1.The most prevalent form of meningitis among children aged 2 months to 3 years is caused

by which microorganism?

AHaemophilus influenzae

BMorbillivirus

CStreptococcus pneumoniae

DNeisseria meningitidis

2.The student nurse is aware that the pathognomonic sign of measles is Koplik’s spot and

you may see Koplik’s spot by inspecting the:

ANasal mucosa

BBuccal mucosa

CSkin on the abdomen

DSkin on neck

3.Angel was diagnosed as having Dengue fever. You will say that there is slow capillary refill

when the color of the nail bed that you pressed does not return within how many seconds?

A3 seconds

B6 seconds

C9 seconds

D10 seconds

4.In Integrated Management of Childhood Illness, the nurse is aware that the severe

conditions generally require urgent referral to a hospital. Which of the following severe

conditions DOES NOT always require urgent referral to a hospital?

AMastoiditis

BSevere dehydration

CSevere pneumonia

DSevere febrile disease

5.Myrna a public health nurse will conduct outreach immunization in a barangay Masay with

a population of about 1500. The estimated number of infants in the barangay would be:

A45 infants

B50 infants

C55 infants

D65 infants

6.The community nurse is aware that the biological used in Expanded Program on

Immunization (EPI) should NOT be stored in the freezer?

ADPT

BOral polio vaccine

CMeasles vaccine

DMMR

7.It is the most effective way of controlling schistosomiasis in an endemic area?

AUse of molluscicides

BBuilding of foot bridges

CProper use of sanitary toilets

DUse of protective footwear, such as rubber boots

8.Several clients is newly admitted and diagnosed with leprosy. Which of the following

clients should be classified as a case of multibacillary leprosy?

A3 skin lesions, negative slit skin smear

B3 skin lesions, positive slit skin smear

C5 skin lesions, negative slit skin smear

D5 skin lesions, positive slit skin smear

9.Nurses are aware that diagnosis of leprosy is highly dependent on recognition of

symptoms. Which of the following is an early sign of leprosy?

AMacular lesions

BInability to close eyelids

CThickened painful nerves

DSinking of the nose bridge

10.Marie brought her 10 month old infant for consultation because of fever, started 4 days

prior to consultation. In determining malaria risk, what will you do?

APerform a tourniquet test.

BAsk where the family resides.

CGet a specimen for blood smear.

DAsk if the fever is present everyday.

11.Susie brought her 4 years old daughter to the RHU because of cough and colds. Following

the IMCI assessment guide, which of the following is a danger sign that indicates the need

for urgent referral to a hospital?

AInability to drink

BHigh grade fever

CSigns of severe dehydration

DCough for more than 30 days

12.Jimmy a 2-year old child revealed “baggy pants”. As a nurse, using the IMCI guidelines,

how will you manage Jimmy?

ARefer the child urgently to a hospital for confinement.

BCoordinate with the social worker to enroll the child in a feeding program.

CMake a teaching plan for the mother, focusing on menu planning for her child.

DAssess and treat the child for health problems like infections and intestinal parasitism.

13.Gina is using Oresol in the management of diarrhea of her 3-year old child. She asked

you what to do if her child vomits. As a nurse you will tell her to:

ABring the child to the nearest hospital for further assessment.

BBring the child to the health center for intravenous fluid therapy.

CBring the child to the health center for assessment by the physician.

DLet the child rest for 10 minutes then continue giving Oresol more slowly.

14.Nikki a 5-month old infant was brought by his mother to the health center because of

diarrhea for 4 to 5 times a day. Her skin goes back slowly after a skin pinch and her eyes are

sunken. Using the IMCI guidelines, you will classify this infant in which category?

ANo signs of dehydration

BSome dehydration

CSevere dehydration

DThe data is insufficient.

15.Chris a 4-month old infant was brought by her mother to the health center because of

cough. His respiratory rate is 42/minute. Using the Integrated Management of Child Illness

(IMCI) guidelines of assessment, his breathing is considered as:

AFast

BSlow

CNormal

DInsignificant

16.Maylene had just received her 4th dose of tetanus toxoid. She is aware that her baby will

have protection against tetanus for

A10 years

B5 years

C3 years

DLifetime

17.Nurse Ron is aware that unused BCG should be discarded after how many hours of

reconstitution?

A2 hours

B4 hours

C8 hours

DAt the end of the day

18.The nurse explains to a breastfeeding mother that breast milk is sufficient for all of the

baby’s nutrient needs only up to:

A5 months

B6 months

C1 year

D2 years

19.Nurse Ron is aware that the gestational age of a conceptus that is considered viable (able

to live outside the womb) is:

A8 weeks

B12 weeks

C24 weeks

D32 weeks

20.When teaching parents of a neonate the proper position for the neonate’s sleep, the

nurse Patricia stresses the importance of placing the neonate on his back to reduce the risk

of which of the following?

AAspiration

BSudden infant death syndrome (SIDS)

CSuffocation

DGastroesophageal reflux (GER)

21.Which finding might be seen in baby James a neonate suspected of having an infection?

AFlushed cheeks

BIncreased temperature

CDecreased temperature

DIncreased activity level

22.Baby Jenny who is small-for-gestation is at increased risk during the transitional period

for which complication?

AAnemia probably due to chronic fetal hypoxia

BHyperthermia due to decreased glycogen stores

CHyperglycemia due to decreased glycogen stores

DPolycythemia probably due to chronic fetal hypoxia

23.Marjorie has just given birth at 42 weeks’ gestation. When the nurse assessing the

neonate, which physical finding is expected?

AA sleepy, lethargic baby

BLanugo covering the body

CDesquamation of the epidermis

DVernix caseosa covering the body

24.After reviewing the Myrna’s maternal history of magnesium sulfate during labor, which

condition would nurse Richard anticipate as a potential problem in the neonate?

AHypoglycemia

BJitteriness

CRespiratory depression

DTachycardia

25.Which symptom would indicate the Baby Alexandra was adapting appropriately to extra-

uterine life without difficulty?

ANasal flaring

BLight audible grunting

CRespiratory rate 40 to 60 breaths/minute

DRespiratory rate 60 to 80 breaths/minute

26.When teaching umbilical cord care for Jennifer a new mother, the nurse Jenny would

include which information?

AApply peroxide to the cord with each diaper change

BCover the cord with petroleum jelly after bathing

CKeep the cord dry and open to air

DWash the cord with soap and water each day during a tub bath.

27.Nurse John is performing an assessment on a neonate. Which of the following findings is

considered common in the healthy neonate?

ASimian crease

BConjunctival hemorrhage

CCystic hygroma

DBulging fontanelle

28.Dr. Esteves decides to artificially rupture the membranes of a mother who is on labor.

Following this procedure, the nurse Hazel checks the fetal heart tones for which the

following reasons?

ATo determine fetal well-being.

BTo assess for prolapsed cord

CTo assess fetal position

DTo prepare for an imminent delivery.

29.Which of the following would be least likely to indicate anticipated bonding behaviors by

new parents?

AThe parents’ willingness to touch and hold the newborn.

BThe parent’s expression of interest about the size of the newborn.

CThe parents’ indication that they want to see the newborn.

DThe parents’ interactions with each other.

30.Following a precipitous delivery, examination of the client’s vagina reveals a fourth-

degree laceration. Which of the following would be contraindicated when caring for this

client?

AApplying cold to limit edema during the first 12 to 24 hours.

BInstructing the client to use two or more peri pads to cushion the area.

CInstructing the client on the use of sitz baths if ordered.

DInstructing the client about the importance of perineal (kegel) exercises.

31.A pregnant woman accompanied by her husband, seeks admission to the labor and

delivery area. She states that she’s in labor and says she attended the facility clinic for

prenatal care. Which question should the nurse Oliver ask her first?

A“Do you have any chronic illnesses?”

B“Do you have any allergies?”

C“What is your expected due date?”

D“Who will be with you during labor?”

32.A neonate begins to gag and turns a dusky color. What should the nurse do first?

ACalm the neonate.

BNotify the physician.

CProvide oxygen via face mask as ordered

DAspirate the neonate’s nose and mouth with a bulb syringe.

33.When a client states that her “water broke,” which of the following actions would be

inappropriate for the nurse to do?

AObserving the pooling of straw-colored fluid.

BChecking vaginal discharge with nitrazine paper.

CConducting a bedside ultrasound for an amniotic fluid index.

DObserving for flakes of vernix in the vaginal discharge.

34.A baby girl is born 8 weeks premature. At birth, she has no spontaneous respirations but

is successfully resuscitated. Within several hours she develops respiratory grunting,

cyanosis, tachypnea, nasal flaring, and retractions. She’s diagnosed with respiratory distress

syndrome, intubated, and placed on a ventilator. Which nursing action should be included in

the baby’s plan of care to prevent retinopathy of prematurity?

ACover his eyes while receiving oxygen.

BKeep her body temperature low.

CMonitor partial pressure of oxygen (Pao2) levels.

DHumidify the oxygen.

35.Which of the following is normal newborn calorie intake?

A110 to 130 calories per kg.

B30 to 40 calories per lb of body weight.

CAt least 2 ml per feeding

D90 to 100 calories per kg

36.Nurse John is knowledgeable that usually individual twins will grow appropriately and at

the same rate as singletons until how many weeks?

A16 to 18 weeks

B18 to 22 weeks

C30 to 32 weeks

D38 to 40 weeks

37.Which of the following classifications applies to monozygotic twins for whom the cleavage

of the fertilized ovum occurs more than 13 days after fertilization?

Aconjoined twins

Bdiamniotic dichorionic twins

Cdiamniotic monochorionic twin

Dmonoamniotic monochorionic twins

38.Tyra experienced painless vaginal bleeding has just been diagnosed as having a placenta

previa. Which of the following procedures is usually performed to diagnose placenta previa?

AAmniocentesis

BDigital or speculum examination

CExternal fetal monitoring

DUltrasound

39.Nurse Arnold knows that the following changes in respiratory functioning during

pregnancy is considered normal:

AIncreased tidal volume

BIncreased expiratory volume

CDecreased inspiratory capacity

DDecreased oxygen consumption

40.Emily has gestational diabetes and it is usually managed by which of the following

therapy?

ADiet

BLong-acting insulin

COral hypoglycemic

DOral hypoglycemic drug and insulin

41.Magnesium sulfate is given to Jemma with preeclampsia to prevent which of the following

condition?

AHemorrhage

BHypertension

CHypomagnesemia

DSeizure

42.Cammile with sickle cell anemia has an increased risk for having a sickle cell crisis during

pregnancy. Aggressive management of a sickle cell crisis includes which of the following

measures?

AAntihypertensive agents

BDiuretic agents

CI.V. fluids

DAcetaminophen (Tylenol) for pain

43.Which of the following drugs is the antidote for magnesium toxicity?

ACalcium gluconate (Kalcinate)

BHydralazine (Apresoline)

CNaloxone (Narcan)

DRho (D) immune globulin (RhoGAM)

44.Marlyn is screened for tuberculosis during her first prenatal visit. An intradermal injection

of purified protein derivative (PPD) of the tuberculin bacilli is given. She is considered to

have a positive test for which of the following results?

AAn indurated wheal under 10 mm in diameter appears in 6 to 12 hours.

BAn indurated wheal over 10 mm in diameter appears in 48 to 72 hours.

CA flat circumcised area under 10 mm in diameter appears in 6 to 12 hours.

DA flat circumcised area over 10 mm in diameter appears in 48 to 72 hours.

45.Dianne, 24 year-old is 27 weeks’ pregnant arrives at her physician’s office with

complaints of fever, nausea, vomiting, malaise, unilateral flank pain, and costovertebral

angle tenderness. Which of the following diagnoses is most likely?

AAsymptomatic bacteriuria

BBacterial vaginosis

CPyelonephritis

DUrinary tract infection (UTI)

46.Rh isoimmunization in a pregnant client develops during which of the following

conditions?

ARh-positive maternal blood crosses into fetal blood, stimulating fetal antibodies.

BRh-positive fetal blood crosses into maternal blood, stimulating maternal antibodies.

CRh-negative fetal blood crosses into maternal blood, stimulating maternal antibodies.

DRh-negative maternal blood crosses into fetal blood, stimulating fetal antibodies.

47.To promote comfort during labor, the nurse John advises a client to assume certain

positions and avoid others. Which position may cause maternal hypotension and fetal

hypoxia?

ALateral position

BSquatting position

CSupine position

DStanding position

48.Celeste who used heroin during her pregnancy delivers a neonate. When assessing the

neonate, the nurse Lynnette expects to find:

ALethargy 2 days after birth.

BIrritability and poor sucking.

CA flattened nose, small eyes, and thin lips.

DCongenital defects such as limb anomalies.

.

49.The uterus returns to the pelvic cavity in which of the following time frames?

A7th to 9th day postpartum.

B2 weeks postpartum.

CEnd of 6th week postpartum.

DWhen the lochia changes to alba.

50.Maureen, a primigravida client, age 20, has just completed a difficult, forceps-assisted

delivery of twins. Her labor was unusually long and required oxytocin (Pitocin)

augmentation. The nurse who’s caring for her should stay alert for:

AUterine inversion

BUterine atony

CUterine involution

DUterine discomfort