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2 | Page A. Causative agent B. Risk factor C. Intrinsic factor D. Extrinsic factor 10. Nurse Maddy gathered the number of people who are affected by the food poisoning. She wants to present the trend in the number of affected to the time it is recorded. She will use what type of graph? A. Line graph B. Pictograph C. Histogram D. Pie Chart VITAL STATISTICS (5) SCENARIO: Nurse Micah joined the health center in analyzing the gathered data for the community diagnosis. The following are the data: Total Population: 6,420 Total Birth: 328 Total Death: 79 Maternal death: 6 Total Infant Death: 13 Total Males: 3,417 Total Males 50 years old and above: 751 Total Females: 3,007 Total Female 15 - 44 years old: 1,023 11. Nurse Micah computed the crude birth rate of the province. The data showed: A. 102 B. 51 C. 320 D. 109 12. The demographic measurement is computed. She identified the sex ratio based from the data is: A. 88 females for every 100 males B. 117 females for every 100 males C. 29 females for every 100 males D. 29 males for every 100 females 13. Nurse Micah wants to know the true fertility rate of the province. She is correct when she get: A. 321 B. 109 C. 159 D. 328 14. The municipal health officer instructed nurse Micah to study the morbidity rate of the province. To study morbidity, she will look for what data? A. Incidence Rate B. Attack Rate C. Case Fatality Rate D. Prevalence Rate 15. As Nurse Micah was browsing the existing data in the barrio. She noted the urban-rural index is 26:74. She interprets this as: A. More people decided to live in a corporate world B. 26% of the population plans to support their family and work abroad C. 74% of the population are living in the mountain areas of the barrio. D. There are less people occupying the urban areas of the barrio. HALAMANG GAMOT (5) SCENARIO: As part of primary health care and increasing cost of drugs, the use of locally available medicinal plants has been advocated by the DOH. 16. The community is conducting a seminar about the natural sources of vitamins and minerals that can be found in the backyard and field. The nurse was alarmed as the pregnant woman stated to be consuming this herbal medicine which is known to have abortifacient properties. This is: A. Akapulko B. Sambong C. Yerba Buena D. Tsaang gubat 17. The nurse is giving health education pertaining to the use of herbal medicine. He needs further teaching when he states: A. Uses only the advocated parts of the plant B. Use only clay pot in preparation of herbal plants and remove cover while boiling at low heat C. Use only one kind of herbal plant for each type of symptoms or illness D. If signs and symptoms are not relieved after 2 or 3 doses of herbal medication, consult a doctor 18. The parent of a child with diarrhea asked the nurse what herbal medicine is applicable for his son. The Nurse recommends: A. Boil the mature stems and drink its decoction B. Boil chopped leaves in 1 glass of water, strain and drink C. Wash leaves and eat. D. Any part of tsaang gubat is used for diarrhea 19. The nurse is doing a home visit when a resident asks the nurse to describe which among the plants in the backyard is the ulasimang bato. The nurse correctly describes when he states: A. It is a weed with heart-shaped leaves B. It is a plant with rough hairy leaves C. It is a tree with tiny white flowers D. It is a shrub with blue and bell-shaped flowers 20. There was an outbreak of scabies in the barrio where Nurse Jenna is working. There was no more akapulko seen in the barrio as it is consumed by many. What alternative herbal medicine can be used by the barrio? A. Tsaang gubat B. Niyug-niyugan C. Yerba Buena D. Lagundi BEmONC CEmONC (5) SCENARIO: Nurse Donna is a clinical instructor in The Medical University. She is to tackle the life-saving interventions that treat the major obstetric and newborn causes of morbidity and mortality and how to prevent them 21. She discussed the emergency obstetric and newborn care. One student was confused and asked what is it in CEmONC that BEmONC cannot provide? Nurse Donna is prepared to answer when she enumerated: 1. Removal of retained products of conception 2. Cesarean Section 3. Parenteral administration of loading dose of anticonvulsants 4. Blood Transfusion A. 1, 3 B. 3, 4 C. 1, 2 D. 2, 4 22. DOH, UNICEF and other organizations developed and reviewed Essential Newborn Care to handle newborn care in the critical immediate period. Among the time-bound interventions done to the newborn, what prevents the newborn from hypoglycemia and sepsis and it helps the body increase colonization with protective bacterial flora? A. Immediate and thorough drying of the newborn B. Keeping the mother and baby in uninterrupted skin- to-skin contact C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops D. Breastfeeding initiation within the first hour of life
3 | Page 23. Among the four time-bound interventions done to the newborn, what is done to prevent intraventricular hemorrhage in one of two preterm babies? A. Immediate and thorough drying of the newborn B. Keeping the mother and baby in uninterrupted skin- to-skin contact C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops D. Breastfeeding initiation within the first hour of life 24. There was an increasing rate of maternal mortality in Barrio Toto. The nurse interviewed the residents and learned that the reason was because most of them are experiencing financial constraints. The nurse knows that this problem is under what delay model? A. Delay in seeking care B. Delay in reaching facilities C. Delay in receiving appropriate care D. It is not related to delay model because money is not an issue 25. Nurses noted that another reason for maternal mortality is due to some residents not knowing where the new health center is located. It is under what delay model? A. Delay in seeking care B. Delay in reaching facilities C. Delay in receiving appropriate care D. It is not related to delay model because money is not an issue RESEARCH (5) SCENARIO: Nurse Atom wants to uncover nursing knowledge and build the foundation of clinical practice to prevent disease, manage symptoms of illness and enhance end-of-life care. Thus, he decided to do nursing research. 26. Nurse Atom encounters the word hypothesis. He is not correct in telling that hypothesis is: A. A state where it can be accepted or rejected B. A prediction about what a research will find C. An educated guess that is untested with observation D. A tentative explanation supported by evidence 27. Nurse Atom was inspired from a research study from India and he repeated it with a different setting in his barangay. Surprisingly, it yields a consistent result. It means the research is: A. Valid B. Objective C. Reliable D. Sensitive 28. The research is believed to use an instrument to detect fine differences among the subjects being studied. The criteria is known to be? A. Valid B. Objective C. Reliable D. Sensitive 29. Which of the following terms refer to the meaning that a researcher must test the correctness of data before accepting it? A. Empirical B. Logical C. Critical D. Analytical 30. Which of the following terms refer to the ability to identify and have a careful breakdown of components especially in terms of variables? A. Empirical B. Logical C. Critical D. Analytical HOMEVISIT (5) SCENARIO: In a homevisit, the nurse interviews Amy, wife of Arnel that they are living with her parents, Arcedo and Alma and 2 siblings, Aries and Arturo. The couple has 3 children, namely Arvin, Arriane and Anton 31. When the nurse visited the home, he came to the conclusion that there are two families living in a single house. What supports his thinking? A. The family does not have an ability to maintain a healthy home environment B. Amy and Alma prepare their own family’s meals separately. C. Arcedo is not supportive of Arnel, being the husband of her daughter. D. Alma does not join in the conversation of her daughter and his husband. 32. Arnel asked the nurse the frequency of home visits. The nurse based her answer knowing that the nurse should: A. Visit the family once a week B. Visit the family once a month C. Visit the family everyday D. Visit according to the needs of the family. 33. In planning to do a home visit, there are principles involved which serve as a guide for the nurse. The following are principles except: A. A home visit must have a purpose B. Planning should make use of all available information about the patient and family C. Involve the family in planning and delivery of care D. The plan should be fixed to avoid unnecessary problem 34. The nurse accompanied the student nurse on his first day doing a home visit. When he arrived in the house of the family, he is correct when he initially: A. State the purpose of the visit B. Greet the patient and introduce self C. Observe the patient and determine the health needs D. Put the bag in a convenient place and wash hands 35. Guidelines are necessary to give general recommendations on how a nurse should perform the task or how to proceed in a situation. The following are not considered to be factors, except: A. The physical needs should be considered more than the psychological and educational needs of the family. B. Evaluate how the family avail the nursing services C. Perform nursing care despite the patient's disapproval because the patient needs it. D. The nurse should recognize the needs of the family since the nurse has the professional knowledge and experience. LAWS (5) SCENARIO: Nurse Diane is assigned to the health center in her Barangay . She was told to study the common laws affecting primary health care in the Philippines. 36. A couple applying for a marriage license are required to receive instructions on family planning and responsible parenthood. This is governed by what law? A. RA 3573 B. RA 7277 C. PD 825 D. PD 965 37. There are national policies on Infant and Young Child feedings. The most related administrative order is: A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related

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