1
Q
- A 20 year-old client has an infected leg wound from a
motorcycle accident, and the client has returned home from the hospital. The client is to keep the
affected leg elevated and is on contact
precautions. The client wants to know if visitors can come. The
appropriate response from the
home health nurse is that:
A. Visitors must wear a mask and a gown
B. There are no special requirements for visitors of
clients on contact
C. Visitors should wash their hands before and after
touching the client
D. Visitors should wear gloves if they touch the client
A
C. Visitors should wash their hands before and after
touching the client
2
Q
- Several clients are admitted to an adult medical unit. The
nurse would ensure airborne
precautions for a client with which medical condition?
A. Autoimmune deficiency syndrome (AIDS) with
cytomegalovirus (CMV)
B. A positive purified protein derivative with an abnormal
chest x-ray
C. A tentative diagnosis of viral pneumonia with
productive brown sputum.
D. Advanced carcinoma of the lung with hemoptysis
A
B. A positive purified protein derivative with an abnormal
chest x-ray
3
Q
- A child is admitted to the pediatric unit with a diagnosis of
suspected meningococcal
meningitis. Which admission orders should the nurse do first?
A. Institute seizure precautions
B. Monitor neurologic status every hour
C. Place in respiratory/secretion precautions
D. Cefataxime IV 50 mg/kg/day divided q6h
A
C. Place in respiratory/secretion precautions
4
Q
- A client is diagnosed with methicillin resistant
staphylococcus aureus pneumonia. What type
of isolation is most appropriate for this client?
A. Reverse
B. Airbourne
C. Standard precautions
D. Contact
A
D. Contact
5
Q
- Which of these clients with associated lab reports is a
priority for the nurse to report to the
public health department within the next 24 hours?
A. An infant with a positive culture of stool of Shigella
B. An elderly factory worker with a lab report that is
positive for acid-fast bacillus smear
C. A young adult commercial pilot with a positive
histopathological examination from an induced
sputum for Pneumocystis carinii
D. A middle-aged nurse with a history of varicella-zoster
virus and with crops of vesicles on an erythematous
base that appear on the skin
A
B. An elderly factory worker with a lab report that is
positive for acid-fast bacillus smear
6
Q
- A client is scheduled to receive an oral solution of
radioactive iodine (131I). In order to reduce hazards, the
priority information for the nurse to include during the
instructions to the client is which of these statements?
A. In the initial 48 hours avoid contact with children and
pregnant women, and after urination or defecation
flush the commode twice
B. Use disposable utensils for 2 days and if vomiting
occurs within 10 hours of the dose, do so in the toilet
and flush it twice
C. Your family can use the same bathroom that you use
without any special precautions
D. Drink plenty of water and empty your bladder often
during the initial 3 days of therapy
A
A. In the initial 48 hours avoid contact with children and
pregnant women, and after urination or defecation
flush the commode twice
7
Q
- A newly admitted adult client has a diagnosis of hepatitis A.
The charge nurse should reinforce to the staff members that
the most significant routine infection control strategy, in
addition to hand-washing, to be implemented is which of these?
A. Apply appropriate signs outside and inside the room
B. Apply a mask with a shield if there is a risk of fluid
splash
C. Wear a gown to change soiled linens form
incontinence
D. Have gloves on while handling bedpans with feces
A
D. Have gloves on while handling bedpans with feces
8
Q
- The nurse is assigned to a client newly diagnosed with
active tuberculosis. Which of these protocols would be a
priority for the nurse to implement?
A. Have the client cough into a tissue and dispose in a
separate bag
B. Instruct the client to cover the mouth with a tissue
when coughing
C. Reinforce for all to wash their hands before and after
entering the room
D. Place client in a negative pressure private room and
have all whoenter the room use masks with shields
A
D. Place client in a negative pressure private room and
have all whoenter the room use masks with shields
9
Q
- The school nurse is teaching the faculty the most effective
methods to prevent the spread office in the school. The information that would be most important to include would be
which of these statements?
A. The treatment requires reapplication in 8 to 10 days
B. Bedding and clothing can be boiled or steamed
C. Children are not to share hats, scarves and combs
D. Nit combs are necessary to comb out nits.
A
C. Children are not to share hats, scarves and combs
10
Q
- During the care of a client with a salmonella infection, the
primary nursing intervention to limit transmission is which of
these approaches?
A. Wash hands thoroughly before and after client
contact
B. Wear gloves when in contact with body secretions
C. Double glove when in contact with feces or vomitus
D. Wear gloves when disposing of contaminated linens
A
A. Wash hands thoroughly before and after client
contact
11
Q
- A nurse administers the influenza vaccine to a client in a
clinic. Within 15 minutes after the immunization was given, the
client complains of itchy and watery eyes, increased anxiety,
and difficulty breathing. The nurse expects that the first action
in the sequence of care for this client will be to
A. Maintain the airway
B. Administer epinephrine 1:1000 as ordered
C. Monitor for hypotension with shock
D. Administer diphenhydramine as ordered
A
B. Administer epinephrine 1:1000 as ordered
12
Q
- A client with a diagnosis of Methicillin resistant
Staphylococcus aureus (MRSA) has died.
Which type of precautions is the appropriate type to use when
performing postmortem care?
A. Airborne precautions
B. droplet precautions
C. contact precautions
D. compromised host precautions
A
C. contact precautions
13
Q
- A nurse is stuck in the hand by an exposed needle. What
immediate action should the nurse take?
A. Look up the policy on needle sticks
B. Contact employee health services
C. Immediately wash the hands with vigor
D. Notify the supervisor and risk management
A
C. Immediately wash the hands with vigor
14
Q
- The nurse is teaching a class on HIV prevention. Which of
the following should be emphasized as increasing risk?
A. Donating blood
B. Using public bathrooms
C. Unprotected sex
D. Touching person with AIDS
A
C. Unprotected sex
15
Q
- Which of the following manifestations observed by the
school nurse confirms the presence of pediculosis capitis in
students?
A. Scratching the head more than usual
B. Flakes evident on a student’s shoulders
C. Oval pattern occipital hair loss
D. Whitish oval specks sticking to the hair
A
D. Whitish oval specks sticking to the hair
16
Q
- A client is admitted with a right upper lobe infiltrate and to
rule out tuberculosis. The most appropriate action by the nurse
to protect the self would be which of these?
A. Negative room ventilation
B. Face mask with shield
C. Particulate respirator mask
D. Airborne precautions
A
C. Particulate respirator mask
17
Q
- To prevent drug resistance common to tubercle bacilli, the
nurse is aware that which of the following agents are usually added to drug therapy?
A. Anti-inflammatory agent
B. High doses of B complex vitamins
C. Aminoglycoside antibiotic
D. Two anti-tuberculosis drugs
A
D. Two anti-tuberculosis drugs
18
Q
- The nurse is caring for a client suspected to have
Tuberculosis (TB). Which of the following diagnostic tests is
essential for determining the presence of active TB?
A. Tuberculin skin testing
B. Sputum culture
C. White blood cell count
D. Chest X-ray
A
B. Sputum culture
19
Q
- A client had arrived in the USA from a developing country
1 week prior. The client is to be admitted to the medical
surgical unit with a diagnosis of AIDS with a history of
unintended weight loss, drug abuse, night sweats, productive
cough and a “feeling of being hot all the time.” The nurse
should assign the client to share a room with a client with the
diagnosis of
A. Acute tuberculosis with a productive cough of
discolored sputum for over three months
B. Lupus and vesicles on one side of the middle trunk
from the back to the abdomen
C. Pseudomembranous colitis and C. difficile.
D. Exacerbation of polyarthritis with severe pain
A
A. Acute tuberculosis with a productive cough of
discolored sputum for over three months
20
Q
- The nurse is attending a workshop about caring for
persons infected with Hepatitis B. Which statement is correct when referring to the incidence rate for Hepatitis B?
A. The number of persons in a population who develop
Hepatitis B during a specific period of time
B. The total number of persons in a population who
have Hepatitis B at a particular time
C. The percentage of deaths resulting from Hepatitis B
during a specific time
D. The occurrence of Hepatitis B in the population at a
particular time
A
A. The number of persons in a population who develop
Hepatitis B during a specific period of time
21
Q
- The nurse is taking a health history from parents of a child
admitted with possible Reye’s Syndrome. Which recent illness
would the nurse recognize as increasing the risk to develop
Reye’s Syndrome?
A. Rubeola
B. Meningitis
C. Varicella
D. Hepatitis
A
C. Varicella
22
Q
- Nurse Aida is obtaining a specimen for sputum culture and
sensitivity from a client with a suspected pneumonia. Which of
the following instruction is best for the client?
A. Do purse-lip breathing and cough into a container.
B. Upon awakening, cough deeply and expectorate into
a container.
C. Save all sputum for three days in a sealed container.
D. After treatment has been initiated, expectorate into a
container
A
B. Upon awakening, cough deeply and expectorate into
a container.
23
Q
- A 23 year old male student from the university belt area
was admitted in Sampaloc Hospital with hepatitis A. Nurse Aida
is aware that the client’s overall care during hospitalization
should include which of the following?
A. Protective isolation
B. Airborne protection
C. Standard precautions
D. Droplet precautions
A
C. Standard precautions
24
Q
- The National Tuberculosis Program of the Philippine has
the following set of strategies except
one:
A. Ensure public and private healthcare provider’s
adherence of national standard of TB care
B. Ensure TB patient’s treatment compliance
C. Improve access to services through innovative
service delivery
D. Decrease morbidity and mortality
A
C. Improve access to services through innovative
service delivery
25
25. A child in the community has pediculosis capitis and is
treated with 1% gamma benzenehexachloride (Kwell shampoo).Nurse Beth should explain to the parents that:
A. Treatment is continued every other day for 1 week.
B. Clothing and personal belongings require normal
washing with soap and water.
C. Application of the shampoo is done after 7 to 10
days.
D. Single treatment with Kwell kills nits and lice.
C. Application of the shampoo is done after 7 to 10
days.
26
26. The community health nurse is giving instructions to an
elderly male client recently diagnosed with pulmonary TB. Which of the following is an important part of the teaching
plan?
A. During the first two weeks of treatment, client
should cover his mouth when he coughs.
B. It is necessary for the client to wear mask at all
times to prevent transmission.
C. Family support is needed to reduce feelings of low
self-esteem and isolation.
D. Client should be required to take medications for 6
to 9 months.
D. Client should be required to take medications for 6
to 9 months.
27
27. A charge notes that one of the staff nurse on duty caring
for clients developed discharge from her right eye with redness and pain. Which is the best action by the charge nurse?
A. Send the staff nurse home
B. Assess the staff nurse’s compliance with standard
precaution
C. Assign the staff nurse to clients with chronic
diseases
D. Reassign the staff nurse to documentation only
A. Send the staff nurse home
28
28. A young child is placed on droplet precautions. Which of
the following clients is given droplet precautions?
A. Child with cystic fibrosis
B. Child with tonsillitis
C. Child with bronchitis
D. Child with pertussis
D. Child with pertussis
29
29. Miss Agassis was diagnosed with human papilloma virus
(HPV). Which of the following statements if made to the nurse indicates understanding of the possible sequelae of the illness?
A. I will need to take antibiotics for one week.
B. I will use only prescribes douche to avoid
recurrence.
C. I will return for a Pap smear in six months.
D. I will avoid using tampons for eight weeks.
C. I will return for a Pap smear in six months.
30
30. A physician orders Metronidazole (Flagyl 250 mg) for Miss
Francesca,a 26 year old female because of amoebiasis. Nurse
Gemma gives her teachings about the drug. Teaching has been
effective when Miss Francesca says:
A. I should take this medication between meals to
increase absorption.
B. I should not drink alcohol while taking the
medications.
C. If I experience a metallic taste in my mouth,I
should notify the physician.
D. I should avoid strong sunlight while on the
medication.
B. I should not drink alcohol while taking the
medications.
31
31. In giving teachings to Mario who is being treated for
syphilis, it is most important for Nurse Carlo, a community health nurse, to include which of the following information?
A. Practice restraint of sexual activity
B. Practice safe sex
C. Information on family planning
D. Signs of secondary infection
B. Practice safe sex
32
32. Lorenzo is diagnosed with paralytic shellfish poisoning.
Nurse Carlo knows that one of the following is not true about
it?
A. Poison victims who survive the first twelve hours
after ingestion of the toxic shellfish have a greater
chance of survival.
B. Shellfish affected
by
red tide must be cooked with
vinegar as the toxin of
pyromidium decreases when
mixed with acid.
C.
Toxin of
red tide is not totally destroyed
by cooking
so consumers must be educated to
a
void bivalve
mollusks.
D. Drinking pur
e coconut milk weakens the toxic
effect of
red tide if combined with sodium bicarbonate
in the early stage of poisoning.
B. Shellfish affected
by
red tide must be cooked with
vinegar as the toxin of
pyromidium decreases when
mixed with acid.
33
33. DOTS is the internationally recommended TB control
strategy. All of the
following are elements of DOTS except:
A. Sustained political commitment
B. Standardized short course chemotherapy
for all TB
cases under proper case management conditions
C.
Increase and sustain support and financing
for TB
control and accreditation
D. Recording and reporting system enabling outcome
assessment of
overall program performance
C.
Increase and sustain support and financing
for TB
control and accreditation
34
34. Nurse Carlo is
aware the portal of entry of schistosomiasis
is/are the:
A. Gastrointestinal tract
B. Skin
C.
Respiratory tract
D. Blood
vessels
B. Skin
35
35. Which of the
following is the most common virus that causes diarrhea in children?
A. Giardia lamblia
B. Respiratory syncitial virus
C.
Borrelia burgdorferi
D. Rotavirus
D. Rotavirus
36
36. Which of the
following is considered
a prophylaxis
for
leprosy?
A. Multidrug therapy
B. BCG
vaccination
C. Specific drug therapy
D. Good personal
hygiene
B. BCG
vaccination
37
37. Nurse Minda is teaching
a group of women about the
prevention and control
for scabies. All the
following are part of
the prevention and control except:
A.
Improving the sanitation of the surroundings
B. Regular change of clean clothing, beddings and
towels
C. Good personal
hygiene
D. Use of benzyl benzoate emulsion
D. Use of benzyl benzoate emulsion
38
38. Maricel,
a
young adolescent, tells the clinic nurse that she
had sexual contact with her boyfriend
3 days ago. Her
boyfriend admitted having been diagnosed with gonorrhea.
Maricel
wants to know when she can expect symptoms to
appear/The nurse inform her that onset of symptoms are
expected within:
A.
Two to five days
B. One to two weeks
C. Five to seven days
D. Two to three weeks
A.
Two to five days
39
39. Nurse Maria has been assigned at the rural health unit in
Palawan where malaria continues to be
a health problem. She
is
aware of the
following signs and symptoms of malaria.
Which of the
following is NOT INCLUDED?
A.
Recurrent chills
B. Profuse sweating
C. Anemia
D. Vomiting
C. Anemia
40
40. James
a
9
year old child is brought to the health center
for
consult because of popular pruritic
rash with some
vesicles on
his trunk and back. He has
fever and body malaise.
Based on
the assessment of Nurse Maria, which illness does Jaime have?
A. Measles
B. Roseola
C.
Rubeola
D. Varicella
A. Measles
TRA REFRESHER
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