WorksheetsEvaluation Exam (IMCI)
Total questions: 25
Worksheet time: 22mins
Name
Class
Date
1.
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?
a)
Bronchopneumonia
b)
Severe pneumonia
c)
No pneumonia : cough or cold
d)
Pneumonia
2.
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:
a)
40 breaths per minute or more
b)
50 breaths per minute
c)
30 breaths per minute or more
d)
Pneumonia
e)
60 breaths per minute
3.
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?
a)
Some dehydration
b)
Severe dehydration
c)
Dysentery
d)
No dehydration
4.
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:
a)
Reassess the child and classify him for dehydration
b)
For infants under 6 months old who are not breastfed, give 100-200 ml clean water as well during this period
c)
Give in the health center the recommended amount of ORS for 4 hours.
d)
Do not give any other foods to the child for home treatment
5.
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?
a)
No pneumonia
b)
Pneumonia
c)
Severe pneumonia
d)
Bronchopneumonia
6.
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)
A child at a general danger sign
b)
Severe pneumonia
c)
Very severe febrile disease
d)
Severe malnutrition
7.
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:
a)
Otitis media
b)
Inflammatory conjunctiva
c)
Bronchial pneumonia
d)
Membranous laryngitis
8.
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?
a)
Temperature fails to drop
b)
Inflammation of the nasophraynx
c)
Inflammation of the conjunctiva
d)
Ulcerative stomatitis
9.
In a mothers’ class, Nurse Lhynnete discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct?
a)
The older one gets, the more susceptible he becomes to the complications of chicken pox.
b)
A single attack of chicken pox will prevent future episodes, including conditions such as shingles.
c)
To prevent an outbreak in the community, quarantine may be imposed by health authorities.
d)
Chicken pox vaccine is best given when there is an impending outbreak in the community.
10.
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?
a)
Giardiasis
b)
Cholera
c)
Amebiasis
d)
Dysentery
11.
Marie brought her 10 month old infant for consultation because of fever, started 4 days prior to consultation. In determining malaria risk, what will you do?
a)
Perform a tourniquet test.
b)
Ask where the family resides.
c)
Get a specimen for blood smear.
d)
Ask if the fever is present every day.
12.
Susie brought her 4 years old daughter to the RHU because of cough and colds. Following the IMCI assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital?
a)
Inability to drink
b)
High grade fever
c)
Signs of severe dehydration
d)
Cough for more than 30 days
13.
Jimmy a 2-year old child revealed “baggy pants”. As a nurse, using the IMCI guidelines, how will you manage Jimmy?
a)
Refer the child urgently to a hospital for confinement.
b)
Coordinate with the social worker to enroll the child in a feeding program.
c)
Make a teaching plan for the mother, focusing on menu planning for her child.
d)
Assess and treat the child for health problems like infections and intestinal parasitism.
14.
Gina is using Oresol in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits. As a nurse you will tell her to:
a)
Bring the child to the nearest hospital for further assessment.
b)
Bring the child to the health center for intravenous fluid therapy.
c)
Bring the child to the health center for assessment by the physician.
d)
Let the child rest for 10 minutes then continue giving Oresol more slowly.
15.
Nikki a 5-month old infant was brought by his mother to the health center because of diarrhea for 4 to 5 times a day. Her skin goes back slowly after a skin pinch and her eyes are sunken. Using the IMCI guidelines, you will classify this infant in which category?
a)
No signs of dehydration
b)
Some dehydration
c)
Severe dehydration
d)
The data is insufficient
16.
Chris a 4-month old infant was brought by her mother to the health center because of cough. His respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI) guidelines of assessment, his breathing is considered as:
a)
Fast
b)
Slow
c)
Normal
d)
Significant
17.
A child with visible severe wasting or severe palmar pallor may be classified as:
a)
Moderate malnutrition/anemia
b)
Severe malnutrition/anemia
c)
Not very low weight to anemia
d)
Anemia/very low weight
18.
A child with ear problem should be assessed for the following except:
a)
Is there any fever?
b)
Ear discharge
c)
If discharge is present for how long?
d)
Ear pain
19.
If the child does not have ear problem, using IMCI, what should you as the nurse do?
a)
Check for ear discharge
b)
Check for tender swellings, behind the ear
c)
Check for ear pain
d)
Go to the next question, check for malnutrition
20.
An ear discharge that has been present for more than 14 days can be classified as:
a)
Mastoditis
b)
Chronic ear infection
c)
Acute ear infection
d)
Complicated ear infection
21.
An ear discharge that has been present for less than 14 days can be classified as:
a)
Chronic ear infection
b)
Mastoditis
c)
Acute ear infection
d)
Complicated ear infection
22.
If the child has severe classification because of ear problem, what would be the best thing that you as the nurse can do?
a)
Instruct mother when to return immediately
b)
Refer urgently
c)
Give an antibiotic for 5 days
d)
Dry the ear by wicking
23.
Situation: If a child with diarrhea registers one sign in the pink row and one in the yellow; row in the IMCI Chart. We can classify the patient as:
a)
Moderate dehydration
b)
Some dehydration
c)
No dehydration
d)
Severe dehydration
24.
Situation: If a child with diarrhea registers one sign in the pink row and one in the yellow; row in the IMCI Chart. The child with no dehydration needs home treatment Which of the following is not included the rules for home treatment in this case:
a)
Continue feeding the child
b)
Give oresol every 4 hours
c)
Know when to return to the health center
d)
Give the child extra fluids
25.
A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:
a)
Severe persistent diarrhea
b)
Dysentery
c)
Severe Dysentery
d)
Persistent Diarrhea
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