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INSTRUCTIONS:
1. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.
2. Write the subject title “Nursing Practice II” on the box provided.
3. Shade Set Box “A” on your answer sheet if your test booklet is Set A; Set Box “B” if your test
booklet is Set B.
SITUATION: Nursing research is the term used to describe the evidence used to support nursing
practice. Nursing, is the evidence based area of practice, has been developing since the time of
Florence Nightingale to the present day, where many nurses now work as researcher based in
universities as well as in the health care setting.
1. Mr. Edgar plans to undertake a research of Community 1 and 2 on how to manage their
health, using Primary health care after an organization and training seminars. This type of
research is:
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NURSING PRACTICE II – SET B
A. 2, 5, 3, 1, 4 B. 3, 5, 4, 1, 2 C. 2, 5, 3, 4, 1, D. 2, 5, 1, 3, 4
5. Studies done in natural setting such as this one, possess difficulty of controlling which
variable?
SITUATION: Jonas, 7 weeks old was brought by his mother to the health center because of
DIARRHEA occurring 4 to 5 times a day.
6. Your assessment revealed that Jonas has sunken etes and he is restless and irritable. What
will be your diagnosis?
7. Based on your diagnosis, which of the following is best done for Jonas?
9. After your management of Jonas condition. Your assessment revealed that he has no more
sign of dehydration. What instruction you give to Jonas mother?
SITUATION: Roger and Ruby D. Duarte are couples asking you about methods of contraception.
10. Abstinence is perhaps the surest and the most effective way to prevent pregnancy, but
obviously not the best. Educating the client about abstinence leads protection when it comes
to sexual intercourse that leads to higher STD rates. Ruby asked you about a natural way to
prevent pregnancy by checking her cervical mucus. This is known as:
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NURSING PRACTICE II – SET B
11. A more effective way than cervical mucus method alone, in this method Ruby will combine
both BBT as well as cervical mucus method:
13. In selecting the BEST contraceptive methods, which of the following should be at the highest
priority?
14. If Ruby will have a record of the following length of menstrual cycle: cycle 1-26, cycle 3-26,
cycle 4-29, cycle 6-29. When should she abstain sexual intercourse if she will use the
calendar method?
A. 7th to 18th day of menstrual cycle C. 6th to 17th day of menstrual cycle
B. 8th to 18th day of menstrual cycle D. 9th to 19th day of menstrual cycle
15. Which of the following condition, if Ruby possesses might be a hindrance in IUD insertion?
SITUATION: Ear infections are the most common cause of deafness in low income areas. The
nurse should be able to assess early signs and symptoms of ear infection in order to prevent
hearing logs, which in turn, leads to learning problems.
16. Among the following, the most serious complication of ear infection is:
17. Which of the following behavior best suggest that the child is experiencing ear pain?
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NURSING PRACTICE II – SET B
A. Acute otitis media B. Chronic otitis media C. Mastoiditis D. Sub acute otitis
19. If the child present with swelling and tenderness behind the ear, how would you classify this
child?
A. 1, 6 B. 2, 5 C. 1, 4 D. 3, 4
20. All of the following are danger signs that needs to be routinely checked in all children
EXCEPT:
SITUATION: Promoting the client’s health is one of the nurse priorities. If health promotion is not
possible, the secondary and tertiary levels of prevention are utilized to render care.
21. Nursing is to assist an individual sick or well in the performance of activities that contributes
to health and recovery is a definition based on the theory of:
22. Which of the following questions by the nurse would be best fit the philosophy of the nursing,
mutual participation, model participation, model of care (NMPMC)?
23. These are numerous definitions of the word HEALTH. Which definition below is from
Florence Nightingale?
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NURSING PRACTICE II – SET B
24. Informal communication takes place when individual talk and is best described by saying the
participants.
25. Tertiary care by the home health nurses is directed toward children with:
26. The endometrium thickens during which phrase of the menstrual cycle?
27. The nurse is preparing to auscultate fetal heart tones in a pregnant client. abdominal
palpation reveals a hard, round mass under the left side of the rib cage, a softer, round mass
just above the symphysis pubis, small irregular shapes in the right side of the abdomen, and
a long firm mass on the left side of the abdomen. Based on these findings, what is the best
plce to auscultate fetal heart tones?
28. A measurement tool to articulate the nursing workload for a specific patient or groups of
patients over a specific period of time is called?
29. The mother of a 9 month old infant is concerned that the head circumference of her baby is
greater than the chest circumference. The BEST response by the nurse is:
A. These circumferences are normally the same, but in some babies this just differs.
B. Perhaps your baby was small for gestational age or premature
C. This is normal until age of 1 year, when the chest will be greater.
D. Let me ask you a questions, and perhaps we can figure out the cause of this differences
30. Vicky, a 28 year old post hysterectomy client has come to the health center. She inquired
about BSE and asked when BSE should be performed. You answered her that BSE is best
performed.
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NURSING PRACTICE II – SET B
SITUATION: Baby John is a 2 year old boy, you see at a pediatric clinic. His mother tells you that
he has changed completely in the past 6 months, from the easy-to-care for a baby into a
MONSTER who refuses to do anything she asks. The only word he says anymore is to. He has a
temper tantrum every night at dinner over some type of food. She tells you this has changed
parenting front FUN to a Real Chore. Baby John has a sister Maria, a toddler.
31. What kind of sentence should Baby John a 2 year old have master.
32. Baby John answer every request of his mother by saying “No!. How can he minimize this?
33. Baby John mother uses “timeout” for punishment. What is a good rule for this?
A. The child should sit still for as many minutes as his age
B. The child should sit still for as many minutes as he misbehaved
C. Timeout activities can include quiet play or reading books
D. Children are not ready for timeout until school-age.
SITUATION: Diagnostic examinations perform in pregnant client are useful in determining the
health of the unborn child. The following questions refer this.
34. After the procedure, the woman is instructed the rest quietly for a period of:
36. Amniocentesis reveal a low value, the physician might suspect genetic or chromosomal
abnormality such as Down syndrome. Genetic testing is another viable option for the family.
The nurse should know that genetic testing should only be done if:
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NURSING PRACTICE II – SET B
39. May is admitted in active labor. The nurse locates fetal heart sounds in the upper left
quadrant of the mother’s abdomen. The nurse would recognize which of the following?
SITUATION: Immunization is necessary in order to save lives not only for children but also for
mother.
40. In population of 77,500. What is your estimate of the population of pregnant woman needing
tetanus toxoid vaccination?
41. Tetanus vaccination is given to the mother. How many years will TT4 last.
42. TT1 will give how many percent of protection to the mother?
43. Sylvia receives DPT 3 during infancy. The first TT vaccination for her will provide:
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NURSING PRACTICE II – SET B
A. IV B. IM C. SQ D. Oral
46. Measles vaccination provides at least how many % of protection in children age 9 months.
A. 50 % B. 75 % C. 99 % D. 80 %
47. The most common fatal complication of measles is usually associated with:
SITUATION: Two children were brought to you. One with chest in drawing and the other had
diarrhea. The following questions apply:
49. Using Integrated Management and Childhood Illness (IMCI) approach, how would you
classify the 1st child?
A. Bronchopneumonia C. Pneumonia
B. Severe pneumonia D. No pneumonia cough or cold
50. The child who is 13 months has fast breathing using IMCI approach, how would you classify
the 1st child
51. Joseph, the 2nd child has a diarrhea for 5 days. There is no blood in stool. He is irritable and
his eyes are sunken. The nurse offered fluids and the child drinks eagerly. How would you
classify Joseph illness?
A. Give in the health center the recommended amount of ORS for 4 hours.
B. Do not give any other foods to the child for home treatment
C. Reassess the child and classify him for dehydration
D. For infants under 8 months old who are not breastfed, give 100-200ml clean water as well
during this period.
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NURSING PRACTICE II – SET B
53. While o treatment, Joseph 18 months old weight 18 kgs and her temperature registered at 37
DC. His mother says he develop cough 3 days ago. Joseph has no general danger signs. He
has 45 breaths per minute, no chest in-drawing, no stridor. How would you classify Joseph
manifestation?
SITUATION: There are other important basic knowledge in the performance of our task as
Community Health Nurse in relation to immunization these include.
55. Which of the following vaccine is not done by intramuscular (IM) injection?
57. This is the vaccine needed before a child reaches (1) year in order for him/her to quality as a
Fully Immunized Child.
58. Which of the following dose of tetanus toxoid is given to the mother to p[rotect her infant
from neonatal tetanus and likewise provide 1o years protection for the mother?
59. The nurses instruct the caregivers of a newborn to notch the dipers or fold them in such a
way as to expose the cord. The major purpose of exposing the cord is to:
A. Remind caregivers to do cord care C. Provide air circulation for the cord
B. Keep the diaper from rubbing the cord D. Allow visualization.
60. The level of health of an individual, family group population or community is called?
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NURSING PRACTICE II – SET B
61. The nurse is teaching a group of expectant mothers about the prevention of diaper
dermatitis. The nurse explain that one of the preventive measures is the use of:
SITUATION: You are working as a Pediatric Nurse in your own Child Health Nursing Clinic. The
following cases pertain to ASSESSMENT AND CARE OF THE NEWBORN AT RISK conditions.
64. Arlene, a mother with a 2 year old daughter ask, “ at what age can I be able to take the blood
pressure of my daughter as a routine procedure since hypertension is common in the
family?” Your answer to this is:
65. Baby Jean was given a drug at birth to reverse the effects of a narcotic given this mother in
labor. What drug is commonly used for this?
66. Why are small-for-gestational age newborns at risks for difficult maintaining body
temperature?
67. Baby Jean develops hyper bilirubinemia. What is a method used to treat hyper bilibrubinemia
in a new born?
68. The nurse manager wishes to implement a new way of determining the vacation schedule for
the staff. The senior staff opposes the change while the new staff seems more accepting of
the change. An effective strategy for resolving this differences in acceptance would be to:
A. Explain that the change will occur as designed regardless of the staffs preference
B. Tell the staff that if they really do not want the changes, it will not be implemented.
C. Provide extensive and detailed rationale for the proposed changes
D. Encourage each side to share their view with each other.
69. The following are the duties of the Public Health Nurse EXCEPT:
A. 40 breath per min B. 55 breath per min. C. 38 breath per min. D. 45 breath per
min.
71. The following are the concerns of the Public Health Nurse on the third trimester of pregnancy,
EXCEPT:
72. When a child with persistent diarrhea returns for follow-up after 5 days, the nurse should ask
the mother if the diarrhea has stop when:
A. The child has less than 3 loose bowels per day C. The child has 5 formed stools
B. The child has 4 semi formed stool D. The child has 3 loose stools / day
73. Barangay Mayamot, one of the identified problems in unavailability of toilet facility for the
resident. The appropriate intervention is:
A. Secure donations in the form of toilet bowls C. ask help from the local
government
B. Conduct a community assembly, discuss the problem D. None of the above
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NURSING PRACTICE II – SET B
74. A home visit is a professional interaction between the community health nurse and his patient
or the family. Where could the nurse get available information about the patient or the family
to be visited?
A. Documents file B. Records and reports C. Doctor’s file D. Family health record
75. In planning a home visit, the nurse considers the individual needs. Which of the following is
priority?
76. Which of the following is the FIRST action of the nurse during a home visit:
A. Greet the client or the household member C. State the purpose or objective of visit
B. Inquire about the health condition of the client D. Give necessary health teaching.
77. Which factor must be considered by the nurse as vital to determine the frequency of home
visit?
SITUATION: In the toddler period, enormous changes take place in a child and consequently, in a
family. As a nurse, we must support the child’s growing independence with patience and sensitivity,
and learn methods of handing the child’s frustrations that arise from the quest, for autonomy the
following questions are about the care of the toddler patient.
79. The physician prescribes digoxin (Lanoxin) elixir for a toddler with heart failure, immediately
before administering this drug, the nurse must check the toddler’s:
80. A 2-year-old child with a low blood level of the immunosuppressive drug cyclosporine comes
to a liver transplant clinic, for her appointment. The mother says the child has’t been vomiting
and hasn’t had diarrhea, but she admit that her child does’t like taking the liquid medication.
Based on knowledge of the drug, which of the following would the nurse instruct the mother
to do?
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NURSING PRACTICE II – SET B
A. Let your child take her medication only when she wants it, she miss some doses
B. Offer the medication diluted with regular milk, chocolate or juice to make it more palatable
C. Insert a nasogastric (NG) tube and administer the medication using the tube
D. Give the ordered dose a little bit at time over 2 hours to ensure administration of the drug.
81. A toddler is hospitalized with multiple injuries. Although the parent states that the child fell
down the stairs, the child’s history and physical findings suggest abuse as the cause of the
injuries. What should the nurse do first?
82. The mother of a hospitalized 3-year-old child, expresses concern because her child is wetting
the bed. What should the nurse tell her?
A. Its common for a child to exhibit regressive behavior when anxious or stressed
B. Your child is probably angry about being hospitalized. This is her way acting out
C. Don’t worry, its common for a 3-year-old child to not be fully toilet-trained
D. The nurses probably haven’t been answering the call button soon enough
83. A 2-year-old child is brought to the emergency department with a history of upper airway-
infection, has worsened over the last 2 days. The nurse suspects the child has croup: Signs
of croup include a hoarse voice inspiratory stridor and:
84. A toddler with bacterial meningitis is admitted to the inpatient unit. Which infection control
measure should the nurse be prepared to use?
85. An 18 month old male child is admitted to the pediatric unit with a diagnosis of celiac disease.
What finding would the nurse expect in this child?
86. A toddler with a ventricular septal defect (VSD) is receiving digoxin (lanoxin) to treat heart
failure. The nurse should monitor the child for early signs of digoxin toxicity, which includes:
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NURSING PRACTICE II – SET B
87. For a child with a circumferential chest bum, what is the most important factor for the nurse to
asses?
SITUATION: Mrs. Karen Guevarra is asking questions during labor and deliver.
88. Karen didn’t recognize for over an hour that she was in labor. A sign of true labor is:
89. Karen asks you which fetal position and presentation are ideal. Your best answer would be:
90. Karen is having long and hard uterine contraction. What length of contraction would you
report as abnormal?
91. You assess Mrs. Karen uterine contraction. In relation to the contraction, when does a late
deceleration begin?
92. Mrs. Karen has an amniotomy. After this procedure, which of the following would be an
important nursing assessment?
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NURSING PRACTICE II – SET B
93. Carol asks you what is the purpose of a doula in labor. Your best answer is would be:
A. She times contractions and keeps them from becoming too lengthy
B. She can cook for a woman in labor to keep her from becoming dehydrated
C. She can serve as a support person and coach during labor
D. She replaces the husband as a woman’s support person
94. Carol asks you if she could use warm water for tub bathing during labor. Your best answer
would be:
95. Carol chooses to have epidural anesthesia. What are the two risks associated with this?
96. There is no reason to think that Carol will need a general anesthetic. If she did, what type of
drug is usually prescribed to minimize the risk of aspirant of vomitus?
97. Carol reports in early labor, she isn’t having much pain. You assess that her contractions are
also not strong. What position usually promotes efficient uterine contractions in any labor?
98. It is malformation caused by an overgrowth of the neutral tube in weeks 16-20 of fetal life.
99. NARS trainees are ought to receive a monthly allowance of how much during her training
period?
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NURSING PRACTICE II – SET B
A. Public Health Nurse B. Municipal Health Officer C. Any qualified physician D. May
***END***
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