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TOP RANK REVIEW ACADEMY, INC. Page 1 | 15 DIAGNOSTIC EXAMINATION NAME: SCORE: Nursing Practice 1 Situation: The following questions pertain to the result of the National Demographic Health Survey in 2017. As a nurse, knowledge on the result of this survey will help in program planning and policy making. 1. The survey provides information on the following areas. Select all that apply. I. Family planning practices II. Handwashing III. Premarital sex IV. Bank accounts and mobile phones A. I, III B. I, II, III C. I, III, IV D. I, II, III, IV 2. On average, households in the Philippines have an average of how many members? A. 10 B. 7 C. 4 D. 6 3. What is the most common source of drinking water among rural households? A. Bottled water or a refilling station, B. Protected well or spring C. Tube well or borehole D. Public tap/standpipe 4. Which of the following is FALSE regarding toilet facilities? A. Three quarters (76%) of households in the Philippines use shared toilet facilities B. Three percent of households in the Philippines use unimproved facilities, C. An additional 5% are not using any facility D. Twenty-two percent of the household population in ARMM, 13% in Central Visayas, and 11% in Western Visayas have no toilet facility at all 5. In terms of household wealth index, which of the following is FALSE? A. Urban households are more likely than rural households to fall into the higher wealth quintiles B. 70% of the population in ARMM is in the lowest wealth quintile, compared with only 1% in NCR C. The Gini coefficient is 0.22, which suggests that wealth is unevenly distributed in the population. D. However, wealth is distributed more evenly in the urban population than in the rural population 6. In the household composition, which of the following findings are TRUE? Select all that apply. I. Fifty-one percent (56,970) of these individuals were female and 49% (54,673) were male II. ex ratio of 100 males per 104 females. III. The percentage of male-headed households decreased from 86% in 1993 to 79% in 2017 IV. Female-headed households are more common in urban than rural areas (24% and 18%, respectively) A. I,II B. I,II,III C. III, IV D. I,II,IV 7. Which region has the highest rate of birth registration? A. NCR B. Region IV C. CAR D. Region VII 8. A gender parity index at primary school of 0.97 means that: A. there are slightly more female than male students B. there are slightly more male than female students C. there are equal amounts of male and female students D. there is equality in primary school 9. The median age at first marriage of women 25- 49 years old is: A. 22.5 B. 25.5 C. 27.5 D. 18.5 10. The median age at first sexual intercourse among women age 25-49: A. 16.2 B. 13.2 C. 19.2 D. 21.2 11. Thus, on average, it was found out that women have sexual intercourse about years before marriage: A. 6.3 B. 4.3 C. 5.3 D. 1.3 12. Which of the following sexual patterns by characteristics is/are TRUE? A. Women age 25-49 in rural areas begin having sex about a year earlier than women in urban areas. B. Median age at first sex increases by 6 years with increasing educational attainment, C. Median age at first sex also increases with increasing household wealth D. All of the above 13. Based on the 2017 survey, which of the following is the ideal family size of women? A. 2.7 B. 3.0 C. 4.7 D. 5.0 14. Which of the following is the most commonly used contraception by the respondents? A. Pills B. Withdrawal C. Calendar method D. Condom use 15. Which of the following is FALSE regarding contraceptive knowledge and use of the respondents? A. Almost all women in the Philippines know at least one method of family planning B. More women use traditional contraception versus modern contraception C. Currently married women in rural areas are more likely than those in urban areas to use modern methods D. Modern contraceptive use is highest among currently married women with 3-4 living children 16. The modern contraceptive prevalence rate is highest among women in: A. NCR * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH
TOP RANK REVIEW ACADEMY, INC. Page 2 | 15 B. Cavite C. Cagayan Valley D. Cebu 17. Which province in the Philippines has the highest unmet need for family planning? A. Zamboanga Peninsula B. Lanao del Sur C. Eastern Samar D. Sultan Kudarat 18. Which of the following is FALSE regarding family planning behaviors? A. The percentage of nonusers who did not discuss family planning either with a fieldworker or at a health facility rises with increasing wealth B. 71% of women age 15-49 stated that minors should seek written permission from their parents C. Unmet need for family planning varies largely between urban and rural areas D. The median age at sterilization among women is 32.1 years 19. In terms of infant health, which of the following results is/are FALSE? A. The perinatal mortality rate increases as the mother’s age at birth increases, B. CAR has the highest perinatal mortality rate of 31 deaths per 1000 C. Mortality rates generally increase as birth order increases D. Under-5 mortality is also very high in SOCCSKSARGEN (48 deaths per 1,000 live births) 20. Which of the following trends do not apply? A. Infant and under-5 mortality rates are decreasing. B. The neonatal mortality rate has plateaued C. The neonatal mortality rate is decreasing D. The perinatal mortality rate increases as the mother’s age at birth increases, 21. Which region in the country has the most knowledge on HIV prevention? A. NCR B. Region 4A C. CAR D. Region VII 22. By region, the percentage of women with discriminatory attitudes towards people living with HIV is highest in: A. CAR B. Davao Region C. ARMM D. NCR 23. Which of the following statements on HIV knowledge is FALSE? A. Women age 15-19 are more likely than older women to know of a place where they can get an HIV test B. Knowledge among women age 15-49 of a place to get an HIV test has declined from 52% in 2008 to 45% in 2017 C. Women in rural areas are slightly more likely to hold discriminatory attitudes towards people living with HIV than women in urban areas D. Young women in urban areas are less likely to have had sexual intercourse by age 18 than young women in rural areas . 24. Among those who visited a health facility or provider in the 30 days before the survey, the average round trip travel time was: A. 1 hour B. 47 minutes C. 30 minutes D. 2 hours 25. had the longest average travel time (78 minutes) A. ARMM B. CAR C. Region IVB D. SOCCKSARGEN 26. Which of the following is FALSE regarding decision making in women? A. By region, currently married women’s participation in all three specified decision ranges from 71% in Zamboanga Peninsula to 93% in Cagayan Valley. B. 87% of currently married women age 15-49 can say no to their husband if they do not want to have sexual relations, C. Over half (54%) of currently married women age 15- 49 with cash earnings decide jointly with their husbands how their own earnings are used, D. None of the above 27. Recent physical violence in the 12 months preceding the survey is highest in: A. CARAGA B. ARMM C. CAR D. MIMAROPA 28. By region, violence initiated by women against their husbands/partners ranges from a low of 2% in ARMM to a high of 22% in the following regions EXCEPT: A. Western Visayas B. Bicol C. MIMAROPA D. Central Visayas 29. Women from which region are most likely to seek help for violence? A. ARMM B. Ilocos Region C. Bicol Region D. Central Visayas 30. Women from which region are least likely to seek help for violence? A. ARMM B. Ilocos Region C. Bicol Region D. Central Visayas 31. In the FOURMUla One Plus for Health Strategy Map, which of the following is not a core value? A. Excellence B. Compassion C. Integrity D. Relevance 32. Which of the following is the maternal mortality ratio per 100 000 births target for 2022? A. 114 B. 90 C. 80 D. 85 33. Which of the following is the 2022 target for Out-of-pocket health spending as percentage of total health expenditure? A. 52.2 B. 50 C. 30 D. 60 34. Which of the following is the 2022 target for Percent of population who have spent less than 10 percent of their HH income on health? A. 56% B. 34% C. 5% D. 12% E. To be decided 35. Which of the following is the 2022 target for Tuberculosis incidence per 100,000 population? A. 456 B. 459
TOP RANK REVIEW ACADEMY, INC. Page 3 | 15 C. 427 D. 434 36. Which of the following laws is NOT relevant to health regulation? A. RA 4226 B. RA 9711 C. RA 9721 D. RA 9502 37. The following were identified challenges in health regulation by the National Objectives for Health EXCEPT: A. Obsolete regulatory mandates B. Simple regulatory system C. Unclear accountabilities D. Limited training and support systems 38. In the accountability framework of the NOH, which of the following is NOT included? A. Ambisyon 2040 B. Philippine Development Plan C. FOURmula One Plus D. None of the above 39. Which of the following is the 2022 target for road traffic deaths per 100 000 population? A. 7.9 B. 8.6 C. 3.4 D. 5.6 40. In the following evaluation parameters, which of the following did not meet t the 2022 target? A. Prevalence of current tobacco use: 14% B. Modern contraceptive prevalence: 30% C. TB Treatment coverage: 90% D. Percent of provinces with adequate physician to population ratio: 30% 41. Which of the following is 2022 target for treatment program completion rate for people who abuse drugs? A. 100% B. 98% C. 88% D. To be determined 42. Which of the following is the 2022 target for percent of health organizations with overall excellent rating in their health performance scorecards? A. 100% B. 56% C. 47% D. To be determined 43. What is the 2022 target for percent of provinces with adequate nurse to population ratio (disaggregated by locality/area)? A. 100% B. 50% C. 89% D. To be determined 44. What is the 2022 target for percent of antiretroviral therapy (ART) coverage? A. 85% B. 47.65% C. 87% D. 100% 45. Which of the following is a specific objective of NOH? A. Sustainable investments for health secured, efficiently used and equitably allocated for improved health outcomes B. More resources for health efficiently mobilized and equitably distributed C. Accessibility of essential quality health products and services ensured at appropriate levels of care D. High quality and affordable health products, devices, facilities and services ensured 46. Which of the following is an indicator of specific objective 2 for financing: Health spending rationalized? A. Expenditure for public health packages as percentage of national government financing B. Domestic general government health expenditure as percentage of GDP C. Percentage of NBB-eligible patients with zero co- payment D. Expenditure for health infrastructure as percentage of national government financing 47. Which of the following is NOT an indicator for specific objective: Innovative regulatory mechanisms developed for equitable distribution of quality and affordable health goods and services A. Hospital acquired infection rate B. Median consumer price ratio of selected essential medicines C. Percent of targeted health facilities, establishments, services and products continuously compliant to licensing standards D. Percent of Provinces/ HUCs/ICCs with approved Local Investment Plan for Health (LIPH) 48. For the goal of a responsive health system, which of the following indicators are included? I. Client satisfaction rate II. Provide responsiveness score III. Out-of-pocket health spending as percentage of total health expenditure IV. Average life expectancy (in years) V. Tuberculosis incidence per 100,000 population A. I,II B. I,II,III C. I,II,IV,V D. II,III,IV 49. The following indicators have a 100% target for 2022. Select all that apply. I. Percent of provinces that are fiariasis-free II. Percent of disaster-affected area with no reported outbreaks III. Percent of fully immunized children IV. Tuberculosis treatment coverage A. III,IV B. I,III C. II,III D. I,II 50. How much is the target domestic general government health expenditure per capita for 2022? A. PhP 2,258 per person B. PhP 5,634 per person C. PhP 4,674per person D. PhP 1,567 per person Nursing Practice 2 Situation: Health care during pregnancy is important and has major effects on the health of the mother during pregnancy and the baby. Nurses should be knowledgeable about the concepts and topics regarding this. 51. A primigravid client at 16 weeks' gestation has had an amniocentesis and has received teaching concerning signs and symptoms to report. Which statement indicates that the client needs further teaching? A. “I need to call if I start to leak fluid from my vagina.” B. “If I start bleeding, I will need to call back.” C. “If my baby does not move, I need to call my health care provider.” D. “If I start running a fever, I should let the office know.” 52. “An antenatal client receives education concerning medications that are safe to use during pregnancy. The nurse evaluates the client's understanding of the instructions and determines that she needs further information when she states which of the following?
TOP RANK REVIEW ACADEMY, INC. Page 4 | 15 A. A “If I am constipated, Milk of Magnesia is okay but mineral oil is not.” B. “If I have heartburn, it is safe to use chewable Tums.” C. “I can take Tylenol if I have a headache.” D. “If I need to have a bowel movement, Ex-Lax are preferred.” 53. The nurse instructs a primigravid client to increase her intake of foods high in magnesium because of its role with which of the following? A. Prevention of demineralization of the mother's bones. B. Synthesis of proteins, nucleic acids, and fats. C. Amino acid metabolism. D. Synthesis of neural pathways in the fetus. 54. Which diagnostic test would be the most important to have for a primigravid client in the second trimester of her pregnancy? A. Culdocentesis. B. Chorionic villus sampling. C. Ultrasonography. D. α-fetoprotein (AFP) testing 55. “After instructing a female client about the radioimmunoassay pregnancy test, the nurse determines that the client understands the instructions when the client states that which of the following hormones is evaluated by this test? A. Prolactin. B. Follicle-stimulating hormone. C. Luteinizing hormone. D. Human chorionic gonadotropin (hCG) Situation: Preterm babies can be vulnerable to the extra-uterine life since some parts of their body hasn't fully developed yet. The following questions are related to the disorders related to premature clients. 56. Two hours ago, a neonate at 38 weeks' gestation and weighing 3,175 g (7 lb) was born to a primiparous client who tested positive for beta-hemolytic streptococcus. Which of the following would alert the nurse to notify the primary health care provider? A. Alkalosis. B. Increased muscle tone. C. Temperature instability. D. Positive Babinski's reflex.” 57. “Which of the following subjects should the nurse include when teaching the mother of a neonate diagnosed with retinopathy of prematurity (ROP) about possible treatment for complications? A. Laser therapy. B. Cromolyn sodium eye drops. C. Frequent testing for glaucoma. D. Corneal transplants.” 58. “Three days after admission of a neonate born at 30 weeks' gestation, the neonatologist plans to assess the neonate for intraventricular hemorrhage (IVH). The nurse should plan to assist the neonatologist by preparing the neonate for which of the following? A. Cranial ultrasonography. B. Arterial blood specimen collection. C. Radiographs of the skull. D. Complete blood count specimen collection.” 59. Which of the following would the nurse most expect to assess in a neonate born at 28 weeks' gestation who is diagnosed with intraventricular hemorrhage (IVH)? A. Increased muscle tone. B. Hyperbilirubinemia. C. Bulging fontanels. D. Hyperactivity. 60. “Which of the following statements by the mother of a neonate diagnosed with bronchopulmonary dysplasia (BPD) indicates effective teaching? A. “BPD is an acute disease that can be treated with antibiotics.” B. “My baby may require long-term respiratory support.” C. “Bronchodilators can cure my baby's condition.” D. “My baby may have seizures later on in life because of this condition.” Situation- Rare Diseases on Childhood 61. The most common cause of this syndrome is a heart defect that causes a shunt to develop between two changes of your heart. A. CANDLE Syndrome B. Eisenmenger Syndrome C. Angelman Syndrome D. Fragile X syndrome 62. Sign and symptoms of this syndrome includes the following EXCEPT A. Clubbing of fingers and cyanosis B. Bradycardia C. Headache D. Hemoptysis 63. The following are possible cause of the syndrome described in Item 11 EXCEPT A. Ventricular Septal Defect B. Atrial Septal Defect C. Patent Ductus Arteriosus D. Tricuspid Atresia 64. The following are possible complications of the diseases: 1. Arrhythmias 2. Cardiac Arrest 3. Heart Failure 4. Hemoptysis A. 1,2,3 B. 1,3,4 C. 1,2,4 D. 1,2,3,4 65. Management of this syndrome are the following A. use of Oxygen Therapy B. Pulmonary Vasodilation Therapy C. Anticoagulation Medications D. All of the above 66. This is genetic disorder characterized by deposition of glucocerebroside in cells of the macrophage- monocyte system. A. Batten Disease B. Eisenmenger Syndrome C. CANDLE Syndrome D. Gaucher Disease 67. Type 1 symptoms of the Item 16 is also called as A. Non-neuronopathic Type B. Neuronopathic Type C. Nephropathic Type D. Non-nephropatic Type 68. A condition is also called as globoid cell leukodystrophy and galactosylceramide lipidosis A. CANDLE Syndrome B. Batten Disease C. Krabbe Disease D. Angelman Syndrome 69. How can the Previous item (No. 18) be inherited? A. Autosomal Dominant Pattern B. Autosomal Recessive Pattern C. X-linked Recessive Pattern D. X- linked Dominant Pattern 70. Mutations in these gene can cause this disease. A. GALX B. GLAN C. GALC D. GALB Situation: Nurse Timothy is caring for a client with Roseola infantum. The following questions apply. 71. Roseola Infantum is also known as: A. Fourth Disease