Evaluation Exam (IMCI)

Situation: Two children were brought to you. One with chest in-drawing and the other had diarrhea. The following questions apply: Using Integrated Management and Childhood Illness (IMCI) approach, how would you classify the 1st child?

• Bronchopneumonia
• Severe pneumonia
• No pneumonia : cough or cold
• Pneumonia

Situation: Two children were brought to you. One with chest in-drawing and the other had diarrhea. The following questions apply: The 1st child who is 13 months has fast breathing using IMCI parameters he has:

• 40 breaths per minute or more
• 50 breaths per minute
• 30 breaths per minute or more
• Pneumonia
• 60 breaths per minute

Situation: Two children were brought to you. One with chest in-drawing and the other had diarrhea. The following questions apply: Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool. She is irritable, and her eyes are sunken. The nurse offered fluids and and the child drinks eagerly. How would you classify Nina’s illness?

• Some dehydration
• Severe dehydration
• Dysentery
• No dehydration

Situation: Two children were brought to you. One with chest in-drawing and the other had diarrhea. The following questions apply: Nina’s treatment should include the following except:

• Reassess the child and classify him for dehydration
• For infants under 6 months old who are not breastfed, give 100-200 ml clean water as well during this period
• Give in the health center the recommended amount of ORS for 4 hours.
• Do not give any other foods to the child for home treatment

While on treatment, Nina 18 months old weighed 18 kgs. and her temperature registered at 37 degrees C. Her mother says she developed cough 3 days ago. Nina has no general danger signs. She has 45 breaths/minute, no chest indrawing, no stridor. How would you classify Nina’s manifestation?

• No pneumonia
• Pneumonia
• Severe pneumonia
• Bronchopneumonia

Carol is 15 months old and weighs 5.5 kgs and it is her initial visit. Her mother says that Carol is not eating well and unable to breastfeed, he has no vomiting, has no convulsion and not abnormally sleepy or difficult to awaken. Her temperature is 38.9 deg C. Using the integrated management of childhood illness or IMCI strategy, if you were the nurse in charge of Carol, how will you classify her illness?

• A child at a general danger sign
• Severe pneumonia
• Very severe febrile disease
• Severe malnutrition

Rubeola is an Arabic term meaning Red, the rash appears on the skin in invasive stage prior to eruption behind the ears. As a nurse, your physical examination must determine complication especially:

• Otitis media
• Inflammatory conjunctiva
• Bronchial pneumonia
• Membranous laryngitis

As a public health nurse, you teach mother and family members the prevention of complication of measles. Which of the following should be closely watched?

• Temperature fails to drop
• Inflammation of the nasophraynx
• Inflammation of the conjunctiva
• Ulcerative stomatitis

In a mothers’ class, Nurse Lhynnete discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct?

• The older one gets, the more susceptible he becomes to the complications of chicken pox.
• A single attack of chicken pox will prevent future episodes, including conditions such as shingles.
• To prevent an outbreak in the community, quarantine may be imposed by health authorities.
• Chicken pox vaccine is best given when there is an impending outbreak in the community.

Mickey a 3-year old client was brought to the health center with the chief complaint of severe diarrhea and the passage of “rice water” stools. The client is most probably suffering from which condition?

• Giardiasis
• Cholera
• Amebiasis
• Dysentery