and cost-effective interventions
c.Rehabilitation of stroke survivors
d.Chemotherapy for indigent patients

b.Early detection and cost-effective interventions

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As Nurse Anthony prepares for the day’s visits, which of the following patients should be seen FIRST? A client with ________.
A. Amado, Parkinson’s disease with imbalance gait.
B. Nora, A history of congestive heart failure with dyspnea. C. Haji,A thoracostomy six months ago.
D. Franicso, A stroke with nasogastric tube (NGT).

B. Nora, A history of congestive heart failure with dyspnea

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Mang Emilio refuses to take his daily medication for hypertension. Which of the following actions should Nurse Pedrito take at this time?
A. Tell Mang Emilio that he will suffer from stroke.
B. Explore the reason for the client’s refusal to take the medication.
C. Administer the medication by injection.
D. Obtain help from relatives in administering the medication.

B. Explore the reason for the client’s refusal to take the medication.

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Nurse Yuri sees a 65 year-old male, who is recovering from stroke. He noticed that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect? Mang Jose is _________.
A. Unable to carry out cognitive and motor activity at the same time.
B. Observed shaving only one side of his face.
C. Unable to complete a range of vision without turning his head side to side.
D. Unable to distinguish between two tactile stimu

B. Observed shaving only one side of his face.

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Nurse Stephen is teaching a client with Parkinson’s disease on ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to _________.
A. Rest in supine position with his head elevated.
B. Sleep only in dorsal recumbent position.
C. Periodically lie in prone position without a neck pillow.
D. Sleep on either side, but keep his back straight.

C. Periodically lie in prone position without a neck pillow.

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client with congestive heart failure has been receiving digoxin (lanoxin). Which finding indicates that the medication is having a desired effect? A. Increased weight B. Improved appetite C. Increased urinary output D. Increased pedal edema

C. Increased urinary output

Nurse Shuvee was conducting a home visit in a nearby barangay when Mang Pedro approached her and requested that his blood pressure be taken. It was the first time for Nurse Shuvee to meet Mang Pedro. Upon assessment, Mang Pedro’s blood pressure was 150/94 mmHg. Which among the following should Nurse Shuvee do next? a.Inform Mang Pedro that he is hypertensive and encourage him to practice healthy lifestyle. b.Ask Mang Pedro to visit the health center after one week for further assessment and encourage him to practice healthy lifestyle. c.Inform Mang Pedro that he is hypertensive and prescribe antihypertensives. d.Ask Mang Pedro to visit the health center after one week for further assessment, but in the meantime, prescribe an antihypertensive drug.

b.Ask Mang Pedro to visit the health center after one week for further assessment and encourage him to practice healthy lifestyle.

After a few consecutive consultations at the health center, Mang Pedro’s average blood pressure reading was recorded at <120 and <80 mmHg. Nurse Shuvee knows that Mang Pedro belongs to which category? a.Normal blood pressure b.Prehypertension c.Hypertension, stage 1 d.Hypertension, stage 2

a.Normal blood pressure

Nurse Shuvee is careful in choosing the equipment that will be used for BP taking. She knows very well that a BP cuff that is too narrow will lead to a.False low systolic reading b.False high systolic reading c.False low reading d.False high reading

d.False high reading

Nurse Shuvee delegated vital signs to the rural health midwife at the health center. Upon initial assessment of Mang Pedro’s blood pressure in the left arm, the midwife missed hearing the patient’s vascular sound because of the noise in the environment. Which of the following actions indicate that the midwife is practicing the clinical standards in blood pressure taking? a.The midwife waits 1-2 minutes before making further measurements on the same arm. b.The midwife deflates the cuff completely, removes the cuff, asks Mang Pedro to move his arm, waits for 1-2 minutes and transfers the BP cuff on the right arm. c.The midwife deflates the cuff completely, removes the cuff, asks Mang Pedro to move his arm, waits for 1-2 minutes and gets the BP on the same arm. d.The midwife deflates the cuff completely, removes the cuff, asks Mang Pedro to move his arm, waits for 1-2 minutes and transfers the BP cuff on the right arm.

a.The midwife waits 1-2 minutes before making further measurements on the same arm.

Nurse Shuvee taught Mang Pedro lifestyle modification to help manage his hypertension. This includes a dietary sodium intake of less than a.3 grams NaCl b.6 grams NaCl c.9 grams NaCl d.12 grams NaCl

b.6 grams NaCl

Mang Pedro asked if he could still drink beer with his friends especially during special occasions. Nurse Shuvee informed Mang Pedro that the recommended dietary intake of regular beer should not exceed a.1 bottle b.2 bottles c.3 bottles d.4 bottles

b.2 bottles

Coronary artery disease (CAD) is also fast emerging as a cause of morbidity and mortality among Filipinos. All of the following are modifiable risk factors of CAD. Which of these are the major risk factors according to studies? A. hypertension, high cholesterol, cigarette smoking, DM B. hypertension, high cholesterol, Personality, DM C. hypertension, high cholesterol, cigarette smoking, high coagulability of blood D. hypertension, high cholesterol, cigarette smoking, lack of exercise

A. hypertension, high cholesterol, cigarette smoking, DM

Cholesterol is processed by the GIT into lipoprotein globules called chylomicrons. Different types of cholesterols have different effects in the body. Which of the following is the effect of low-density lipoproteins? a.They adhere to vulnerable points in the arterial endothelium, thus leading to the formation of foam cells and plaque formation. b.They promote the use of total cholesterol by transporting it to the liver where it is biodegraded and excreted later on. c.They promote the destruction of high-density lipoproteins. d.They ingest the plaque that formed in the arterial endothelium, thereby improving circulation through the arteries.

a.They adhere to vulnerable points in the arterial endothelium, thus leading to the formation of foam cells and plaque formation.

Nurse Shuvee taught Mang Pedro that this type of cholesterol is a strong risk factor for heart disease. a.Low-density lipoproteins b.High-density lipoproteins c.Both of these d.None of these

a.Low-density lipoproteins

Which of the following types of fats should be minimized by Mang Pedro since it raises low-density lipoprotein and lowers high-density lipoprotein? a.Monosaturated fat b.Polyunsaturated fat c.Saturated fat d.Monosaturated fat

c.Saturated fat

A cerebrovascular disorder is an umbrella term that refers to a central nervous system functional abnormality due to the disruption of the normal blood supply in the brain. Cerebrovascular Accident (CVA) in the world. Stroke is divided into two major categories: Ischemic and Hemorrhagic. Mang Pedro’s hypertension is the major risk factor identified in a.Ischemic Stroke b.Hemorrhagic stroke c.Both of these d.Neither of these

c.Both of these

Ischemic stroke is the most common type. Which of the following is a common symptom of Ischemic stroke? a.Exploding headache b.Decreased level of consciousness c.Tinnitus and dizziness d.Numbness or weakness of the face, arm of leg, especially on one side of the body

d.Numbness or weakness of the face, arm of leg, especially on one side of the body

Mang Pedro smokes ten sticks of cigarettes everyday. Nurse Shuvee told Mang Pedro that he should stop smoking soon because smoking is the primary risk factor in a.Chronic bronchitis,emphysema, bronchial asthma b.Chronic bronchitis,emphysema, DM c.Chronic bronchitis,emphysema d.Chronic bronchitis only

a.Chronic bronchitis,emphysema, bronchial asthma

Nurse Shuvee recalled that a client should be suspected of COPD, if the client A.Is more than 40 years old,has been smoking for many years, Has chronic productive cough, Has symptoms of progressive and increasing shortness of breath in exertion B.Is more than 50 years old,has been smoking for many years, Has chronic productive cough, Has symptoms of progressive and increasing shortness of breath in exertion C.Is more than 50 years old,has been smoking for many years, Has chronic productive cough, Has symptoms of progressive and descreasing shortness of breath in exertion D.Is more than 50 years old,has been smoking for many years, Has DRY cough, Has symptoms of progressive and increasing shortness of breath in exertion

B.Is more than 50 years old,has been smoking for many years, Has chronic productive cough, Has symptoms of progressive and increasing shortness of breath in exertion

Pink puffers are commonly seen among pts with: A. Chronic bronchitis B. Emphysema C. TB D. Asthma

B. Emphysema

Nurse Cara knows very well that all of the following are risk factors for diabetes, EXCEPT a.Obesity b.Age > 5 years c.Hypertension d.HDL cholesterol level < 35 mg/dl

b.Age > 5 years

Mang Jose informed Nurse Cara that he has been reading a lot about the different types of diabetes because he wanted to make sure that he understood the disease well. Which of the following verbalized statements of Mang Jose is NOT CORRECT a.Type I diabetes is also known as juvenile-onset diabetes before b.Type II diabetic patients will never need insulin to preserve life c.Type I diabetic patients need insulin to preserve life d.Type II diabetes is also known as maturity-onset diabetes. e.Type III is associated with alzheimers disease

b.Type II diabetic patients will never need insulin to preserve life

Nurse Cara wanted to correct Mang Jose’s misconception regarding diabetes. Which among the following also needs to be corrected? a.Diabetes is a serious chronic cardiovascular disease characterized by an increase in blood sugar levels. b.Diabetes occurs when insulin is not adequately produced by the pancreas. c.Diabetes also happens when the body cannot properly use insulin. d.Diabetes mellitus is characterized by hyperglycemia.

a.Diabetes is a serious chronic cardiovascular disease characterized by an increase in blood sugar levels.

Nurse Cara started talking about the components of diabetes management. These include the following except a.Pharmacologic therapy b.Nutrition Management /diet c.Exercise d.Reduced smoking

d.Reduced smoking

Exercise lowers blood glucose by increasing the uptake of glucose by body muscles and by improving insulin utilization. Which among the following should be included in the general precautions for diabetic patients during exercise? a.Use protective devices such as rubber boots to avoid injury to the foot. b.Exercise only during cold weather to promote comfort. c.Always carry quick sugar sources like candy or softdrink to avoid hypoglycemia. d.Inspect feet daily for callous after exercise

b.Exercise only during cold weather to promote comfort.

A client is diagnosed with multiple myeloma and the client asks the nurse about the diagnosis. The nurse bases the response on which description of this disorder? A. Altered red blood cell production B. Altered production of lymph nodes C. Malignant exacerbation in the number of leukocytes D. Malignant proliferation of plasma cells within the bone.

D. Malignant proliferation of plasma cells within the bone.

Multiple myeloma is characterized by: A.Hematopoietic suppression B.Muscle degeneration C.Skeletal suppression D.Multiple muscle tumor

A.Hematopoietic suppression

The most common problem of multiple myeloma is: A.Anemia B.Leukocytosis C.Thrombocytosis D.Polycythemia

A.Anemia

A 70-year-old male patient has multiple myeloma. His wife calls to report that he sleeps most of the day, is confused when awake, and complains of nausea and constipation. Which complication of cancer is this most likely caused by? a. hypercalcemia b. Tumor lysis syndrome c. spinal cord compression d. Superior vena cava syndrome"

a. hypercalcemia

A patient with multiple myeloma is complaining about pain. What instructions will the nurse give the patient to help to reduce pain during activity? a) Stay in bed until symptoms pass b) Limit activity to once a day. c) Limit fluids to prevent going to the bathroom. d) Do not lift more than 10 pounds

d) Do not lift more than 10 pounds

The community nurse is conducting a health promotion program at a local school and is Discussing the risk factors associated with cervical cancer. Which of the following if identified indicates a need for further teaching? A. Smoking B. Multiple sex partner C. Annual gynecological examination D. Early age of sexual intercourse < 14 E. First intercourse after age of 20

E. First intercourse after age of 20

The physician recommends that parents have their 12-year-old daughter vaccinated with HPV vaccine. What is this vaccine for? a) Help prevent breast cancer b) Help prevent leukemia c) Help prevent lung cancer d) Help prevent cervical cancer

d) Help prevent cervical cancer

A female client has an abnormal result on a Papanicolaou test. After admitting, she read his chart while the nurse was out of the room, the client asks what dysplasia means. Which definition should the nurse provide? a. Presence of completely undifferentiated tumor cells that don't resemble cells of the tissues of their origin b. Increase in the number of normal cells in a normal arrangement in a tissue or an organ c. Replacement of one type of fully differentiated cell by another in tissues where the second type normally isn't found d. Alteration in the size, shape, and organization of differentiated cells

d. Alteration in the size, shape, and organization of differentiated cells

group of women have gathered at the local library for a series of seminars about women's health issues. In discussing cancer of the cervix, which of the following would be accurate? a.) this cancer is very rapid growing, so early detection is difficult to achieve b.) a cervical biopsy is the screening test of choice for early detection of cervical cancer c.) all women have an equal chance of developing cervical cancer because there are no risk factors d.) an early Pap smear may detect cervical dysplasia, a frequent precursor of cervical cancer

d.) an early Pap smear may detect cervical dysplasia, a frequent precursor of cervical cancer

A 33-yr-old patient has recently been diagnosed with stage IV cervical cancer. Which statement by the nurse best explains the diagnosis? a. "The cancer is found at the point of origin only." b. "Tumor cells have been identified in the cervical region." c. "The cancer has been identified in the cervix and the liver." d. "Your cancer was identified in the cervix and has limited local spread."

c. "The cancer has been identified in the cervix and the liver."

A 33-year-old patient has recently been diagnosed with stage II cervical cancer. What should the nurse understand about the patient's cancer? A. It is in situ. B. It has metastasized. C. It has spread locally and reached the upper 2/3 of vaginal canal. D. It has spread extensively.

C. It has spread locally and reached the upper 2/3 of vaginal canal.

A cervical radiation implant is placed in the client for treatment of cervical cancer. The nurse initiates what most appropriate activity order for this client? A. Bed rest B. Out of bed adlib C. Out of bed in a chair only D. Ambulation to the bathroom only.

A. Bed rest

Treating all patients with cervical cancer equal exhibits what ethical principle? A. Autonomy B. Beneficence C. Justice D. Non maleficence

C. Justice

What should a male client older than age 50 do to help ensure early identification of prostate cancer? a) Have a complete blood count (CBC) and blood urea nitrogen (BUN) and creatinine levels checked yearly. b) Have a transrectal ultrasound every 5 years. c) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly. d) Perform monthly testicular self-examinations, especially after age 50.

c) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.

Treating all cancer patients with courtesy exhibits what ethical principle? A. Autonomy B. Beneficence C. Justice D. Non maleficence

B. Beneficence

A client asks the nurse what PSA is. The nurse should reply that it stands for: a) prostate-specific antigen, which is used to screen for prostate cancer. b) Papanicolaou-specific antigen, which is used to screen for cervical cancer. c) pneumococcal strep antigen, which is a bacteria that causes pneumonia. d) protein serum antigen, which is used to determine protein levels.

a) prostate-specific antigen, which is used to screen for prostate cancer.

A patient with a diagnosis of prostate cancer is receiving radiation therapy, a treatment that has resulted in stomatitis. To best manage this patient's stomatitis, the nurse should: a) Provide a hypertonic solution for the patient to gargle. b) Arrange for a low-residue diet for the patient and provide small, frequent meals. c) Encourage the patient's family to bring in mouthwash for the patient. d) Encourage the patient to use an oral swab rather than a regular toothbrush

d) Encourage the patient to use an oral swab rather than a regular toothbrush

The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement by the patient indicates that teaching was effective? a. "The biopsy will remove the cancer in my prostate gland." b. "The biopsy will determine how much longer I have to live." c. "The biopsy will help decide the treatment for my enlarged prostate." d. "The biopsy will indicate whether the cancer has spread to other organs."

c. "The biopsy will help decide the treatment for my enlarged prostate."

You are admitting a client to your unit. While assessing the client. you find out that the client has had hoarseness of approximately 4 months duration. Why would you report this to the attending physician? a) The client may have chronic laryngitis. b) The client is a smoker and has denied it. c) Persistent hoarseness means the client talks to much. d) Persistent hoarseness is a warning sign of cance

d) Persistent hoarseness is a warning sign of cance

The nurse is admitting a client for laryngoscopy with a diagnosis of rule-out cancer of the larynx. The patient is asking the nurse about the procedure. Which information should the nurse reply? A. Demonstrate the proper method of gargling with normal saline. B. Perform voice exercises for 30 minutes three (3) times a day. C. Tell her that a lighted instrument will be placed in the throat to biopsy the area. D. Teach the client to self-examine the larynx monthly

C. Tell her that a lighted instrument will be placed in the throat to biopsy the area.

Which of the following is the most common cancer in Filipino women? a. Cervical cancer b.Ovarian cancer c.Breast cancer d.Lung cancer

c.Breast cancer

Which among the following is the most common cancer in Filipino men? a. Lung cancer b.Liver cancer c.Prostate cancer d.Colon cancer

a. Lung cancer

Screening for cervical cancer using Pap smear is an example of: a. Primary prevention b.Secondary prevention c.Tertiary prevention d.Health promotion

b.Secondary prevention

Which of the following is an example of tertiary prevention in NCDs? a. Vaccination b.Cardiac rehabilitation c.Smoking cessation d.BP screening

b.Cardiac rehabilitation

Which of the following is NOT considered a non-communicable disease? a. Hypertension B.Diabetes Mellitus C.Chronic respiratory disease D.Dengue fever

D.Dengue fever

The most preventable risk factor for lung cancer is: a.Air pollution b.Smoking c.Genetics d.Age

b.Smoking

A client says, “I don’t feel sick even if I smoke.” The nurse explains that smoking increases the risk of cancer. This is an example of: a.Health teaching b.Screening c.Treatment d.Rehabilitation

a.Health teaching

A barangay has high cases of cervical cancer. What should the CHN prioritize? a. Teach women about Pap smear b.Distribute chemotherapy drugs c.Provide palliative care d.Offer surgery referrals

a. Teach women about Pap smear

In evaluating a cancer awareness program, the BEST indicator of effectiveness is: a.Increased attendance in health seminars b.More patients receiving chemotherapy c.Reduction in smoking prevalence d.More doctors available for treatment

c.Reduction in smoking prevalence

A nurse is teaching a patient with hypertension about lifestyle modification. The BEST indicator that the patient understood is when he says: a.“I will stop taking my medication once my BP is normal.” b.“I will reduce salt intake and exercise regularly.” c.I will check my BP only when I feel dizzy.” D.“I will avoid all foods to prevent high BP.”

b.“I will reduce salt intake and exercise regularly.”

The DOH program Go4Health promotes 4 main behaviors to prevent NCDs: a.No smoking, healthy diet, physical activity, stress management b.Immunization, sanitation, exercise, sleep c.Medication compliance, exercise, alcohol use, stress relief d.Safe sex, balanced diet, sleep, exercise

a.No smoking, healthy diet, physical activity, stress management

A client recovering from myocardial infarction joins a cardiac rehabilitation program. This is an example of: a. Primary prevention b.Secondary prevention c.Tertiary prevention d.Health promotion

c.Tertiary prevention

The nurse explains that obesity, smoking, and sedentary lifestyle are examples of: a.Modifiable risk factors b.Non-modifiable risk factors c.Genetic risk factors d.Infectious risk factors

a.Modifiable risk factors

Which statement BEST describes the importance of NCD prevention in public health? a.NCDs are short-term and easily treated. b.NCDs are preventable and account for most deaths in the Philippines. c.NCDs cannot be prevented but can be cured. d.NCDs are not a concern compared to communicable diseases

b.NCDs are preventable and account for most deaths in the Philippines.

community health nurse measures the BP of a 45-year-old man: 150/95 mmHg. What is the most appropriate action? a. Record as normal finding b.Refer for further evaluation c.Advise increased salt intake d.No action needed

b.Refer for further evaluation

A hypertensive client is prescribed a thiazide diuretic. What food should be encouraged? a. Bananas b.Chips c.Instant noodles d.Bacon

a. Bananas

During a barangay assembly, a CHN notes that many residents eat instant noodles daily. What is the most appropriate response? a.Encourage increased water intake b.Teach about high sodium risks c.Promote canned goods as alternative d.Ignore as it’s culturally acceptable

b.Teach about high sodium risks

A client with hypertension asks: “Why do I need to avoid too much salt?” The best explanation: a.“Salt decreases appetite.” b.“Salt retains water, increasing blood pressure.” c.“Salt prevents circulation problems.” d.“Salt lowers cholesterol levels.”

b.“Salt retains water, increasing blood pressure.”

Which law institutionalized the Sin Tax Reform Law to discourage smoking and alcohol consumption? a. RA 9211 b.RA 10351 c.RA 11223 d.RA 10354

b.RA 10351

A hypertensive patient asks why regular exercise is important. The nurse should explain: a.“It strengthens the heart and lowers BP.” b.“It increases sodium in the blood.” c.“It prevents all diseases absolutely.” d.“It makes medications unnecessary.”

a.“It strengthens the heart and lowers BP.”

A nurse observes that a hypertensive client is noncompliant with medications. The most therapeutic approach is: a.Ask about reasons for noncompliance b.Scold the client for being stubborn c.Stop providing health services d.Increase dosage without consultation

a.Ask about reasons for noncompliance

A barangay reports high mortality due to stroke. The CHN prioritizes which program? a. Free CT scan b.Lifestyle modification campaign c.Physical therapy rehab centers

b.Lifestyle modification campaign

patient with hypertension is prescribed a beta-blocker. Which teaching is MOST important? a.“Rise slowly to avoid dizziness.” b.“You may stop abruptly if BP normalizes.” c.“Increase sodium intake while on this drug.” d.“No need for regular BP checks.”

a.“Rise slowly to avoid dizziness.”

A barangay health worker asks the nurse about the most cost-effective way to reduce hypertension prevalence. The nurse should suggest: a.Regular BP monitoring b.Promotion of healthy lifestyle c.Free antihypertensive drugs d.Screening for stroke survivors

b.Promotion of healthy lifestyle

A diabetic patient’s fasting blood sugar is consistently elevated despite oral hypoglycemics. The nurse recommends referral to: a.Cardiologist b.Endocrinologist c.Psychiatrist d.Pulmonologist

b.Endocrinologist

The most ethical action when a community resists attending a lifestyle disease prevention program is: a. Force participation b.Respect their decision and revisit later c.Report to the barangay captain d.Cancel the program e.Cancel the community

b.Respect their decision and revisit later

A hypertensive client refuses medication due to “fear of side effects.” The nurse’s best response is: a.“You will die without medications.” b.“I will inform your doctor of your refusal.” c.“Can you share what side effects you are worried about?” d.“Just follow your doctor’s order.”

c.“Can you share what side effects you are worried about?”

During a community hypertension program, the best indicator of success is: A. More hypertensives are detected B. More patients attend the program C. Average BP levels in the community decrease D. More referrals are made to hospitals

C. Average BP levels in the community decrease

barangay reports high mortality due to stroke. The CHN prioritizes which program? a. Free CT scan b.Lifestyle modification campaign c.Physical therapy rehab centers D. Wound care training

b.Lifestyle modification campaign

A nurse identifies multiple stroke cases in the barangay. What should be the priority community intervention? a.Conduct home visits for bedridden patients b.Health education on lifestyle modification c.Distribution of free wheelchairs D. Rehabilitation therapy programs

b.Health education on lifestyle modification

A diabetic patient’s fasting blood sugar is consistently elevated despite oral hypoglycemics. The nurse recommends referral to: A. Cardiologist B.Endocrinologist C.Psychiatrist D.Pulmonologist

B.Endocrinologist

The most ethical action when a community resists attending a lifestyle disease prevention program is: a. Force participation B.Respect their decision and revisit later C.Report to the barangay captain D.Cancel the program

B.Respect their decision and revisit later

Which health program demonstrates inter-sectoral collaboration for NCD prevention? a.Immunization drive b.Anti-smoking ordinance with LGU and DOH c.Mass feeding in daycare centers d.Deworming campaign

b.Anti-smoking ordinance with LGU and DOH

A patient with obesity asks the nurse how to prevent diabetes. The most appropriate response is: a.“Take oral medications early.” b.“Engage in regular physical activity.” c.“Get annual chest X-rays.” D. “Avoid all carbohydrates completely.”

b.“Engage in regular physical activity.”

A newly diagnosed diabetic client feels depressed. The nurse’s BEST intervention is: a.Ignore feelings to focus on diet education b.Refer to a support group and provide counseling c.Emphasize complications to motivate compliance d.Tell him to “just accept the illness”

b.Refer to a support group and provide counseling

Dina is taking human insulin injection for diabetes. Which of the following health instructions should you APPROPRIATELY emphasized in order to avoid hypoglycemia? A. Anterior part of the leg IM B. Gluteal region subcutaneously C. Abdominal wall subcutaneously and then rotate D. Deltoid muscle intramuscularly and rotate

C. Abdominal wall subcutaneously and then rotate

A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules. What guideline applies to periods of illness in a diabetic patient? A) Do not eliminate insulin when nauseated and vomiting. B) Report elevated glucose levels greater than 150 mg/dL. C) Eat three substantial meals a day, if possible. D) Reduce food intake and insulin doses in times of illness.

A) Do not eliminate insulin when nauseated and vomiting.

A common chronic complication of diabetes due to the thickening of the capillaries and arterioles of the eye is? A. Papilledema B. Retinal detachment C. Glaucoma D. Diabetic neuropathy

D. Diabetic neuropathy

When planning a teaching program for a child who has recently been diagnosed with type 1 diabetes, what will be the nurse's FIRST concern for the Adel and her parents? To let them ______. A. Assess their own feelings about diabetes B. Learn how to monitor blood glucose level C. Understand why activities must be limited D. Learn how to administer insulin injections

A. Assess their own feelings about diabetes

Conjunctivitis is responsible for about 1% to 2% of all ambulatory office visits and accounts for about 30% of all eye complaints seen in emergency departments. What is the most common infectious cause of conjunctivitis? A.Parasitic infection B.Fungal infection C.Viral infection D.Bacterial infection

C.Viral infection

Which of the following is a common symptom of conjunctivitis? A.Earache B.Blurred vision C.Headache D.Yellow discharge

D.Yellow discharge

What is the most recommended prevention measure for conjunctivitis? A.Hand hygiene B.Avoid touching the eyes C.Avoid allergens D.Applying eye drops

A.Hand hygiene

Conjunctivitis is responsible for about 1% to 2% of all ambulatory office visits and accounts for about 30% of all eye complaints seen in emergency departments. What is the most common non- infectious cause of conjunctivitis? A.Parasitic infection B.Fungal infection C.Viral infection D.Bacterial infection E.Allergies to pollen or animal hair

E.Allergies to pollen or animal hair

Infections are caused by viruses or bacteria. Treatment includes keeping your eyes and hand clean. The most common cause of conjunctivitis is: A.Staphyloccocus B.Gonorrhea C.Adenovirus D.Clamydia

C.Adenovirus

You call that Filariasis is caused by parasitic nematode known as ________. A.Wucheria bancrofti B.Necator americanus C.S. haematobium D.Plasmodium falciparum

A.Wucheria bancrofti

The disease is transmitted to a person through bites of an infected female mosquito, known as _____. A. Aedes aegypti B. Culex C. Anopheles D. Aedes poecillus

A. Aedes aegypti

You receive a 36-year-old man who was brought by his wife to be tested for Filariasis. The most likely diagnostic test that he will undergo is ______. A.Immunochromatographic test (ICT) B.Rumpel Leads Test C.Urinalysis D.Stool examination

A.Immunochromatographic test (ICT)

A client in the ACUTE stage of Filariasis will include which of the following clinical findings? A.Hydrocele, lymphedema, elephantiasis B.Lymphadenitis, lymphedema and orchitis C.Orchitis, hydrocele, elephantiasis D.Lymphangitis, lymphadenitis, epididymitis

D.Lymphangitis, lymphadenitis, epididymitis

Drugs used effectively in filariasis which kills both immature and aduly parasitic worm is A. diethylcarbamazine B. carbamazepine C. albendazole D. doxycycline

A. diethylcarbamazine

Effective methods that the government would likely to pursue to eliminate Filariasis in the country are all of the following, EXCEPT: A.Vaccination off all susceptible in risk areas and high-risk populations. B.Pursue annual mass drug administration using two drugs in all endemic areas for five consecutive years. C.Intensify health information and advocacy campaigns in its prevention, control and elimination. D.Intensify environmental sanitation such as proper drainage and cleanliness of surroundings

A.Vaccination off all susceptible in risk areas and high-risk populations.

this year, 73 percent higher compared to the same period in 2024.The three regions having the most number of cases are Calabarzon with 12,735 cases; National Capital Region with 11,291; and Central Luzon with 10,185. Nurse Nena and her team are on alert for increase in cases of Dengue Fever. 11. Nena is correct in Identifying the causative agent of dengue fever. (NOV 2024) A. Fomite B. Vector C. Bacteria D. Virus

D. Virus

Which of the following strategies would prove effective in preventing more incidences of dengue infection? A. Healthy nutritious food B. Burning of leaves and garbage C. Destruction of breeding place of vectors D. Adequate rest and sleep

C. Destruction of breeding place of vectors

Bleeding is the most serious complication of Dengue infection. When is the patient be watched for symptoms of bleeding? A. 4th to 7 days B. At the onset of symptoms C. 2nd to 3rd day D. 1St day

A. 4th to 7 days

Which information about the nature of dengue fever the nurse should relay to the community? A. It is always life threatening B. It could be deadly but preventable C. It could responds well to antibiotics D. The incubation period is variable

B. It could be deadly but preventable

Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever? A. Rumpell - Leede B. Mantoux C. Elisa D. Widal

C. Elisa

The characteristics of the mosquito vector that causes Malaria are an important consideration in disease prevention. Its characteristics include the following: A. It is a female mosquito, It is an Anopheles mosquito, It is night biting, fresh steams B. A. It is a female mosquito, It is an Aedes aegypti mosquito, It is night biting, fresh steams A. It is a female mosquito, It is an Anopheles mosquito, It is day biting, fresh steams A. It is a female mosquito, It is an Anopheles mosquito, It is night biting, stagnant waters

A. It is a female mosquito, It is an Anopheles mosquito, It is night biting, fresh steams

Preventive measures for malaria include A. Chemoprophylaxis with Chloroquine B. Insecticide treatment of mosquito nets C. House spraying with an insecticide D. A,B,C

D. A,B,C

The most important preventive measure for travelers going to Malaria-endemic areas include a.Use of insecticide treated mosquito nets b.prophylaxis with chloroquine c.Avoidance of swimming in streams d.Environmental spraying with insecticide

b.prophylaxis with chloroquine

Plasmodium, the parasite causing Malaria, is a a.Virus c. Amoeba b.Bacteria d. Protozoa

d. Protozoa

The Malaria parasites primarily invade and destroy the _________, thus causing its characteristic sign and symptoms of fever, chills, anemia, malaise and others. a.RBC c. Neutrophils b.WBC d. Blood Plasma

a.RBC

The characteristics of the mosquito vector that causes dengue hemorrhagic fever is an important consideration in disease prevention. Which is not a characteristics of dengue? A.It is day biting B.It lay eggs in STAGNANTwaters C.It is called Aedes aegypti D.It is night biting

D.It is night biting

The diagnostic test for dengue hemorrhagic fever that is easily done by public health nurses at the health center is the a.Blood smear c. Complete blood count b.Tourniquet test d. Hemoglobin count

b.Tourniquet test

Methods of prevention and control for dengue include A. Destroying breeding places of mosquito such as rubber ties and empty cans B. Keeping water containers inside the house covered C. Changing the water of flower vases once a week D. Scrubbing the side of vases and water containers E. A,B,C,D

E. A,B,C,D

Treatment of Dengue include the following EXCEPT a.Replacement of body fluids by giving ORS or IV fluids b.Treatment of fever by giving Aspirin c.Bed rest to promote recovery d.Treatment of headache by giving Paracetamol

b.Treatment of fever by giving Aspirin

Malaria and Dengue are a.Endemic in the Philippines b.Diseases associated with poverty c.Diseases that are difficult to prevent and control d.Caused by viruses

a.Endemic in the Philippines

Situation: Lala, a 12-year old girl was told by her mother to clean the backyard and burn the leaves of the jackfruit tree. After 4 days, Lala manifested petechial hemorrhage with slight fever. She is brought to the Rural Health Unit. Upon seeing Lala which of the following questions should the nurse ask her to obtain history of her illness? a.“Why did you not show your mother your skin patches right away?” b.“Don’t you have a maid to clean your backyard?” c.“Do you have a communicable disease?” d.“Were you bitten by mosquitoes when you were cleaning your yard?”

d.“Were you bitten by mosquitoes when you were cleaning your yard?”

What is the immediate source of infection of Lala, diagnosed with dengue fever? a.Vector mosquito Aedes Aegypti b.Rodents and insects c.Common houselies d.Cockroaches and fleas

a.Vector mosquito Aedes Aegypti

Which of the following is immediately done to test the presence of Dengue fever on Lani? a.ELISA b.Rumpel Leads c.Blood count d.Platelet count

b.Rumpel Leads

The best measure to control spread of hemorrhagic fever is to: a.Avoid hanging clothes in the backyard b.Keep water container covered c.Spray insecticide weekly d.Eliminate vector’s breeding places

d.Eliminate vector’s breeding places

Which of the following is confirmst the genetic traces /presence of Dengue fever on Lala? A.ELISA B.Rumpel Leads C. Blood count D.Platelet count E. MAC ELISA

A.ELISA

Which among the infectious agents of malaria is most serious to affect man? a.Plasmodium brasilanum b.Plasmodium malariae c.Plasmodium vivax d.Plasmodium falciparum

d.Plasmodium falciparum

During your assessment, which among the signs and symptoms need referral to the secondary or tertiary care facility? a.Sweating and headache b.Icterus and shock c.Fever and chill d.Renal or liver failure

b.Icterus and shock

The mode of transmission of this disease is through the bite of an infected female mosquito. What do you call this female aggressive mosquito? a.Aminophylline b.Spirozoites c.Anopheline d.Hepatocytes

c.Anopheline

Laboratory confirmation of malaria is done in blood film. What do you expect to see in the film? a.Antibodies b.Malarial parasites C.Malarial purinates D.Antigen

b.Malarial parasites

What drug of choice is ordered for malaria? A.Chloroquine B.Primaquine C. Phosphate D. Sulfates

A.Chloroquine

The bacteria producing the disease is: a.Mycobacterium bovis b.Mycobacterium tuberculosis c.Mycobacterium africanum d.Mycobacterium leprae

b.Mycobacterium tuberculosis

Which of the following is the mode of transmission of pulmonary tuberculosis? a.Ingested food b.Skin contact c.Airborne droplet d.Used utensils

c.Airborne droplet

Which vaccine is a preventive measure during infancy and grade school entrants? a.BCG b.Tuberculosis c.DPT d.OPV

a.BCG

Which of the following topics is considered in your health teaching in cases of communicable diseases? a.Prevalence of diseases in community b.Annual risk of infection c.Mode of spread and control measures d.Mortality rate among adults and infants

c.Mode of spread and control measures

Which of the following comprehensive strategies is used to detect and cure tuberculosis? a.Category and treatment regimen b.Case finding and maintenance c.Direct observed treatment for short course d.Strengthen national TB control program

c.Direct observed treatment for short course

Tuberculosis is primarily a respiratory disease caused by tubercle bacilli. Which mode of transmission is extremely contagious? a.Ingestion of food b.Airborne c.Animal handling d.Skin contact

b.Airborne

Which of the following should a nurse do to detect prevalence of PTB? a.Blood smear b.Organ biopsy c.Skin scrapping d.PPD testing

d.PPD testing

Which of the following is the priority objective in PTB control? a.Sputum treatment b.Reduction of risk c.BCG immunization d.Identification of positive cases

b.Reduction of risk

As a nurse, which of the following basic preventive action is done to eradicate PTB? a.Health teachings b.Improvement of social condition c.Distribution of medicine d.Referral to health centers

a.Health teachings

When an older person is affected with PTB, which of the following measures will you advise to effectively prevent the spread of the diseases to the other members of the family? a.Cover mouth and nose when coughing and sneezing b.Isolate the person c.X-ray members of the family d.Continue taking medication

a.Cover mouth and nose when coughing and sneezing

Josie, 4 years old, is brought to the Rural Health Unit for cough, fever and rashes. The doctor diagnosed her as measles Which of the following should you do first? A. Perform a procedure B. Plan for your care regimen c.Assess the patient d.Identify diagnosis

c.Assess the patient

You found whitish, grayish pecks in the inner surface of Josie’s cheeks. Which of the following refer to these? A. Morhili eruption B. Koplik spots c.Scarlet marks d.Strawberry tongue

B. Koplik spots

Which of the following procedure should you teach Josie’s sister when Josie has fever at home? A. Proper positioning B. Hot sitz bath c.Isolation technique d.Tepid sponge bath

d.Tepid sponge bath

Which of the following complication should be watched? A.Meningitis B.Pneumonia c.Otitis media d.Laryngitis

B.Pneumonia

Which of the following consideration would be rendered to avoid complication of pneumonia? A.Protect eyes from glare of sunlight B.Correct technique of sponge bath C.Ventilated room but free from drafts D.Check prescribed medications faithfully

C.Ventilated room but free from drafts

Situation: One of the leading causes of morbidity and mortality are pulmonary infections. Acute respiratory infection (ARI) could be managed at home, given the proper protocol. Which of the following should you include in the health teachings given to mothers to prevent ARI? a.Wash hands after using the toilet b.Avoid smoking in the home c.Avoid droplet infection d.Consult the doctor regularly

c.Avoid droplet infection

In adults with pneumonia or ARI in the home, which drug must be available at the RHU based on the standard management? a.Chloramphenicol b.Oxygen tanks c.Cotrimoxazole d.Injectable gentamycin

c.Cotrimoxazole

In far flung areas, who could dispense ARI standard orders in case of pneumonia in children? a.Sanitarian b.Midwife c.Nurse d.Barangay health worker

b.Midwife

During home visit, you assessed the child with ARI. Which of the following signs indicate immediate medical attention? a.Inability to drink b.Restlessness c.Temperature is 37.7 deg C d.Poor appetite

a.Inability to drink

Magnitude of the problem is defined as ____________. a.The severity of the problem that can be measured in terms of the proportion of the population affected by the problem b.Classification of the problem as health status, health resource or health related problem c.The probability of reducing, controlling or eradicating the problem d.The probability of controlling or reducing the effects posed by the problem

a.The severity of the problem that can be measured in terms of the proportion of the population affected by the problem

Situation: Tetanus is an acute disease induced by toxin of tetanus bacilli growing anaerobically in wounds and at the site of umbilicus among newborn of infants, characterized by muscular contraction. Little Ana, 2 weeks old, was brought to you at RHU by her mother due to fever and muscle twitching. Your first action is to: A. Blame the mother B. Inspect the umbilical cord c.Report to health office d.Check temperature manually

B. Inspect the umbilical cord

To gather data base with the help of little Ana’s mother, which step of nursing process would you do? A.Planning B.Assessment c.Evaluation d.Intervention

B.Assessment

Mode of transmission in Tetanus Neonatorum is through contamination from varied sources like soil, dust or animal feces. Which one below would you teach the mother of little Ana? A. Boil the water before drinking B. Use new diapers c.Bring the baby to the health center everyday d.Wash hands before touching the cord

d.Wash hands before touching the cord

Method of control of Tetanus among infants is scheduled immunization of tetanus toxoid on: a.Parents of the baby b. Pregnant women c. Newborn babies d.Installation of bright light

b. Pregnant women

Which OF THE FOLLOWING IS USED TO TREAT THE ROOT CAUSE OF TETANUS? a.Anti tetanus b.Anti spasm c.Antiviral d.antibiotic

d.antibiotic

Situation: Leprosy is a chronic infectious disease caused by Mycobacterium leprae, an acid-fast, rod-shaped bacillus. The disease affects the skin, the peripheral nerves, mucosa of the upper respiratory tract and also the eyes. A diagnosis of leprosy, according to the DOH is made using a.Clinical signs and symptoms as basis b.Microscopic examination of the bacilli in the skin discharge c.Sputum microscopy d.Culture and Sensitivity test

a.Clinical signs and symptoms as basis

In an endemic country, an individual should be regarded as having leprosy if he or she manifests at least one of the cardinal signs of leprosy. These include a.Skin lesion with definite sensory loss b.Positive skin smears c.Both of these d.Neither of these

c.Both of these

There are two major classifications of leprosy based on skin-smear results. These include paucibacillary leprosy patients. The community health nurse should warn a patient that one of these drugs causes a brownish-black discoloration and dryness of the skin. Which drug is it? a.A suspect case if leprosy b.A case of paucibacillary leprosy c.A case of multibacillary leprosy d.A case of leprosy remission

b.A case of paucibacillary leprosy

Drugs used in the MDT of leprosy patients are a combination of Rifampicin, Clofazimine and Dapsone for multibacillary leprosy patients, and Rifampicin and Dapsone for paucibacillary leprosy patients. The community health nurse should warn a patient that one of these drugs causes a brownish-black discoloration and dryness of the skin. Which drug is it? a.Rifampicin b.Clofazimine c.Dapsone d.All of the above

b.Clofazimine

The community health nurse should assess the patient for history of allergies before leprosy treatment. Which of these drugs should not be given to patients who are allergic to Sulpha drugs? a.Rifampicin b.Clofazimine c.Dapsone d.All of these

c.Dapsone

Situation: Nurse Nancy was on duty at the Magana Health Center when Bobby was brought in due to a dog bite in the left lower leg. Aling Tanya, Bobby’s mother, is frantic that Bobby would get rabies. Nurse Nancy began discussing the signs and symptoms of rabies. Rabies is cause by; A.Bacteria B.Virus C.Fungi D.protozoa

B.Virus

Rabies infection has three phases. This includes all of the following EXCEPT a.Invasion Phase b.Incubation Phase c.Neurologic Phase d.Paralytic Phase

b.Incubation Phase

Aling Tanya told Nurse Nancy that immediately after the incident, she thoroughly wash the wound with soap and water and applied antiseptic at the wound site. Which of the following responses would be most appropriate? a.That’s a good move. It will ensure that the wound would not get infected. b.You should not have done that. The wound would be inflamed as an effect of washing with water. c.Washing with soap and water and cleansing it with an antiseptic will prevent infection. d.That’s not necessary because the rabies virus could not be killed though washing anyway.

c.Washing with soap and water and cleansing it with an antiseptic will prevent infection.

Nurse Nancy discusses the ways on how to prevent future rabies infection. This includes all of the following EXCEPT a.After an animal bite, the patient should consult a veterinarian or trained personal to observe the animal. b.If the animal showed signs of behavioral change during the observation period, immediately kill it. c.Ensure that the dogs are vaccinated at 3 months of age and every year thereafter d.Dogs should be leashed or confined in a cage.

b.If the animal showed signs of behavioral change during the observation period, immediately kill it.

The Rabies Control Program according to Nurse Nancy focuses on networking as a key strategy in controlling rabies. Networking with the school is done for the school personnel and students to have an active involvement in this endeavor. The school officials have the following responsibilities. Which one is not included? A. Identify teachers who can be key leaders in organizing Anti Rabies Scouters in the school B. Initiate inclusion of rabies prevention and control in PTA meetings C. Organize parents’ class to develop necessary knowledge and attitude on rabies prevention and control D. Tap potential children leaders from grades 1, 2 and 6 who can actively participate in the anti-rabies activit

D. Tap potential children leaders from grades 1, 2 and 6 who can actively participate in the anti-rabies activit

Situation: Nurse Julia, a new registered nurse, is assigned in a community health center in the province of Samar. She knows that the province is endemic with schistosomiasis. 71. She was on her way to conduct a home visit in a nearby barangay when she noticed that a group of school-aged children were happily gathering small nails in the shallow waters of a stream. She immediately told them to destroy the snails that they have gathered because those were Oncomelania hupensis quadrasi, the intermediate host of schistosomiasis. Nurse Julia knows that were Oncomelania hupensis quadrasi possess the following characteristics EXCEPT a.Adult snail is greenish-brown in color and is just a little bit bigger than a palay grain b.Adult snail tastes like chicken when cooked in a coconut milk. c.Adult snail could be found clinging to fresh and decaying leaves of water plants or grasses, pieces of rotting wood and protruding rocks d.Adult snail could also be found in sandy-loam soil

b.Adult snail tastes like chicken when cooked in a coconut milk.

Nurse Julia warned the children not to swim in the stream. She explained that may get schistosomiasis by swimming in the infected water through skin penetration of the parasite. Skin penetration is a capability of a.Ovum b.Miracidium c.Cercariae d.Schistosomiasis

c.Cercariae

Nurse Julia explained further that early infection with schistosomiasis is also known as a.Katayama fever b.Swimmer’s itch c.Ground itch d.Nakayama fever

b.Swimmer’s itch

Nurse Julia explained to the mothers that there are several methods of diagnosing schistosomiasis. This includes all of the following. Nevertheless, she emphasized that in the Philippines, the definitive diagnosis of schistosomiasis is a.Circumoval Precipitin Test b.Kato-katz technique to enumerate the eggs c.Enzyme-linked immunosorbent assay or ELISA d.Indirect hemaglutination using adult worms and antigens

a.Circumoval Precipitin Test

In the Philippines, which condition is the most frequent cause of death associated with schistosomiasis? A. Liver cancer B. Liver cirrhosis C. Bladder cancer D. Intestinal perforation

B. Liver cirrhosis

What is the most effective way of controlling schistosomiasis in an endemic area? A. Use of molluscicides B. Building of foot bridges C. Proper use of sanitary toilets D. Use of protective footwear, such as rubber boots

C. Proper use of sanitary toilets

Situation: Alejandro lives in a squatter’s area. He goes to the nearby school. He helps his mother gather mollusks after school. One day, he was absent because of fever, malaise, anorexia, nausea and abdominal discomfort. Upon assessment, Alejandro was diagnosed to have Hepatitis A. Which mode of transmission has the infectious agent taken? a.Fecal-oral, one to two weeks before the onset b.Fecal-oral after the appearance of jaundice c.Homologous after attack d.General susceptibility

a.Fecal-oral, one to two weeks before the onset

Which of the following is the concurrent disinfection in the case of Alejandro? a.Investigation of contact b.Sanitary disposal of feces, urine and blood c.Infection of powerful Hepa A d.Quarantine of sick individual

b.Sanitary disposal of feces, urine and blood

Which of the following must be emphasized during mother’s class of Alejandro’s mother? a.Administration of Ig to families b.Thorough hand washing before eating and after toileting c.Use of attenuated vaccine d.Boiling of food especially meat

b.Thorough hand washing before eating and after toileting

Disaster control should be undertaken when there are three or more hepatitis A. Which among these measures is a priority? a.Eliminate fecal contamination of food b.Disseminate printed materials c.Health education every week d.Mass administration of Ig

a.Eliminate fecal contamination of food

What is the average incubation period of hepatitis A? a.30 days b.60 days c.50 days d.24 days

a.30 days

Situation: The Communicable Disease Control Service of the Department of Health created the Soil-transmitted Helminthiasis (STH) Control Program in 1999 to help solve this persistent problem in the Philippines. Nurse Emy identified Ascariasis, Trichuriasis and Hookworm infestation among the common soil-transmitted helminthiasis in the Philippines. Anemia is a common health problem associated with these EXCEPT a.Ascariasis b.Trichuriasis cHookworm infestation d.All of the abov

a.Ascariasis

Rectal prolapse, according to nurse Emy is a health problem in a.Ascariasis b.Trichuriasis c.Hookworm infestation d.All of the these

b.Trichuriasis

A common diagnostic procedure for all includes microscopic identification of eggs in the stool. Which among these may also be visualized during barium examination? a.Ascariasis b.Trichuriasis c.Hookworm infestation d.All of the these

a.Ascariasis

According to Nurse Emy, mass treatment of 2-14 year old children is the main strategy of the program because this age group is the most at risk group and they have the highest prevalence and intensity of infection. Mass treatment of this age group will automatically reduce the prevalence and intensity of infection for the whole community. Which among the following statements is the least accurate description of the treatment strategy? a.Target clients are children aged 2-14 years because the 6-14 years old harbor the greatest load of infection whereas 2-5 years old suffer the greatest morbidity when infected. b.The suggested frequency of treatment is twice a year because of reinfection. c.Reinfection is 50% at 6 months after treatment. d.Treatment should last 3 years because infective eggs remain viable in the soil and are able to infect people for a maximum of 2 years.

c.Reinfection is 50% at 6 months after treatment.

Albendazole and mebendazole are benzimidazole derivatives. They have the widest spectrum of activity and mode of action against intestinal helminthes. Which one is known to be more effective against hookworm? a.Albendazole b.Mebendazole c.Both of these d.None of these

a.Albendazole

Situation: From January to September 2025, there were two outbreaks of typhoid fever in Cavite City. Epidemiologic investigation was undertaken by the rural health unit to investigate the outbreaks. As a public health nurse, you know that typhoid fever is caused by __________. A.poor personal hygiene practices B.intake of unsafe food or water C.inhalation of contaminated air D.fomites

B.intake of unsafe food or water

The primary purpose of conducting an epidemiological investigation is to ________. A.identify who are at risk of contracting the disease. B.delineate the etiology of the epidemic. C.encourage cooperation and support of the community. D.Identify geographical location of the disease in the community.

B.delineate the etiology of the epidemic.

This step of epidemiologic investigation ascertains the number of cases of typhoid fever occurring in a community: A.Establishing the epidemic B.Establishing the time and space relationship of the disease. C.Establishing the relationship between cases to the characteristic of the community D.Correlating all the data obtained

A.Establishing the epidemic

As an epidemiologist, among other things, you are expected to ____________. A.institute appropriate control measures in the confirmation of an outbreak. B.check the presence of signs and symptoms in patients according to the standard case definition of the disease. C.monitor the occurrence of selected notifiable diseases by weekly charting o graphing of cases. D.plan and secure necessary resource needed for disease control measure.

A.institute appropriate control measures in the confirmation of an outbreak.

The expanded role of the public health nurse includes classifying medical problems when the physician is not found. What is used as a guide in performing this task? A.Management guidelines B.Diagnostic guidelines C.Assessment guidelines D.Standard case definition

D.Standard case definition

To confirm the actual bacteria, what test should be done? A.Blood culture b. stool analysis c. typhidot

A.Blood culture

The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by inspecting the _____. A. Nasal mucosa B. Buccal mucosa C. Skin on the abdomen D. Skin on the antecubital surface

B. Buccal mucosa

Among the following diseases, which is airborne? A. Viral conjunctivitis B. Acute poliomyelitis C. Diphtheria D. Measles

D. Measles

Among children aged 2 months to 3 years, the most prevalent form of meningitis is caused by which microorganism? A. Hemophilus influenzae B. Morbillivirus C. Steptococcus pneumoniae D. Neisseria meningitides

A. Hemophilus influenzae

A 4-year old client was brought to the health center with the chief complaint of severe diarrhea and the passage of “rice water” stools. The client is most probably suffering from which condition? A. Giardiasis B. Cholera C. Amebiasis D. Dysentery

B. Cholera

Which of the following is at risk of getting Gardiasis? A.Recent travel to an area with poor sanitation B.Sexual practices that involve oral-anal contact C.Drinking of suspect water D. All except B E. Options A,B C

E. Options A,B C

In a mothers’ class, you discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct? A. The older one gets, the more susceptible he becomes to the complications of chicken pox. B. A single attack of chicken pox will prevent future episodes, including conditions such as shingles. C. To prevent an outbreak in the community, quarantine may be imposed by health authorities. D. Chicken pox vaccine is best given when there is an impending outbreak in the community

A. The older one gets, the more susceptible he becomes to the complications of chicken pox.

Complications to infectious parotitis (mumps) may be serious in which type of clients? A. Pregnant women B. Elderly clients C. Young adult males D. Young infants

C. Young adult males

A barangay had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the barangay? A. Advice them on the signs of German measles. B. Avoid crowded places, such as markets and moviehouses. C. Consult at the health center where rubella vaccine may be given. D. Consult a physician who may give them rubella immunoglobulin

D. Consult a physician who may give them rubella immunoglobulin

A patient with scabies is using scabicide. To achieve its effect Nurse Joshua must place the medication within? a. 8 hours b. 12 hours c. 24 hours d.14 hours

d.14 hours

A total 0f 252 suspected hand foot mouth disease (HFMD) cases were tallied from January 1-25 this year. The City of San Jose Del monte topped the list of towns and cities. Most of the cases recorded were four years old children and younger, including eight month old infant. Food and mouth disease is cause by: A. Virus B. protozoa C. fungi D. bacteria

A. Virus

Leptospirosis is cause by a A. bacteria b. virus c. protozoa d. fungi

A. bacteria

A 32-year old client came for consultation at the health center with the chief complaint of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the onset of symptoms. Based on his history, which disease condition will you suspect? A. Hepatitis A B. Hepatitis B C. Tetanus D. Leptospirosis

D. Leptospirosis

In humans leptospires can be DETECTED in: A. blood B. urine C. CSF D. options a, b, c

D. options a, b, c

For isolation of leptospires, blood culture should be taken: A. as soon as possible after patient’s presentation B. Second week after presentation C. third week after presentation D. fourth week after presentation

A. as soon as possible after patient’s presentation

Antibiotic given to prevent leptospirosis is: A. Doxycycline B. Ampicillin C. Penicillin D. Erythromycin

A. Doxycycline

Anicteric leptospirosis is treated with: A. Doxycycline 100 mg bid B. Ampicillin 500- 750 mg bid C. amoxicillin 500 mg bid D. Any of these

D. Any of these

Leptospirosis in human rarely occurs through: A. Direct contact with contaminated animal urine B. Indirect contact with contaminated animal urine C. Contact with contaminated human urine

C. Contact with contaminated human urine

Leptospirosis disease is maintained in infected animal by: A. chronic infection of renal tubules B. chronic infection of intestinal tract C. chronic infection of blood

A. chronic infection of renal tubules

Incubation period for leptospirosis is: A. 2-6 days B. 2-16 days C. 2-26 days D. 2-36 days

B. 2-16 days

Antibodies in blood can be detected how many days after the onset of symptoms? A. 1-2 days B. 5-7 days C. 9-11 days D. 13-15 days

B. 5-7 days

Pertussis is caused by: A. Bacteria B. Virus C. Fungi D. Protozoa

A. Bacteria

The causative agent of Pertussis is: A. Leptospira (spirochete) B. Bordetella C. Treponema D. Salmonella typhi

B. Bordetella

The DTaP vaccine (diphtheria, tetanus, and acellular pertussis) is recommended for infants. Five doses of DTaP are given until age: one dose is given at: A. 2 months of age B. one dose at 4 months of age C. one dose at 6 months of age D. one dose between 15 and 18 months of age E. another dose between 4 to 6 years of age

A. 2 months of age

LATE symptoms of pertussis is: A. rhinorrhea B. lacrimation C. mild cough D. Low-grade fever E. whooping cough

E. whooping cough

The name of the virus that causes COVID-19 is _____. A. SARS-CoV-2 B. SARS- CoV1

A. SARS-CoV-2

You must attempt to identify and trace all contacts, regardless of where they live or who they are contact tracing is based on the principles of ________ and serves as a public good A.Justice B. Fidelity

A.Justice

Ms. Brown tested positive for COVID-19 and tells you her cough began on May 5. What date would be the earliest possible day that her isolation could end? A.May 15 B. May 19

A.May 15

How would you respond to a friend who asks you, "How is quarantine different from isolation?" A. The purpose of isolation is to keep infectious people separate from healthy people. The purpose of quarantine is to separate healthy people who have been exposed to the virus, and therefore, could become infectious, from other healthy people who have not been exposed to the virus. Both practices are intended to limit the spread of the virus. B. The purpose of quarantine is to keep infectious people separate from healthy people. The purpose of isolation is to separate healthy people who have been exposed to the virus, and therefore, could become infectious, from other healthy people who have not been exposed to the virus. Both practices are intended to limit the spread of the virus.

A. The purpose of isolation is to keep infectious people separate from healthy people. The purpose of quarantine is to separate healthy people who have been exposed to the virus, and therefore, could become infectious, from other healthy people who have not been exposed to the virus. Both practices are intended to limit the spread of the virus.

Describe the incubation period for COVID-19 — both what the term means and how long the incubation period for COVID-19 lasts. A. An incubation period is the time from when someone is infected until their symptoms develop. The incubation period for COVID-19 can be between 2-14 days, but is 5 days on average. B. The time during which a person infected with coronavirus can infect others

A. An incubation period is the time from when someone is infected until their symptoms develop. The incubation period for COVID-19 can be between 2-14 days, but is 5 days on average.

A.Justice

Nurse Gab is providing discharge information to a client with hep B. The RN instructs the client to prevent transmission via: A. airborne pathogens B. blood and body secretions C. skin contact D. fecal and oral routes

B. blood and body secretions

A client is suspected of having hepatitis. Which diagnostic test result will assist in confirming this diagnosis? a. Elevated hemoglobin level B.. Elevated serum bilirubin level c. Elevated blood urea nitrogen leveld. d. Decreased erythrocycle sedimentation rate

B.. Elevated serum bilirubin level

The 3 dose vaccine is available for hepatitis. Nurse Gab is aware that the 2nd dose should be given? a.1 month after dose 1 b.6 months after dose 1 c.At birth d.1 week after dose 1

a.1 month after dose 1

A patient contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient's illness, the nurse would expect serologic testing to reveal" A. hepatitis B surface antigen (HBsAg). B. anti-hepatitis B core immunoglobulin M (anti-HBc IgM). C. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG). D. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM)."

D. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM)."

The family of patient Dilaw newly diagnosed with hepatitis A asks the nurse what they can do to prevent becoming ill themselves. Which of the following responses by the nurse is most appropriate?" A. "The hepatitis vaccine will provide immunity from this exposure and future exposures." B. "I am afraid there is nothing you can do since the patient was infectious before admission." C. "You will need to be tested first to make sure you don't have the virus before we can treat you." D. "An injection of immunoglobulin will need to be given to prevent or minimize the effects from this exposure.""

C. "You will need to be tested first to make sure you don't have the virus before we can treat you."

"Which statement by client Sanger diagnosed with hepatitis warrants immediate intervention by the clinic nurse? A) "I will not drink any type of beer or mixed drink." B)"I will get adequate rest so I don't get exhausted." C.) "I had a big hearty breakfast this morning." D)"I took some cough syrup for this nasty head cold."

D)"I took some cough syrup for this nasty head cold."

A 36-year-old patient's lab work show anti-HAV and IgG present in the blood. As the nurse you would interpret this blood work as?* A. The patient has an active infection of Hepatitis A. B. The patient has recovered from a previous Hepatitis A infection and is now immune to it. C. The patient is in the preicetric phase of viral Hepatitis. D. The patient is in the icteric phase of viral Hepatitis.

B. The patient has recovered from a previous Hepatitis A infection and is now immune to it.

A health care provider who has not been immunized for hepatitis B is exposed to the hepatitis B virus (HBV) through a needle stick from an infected patient. The infection control nurse informs the individual that treatment for the exposure should include: a. baseline hepatitis B antibody testing now and in 2 months. b. active immunization with hepatitis B vaccine. c. hepatitis B immune globulin (HBIG) injection

b. active immunization with hepatitis B vaccine.

During an admission assessment, the nurse notes a client with hepatitis exhibits all of the following signs or symptoms. Which one is not related to hepatitis? A. Anorexia B. Bloody stools C. Dark urine D. Yellow sclera"

B. Bloody stools

For prevention of hepatitis A, you decided to conduct health education activities. Which of the following is IRRELEVANT? A. Use of sterile syringes and needles B. Safe food preparation and food handling by vendors C. Proper disposal of human excreta and personal hygiene D. Immediate reporting of water pipe leaks and illegal water connections

A. Use of sterile syringes and needles

Which of the following indicates that the patient is under HIV progression -Acute Stage? A.Fatigue and anorexia C. kaposis sarcoma B.CD4 t cell count <200mm3 D. cytomegalovirus

A.Fatigue and anorexia

Which of the following diagnostic tests confirms and detects genetic traces of HIV? A.ELISA B. CD4 counts C. Western Blot D. Mac ELISA

C. Western Blot

The normal range of CD4 is: A.500- 1,000 mm3 B. <200 mm3 C. 300 mm3 D. 500-1000 ml/dl

A.500- 1,000 mm3

HIV cannot be transmitted to which of the following? A.Blood B.Urine C.Synovial fluid D.Needles

B.Urine

You are the PHN in the city health center. A client underwent screening for AIDS using ELISA. His result was positive. What is the best course of action that you may take? A. Get a thorough history of the client, focusing on the practice of high risk behaviors. B. Ask the client to be accompanied by a significant person before revealing the result. C. Refer the client to the physician since he is the best person to reveal the result to the client. D. Refer the client for a supplementary test, such as Western blot, since the ELISA result may be false.

D. Refer the client for a supplementary test, such as Western blot, since the ELISA result may be false.

Which is the BEST control measure for AIDS? A. Being faithful to a single sexual partner B. Using a condom during each sexual contact C. Avoiding sexual contact with commercial sex workers D. Making sure that one’s sexual partner does not have signs of AIDS

A. Being faithful to a single sexual partner

The most frequent causes of death among clients with AIDS are opportunistic diseases. Which of the following opportunistic infections is THIS? A. Respiratory candidiasis B. Infectious mononucleosis C. Cytomegalovirus disease D. Pneumocystis carinii pneumonia E. Pneumocystis jirovecii pneumonia

E. Pneumocystis jirovecii pneumonia

To determine possible sources of sexually transmitted infections, which is the BEST method that may be undertaken by the public health nurse? A. Contact tracing B. Community survey C. Mass screening tests D. Interview of suspects E. isolation/quarantine

A. Contact tracing

Antiretroviral agents, such as AZT, are used in the management of AIDS. Which of the following is NOT an action expected of these drugs. A. They prolong the life of the client with AIDS. B. They reduce the risk of opportunistic infections C. They shorten the period of communicability of the disease. D. They are able to bring about a cure of the disease condition

D. They are able to bring about a cure of the disease condition

The nurse assesses the mouth and oral cavity of a client with HIV because the most common opportunistic infection initially presents is: A. HSV lesions on the lips B. Oral Candidiasis C. CMV infection D. pneumocystic jirovecci

B. Oral Candidiasis

The nurse is explaining the need to protect an immunocompromised HIV patient from infection to the patient's family. The nurse explains that the patient is immunocompromised because the pathophysiology of HIV centers on which process? A. Destruction of the T4 cells B. Insufficient number of neutrophils C. Inhibition of the inflammatory response D. An abnormal increase of immature white blood cells

A. Destruction of the T4 cells

A college student presents to the campus health clinic 2 days after unprotected sexual intercourse. The student is requesting an HIV test. After the initial test is negative result, the nurse provides which advice to the student? A. Return to the clinic as needed. B. Obtain a repeat test in 3 months. C Begin an intense regimen of antibiotics

B. Obtain a repeat test in 3 months

The lessons learned in responding to HIV will play an instrumental role in the success in achieving many of the Sustainable Development Goals, good health and well-being, and the goals on gender equality and women's empowerment, reduced inequalities, global partnerships and just, peaceful and inclusive societies. Notably, good health and well- being is under? A. SDG 1 B. SDG 3 C. SDG 4 D. SDG 5 E. SDG 6

B. SDG 3

e organism responsible for causing syphilis is classified as a: A. Virus B. Fungus C. Rickettsia D. Spirochete

D. Spirochete

A client is suspected of having late-stage syphilis. When obtaining a health history, the nurse recognizes that the statement by the client that would most support this diagnosis would be A.“I noticed a wart on my penis.” B. “I have sores all over my mouth.” C. “I have been losing a lot of hair lately.” D.“I’m having trouble keeping my balance.”

D.“I’m having trouble keeping my balance.”

Characteristic lesion of tertiary syphilis is A. Chancroid B. condyloma lata C. Intestinal mucosa of animals C. gumma D.chancre

C. gumma

When educating a female with gonorrhoea, the nurse should emphasize that for women, gonorrhoea: (MAY 2025) A. Is often marked by symptoms of dysuria or vaginal bleeding B. Does not lead to serious complication C. Can be treated but not cured D. May not cause symptoms until serious complication occurs

D. May not cause symptoms until serious complication occurs

Which of the following groups has experienced the greatest rise in the incidence of STDs over the past two decades? A. Teenagers B. Divorced people C. Young married couples D. Older adults

A. Teenagers

A female client with gonorrhoea informs the nurse that she has had sexual intercourse with her boyfriend and asks the nurse, “Would he have any symptoms?” The nurse responds that in men, the symptoms of gonorrhoea include: A. Impotence C. Urinary distention B. Scrotal Swelling D. Painful urination

D. Painful urination

Which of the following is not true about Herpes zoster? A. A dormant type is inactive type B. Causative agent is Varicella-zoster virus C. unilateral in distribution D. bilateral in distribution

D. bilateral in distribution

Herpes simplex virus (HSV) type _____ usually results in cold sores or fever blisters on the mouth or lips, whereas herpes simplex type _____ generally produces lesions in the genital area. A.1,2 B.2,1 C.3,4 D.4,3

A.1,2

he key treatment for herpes is the antiviral drug _____, which may also be taken when symptoms are absent to prevent recurrence. A.Acyclovir B.Penadur C.Penicillin D.Rocepehin

A.Acyclovir

A married couple has two biologic children who live with them as well as a child from the wife's first marriage. What type of family is evident? A. Homogeneous B. Extended C. Blended D. Nuclear

C. Blended

When a nurse assesses a family, which family task has the highest priority for healthy family functioning? a. Allocation of family resources b. Physical maintenance and safety c. Maintenance of order and authority d. Reproduction of new family members

b. Physical maintenance and safety

Which documentation of family assessment indicates a healthy and functional family? a. Members provide mutual support. b. Power is distributed equally among all members. c. Members believe there are specific causes for events. d. Under stress, members turn inward and become enmeshed.

a. Members provide mutual support.

15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine: a. how the family expresses and manages emotion. b. names and relationships of the family's members. c. the communication patterns between the patient and parents. d. the meaning that the patient's suicide attempt has for family members

b. names and relationships of the family's members.

A wife believes her husband is having an affair. Lately, he has been disinterested in romance and working late. The husband has an important, demanding project at work. The mother asks her teen, "What have you noticed about your father?" The teen later mentions this to the father, who says, "Tell your mother that I can't deal with her insecurities right now." Which family dynamic is evident? a. Triangulation b. Enmeshment c. Scapegoating d. symphathetic joy

a. Triangulation

A 24-year-old is leaving the family to start a new job in a city 400 miles away. Which statement made by the patient best demonstrates a healthy sense of family support? a. "I've always been independent. That's how I was raised." b. "If I get in trouble financially, I know Mom and Dad will help me out." c. "I don't need anyone's help. Everyone has their own problems to deal with." d. "I'm going to miss everyone terribly, but I know they will support me in this decision."

d. "I'm going to miss everyone terribly, but I know they will support me in this decision."

A nurse works with patients whose families are attending family therapy. The nurse should recommend psychoeducational family therapy for which family? a. A family whose members have problems establishing and respecting boundaries. b. A family whose teenaged children are routinely making major family decisions. c. A family whose 18-year-old son has been diagnosed with schizophrenia. d. A family who communicates primary using dysfunctional techniques

c. A family whose 18-year-old son has been diagnosed with schizophrenia.

A 10-year-old shares that he doesn't like spending weekends with his father "now that dad's girlfriend moved in." The nurse will discuss the issues with the child and parents based on an understanding of the stresses present in which type of family structure? a. Unmarried biological b. Cohabitating c. Blended d. Other

b. Cohabitating

Which statement is an example of a parent demonstrating the dysfunctional communication technique of generalizing? a. "I want to be a good mother, but my husband just isn't involved with the kids." b. "I keep the peace by seldom asking any of the family to help with chores." c. "My wife's priorities are the kids, her parents, and then her job." d. "The kids never listen to me even when I threaten them."

d. "The kids never listen to me even when I threaten them."

Just before you escort the Juarez family in for a meeting, their 17-year-old son confides to you that he is gay. He says he has not told any other adult including his parents. What is your best response to him? a. "Your parents have a right to know about this." b. "How do you think your parents would react if you told them?" c. "That's your decision, but you need to be careful about risky sexual behavior." d. "Lots of famous people are gay. You don't need to worry." e. "How do you think your parents would react if you told them?"

b. "How do you think your parents would react if you told them?"

When performing an intake assessment on a family, you wish to map the family's structure and information that reflect both the family's history and current functioning. This assessment tool is called a: a. Mini-mental status exam b. Beck depression inventory c. Genogram d. Histogram

c. Genogram

While you are working with a family whose son was admitted due to a psychotic break, you observe the mother say to her son, "What, no hug for your Mom?" As the son embraces his mother, she stiffens, which results in the young man backing away. She responds, "You only care about yourself." What behavior is this mother engaging in? a. Triangulation b. Scapegoating c. Double binding d. Differentiation

c. Double binding

Which of the following family members should you refer to individual therapy rather than family therapy? a. A mother who has anxiety controlled by medication. b. A father who is questioning his sexuality. c. A son who is verbally abusive toward his parents. d. A daughter who has been treated for alcohol use.

b. A father who is questioning his sexuality.

You are evaluating the family therapy experience. Which behavior would indicate that further family therapy is needed? a. Wife talks to husband through the children. b. Son's grades have risen from a "D" average to a "C" average. c. Daughter's headaches have subsided. d. Mother has stopped using illicit substances.

a. Wife talks to husband through the children.

Emotional support is an important family dynamic because it allows family members to: a. Feel secure enough to explore aspects of their personality. b. Feel isolated and fearful even though family members are near. c. Grow without boundaries within the family unit. d. Have bursts of anger without recourse or shame.

a. Feel secure enough to explore aspects of their personality.

One such family is a married couple who has two biologic children living with them as well as a child from the wife’s first marriage. What type of family is evident? a. Homogenous b. Extended c. Blended d. Nuclear

c. Blended

When Nurse Gloria assesses a family, which family task would she consider having HIGHEST PRIORITY for health family functioning? a. Reproduction of new family members b. Physiologic maintenance and safety c. Allocation of family resources d. Maintenance of order and authority

b. Physiologic maintenance and safety

Which of the following is an evidence of the a poor family coping Index related to healthcare attitudes ? A. A parents who washes the wound of the child with running water B. The family who observes the habit of cleaning surroundings. C. A young mother who introduced solid food to her three-month-old baby. D. A mother who brings her child to the clinic

C. A young mother who introduced solid food to her three-month-old baby.

Which of the following is the BEST evidence of a family whose family coping index on therapeutic competence is rated as coping well? A. Shows positive interpersonal relationship B. Participates in the weekly clean and green program of the community C. Maintain clean and organized household ambiance D. Visits the clinic frequently well or sick.

A. Shows positive interpersonal relationship

Which of the following tools used by nurses in the community setting for assessing health needs and problems of families that is similar to family coping index A. Nursing theories B. Vitals statistics C. Case study D. Nursing diagnosis

D. Nursing diagnosis

The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The youngest child of the de los Reyes family has been diagnosed as mentally retarded. This is classified as a: A. Health threat B. Health deficit C. Foreseeable crisis D. Stress point

B. Health deficit

The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has a: A. Health threat B. Health deficit C. forseeable crisis

C. forseeable crisis

Community diagnosis as a process involves _______________ a.Step by step data gathering b.Identification of the health problems of the community c.A continuous learning experience for the nurse and the community people d.Continuous development of the community health programs

c.A continuous learning experience for the nurse and the community people

Community diagnosis as a profile involves ______ a.Data gathering, data collation and data analysis b.To identify the resources available to the community people c.To enable the nurse to set priorities for planning d.To coordinate health services with other socio – economic services in the community

b.To identify the resources available to the community people

Community diagnoses is done because of the following reasons, except: a.To have a clear picture of the problems of the community b.To identify the resources available to the community people c.To enable the nurse to set priorities for planning d.To coordinate health services with other socio – economic services in the community

d.To coordinate health services with other socio – economic services in the community

This type of community diagnoses aims to obtain general information about the community or a certain population group. a.Comprehensive community diagnoses b.Problem oriented community diagnoses c.Rapid rural appraisal d.None of the above

a.Comprehensive community diagnoses

Demographic variables show the following, except; a.Population size b.Population distribution c.Population control d.Population composition

c.Population control

The following are examples of demographic data needed in the community diagnosis, except: a.Patterns of immigration b.Growth rate c.Political groups identified d.Total population

c.Political groups identified

he most common method of community diagnosis that accounts for the bulk of date is; a.Census b.Records review c.Interview d.Sample survey

b.Records review

The following are steps on processing data. Arrange them in order. 1. data analysis 2. data collection 3. data presentation 4. data collation a.2,4,1 and 3 b.2,3,4 and 1 c.2,4,3 and 1 d.2,3,1 and 4

c.2,4,3 and 1

The major factors affecting the population include the following except; a.Births b.Deaths c.Migration d.Morbidity

d.Morbidity

A population pyramid with a triangular shape and broad base indicates the following except; a.Death rates b.Poverty c.Young population d.More females

d.More females

The sampling method used for a reliable community diagnosis is; a.Simple random b.Multi-stage c.Cluster d.Systematic random

d.Systematic random

The following describes community organizing, except: a.It is a continuous and sustained process of educating the people to understand and develop their critical awareness on their condition. b.It involves motivating the elected leader to work for the good of the selected members of the community. c.It entails working with the people collectively and efficiently on their immediate and long-term problems. d.It includes mobilizing the people for capability-building process

b.It involves motivating the elected leader to work for the good of the selected members of the community.

Which of the following statements regarding the definitions of COPAR is not true? a.COPAR is a social development approach that aims to transform the apathetic, individualistic, and voiceless poor into a politically responsive community. b.COPAR is a continuous and sustained process of educating the people to understand and develop their critical awareness of their existing condition. c.COPAR is a process by which the community identifies its needs and objectives and develops confidence to take action to solve their own problems. d.COPAR is a collective, participatory, and a fixed process of building community organizations.

d.COPAR is a collective, participatory, and a fixed process of building community organizations.

Which of the following statements is true with regard to the importance of COPAR? a.COPAR generates income for the oppressed sector of the society. b.COPAR prepares people to eventually take over the management of development programs. c.COPAR maximizes the resources of the upper class of society. d.COPAR generates income for the oppressed sector of the society

b.COPAR prepares people to eventually take over the management of development programs.

Which of the following statements is TRUE with regard to the principles of COPAR? a.The most oppressed and exploited sectors of the society are open to change. b.COPAR should be based on the interest of the upper class of society. c.The poorest sector of the society resists social change. d.COPAR will only temporarily lead to self-reliance because poor people, by nature, needs discipline, and guidance.

a.The most oppressed and exploited sectors of the society are open to change.

Which of the following statements is NOT TRUE regarding the PROCESSES involved in COPAR? a.COPAR utilizes a progressive cycle of action-reflection-action process. b.Consciousness raising through experiential learning is central to COPAR. c.COPAR is leader-oriented; thus, it focuses on core group formation. d.COPAR is participatory and mass-based.

c.COPAR is leader-oriented; thus, it focuses on core group formation.

One of the purposes of integration in COPAR is to __________. a.Gather data that is necessary in the identification of community health problems. b.Understand deeply the culture and lifestyle in the community. c.Validate the community health needs identified earlier. d.Identify the community leaders that may be tapped for organizing purposes.

b.Understand deeply the culture and lifestyle in the community.

Methods of integration include the following, EXCEPT: a.Participation in direct production activities of the people. b.Conduct house-to-house visits c.Helping out in household chores d.Participating in all the social activities of the youth in the community

d.Participating in all the social activities of the youth in the community

Social investigation is a systemic process of collecting, collating, and analyzing data to draw a clear picture of the community, except; a.Training of community leaders in doing social investigation b.Analysis of secondary data available should be considered so as not to duplicate data and waste time and effort. c.Proper integration of health workers is necessary in facilitating social investigation. d.Data gathering should utilize survey questionnaires

d.Data gathering should utilize survey questionnaires

Groundwork is defined as ___________. a.Motivating people on a one-on-one basis to work towards the resolution of community problems b.Going around and giving tasks to people so that community problems will be solved. c.Uniting the community people as a group on the proper action towards the resolution of community problems. d.Measuring the outcome of activities implemented versus the objectives that were set.

a.Motivating people on a one-on-one basis to work towards the resolution of community problem

Reflection deals with ____________. a.Addressing with the deeper and ongoing concerns of the community problems will be solved b.Echoing the lessons learned from one organization to the other. c.Establishing a mirror image “of the successful organization in one barangay in another barangay. d.Acting out the tasks that will be done so as to build the community organization.

a.Addressing with the deeper and ongoing concerns of the community problems will be solved

The following are critical activities under COPAR, except: a.Role play b.Program planning c.Validation d.meetings

c.Validation

The following activities fall under the pre-entry or preparatory phase of community organizing, EXCEPT: a.Social preparation through sensitization of barangay leaders b.Community profiling c.Site selection d.Entry into the community

d.Entry into the community

The other term for the entry phase is ________. a.Orientation phase b.Social preparation phase c.Social orientation phase d.Preparation phase

b.Social preparation phase

This phase signals the actual entry of the community organizer into the community. a.Pre-entry b.Entry c.Organizational building phase d.Preparation phase

b.Entry

Preliminary social investigation utilizes a.Primary data sources b.Interviews and organizations c.Registries and records d.Focus group discussions

a.Primary data sources

Upon entry to the community, the nurse can start the following except; a.Deepening social investigation b.Community integration c.Small group formation d.Social preparation

d.Social preparation

Manageable units of the community to facilitate service delivery and people’s participation; a.Spot map b.Small group c.Core group d.Organizing group

c.Core group

The basic reasons why the community organizers need to phase out the community is to enable the; a.Nurse to open CO work in other depressed areas b.People to exercise self-reliance c.People’s organization to expand their coverage d.People to test their unity and strengths

b.People to exercise self-reliance

An instrument for gathering objective data from an individual is; a.Nursing history b.Physical assessment c.Use of laboratory exam findings d.Process recording

b.Physical assessment

The exact opposite of the current problematic situation is stated as a; a.Plan b.Goal c.Objective d.Evaluation

b.Goal

In the assessment phase of the family health nursing process, an indicator for problem prioritization of a family health problem is the; a.Nature of the problem b.Preventive potential c.Modifiability d.Salience

a.Nature of the problem

By its nature, which of the following problems will be given least priority? a.Unemployment b.Scabies c.Poor home environment d.Ascariasis

a.Unemployment

Which of the following indications are used for determining the family’s value on prevention? a. Updated immunization schedule b. Family’s concept of prevention c. Compliant behavior d. Options a,b,c

d. Options a,b,c

Nurse patient ratio according to the DOH is? A.1:12 B. 1:10 C. 1:6 D. 1:3

A.1:12

Nurse patient ratio according to the WHO is? NOV A.1:12 B. 1:10 C. 1:6 D. 1:3

C. 1:6

Community organizing is a continuous and sustained a.Approach b.Process c.Strategy d.Intervention

b.Process

The goal of CO is; a.Community involvement b.Community development c.Community participation d.Community integration

c.Community participation

Awareness raising is an important element of CO because; a.It is the primary motivation to action. b.It means community involvement. c.It may result to chaos if people are not aware. d.It preserves a culture of silence.

a.It is the primary motivation to action.

Preliminary social investigation utilizes; a.Primary data b.Registries from the municipal hall c.Actual interviews d.Ocular inspection

a.Primary data

The best entry to the community is; a.Low key approach b.Entry with a parish priest c.Endorsement by the mayor d.Free clinic

a.Low key approach

This phase entails the formation of more formal structures in the community. a.Pre-entry phase b.Entry phase c.Organizational building phase d.Sustenance and strengthening phase

c.Organizational building phase

This phase entails the inclusion of more formal procedures of planning, implementing, and evaluating community-wide activities. a.Pre-entry phase b.Entry phase c.Organizational building phase d.Sustenance and strengthening phase

c.Organizational building phase

This phase occurs when the community organization has already been established and the community members are already participating in the community-wide. a.Pre-entry phase b.Entry phase c.Organizational building phase d.Sustenance and strengthening phase

d.Sustenance and strengthening phase

The following are guidelines that should be followed in the entry phase, except: a.Recognize the role of local authorities b.Lifestyle of organizer should be in keeping with those of the community residents c.Organizer should be famous among the community people d.The community organizer should act as a role model

c.Organizer should be famous among the community people

The training and education of the community health organization members is important for the following purposes, except: a.To consolidate the organization b.To motivate the members to act as a united whole c.To equip the members of the organization with the necessary leadership and health skills d.None of the above

d.None of the above

The following are training programs a community health organization member should undergo, except: a.Self-awareness leadership training b.Basic health skills training c.Basic nursing skills d.Advance health skills training

c.Basic nursing skills

One supervised project in the barangay is putting up “Botika ng Barangay” which is supervised by one of the following health care providers: a.Pharmacist b.Physician c.Midwife d.Nurse

a.Pharmacist

Which of the following is not a function of the Community Health Organization? a.Regular planning and conduct of ARAS b.Ensures collective participation in decision-making, planning, implementation, and evaluation of community projects c.Raising the community’s consciousness on health d.None of the above

a.Regular planning and conduct of ARAS

Organization building in community organizing involves the following except: a.Spotting and developing potential leaders b.Community integration c.Core group formation d.Setting up of the community organization

b.Community integration

Which of the following is not an activity under the sustenance and strengthening phase of COPAR? a.Development of financial management systems b.Application for SEC registration c.Conduct of leadership training seminars among core group members d.Collaboration and forming federations with other groups or organizations

c.Conduct of leadership training seminars among core group members

The following are strategies under the sustenance and strengthening phase, except: a.Education and training b.Conduct of mobilizations c.Solicitation of material resources needed d.Developing secondary leaders

c.Solicitation of material resources needed

COPAR as a concept is important in community health nursing because: a.It is a comprehensive and its principles are in keeping with the principles of primary health care b.Community organizing is necessary in all community settings. c.Its methods are already proven to be effective d.It is adopted as a community health nursing approach by all nursing schools

a.It is a comprehensive and its principles are in keeping with the principles of primary health care

The three main goals of community development include the enhancement of the following, except: a.People’s knowledge b.People’s participation c.People’s capability d.People’s well-being

a.People’s knowledg

The three main fields of community development include the following, except: a.Community education b.Community organization c.Community enterprise d.Community resource management

c.Community enterprise

Community education involves the following goals, except: a.Conscientization b.Networking c.Community value formation d.Skills development

b.Networking

Which of the following women should be considered as special targets for family planning? A. Those who have two children or more B. Those with medical conditions such as anemia C. Those younger than 20 years and older than 35 years D. Those who just had a delivery within the past 15 months

D. Those who just had a delivery within the past 15 months

Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle? A. Information dissemination about the need for family planning B. Support of research and development in family planning methods C. Adequate information for couples regarding the different methods D. Encouragement of couples to take family planning as a joint responsibility

C. Adequate information for couples regarding the different methods

You explain to a breastfeeding mother that breast milk is sufficient for all of the baby’s nutrient needs only up to ____. A. 3 months B. 6 months C. 1 year D. 2 years

B. 6 months

Natural family planning methods includes the ff. Which one is not? i.Implants, IUD ii.Basal Body Temperature,cervical mucus

i.Implants, IUD

Child spacing involves the couple’s decision to implement any of the following: Which is not included? i.Hormonal methods of FP ii.Permanent methods of FP iii.Natural methods of FP iv.Biologic methods of FP

ii.Permanent methods of FP

For family planning to succeed, an important consideration in the decision-making process regarding the appropriate method to use is the a. Woman’s decision c. Couple’s decision b. Man’s decision d. Health worker’s decision

c. Couple’s decision

Which of the following is an example of a biologic method of child spacing? a. Lactation amenorrhea method c. Implants b. Diaphragm d. Depo-provera

a. Lactation amenorrhea method

The cervical mucus method indicates that the woman should observe the following, EXCEPT 1.Mucus secretions 2.Feeling of heaviness in the perineal area 3.Vaginal sensations of wetness or dryness 4.Menstrual days

2.Feeling of heaviness in the perineal area

Family planning principles and goals WHICH IS NOT INCUDED i.Woman’s health ii.Responsible parenthood iii.Safe Sex iv.Prenatal care v.Child’s health

iv.Prenatal care

The following methods are 99% effective, EXCEPT a.Tubal ligation c. Sterilization b.Vasectomy d. LAM

d. LAM

The following statements regarding tubal ligation are true, EXCEPT 1.It can be performed right after a woman gives birth. 2.It has an effect on the quantity of the breastmilk produced by the woman. 3.It has no known long-term side-effect. 4.It helps protect against ovarian cancer.

4.It helps protect against ovarian cancer.

The following statements about vasectomy are true, EXCEPT 1.It is fully effective only after 20 ejaculations or three months. 2.It has no effect n the sexual performance of the male. 3.Its common complication includes pain in the scrotum, swelling and bruising. 4.It results in decreased semen production

4.It results in decreased semen production

The cervical mucus of a woman in the fertile period possesses the following characteristics i.Slippery, ELASTIC, WATERY ii.No secretions, BREAKS when stretched iii.Elastic, smelly

i.Slippery, ELASTIC, WATERY

In planning the care of the elderly, which should be the important consideration that Nurse Gina has to consider__________. A. The educational qualification B. Family support C. Activities of daily living D. Residence of the elderly

C. Activities of daily living

Nurse Gina has also to consider in terms of financial status most of the elderly are A. Sufficient B. Disoriented C. Dependent to others financially D. Have pension

C. Dependent to others financially

This theory proposes that events occurring in the hypothalamus and pituitary are responsible for changes in hormone production. A. Wear and Tear Theory B. Genetic Theory C. Neuroendocrine Theory D. Somatic Mutation theory

C. Neuroendocrine Theory

In planning their care, Nurse Gina should consider_. A. Socialization is more important B. holistic care C. Physically dependent D. Spiritually healing

B. holistic care

In her recommendation, Nurse Gina stated, elderly should be given independence. This means___________ A. They must live on their own B. The envt should be safe on them C. They are free what to do D. They have rights

C. They are free what to do

RA 11148 or the HEALTH AND NUTRITION OF MOTHER AND CHILD ACT OF 2018, aims to prioritize nutrition for adolescent females, pregnant and breastfeeding women, infants, and young children, focusing on expanding nutrition programs during the ____________ days of a child’s life. A.1,000 days B.100 days C.500 days D.300 days

A.1,000 days

The new vision of the DOH is: A.Promotion, protection, preservation and restoration of health of the people through provision and delivery of health services and through regulation and encouragement of providers of goods and health service B.The global leader for attaining better health outcomes, competitive, responsive health care system and equitable health financing. C.Filipinos among the healthiest people in Asia by 2040 D.To lead the country in the development of productive, resilient, equitable and people centered health care.

C.Filipinos among the healthiest people in Asia by 2040

Which of the following is NOT an element of FOURmula One for Health? a.health financing b.Good governance c.Good leadership d.Health regulation e.Health service delivery

c.Good leadership

It mandates the compulsory immunization of children below 8 years A. PD 996 B. RA 10912 C. RA 11223 D. RA 11332

A. PD 996

This law allows every Filipino to avail of affordable medicines. A. Local Government Code B.Generic Drug Act C.Primary health care D.Universal Health Care

D.Universal Health Care

All of the following are the cornerstone of PHC, EXCEPT: A. Intersectoral linkages B. Support mechanism made available C. Active community participation D. Hilot

D. Hilot

Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics? a.Clinic consultation b.Group conference c.Home visit d.Written communication

c.Home visit

Which of the following is an advantage of a home visit? A. It allows the nurse to provide nursing care to a greater number of people. B. It provides an opportunity to do first hand appraisal of the home situation. C. It allows sharing of experiences among people with similar health problems. D. It develops the family’s initiative in providing for health needs of its members

B. It provides an opportunity to do first hand appraisal of the home situation.

Which is CONTRARY to the principles in planning a home visit? A.A home visit should have a purpose or objective. B. The plan should revolve around family health needs. C. A home visit should be conducted in the manner prescribed by the RHU. D. Planning of continuing care should involve a responsible family member.

C. A home visit should be conducted in the manner prescribed by the RHU.

Ana’s first home visit includes, which of the following? a.Newborn b.Postpartum c.Pregnant d.Elderly e.with illness

a.Newborn

Which of the following is/are the purpose/s of home visit? SATA a.to provide health teaching b.to promote health services c. to provide first hand assessment and care d.to assess the living condition or health care practices. e.All of these

e.All of these

As Nurse Pedrito prepares for the day's visits, which of the following patients should be seen FIRST? A client with ________. A. Amado, Parkinson's disease with imbalance gait. B. Nora, A history of congestive heart failure with dyspnea. C. Haji,A thoracostomy six months ago. D. Franicso, A stroke with nasogastric tube (NGT).

B. Nora, A history of congestive heart failure with dyspnea.

Mang Emilio refuses to take his daily medication for hypertension. Which of the following actions should Nurse Pedrito take at this time? A. Tell Mang Emilio that he will suffer from stroke. B. Explore the reason for the client's refusal to take the medication. C. Administer the medication by injection. D. Obtain help from relatives in administering the medication.

B. Explore the reason for the client's refusal to take the medication.

Nurse Yuri sees a 65 year-old male, who is recovering from stroke. He noticed that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect? Mang Jose is _________. A. Unable to carry out cognitive and motor activity at the same time. B. Observed shaving only one side of his face. C. Unable to complete a range of vision without turning his head side to side. D. Unable to distinguish between two tactile stimuli

B. Observed shaving only one side of his face.

Nurse Pedrito is teaching a client with Parkinson's disease on ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to _________. A. Rest in supine position with his head elevated. B. Sleep only in dorsal recumbent position. C. Periodically lie in prone position without a neck pillow. D. Sleep on either side, but keep his back straight.

C. Periodically lie in prone position without a neck pillow.

A client with congestive heart failure has been receiving digoxin (lanoxin). Which finding indicates that the medication is having a desired effect? A. Increased weight B. Improved appetite C. Increased urinary output D. Increased pedal edema

C. Increased urinary output

The public health nurse conducts a study on the factors contributing to the high mortality rate due to heart disease in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation? a.Descriptive b.Analytical c.Therapeutic d.Evaluation

b.Analytical

The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare? A.Line B.Bar C.Pie D.Scatter diagram

B.Bar

This pattern of epidemiology is on and off. This is: A. Pandemic B. Sporadic C. Endemic D. Epidemic

B. Sporadic

This step of epidemiologic investigation ascertains the number of cases of typhoid fever occurring in a community: a.Establishing the epidemic b.Establishing the time and space relationship of the disease. c.Establishing the relationship between cases to the characteristic of the community d.Correlating all the data obtained

a.Establishing the epidemic

A.institute appropriate control measures in the confirmation of an outbreak.

Which of the following is a function of epidemiology? A. Identifying the disease condition based on manifestations presented by a client B. Determining factors that contributed to the occurrence of pneumonia in a 3 year old C. Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with pneumonia D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness

D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness

The public health nurse conducts a study on the factors contributing to the high mortality rate due to heart disease in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation? A. Descriptive B. Analytical C. Therapeutic D. Evaluation

B. Analytical

Which of the following is an epidemiologic function of the nurse during an epidemic? A. Conducting assessment of suspected cases to detect the communicable disease B. Monitoring the condition of the cases affected by the communicable disease C. Participating in the investigation to determine the source of the epidemic D. Teaching the community on preventive measures against the disease

C. Participating in the investigation to determine the source of the epidemic

The primary purpose of conducting an epidemiologic investigation is to A. Delineate the etiology of the epidemic B. Encourage cooperation and support of the community C. Identify groups who are at risk of contracting the disease D. Identify geographical location of cases of the disease in the community

A. Delineate the etiology of the epidemic

Which is a characteristic of person-to-person propagated epidemics? A. There are more cases of the disease than expected. B. The disease must necessarily be transmitted through a vector. C. The spread of the disease can be attributed to a common vehicle. D. There is a gradual build up of cases before the epidemic becomes easily noticeable.

D. There is a gradual build up of cases before the epidemic becomes easily noticeable.

In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation? A. Establishing the epidemic B. Testing the hypothesis C. Formulation of the hypothesis D. Appraisal of facts

A. Establishing the epidemic

The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as A. Epidemic occurrence B. Cyclical variation C. Sporadic occurrence D. Secular variation

B. Cyclical variation

The following statements refer to the family planning program except; a.Policy program advocates partnership, participation and promotion of health. b.The main aim of the program is birth control. c.The program is anchored on safe motherhood and child survival. d.Females may decide independently on contraceptive method.

b.The main aim of the program is birth control.

Which of the following statements is correct? a.Effectiveness on sterility will come after 25 to 40 days after vasectomy. b.Multiparous women have high fertility post IUD removal. c.Pills are advisable to those who have occasional sex. d.Condoms can be reused

b.Multiparous women have high fertility post IUD removal.

Life-long immunity for tetanus is achieved by a woman after a.3 pregnancies b.2 doses during pregnancies c.3 booster doses d.Fourth tetanus toxoid

c.3 booster doses

DPT is given at a.0.05 ml, ID b.0.5 ml, IM c.0.5 ml, SQ d.0.1 ml, ID

b.0.5 ml, IM

The seven EPI diseases are scheduled for immunization to provide immunity during which one of these infants’ age? a.After the child’s first birthday b.Newborn to six months c.Before the child’s birthday d.Six months to one year

a.After the child’s first birthday

All these diseases may be contracted through the droplet infection, EXCEPT a.Diphtheria c. Pertussis b.Measles d. Poliomyelitis

d. Poliomyelitis

This vaccine is given by mouth: a.OPV c. TT b.BCG d. DTP

a.OPV

The following are target populations of the EPI, EXCEPT a.Infants c. School entrants b.Pregnant women d. Adolescents

d. Adolescents

A woman is considered to have a lifetime immunity against tetanus after which dose? a.Second dose c. Fourth dose b.Third dose d. Fifth dose

d. Fifth dose

Vaccines against these diseases normally result in fever within the first 24 hours, EXCEPT 1.Diphtheria c. Tetanus 2.Measles d. Whooping cough

2.Measles

The following are contraindications to giving vaccines, EXCEPT 1.Convulsions c. Malnutrition 2.Fever of 39⁰C d. Dehydration

c. Malnutrition

The following vaccines are given three times in a year, EXCEPT 1.Hepatitis B c. DPT 2.OPV d. Measles

d. Measles

Which of the following is a common side effect of BCG? a.Koch’s phenomenon b.Deep abscess at vaccination site c. Indolent ulceration d. Lymph node enlargement

a.Koch’s phenomenon

When an outbreak occurs, measles vaccine is given at A.6 months B.9 month

A.6 months

2nd dose of Hepa vaccine is given? A.At birth B.6 months after the first dose C.1 year after dise 1

B.6 months after the first dose

Population of the Phil in 2018 A.104 million B. 114 million

A.104 million

(NOV 2023)- Population in 2023 A.3 billion B. 117 m c. 17 billion

B. 117 m

Population-focused nursing practice requires which of the following processes? A. Community organizing B. Nursing process C. Community diagnosis D. Epidemiologic process

C. Community diagnosis

We say that a Filipino has attained longevity when he is able to reach the average lifespan of Filipinos. What other statistic may be used to determine attainment of longevity? A. Age-specific mortality rate B. Proportionate mortality rate C. Swaroop’s index D. Case fatality rate

C. Swaroop’s index

To describe the sex composition of the population, which demographic tool may be used? A. Sex ratio B. Sex proportion C. Population pyramid D. Any of these may be used.

D. Any of these may be used.

Which of the following is a natality rate? A. Crude birth rate B. Neonatal mortality rate C. Infant mortality rate D. General fertility rate

A. Crude birth rate

What population is particularly susceptible to protein energy malnutrition (PEM)? A. Pregnant women and the elderly B. Under-5 year old children C. 1-4 year old children D. School age children

C. 1-4 year old children

Which statistic can give the most accurate reflection of the health status of a community? A. 1-4 year old age-specific mortality rate B. Infant mortality rate C. Swaroop’s index D. Crude death rate

C. Swaroop’s index

Which statistic best reflects the nutritional status of a population? A. 1-4 year old age-specific mortality rate B. Proportionate mortality rate C. Infant mortality rate D. Swaroop’s index

A. 1-4 year old age-specific mortality rate

What numerator is used in computing general fertility rate? A. Estimated midyear population B. Number of registered live births C. Number of pregnancies in the year D. Number of females of reproductive age

B. Number of registered live births

You will gather data for nutritional assessment of a purok. You will gather information only from families with members who belong to the target population for PEM. What method of data gathering is best for this purpose? A. Census B. Survey C. Record review D. Review of civil registry

B. Survey

282. In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed A. De jure B. De locus C. De facto D. De novo

C. De facto

Tertiary prevention is needed in which stage of the natural history of disease? A. Pre-pathogenesis B. Pathogenesis C. Prodromal D. Terminal

D. Terminal

Isolation of a child with measles belongs to what level of prevention? A. Primary B. Secondary C. Intermediate D. Tertiary

A. Primary

On the other hand, Operation Timbang is _____ prevention. A. Primary B. Secondary C. Intermediate D. Tertiary

B. Secondary

Which of the following BEST defines a disaster? a.Any event that results in multiple deaths. b.Devastation that covers a broad geographical area c.Devastation that cannot be relieved without assistance d.A sudden event results in multiple injuries, death and property damage

d.A sudden event results in multiple injuries, death and property damage

A family learns that there is a strong potential for a severe storm but does not go to the storm cellar. In which stage of a disaster is this family functioning? A. Nondisaster stage. B. Predisaster stage. C. Impact stage. D. Emergency stage

B. Predisaster stage.

Nurse Astra is interested to the study the feelings and lived experiences of people surviving typhoon Enteng. She is using what research design? A. Experimental B. Ethnographic C. Phenomenological D. Grounded Theory

C. Phenomenological

The nurse is working in a clinic that provides counseling for victims of a recent flood. This is stressful to the victims of flood. Crisis intervention is which type of prevention? A. Primary B. Health promotion C. Secondary D. Tertiary E. Quarternary

C. Secondary

The nurse is making a referral for the client. What should be the first consideration for the nurse to do? a. Acceptability of the referral to the client b. Cost of the referral service c. Barriers to making a referral d. Client's eligibility for the service

d. Client's eligibility for the service

Nurse Rhigoorrr as member of the health team describes himself as good team player, Which of the following is the BEST characteristics of good team player? A.Sense of humor B.Good listener C.Inspires others D.Proactive thinking E. Options A,B,C

E. Options A,B,C

Which of the following is the rationale why team work is ESSENTIAL in health care A.Helping one another B.Makes work lighter C.Promotes camaraderie D.Patient’s safety

D.Patient’s safety

What is the MAIN component of collaboration? A. Shared vision B. Working together C. Partnership D. better achievement

A. Shared vision

Nurse Rhiiigooorrr in his dealings with his co-workers instills collaborative partnership in doing their task which is the aim of this type of partnership? A.Make work faster and easier B.Change and influence group behavior C.Staffs’ satisfaction D.Shared goals

D.Shared goals

Which of the following is an ESSENTIAL element of effective collaboration? A. Communication B. Belong to one team C. Networking D. Delegation

A. Communication

Which of the following is the PRIMARY goal of collaboration A. Less number of people is needed B. Camaraderie C. ACOMPLISH GOALS D. Work is faster

C. ACOMPLISH GOALS

Which IS not a KEY ELEMENTS of collaboration A.Shared vision B. Partnership C. Working together D. Unity E. duty

E. duty

Which of the following BEST describe a strong team? A. cohesive C. driven B. shared goal D. Sense of mission

B. shared goal

Collaboration and teamwork are essential in public health to improve A. Staff performance C. Equity in services B. Proper use of resources D. Quality healthcare

D. Quality healthcare

Which of the following is the rationale why team work is ESSENTIAL in health care A.Helping one another B.Makes work lighter C.Promotes camaraderie D.Patient’s safety

D.Patient’s safety

All of the following are objectives of FHSIS, except: A.To complete the clinical picture of chronic disease and describe their natural history. B.To provide standardized, facility level data base which can be accessed for more in-depth studies. C.To minimize recording and reporting burden allowing more time for patient care and promotive activities. D.To ensure that data reported are useful and accurate and are disseminated in a timely and easy to use fashion

A.To complete the clinical picture of chronic disease and describe their natural history.

What is the fundamental block or foundation of the field health service information system? A. Family treatment record (FTR) / Individual Treatment Record (ITR) B. Target Client list C.Reporting forms D.Output record

A. Family treatment record (FTR) / Individual Treatment Record (ITR)

All but one of the following are eligible target client list: A.Leprosy cases B.TB cases C.Prenatal care D.Diarrhea cases

D.Diarrhea cases

Which of the following is used to monitor particular groups that are qualified as eligible to a certain program of the DOH? A. Family treatment record B.Target Client list C.Reporting forms D.Output record

B.Target Client list

In using the tally sheet, what is the recommended frequency in tallying activities and services? A. Daily B.Weekly C.Monthly D.Quarterly

A. Daily

Nurse Ana is aware that the domain of record management entails which of the following except: A.Write in the Kardex what was to be endorsed B.Keep human resources updated at all times C.Ensure entries in patient record is signed D. Report to MD orally wrong use of drug.

D. Report to MD orally wrong use of drug.

Improvement of Nursing service as well as patient satisfaction is also a concern of the nurse manager. Which of the following strategies can be adopted to achieve this goal A.Hold regular meeting with staff B.Plan suggestion box C.Conduct regular rounds of patients D. Make chart audit

D. Make chart audit

physician in the health facility has forgotten to change antibiotics of the patient and make phone call order to Nurse ANA. What should be the APPROPRIATE action of the nurse in this situation? A. Have any physician in the facility sign the order B. Ensure that the order will be signed by the physician as soon as he is in the facility. C. Carry all phone orders and bring chart to the doctor for signing D. Call back MD to give feedback

D. Call back MD to give feedback

Which of the following is PRIMARY purpose of accurate, updated and reliable document? A.Use from the shift report of nurse and doctor B.Serve as evidence of legal matters C.Protect nurse from doctors’ reprimand D.Audit frequency of medication utilization

B.Serve as evidence of legal matter

How many years are medico-legal charts stored? a.8 years b.5 years c.25 years d. lifetime

c.25 years

Which of the following is NOT a step of the record keeping? A. Storing B. Securing C. Easy disposal D. D. Structuring

C. Easy disposal

In the community setting which is the essential record about the patient? A. Treatment record B. Tally sheet C. Chart D. Kardex

A. Treatment record

Which of the following is the purpose of record keeping? A.Quantify medication usage B.Historical background C.Archive D.Quality of health care

D.Quality of health care

Records are IMPORTANT in health care for A.Counting hospital bills B.Evidence of health care C.Quantifying services provided D.For the physician to read

B.Evidence of health care

What is the ultimate purpose of record keeping? A. SAFEGUARD INFORMATION B. Archive C. History D. Store information

A. SAFEGUARD INFORMATION

One step in ethical decision- making is to place an ethical issue or dilemma within a meaningful context. The rationale for this step is: a.The nature of ethical issues and dilemmas determines the specific ethical approach used. b.Multiple factors affect the interpretation and justification of the ethical issues and dilemmas. c.People cannot make sound ethical decision if they cannot identify ethical issues and dilemmas d.Health professionals cannot avoid choice and action in applying ethics in their work setting.

b.Multiple factors affect the interpretation and justification of the ethical issues and dilemmas.

Which is the “MAIN” goal of ethical practice of the nursing profession including the community setting? A.To protect the nurse and co workers B.To prevent reprimand from physicians C.For the patients family satisfaction D.Centered on the welfare of clients and protect their rights

D.Centered on the welfare of clients and protect their rights

Ethical decision making is the component of ethics that focuses on ____. a.The result of the decision b.The factors impinging on making the decision c.The process of how decisions are made d.Who makes the decision

c.The process of how decisions are made

Ethical dilemma occurs when there is? A. conflict between two nurses b. conflict between 2 or more organization c. clash between 2 or more opposing parties d. conflict between two or more ethical principles e. conflict between morality and ethics

d. conflict between two or more ethical principles

When nurse betty cannot meet a need of the client, it is most appropriate for her to: a. Suggest that the client discuss the need with the physician. b. Encourage the client to pay someone to meet that need. c. Refer the client to an agency that may be able to give assistance.

c. Refer the client to an agency that may be able to give assistance.

Documentation is a critical component to the delivery of healthcare. It is a tool which serves many purposes. Which of the following is NOT included? A. Create a permanent record for the patient’s future care B. Provide material for discussion C. Plan and evaluate a patient’s treatment D. Ensures continuity of care

B. Provide material for discussion

When recording the home visit, it is important for the public health nurse to _____. A. Document the visit only when there are significant changes B. Follow the agency format for recording and documentation C. Complete the charting every Friday of the week D. Use phrases in outline form

B. Follow the agency format for recording and documentation

The nurse should document intelligently and clearly. There are ways to help protect against an allegation of falsifying a medical record. Which one is not CORRECT: A. Date, time, and sign every entry. B. Make entries BEFORE care is given. C. Written legibly. D. Be thorough, accurate, and objective.

B. Make entries BEFORE care is given.

Public health nurses must know that all records have a life cycle and retention scheduling. Clinical records must be retained in the health care facility for: A. Anytime with client’s permission B. Ten years from last date of service C. Two years from date of client’s last visit D. Five years from date of client admission

B. Ten years from last date of service

Controlled Substances such as drugs dispensed and administered, order and inventory records must be kept in the health care facility for how many years? A. Six months B. One year C. Five years D. Three years

C. Five years

Which is the “MAIN” goal of ethical practice of the nursing profession including the community setting? A. To protect the nurse and co workers B. To prevent reprimand from physicians C. For the patients family satisfaction D. Centered on the welfare of clients and protect their rights

D. Centered on the welfare of clients and protect their rights

As public health nurse Nurse Erica makes sure all the supplies and medicines needed for the care of community are available. This is an example of the principle of ______________. A. Justice B. Beneficence

A. Justice

Select nurses action in keeping with principle of confidentiality a. Hides identity of patient, diagnosis b. Shares information from patients chart in public c. Discusses the case of patient with others d. Keeps all matters about the patient as a secret

d. Keeps all matters about the patient as a secret

Nurse Erica is always guided by the principle of beneficence in all that she does to all her patients. Which of the following nursing action is aligned with principle of beneficence. A. Equal and fair allocation of resources to all B. Getting informed consent C. Keep records of patients from public viewing D. Promoting patients safety at all times

D. Promoting patients safety at all times

Nurse Erica tap all the newly hired nurses to be members of her new project. She is observing the ethical principle of __________. A. Autonomy B. Nonmaleficence C. Justice

C. Justice

In the clinical setting, when nurses are confronted with ethical dilemmas the BEST practical guide she can use is? A. PRC oath for professionals B. Theological Doctrine C. Florence Nightingale Oath D. Code of ethics

D. Code of ethics

Mr. Yuri was admitted to the hospital complaining of chest pain due to clogging in his coronary arteries. He is diabetic hypertensive and considered by the physician to be a high risk for cardiovascular surgery. What PRIORITY action should the members of the health team do in this situation? A. Consult the family members and let them give their decision. B. Proceed with the planned surgery, as this will save the patient. C. Consult the ethics committee on what to do with the patient. D. Discuss with Mr. Yuri his health status and let him decide.

D. Discuss with Mr. Yuri his health status and let him decide.

Mrs. Agnes, 77 y/o is suffering from dementia and demonstrates unruly behavior. When Nurse Gigi describes the patient in her shift report, as “That awful, dirty old in Bed 14.” is an example of what ethical behavior being employed by the nurse? A. Stigma B. Gender Bias C. Depersonalization D. Ageism

D. Ageism

Mr. Rey, who is on an end-stage of life, has an order of “Do Not Resuscitate” and passes away in your shift. He was declared dead by his physician at 8:30 AM. What should be your PRIORITY nursing action in this situation? A. Prepare the death certificate for the physician to sign.B. Allow the family to have private moments with the deceased. C. Request your nurse attendant to call the funeral parlor at once. D. Accept the invitation for eulogy E. Clean the body and remove all the IV lines, tubes and other appliances -EXCEPT IF FOR AUTOPSY

E. Clean the body and remove all the IV lines, tubes and other appliances -EXCEPT IF FOR AUTOPSY

When a nurse is in full support of a patient's care, safety and personal rights throughout her hospital stay, she is implementing what ethical pBEHAVIOR? A. Responsibility B. Empathy C. Accountability D. Advocacy

D. Advocacy

The Code of Ethics for Nurses have articles relating to the relationship of nurses on EXCEPT A. People B. Practice and the Profession C. Co-worker D. Administrators E. Society and Environment

D. Administrators

The Code of Ethics adopted all the principle under the ______. A. Patient’s Bill of Right B. ICN Code of Ethics C. American Nurses Association (ANA) Code of ethics D. Code of Good governance

D. Code of Good governance

According to the code of ethics, WHO determines the coverage and scope of the examination for the practice of Nursing in the Philippines? A. Professional Regulation Commission B. Association of Deans of the Philippines in the College of Nursing C. Professional Association of Philippines Regulatory Board D. Professional Regulatory Board of Nursing

D. Professional Regulatory Board of Nursing

What are the three important legal principles in nursing professional ethics? A. Autonomy ,Informed Consent , Confidentiality and Truth-telling B. Autonomy ,Informed Consent , Confidentiality C. Autonomy ,Informed Consent , Truth telling D. Autonomy ,Informed Consent , Beneficence

C. Autonomy ,Informed Consent , Truth telling

The “end- justifies- the- means” ethics is described as ______. A. Basically, without any ethical issue. B. Conclusively unethical C. Unavoidable during these modern times D. Having no correct or wrong conclusion if goal is justified

D. Having no correct or wrong conclusion if goal is justified

When the nurse treats the patients in the air-conditioned rooms favorably compared to those in the charity wing, she violates which of the following ethical principles? A. Veracity B. Respect C. Autonomy D. Justice

D. Justice

The nurse has an obligation to tell the truth. When she admits mistakes promptly, she manifests________. A. Fidelity B. Respect C. Autonomy D. Veracity

D. Veracity

The cancer patient has been frequently complaining of pain and demands that the pain reliever be administered even before the due time. The nurse prepares to inject NSS as a placebo. Which principle will she transgress? A. Respect B. Justice C. Fidelity D. Veracity

D. Veracity

The nurse knows that ethical dilemmas may be referred to the regulated ethics committee that the PRIMARY role to _______. A. Prevent the physicians from making the wrong decision B. Decide what must be done under the circumstances C. Prevent ethical dilemmas from occurring D. Provide guidance for healthcare terms and family of patient

D. Provide guidance for healthcare terms and family of patient

Nurses were overheard talking about the patient and his prognosis. What ethical principle is violated? A. Autonomy B. non-maleficence C. Beneficence D. confidentiality

D. confidentiality

When an ethical issue arises, which of the following is the most important nursing responsibility? A. Ensure that a team is responsible for deciding ethical questions. B. Remain neutral and detached when making ethical questions. C. follow the client and a family wishes exactly D. Be able to defend the morality of one’s own actions.

D. Be able to defend the morality of one’s own actions.

Which of the following is a clear violation of the underlying principles associated with professional nursing ethics? A. a health care facility policy permits the use of internal either fetal monitoring which in the literature evidence points to either support or refuse this practice. B. the nurses on the unit agree to sponsor a fund raising event to support a labor strike proposed by fellow nurses at another health care facility C. a client reports that he didn’t quite tell the doctor the truth when asked if he was following his therapeutic diet at home D. when asked about the purpose of a medication, a nurse colleague respond, “Oh I never look them up. I just give them what is prescribed”

D. when asked about the purpose of a medication, a nurse colleague respond, “Oh I never look them up. I just give them what is prescribed”

Which of the following statement would be most helpful when a nurse is assisting clients in clarifying their values? A. “the most important thing is to follow the plan of care. Did you follow the doctor’s order?” B. .if you had asked me, i would have given you my opinion. Now how do you feel about your choice?” C. “that was not a good decision. Why did you think out would work?” D. “some people might have a different decision. What led you to make your decision?”

D. “some people might have a different decision. What led you to make your decision?”

A dying patient asks for over dosage of pills from the nurse to end his life for his unbearable pain cause by cancer. If the nurse grants the patient’s request, she is liable for A. euthanasia B. negligence C. advance directive D. assisted suicide

D. assisted suicide

The midwife is verbally accusing the nurse that the latter caused the medication errors without citing an evidence. The midwife can be sued for __________. A. assault B. slander C. defamation D. Libel

B. slander

A patient asks to be discharged from the health care facility against medical advice (AMA). What should the nurse do? A. Prevent the patient from leaving B. Have the patient sign an AMA form C. Call a security guard to help detain the patient D. Notify the physician

B. Have the patient sign an AMA form

A nurse administers the wrong intravenous fluid to a patient. She should accomplish which of the following documents to be submitted to her immediate supervisor? A. Patient Kardex B. Progress report C. Endorsement record D. Incident report

D. Incident report

While the nurse is preparing the articles needed for the procedure, she overheard the medical technologist telling the patient in a derogatory manner that the nurse “doesn’t know anything about the procedure”. What can medtech be sued for? A. Slander B. Battery C. Assault D. Libel

A. Slander

10 year old boy refuses to take his medication. Maria Theresa threatened the boy that he will be restrained. Which of the following will Maria Theresa be accused of committing? A. Assault B. Battery C. Malpractice D. Negligence

A. Assault

Rene is a staff nurse who was assigned in the medical ward. The physician ordered 20 units of insulin injection Nurse Rena administered 20 cc of insulin instead. After 30 minutes the client developed hypoglycemia and died. Nurse is liable for _________ A. Tort B. Battery C. Professional Negligence D. Negligence

C. Professional Negligence

The patient sued the nurse for negligence. The patients lawyer must prove the following elements of a professional negligence are satisfied. Which of the following elements must the lawyer prove for professional negligence.? A. Duty, breach of duty, and damages B.. Duty, breach of duty, damage, causation C. Breach of duty, damage and causation D. duty, breach of duty, damages, causation

B.. Duty, breach of duty, damage, causation

The nurse does not report a client’s complaint of acute abdominal pain The nurses’ action is : A. Negligence B. Malpractice C. Assault D. Battery

A. Negligence

Nurse has a complaint from a parent for administering wrong dose of vaccine to the child leading to death.. This is A. Battery B. Assault C. Negligence D. Malpractice

D. Malpractice

When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of _____. A. Responsibility B. Accountability

B. Accountability

Who among the following is the BEST to sign an informed consent during a surgical procedure of a child at the health center? A. A 26 year old brother who is a drug addict. B. A father who is 40 years old and illiterate. C. A sister, 21 years old but undergoing dialysis. D. A mother, 35 years old with on and off seizure

D. A mother, 35 years old with on and off seizure

A nurse administer an extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be sued for ____. A. Negligence B. Tort C. Malpractice D. Battery

C. Malpractice

patient was for transfer to a tertiary hospital because of severe asthma but the nurse did not prepare the patient right away and the patient dies. Which of the following the nurse is liable? A. Assault B. Malpractice C. Battery

B. Malpractice

RA 9173 is otherwise known as the Philippine Nursing Act of 2002. Which is the primary aim of this law? A. To enhance the competence of professional nurses. B. To facilitate mobility of nurses to other countries C. To promote well – being of health workers. D. To regulate practice of professional nursing in the country

D. To regulate practice of professional nursing in the country

The nurse closely monitors the work she delegated to the barangay health worker. She is legally guided by his principle A. The good Samaritan C. Respondeat superior B. Res ipsa loquitor D. Jurisprudence

C. Respondeat superior

This law promotes the well being and living conditions of health workers especially those from the government managed facilities________. A. Continuing professional development B. Philippine qualifications framework C. Magna Carta for health workers

C. Magna Carta for health workers

It mandates the compulsory immunization of children below 8 years A. RA 6713 B. RA 9173 C. RA 10912 D. PD 996 E. RA 10173

D. PD 996

This law allows every Filipino to avail of affordable medicines. A. Local Government Code B. Primary health care C. Universal health care act D. Generic Drug Act

C. Universal health care act

Which of the following is the BEST EXAMPLE of an ethical dilemma? A. A nurse providing demonstration of the possible risk if a chest tube drainage of a patient is pulled out. B. Family members having ambivalent feelings whether their father will undergo amputation of a diabetic leg. C. A nurse is overheard by the daughter that if her mother will not take her insulin injection she will not serve her food tray. D. The physician signs the medical directives of a terminally- ill patient admitted in the hospital with his spouse.

B. Family members having ambivalent feelings whether their father will undergo amputation of a diabetic leg.

70- year-old has been rushed to the hospital due to bradycardia and palpitation. The physician suggested that pacemaker be inserted to correct the symptoms. The patient voluntarily decides not to have the pacemaker inserted. This is respected by the family. This is an example of what ethical principle? A. Beneficence C. Autonomy B. Fidelity D. Justice

C. Autonomy

The ER nurse clarifies the doctor’s prescription on the dose of the pain medication base on the pain scale assessment and patient’s age. Which ethical principle is applied? A. Fidelity B. Truthfulness C. Non maleficience

C. Non maleficience

Nurse Pat promised to a post- surgical team, that she would come back to assist in his ambulation after carrying out the physician’s order. This follows the principle of______. A. Beneficence B. Fidelity C. Autonomy

B. Fidelity

When a nurse supports the welfare of the patient in relation to health , safety and personal rights, the ethical principle followed is ______. A. Responsibility B. Accountability C. Advocacy

C. Advocacy

Which is the “MAIN” goal of ethical practice of the nursing profession including the community setting? A. To protect the nurse and co workers B. To prevent reprimand from physicians C. For the patients family satisfaction D. Centered on the welfare of clients and protect their rights

D. Centered on the welfare of clients and protect their rights

A. Justice

d. Keeps all matters about the patient as a secret

D. Promoting patients safety at all times

Nurse Erica tap all the newly hired nurses to be members of her new project. She is observing the ethical principle of __________. A. Autonomy B. Nonmaleficence C. Justice D. Respect

C. Justice

One step in ethical decision- making is to place an ethical issue or dilemma within a meaningful context. The rationale for this step is: A. The nature of ethical issues and dilemmas determines the specific ethical approach used. B. People cannot make sound ethical decision if they cannot identify ethical issues and dilemmas C. Multiple factors affect the interpretation and justification of the ethical issues and dilemmas D. Health professionals cannot avoid choice and action in applying ethics in their work setting.

C. Multiple factors affect the interpretation and justification of the ethical issues and dilemmas

The historical character in nursing whose work in environmental health, providing care to destitute people, and disease prevention establishing the nurse as a leader and community-oriented was _______. A. Lilian Wald - PUBLIC HEALTH NURSE B. Virginia Henderson -14 BASIC NEEDS C. Margaret Sanger – BIRTH CONTROL D. Florence Nightingale

D. Florence Nightingale

Ethical decision making is the component of ethics that focuses on ____. A. The result of the decision B. The process of how decision are made C. The factors impinging on making the decision D. Who makes the decision

B. The process of how decision are made

The ethical principle that empowers the client (groups or communities) to make knowledgeable decision is to _____. A. Act in accordance to client’s wishes B. Act in client’s best interest C. Offer franks and independent advice D. Keep the client properly informed

D. Keep the client properly informed

When nurse Betty cannot meet a need of the client, it is most appropriate for her to: A. Refer the client to an agency that may be able to give assistance B. Suggest that the client discuss the need with the physician. C. Encourage the client to pay someone to meet that need. D. Inform the client that insurance will not pay for the care.

A. Refer the client to an agency that may be able to give assistance

The nurse is discussing the prevention of osteoporosis with a group of clients in the community. The nurse explains factors required to keep bones strong. Which is not included in the nurse’s discussion? a. An adequate sodium intake b. Maintenance of low weight c. Sufficient caffeine levels d. Minimize Smoking

b. Maintenance of low weight

Nurse Bettina is teaching group of clients with Diabetes. The following are risk factors of diabetes EXCEPT: a. Obesity b. Age > 35 years old c. Hypertension d. HDL cholesterol < 35 mg/dl

d. HDL cholesterol < 35 mg/dl

Bettina is correct when she mentioned that the primary intervention to halt the progression of cancer is: a. healthy lifestyle b. pain management c. Screening d. Chemotherapy

c. Screening

All of the following are included in healthy lifestyle, EXCEPT: a. Not smoking b. Having regular exercise c. Weight Control d. Eating a delicious diet everyday

d. Eating a delicious diet everyday

In teaching the sister of a hypertensive client about the proper use of bp apparatus in determining the blood pressure level of the client. The nurse is focusing in which domain of learning according to Bloom? a. Cognitive b. Affective c. Affiliative d. Psychomotor

d. Psychomotor

Nurse Danica would like to put more emphasis on healthy lifestyle in her health education classes. Which step in the teaching-learning process should she FIRST start? A. Assessing health needs B. Evaluation of learning takes place C. Preparing learning materials D. Developing health education plan

A. Assessing health needs

In planning for the health education program about healthy lifestyle. Nurse Danica targets to work with parents in the community. Noting different ethnics backgrounds among them, which important consideration should be part of the plan? a.Economic b.Social c.CULTURAL d.Educational

c.CULTURAL

Based on the Theory of Adult Learning by KNOWLE’S, which of the following principles will guide the Nurse to be an effective educator? a.Educational attainment b.School where the participants graduated c.Age and gender of learners d.Environment and learner’s participation

d.Environment and learner’s participation

Nurse Danica plans to have the residents of the community conduct brainstorming about their community problems. Which of the following is the rationale of this teaching format? a.Encourages problem solving and critical thinking skills b.Links audience participation to the presenter’s speaking style and content c.Allows the participants to generate and discuss them in group setting d.Offers shared experiences in a familiar setting

c.Allows the participants to generate and discuss them in group setting

Successful teaching and learning activities in any health care setting is PRIMARILY fostered through _____. a.Identifying motivating factors b.Using clear and concise language c.Establishing trust and rapport d.Setting realistic goals and objectives

c.Establishing trust and rapport

Which initiative should nurse N introduce in order to decrease incidence of risk factors especially obesity. A.Obesity in natural body response B.Wellness and fitness program C.Tell them to go to the gym D.They have to undergo strict dietary regimen

B.Wellness and fitness program

Which should be emphasized by the nurse in her health teaching A.Jogging a mile a day B.No need to diet C.Vigorous exercise D.Weight reduction

D.Weight reduction

Nurse Noli should advice the patients the following except A.Cut down on salt intake B.More fruits and vegetables C.Eat regular meals D.Eat regular meals

A.Cut down on salt intake

To prevent complications from their heart diseases the nurse recommends to the patient regular monitoring of their blood A.Nitrogen B.cholesterol C.chem D.Oxygenation

B.cholesterol

Nurse Noli should include in his health teaching the ff. except A.Less saturated fat B.Weight within normal limits C.Exercise regularly D.More fats in the diet

D.More fats in the diet

Which of the following is TRUE about health education in public health? A.Its only done by professionals like nurses. B.It is every health worker responsibility C.It remains constant. D.It is seldom use is public health setting

B.It is every health worker responsibility

The BEST result of health education process is A.It provides new inputs B.It influences and changes behavior C.Update others D.Information transfer

B.It influences and changes behavior

Which of the following explains health education is creative process? A.It could employ a variety of strategies B.It is can be done anywhere C.It could perform by any member of the health team D.It is a valuable health service E. Options A,B,C

E. Options A,B,C

To families and individual in the community, which is the MOST important goal of health education? A.To study their life history B.To identify their weaknesses C.To totally change their lifestyle D.To motivate them to develop skills and literacy in health

C.To totally change their lifestyle

As a whole health education in public health aims to ________. A.Transfers information B.Make life changes C.Better health oppurtunities D.Change personality

C.Better health oppurtunities

Which assessment findings is INDICATIVE of the diagnosis of hypertension? A.Family members with high blood pressure B.Elevation of blood cholesterol level C.Stressful work environment D.Consistent elevation of blood pressure

D.Consistent elevation of blood pressure

dentify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residents. A.Chest X-ray B.Electrocardiogram C.Ultrasound D.Bp monitoring

D.Bp monitoring

Which medication will be prescribed to control and maintain the blood pressure of patients at normal level? A.Lidocaine B.Epinephrine C.amlodipine D.Furosemide

C.amlodipine

Nurse Mary had observed that most patients with hypertension stop taking their medication and heard them saying “I feel good already”. Which is the APPROPRIATE nursing diagnosis? A.Impaired gas exchange B.Anxiety C.Knowledge deficit D. Ineffective coping

C.Knowledge deficit

Which of the following would BEST help Nurse Lingling in conducting her evaluation? A.Written examination B.Change in behavior C.Return demonstration D.Obtain feedback from the client

C.Return demonstration

Which “APPROPRIATE “research design Nurse Cathy should use in her planned study? A.Grounded theory B.Historical C.Phenomenological D.Ethnographic

C.Phenomenological

After she had decided to conduct the study, which of the following nursing action she should do next? A. Create conceptual framework B. Make a research proposal C. Decide for data analysis D. Plan for data collection

B. Make a research proposal

Which is the APPROPRIATE means to present qualitative data? A. Thematic Analysis B. Pie graph C. Bar graph D. Linear graph

A. Thematic Analysis

Which of the following nursing actions Nurse Cathy must do in doing data saturation of qualitative data? A.Do resurvey B.Use case study C.Do interview more than once D.Seek advice of expert

C.Do interview more than once

One of the study question in the proposed study is about physiologic needs of teenage mothers. In choosing framework to make the topic more stable, which theory Nurse Cathy adopt in her study? A.Swanson B.Maslows C.Orem D.Kings

B.Maslows

Situation: Nurse Luz is interested in conducting a mini-research on responsible parenthood. This research topic has the potential to contribute to nursing because it seeks to _________. A.include new modalities of care B.resolve a clinical problem c.clarify an ambiguous modality of care d.enhance client care

d.enhance client care

Where else will nurse Luzviminda get ideas to make the responsible parenthood study? a.Conversations with classmates and friends b. Literature and review. c. Community data d. Notes from lecture

b. Literature and review.

413.“Responsible parenthood is a 50-50% sharing of responsibilities between the husband and the wife.” Which part of the research canon does this statement belong to? a.Research purpose b.Problem statement c.Tool paradigm d.Conceptual framework

d.Conceptual framework

Responsible parenthood through survey research is best analyzed by which design? a. Correlation b.Qualitative c.Triangulation d.Quantitative

d.Quantitative

The data that you will gather in a study about responsible parenthood should give the answer to your ________. a.. Hypothesis b.Conceptual framework c.Research problem d.Instrumentation

c.Research problem

Situation: Types of Research. The use of massage and meditation to help decrease stress and pain have been strongly recommended based on documented testimonials. Martha wants to do a study on the topic “Effects of massage and meditation on stress and pain.” The type of research that best suits this topic is ___________. A.applied research B.qualitative research c.basic research d.quantitative research

A.applied research

This research topic has the potential to contribute to nursing because it seeks to _________. A.include new modalities of care B.resolve a clinical problem C.clarify an ambiguous modality of care D.enhance client care

D.enhance client care

Martha does a review of literature for the purpose of __________. A.Determining statistical treatment of research data B.Gathering data about what is already known or unknown about the problem C.Identifying if the problem can be replicated D.Answering the research question

B.Gathering data about what is already known or unknown about the problem

The client’s rights should be protected when doing research using human subjects. Martha identifies these rights as follows, EXCEPT: A.Right to self-determination B.Right to compensation c.Right to privacy d.Right not to be harmed

B.Right to compensation

You are interested in studying the effects of meditation and relaxation on the pain experienced by cancer patients. What type of variable is pain? A.Dependent B.Independent c.Correlational d.Demographic

A.Dependent

You would like to compare the support system of patients with chronic illness to that of those with acute illness. How will you best state your problem? A.The Effect of the Type of Support System of Patients with Chronic Illness and those with Acute Illness. B.A Descriptive Study to Compare the Support System of Patients with Chronic Illness in terms of Demographic Data and Knowledge about Interventions. C.A Comparative Analysis of the Support System of Patients with Chronic Illness and those with Acute Illness. D.A Study to Compare the Support System of Patients with Chronic Illness to that of those with Acute Illness.

D.A Study to Compare the Support System of Patients with Chronic Illness to that of those with Acute Illness.

You would like to compare the support system of patients with chronic illness to that of those with acute illness. What type of research is that? A.Descriptive B.Experimental C.Correlational D.Quasi-experimental

A.Descriptive

You are shown a Likert scale that will be used in evaluating your performance in the clinical area. Which of the following questions will you NOT use in critiquing the Likert scale? A.Is the instrument clearly described? B.If the Likert Scale is to be used for a study, was the development process described? C.Is information on the reliability and validity of the scale provided? D.Are the techniques to complete and score the scale provided?

C.Is information on the reliability and validity of the scale provided?

Situation – Public health nurse Criselda wants to increase her knowledge and familiarity with the elements of research publication. Nurse Criselda is analyzing a research article. What section in the article can she expect to find the research question and study purpose? A. Discussion B. Results C. Methods D. Introduction

D. Introduction

Nurse Criselda is looking for a description of the type of measurement used in the study. She will find this which section of the article? A. Conclusion B. Introduction C. Results D. Methods

D. Methods

A brief explanation of data collection and analysis procedure is found in which section of the article? A. Abstract B. Conclusion C. Discussion D. Introduction

A. Abstract

Nurse Criselda wants to go over the list of references used in the study which can be found ____________. A. at the end of the article B. in the results section C. as part of the literature review D. in the introduction

A. at the end of the article

Nurse Criselda believes that research is significant to the nursing profession, hence, the study results should be disseminated. This is because research allows ________ A. a specialized body of knowledge to be generated for use in health care delivery. B. the scope of nursing practice to be expanded into areas formerly reserved for other disciplines C. nursing responsibility to be more specifically defined D. liability within the practice of nursing to be decreased

A. a specialized body of knowledge to be generated for use in health care deliver

Situation – Ms. Nenita will be involved in an interdisciplinary research to be conducted by the city Health Office to address health problems of the population covered. To prepare for this tasks, she reviews her knowledge on the research process and research design. Which of the following study designs that uses information on current health status, personal characteristics, and potential risk factors will be appropriate? A.Case-control B.Ecological C.Cohort D.Cross-sectional

A.Case-control

The type of epidemiologic study that is used to describe a group of persons enrolled in a study who share some characteristic of interest and who are followed over a period of time to observe some health outcome is a(n): A.Cross-sectional study B.Experimental study C.Cohort study D.case control study

C.Cohort study

The research team will use summary indicators of health as method to depict health status. What is this approach called? A. Analytic B. Holistic C. Descriptive D. Evaluative

Ms. Nenita is specifically assigned to talk individually with community leaders like the primary grade teacher and the barangay official in charge of the health committee. Which data collection method will the nurse use? A.Key informant interview B.Community mapping C.Participant observer D.Social survey

A.Key informant interview

Ms. Nenita suggested to use an analytic approach in their research. Which of the following statements BEST describes the analytic approach? A.Focuses on the community’s health problems and issues B.Utilizes health indicators to define population health C.Views factors that influence health and by which interventions to improve health are directed D.Addresses the social determinants of health to solve community’s problem

The goal in COPAR is? A. Self reliance B. Dependent to the community C. Lead by the government D. Transactional

A. Self reliance

The researcher studies the patterns of rate and changes overtime to determine its occurrence since it was first identified and to compare its incidence. This is________ A. Longitudinal, Trend Study B. Cross Sectional, Trend Study

B. Cross Sectional, Trend Study

Which of the following study designs that uses information on current health status, personal characteristics, and potential risk factors? A. Case control B. Ecological C. Cohort D. Cross sectional

A. Case control

The type of epidemiological study that is used to describe a group of persons enrolled in a study enrolled in a study who share some characteristics of interest who are followed over a period of time to observe some health outcome is a(n): A. Cross sectional study B. Experimental study C. Cohort study D. Case control study

C. Cohort study

Phases of epidemiologic approach which concern with disease distribution and frequency: a. DESCRIPTIVE EPIDEMIOLOGY b. ANALYTICAL EPIDEMIOLOGY c. INTERVENTION OR EXPERIMENTAL EPIDEMIOLOGY d. EVALUATION EPIDEMIOLOGY

b. ANALYTICAL EPIDEMIOLOGY

What is the BEST source to use when conducting a level one (1) systematic meta analysis of the literature? A.An electronic database and doctoral dissertations B.An electronic database C.Doctoral dissertations D. Cochrane statistical method

D. Cochrane statistical method

The effects of tocilizumab on the CRP levels among COVID 19 patient FERTILITY MOTHERS. Dependent variable is____________ A. effects of tocilizumab B. tocilizumab C. COVID 19 D. CRP levels

D. CRP levels

CHN 5 Flashcards

(571 cards)