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3 | Page 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 29. 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 30. 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. 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. 31. 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 32. 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 33. In the National policies on Infant and Young Child feeding with the administrative order on the previous number. The following are the specific objectives except: A. All newborns are initiated to breastfeeding within six hours after birth B. All infants are exclusively breastfed for 6 months C. All infants are given timely, adequate and safe complementary foods D. Breastfeeding is continued up to two years and beyond 34. Which among the following defines the implementing guidelines on hepatitis B immunizations for infants which is meant to improve effectiveness of management in the provision of three doses of routine Hepatitis B vaccine among infants including a birth dose? A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related 35. This Administrative order revised implementing rules and regulations of EO 51 known as the “Milk Code”, relevant international agreements, penalizing violations thereof and for other purposes: A. AO No. 2005-0014 B. AO No. 2006-0012 C. AO No. 2006-0015 D. Nothing is related SCENARIO: Center for disease control and prevention partners with the government of the Philippines and local organizations to prevent and control communicable and non- communicable diseases, strengthen public health emergency preparedness and response, and expand global health security capacity. The following are communicable diseases. 36. The nurse visited in a barrio located in Region 5 (Bicol). There is a resident presents with symptoms of diarrhea, bloody stools and enlargement of abdomen. Upon further assessment, the patient is diagnosed to have bilhariasis. What is the causative agent of bilhariasis? A. Schistosoma spp. B. Wuchereria bancrofti C. Brugia malayi D. Oncomelania quadrasi 37. There are different species of Schistosoma which can only be found in a particular place during its lifetime. Which among the Schistosoma species is endemic in the Philippines? A. Schistosoma mansoni B. Schistosoma haematobium C. Schistosoma japonicum D. Schistosoma mekongi 38. The barrio knew that one of their neighbor was diagnosed with schistosomiasis. Mass hysteria cause an outbreak of unrealistic thoughts and feelings about the mode of transmission of schistosomiasis. As a nurse, she should educate the residents on how Schistosomiasis is transmitted. She is correct when she states it is transmitted through: A. Drinking contaminated water B. Skin comes in contact with cercaria C. Skin comes in contact with miracidium D. Sexual contact 39. The nurse implemented some preventive measures to control the spread of the disease, the patient and its immediate environment. Which of the following is not included? A. Treat snail-breeding sites with molluscicides B. Improve irrigation and agriculture practices C. Isolate the infected person for 7 days D. Sanitary disposal of feces and urine 40. The doctor prescribed medications to the infected residents. As a knowledgeable nurse who masters pharmacology. The nurse knows which among the following are known to treat schistosomiasis? I. Praziquantel II. Oxamniquine III. Metrifonate IV. Diethylcarbamazine citrate A. i B. i, ii C. i, ii, iii D. i, ii, iii, iv 41. Filariasis is a disease often progresses to become chronic, debilitating and disfiguring, since its symptoms are often unnoticed and unfamiliar to health workers. The nurse is knowledgeable when she says that the disease is transmitted to a person through bites of what species? A. Wuchereria bancrofti B. Brugia malayi C. Aedes poecilius D. Anopheles spp. 42. The life-span of the adult parasites is about 10 years while the microfilariae live for about a year at most. Since its incubation period lasts from 8 to 16 months, the nurse knows that the patient is already at acute stage when the following manifestations are present except: A. Lymphadenitis B. Lymphedema C. Funiculitis D. Lymphangitis 43. In order to detect the presence of filarial worms in the body. The patient should undergo laboratory examinations and the blood is extracted during what time of the day? A. At daytime (after 6AM) B. At noon (10AM-2PM) C. Anytime of the day D. At night (After 8PM) 44. The patient is confirmed with a diagnosis of filariasis. He asked about the possible treatment for microfilaria of the disease. The nurse anticipates what drugs? I. Diethylcarbamazine citrate (DEC) II. Hetrazan III. Ivermectin A. i B. i, ii C. i, iii D. i, ii, iii 45. The nurse educated the residents on how to prevent and
4 | Page control the vector. He included which among the following on the topic? I. Sleep under mosquito net II. Give entire community medicine that kills the microscopic worms annually. III. Use mosquito repellent on exposed skin IV. Wear long sleeves, long pants and socks A. i, ii B. i, iii, iv C. i, ii, iv D. i, ii, iii, iv SCENARIO: Nurse Ruel is a newly-hired community health nurse in Barangay Mabuhay, the activity in the health center is vaccination. 46. Jane forgot to bring her daughter back for the second dose of OPV, she asked the nurse what to do. The nurse’s response is correct when she states: A. “How irresponsible of you naman, mother” B. “Kakailanganin po natin ulitin ang bakuna, bale magiging first dose po ulit ni baby ito” C. “Wala naman pong problema, ibibigay ko po ngayon ang second dose nya” D. “I-refer ko po kayo kay doc kung paano po ang gagawin, case-to-case basis po kasi eh” 47. Maricar’s 13-week-old son will be having his third dose of Pentavalent next week (April 12, 2023). Her concern is they will stay in their province from April 11 to 15, 2023. She asked the nurse about the schedule she should come back for the vaccine. The nurse does not need to be corrected when she states: A. Pwede April 10 magpabakuna para bago po kayo umuwi ng probinsya, kumpleto na po pentavalent doses ni baby B. Baka pwede sumunod nalang po kayo kasi kailangan po talaga eksaktong 4 weeks ang interval ng dose. Kailangan po April 12 talaga ang sunod nyang bakuna. C. Dahil Made-delay po ang susunod na dose, doblehin nalang po natin yung bakuna sa pagbalik nyo po galing probinsya. D. Sa pagbalik nyo nalang po ako magbibigay ng bakuna. 48. The nurse is preparing to give the BCG vaccine to the infant. According to the Public Health Nursing in the Philippines book, He should clean the skin of the injection site using a cotton ball moistened with? A. Sterillium B. Water C. Alcohol D. Betadine 49. Vaccines are substances that are very sensitive at various temperatures. The recommended storage temperatures of EPI vaccines must be observed to avoid spoilage, and maintain its potency. Nurse Ruel is knowledgeable when he checks the storage temperature every: A. Whenever it is necessary B. Twice daily C. Three times daily D. Twice a week 50. Nurse Ruel checked the storage temperature and opened the storage to check for the vaccines. He noticed that the OPV is at the freezer. What should Nurse Ruel do? A. Just leave the OPV because it is should be in the freezer B. OPV is a live attenuated vaccine and it should be in the refrigerator C. Identify the person who put the OPV in the freezer and inform him privately about his mistake D. Throw the OPV because it is considered spoiled Situation: Correct administration of right medications with right dose to the right client is the nurse’s responsibility in the management of client’s health needs. Nurse Michelle is preparing various medications for her clients in the ward. 51. Nurse Michelle goes to the room of Mrs. Richards who is lying in bed. After checking client’s identity, the nurse gives her the medications. Mrs. Richards tells the nurse that she “has a hard time swallowing tablets and is afraid she might choke”. Which nursing action is MOST APPROPRIATE? A. Ask the client to assume sitting position B. Put the tablet in banana for easy swallowing C. Pound the tablet and mix in client’s soup or juice D. Tell the client the pills are small and should be taken on time. 52. In the next room is Mrs. Richards, 56 years old, with an order for instillation of otic drops. Nurse Michelle checks client’s identity than asks Mrs. Richards to lie on her side, opposite the ear to be medicated. When administering the otic drops nurse Michelle straightens the ear canal by pulling the pinna in which CORRECT direction: A. Upward and forward B. Upward and backward C. Downward and backward D. From side to side 53. Mrs. Richards has to receive SUBCUTANEOUS of epinephrine. For thin client like Mrs. Richards, nurse Michelle should ensure that the medication is correctly administered. After checking client’s identity, she prepares the skin then lifts skin fold at the injection site and injects medication at which angle? A. 45 degrees B. 90 degrees C. 50 degrees D. 20 degrees 54. An iron preparation is to be injected intramuscularly to Mrs. Richards. Nurse Michelle safely administer the drug using the Z-track technique. The following statements about Z-track technique are true EXCEPT: A. The skin is pulled sideways is injected at a 45 degree angle B. The zigzag path seals the needle track trapping the medication in the muscle C. This method allows medication to be injected slowly to disperse evenly in muscle tissue D. This technique is best when medication is irritating to tissue 55. Nurse Michelle will do a skin test for Matti. She uses a tuberculin syringe with gauge 25 needle and performs the intradermal procedure CORRECTLY when she: A. Pinches and moves skin test for sideways and inject medication slowly B. Massages the injection site immediately after withdrawing the needle C. Aspirates after inserting needle to check for bleeding D. Holds skin taut insert needle bevel up at 10 to 15 degree angle Situation: The community health nurse is often faced with common decision-making situations such as these: 56. On the day Nicole was advised to bring Richard to the health center for IMMUNIZATION, Richard has fever at 38.5"C, watery nasal discharge, red and 2 bouts of loose watery stools within the 2 hour interval. Richard is drinking and is irritable. You will use IMCI (Integrated Management of Childhood illness) wherever/whenever applicable, so you would: A. Reduce the amount of vaccine B. Re-schedule the immunization C. continue immunization D. refer the patient 57. Upon reaching the age of nine (9) months, Richard will come back for measles vaccine. How is this administered? A. Subcutaneously B. Intradermally C. Intramuscularly D. Orally 58. Richard's mother says that her child has difficult breathing. You would recognize" chest in- drawing" on Richard if his lower chest wall goes: A. Out when Richard breaths out B. Out when Richard breaths in C. in when Richard breaths in D. in when Richard breaths out 59. Another child, Sam, eight (8) months old was brought to you. She weighs 6.5 kgs. Her temperature Is 38*5C, has

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