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IMCI

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

What does IMCI stands for?

a)

Integrated Management of Childhood Illness

b)

Integrated Management of Children's Illness

c)

Implementation of Maternal and Child Illness

d)

Integrated Care of Maternal and Child Illness

2.

Integrated Management of Childhood Illness (IMCI) is a strategy developed by which of the following to improve the health of children that goes beyond treating individual diseases and focuses on the overall well-being of the child?

a)

World Health Organization (WHO) and

United Nations Children's Fund (UNICEF)

b)

Department of Health (DOH) and 

United Nations Children's Fund (UNICEF)

c)

World Health Organization (WHO)

d)

Department of Health (DOH)

3.

A community health nurse is providing education to a group of parents about childhood illnesses. One parent asks about the age range for which the IMCI guidelines are applicable. Which of the following responses by the nurse is most accurate?

a)

All newborn and children under five years of age

b)

All newborns and children who are 5 years old is included

c)

Children under 2 years old only

d)

Children who are 5 years old only

4.

A nurse is assessing a 3-year-old child using the Integrated Management of Childhood Illness (IMCI) guidelines. The child presents with fever, cough, and diarrhea. Which of the following symptoms, if present, would not be classified as a General Danger Sign (GDS)?

a)

Fast breathing

b)

Lethargy or unresponsiveness

c)

Convulsions

d)

Vomiting everything

5.

A nurse is using the Integrated Management of Childhood Illness (IMCI) guidelines to assess a 2-year-old child who presents with fever, cough, and difficulty breathing. According to IMCI, which of the following actions should the nurse prioritize?

a)

Assess the child's respiratory rate and classify the illness severity.

b)

Assess the child's nutritional status.

c)

Immediately administer antibiotics.

d)

Obtain a chest X-ray to confirm pneumonia.

6.

A nurse has observed pus draining from the ear of patient Emely and discharge is reported for less than 14 days. This can be classified as...?

a)

Acute Ear Infection

b)

Chronic Ear Infection

c)

Ear Infection

d)

Mastoiditis

7.

Patient Vexana, 5 months old, has diarrhea for 16 days. You also notice that dehydration is present. This could be classified as...?

a)

Severe Persistent Diarrhea

b)

Persistent Diarrhea

c)

Severe Dehydration

d)

Some Dehydration

8.

Which type of plan would the nurse instruct to a child who was classified with Severe Dehydration?

a)

Plan C

b)

Plan A

c)

Plan B

d)

Plan D

9.

Patient Rico is observed to have some palmar pallor. This can be classified as...?

a)

Anemia

b)

Severe Anemia

c)

No Amenia

d)

Malnutrition

10.

A pedia patient was observed to have tender swelling behind the ear, this can be classified as...?

a)

Mastoiditis

b)

Ear Infection

c)

Acute Ear Infection

d)

Chronic Ear Infection

11.

You can classify that a child aged 2 years has fast breathing if he has a respiratory rate of...?

a)

40 BPM or more

b)

30 BPM or more

c)

50 BPM or more

d)

60 BPM or more

12.

If mouth ulcers are present, the nurse should...?

a)

Treat with Gentian Violet

b)

Give Vitamin A

c)

Give the child aspirin

d)

Apply Tetracycline

13.

What color is "NO PNEUMONIA: COUGH OR COLD" classified as?

a)

Green

b)

Pink

c)

Yellow

d)

Violet

14.

Which of these could be a proper treatment of anemia?

a)

Give Iron and Albendazole / Mebendazole if child 1 year or older

b)

Give Vitamin A

c)

Give Aspirin

d)

Increase fluid intake

15.

If a child has not enough signs to classify as some or severe dehydration, the child will be classified as what?

a)

No Dehydration

b)

Some Dehydration

c)

Mild Dehydration

d)

Severe Dehydration

16.

If pus is draining from the eye, what should the nurse do?

a)

Apply tetracycline

b)

Treat with gentian violet

c)

Give the child aspirin

d)

Give Vitamin A

17.

Dysentery is classified if...?

a)

There is blood in the stool.

b)

Stools are watery

c)

There is ribbon-like stool.

d)

Red-currant jelly-like stool is present.

18.

Baby Balmond, 4 months old is not able to breastfeed and chest indrawing is present. This can be classified as...?

a)

Severe Pneumonia

b)

Mild Pneumonia

c)

Pneumonia

d)

No Pneumonia: cough or cold

19.

Which of these could be a treatment for Dysentery?

a)

Give ciprofloxacin for 3 days

b)

Give ORS and zinc supplements

c)

Give multivatamins and minerals

d)

Give Vitamin A

20.

Treatment for acute ear infection would be _________________________.

a)

Give Amoxicillin antibiotic for 5 days and dry the ear by wicking

b)

Instill Quinolone otic drops and dry the ear by wicking

c)

Give aspirin

d)

Give Paracetamol for pain

21.

Treatment for very severe febrile disease would be?

a)

Give first dose of Quinine.

b)

Treat the child with an oral antimalarial.

c)

Give one dose of paracetamol

d)

Give Vitamin A

22.

If the child has wheezing and either fast breathing or chest indrawing present, the nurse should:

a)

Give a trial acting inhaled bronchodilator for up to 3 times

b)

Give Vitamin A

c)

Assess vital signs

d)

Refer URGENTLY to hospital

23.

What is the first-line antibiotic for pneumonia, mastoiditis, or very severe disease?

a)

Amoxicillin

b)

Cotrimoxazole

c)

Penicillin

d)

Ciprofloxacin

24.

Treatment for chronic ear infection would be ____________________.

a)

Instill quinolone otic drops and dry the ear by wicking

b)

Give antibiotic for 5 days and dry the ear by wicking

c)

Give aspirin

d)

Give first dose of antibiotic and paracetamol for pain

25.

Which of the following is NOT a key component of Integrated Management of Childhood Illness (IMCI)?

a)

Prioritizing specialized care over community-based interventions 

b)

Improving case management skills of healthcare providers

c)

Strengthening the health system 

d)

Improving family and community health practices

26.

Patient Gusion has measles for the last three months. There is pus draining from his right eye. This can be classified as...?

a)

Measles with eye or mouth complications

b)

Severe complicated measles with eye or mouth complications

c)

Severe Complicated measles

d)

Measles

27.

What is the first-line oral antimalarial?

a)

Artemether

b)

Chloroquine

c)

Pyramethamine

d)

Sulfadoxine

28.

What is the first-line antibiotic for cholera?

a)

Tetracycline

b)

Albendazole

c)

Ciprofloxacine

d)

Cotrimoxazole

29.

Which of the following is not among the top main causes of mortality in under-five children in the country? [𝚂𝙰𝚃𝙰]

a)

COVID-19

b)

Vehicular Accidents

c)

Diarrheal Diseases

d)

Pneumonia

e)

Malnutrition

30.

Baby Rica, 6 weeks old, was brought to the clinic for a severe chest indrawing. Her entry point to the Integrated Management of Childhood illness is primarily her?

a)

Age

b)

Health status

c)

Nutritional status

d)

Immunization status

31.

The child is classified as Severe Pneumonia or Very Severe Disease if which of following are present? [𝚂𝙰𝚃𝙰]

a)

Any general danger sign

b)

Stridor in a calm child

c)

Wheezing

d)

Chest Indrawing

e)

Fast Breathing

32.

In Severe Pneumonia or Very Severe Disease. Treatment are as follows? [𝚂𝙰𝚃𝙰]

a)

Give first dose of appropriate antibiotics

b)

Treat the child to prevent low blood sugar

c)

Give Vitamin C

d)

Refer urgently to the hospital

33.

If the child has wheezing and either fast breathing or chest indrawing present, the nurse should?

a)

Give 1st line antibiotic

for 5 days.

b)

Refer URGENTLY to hospital

c)

Give Vitamin A

d)

Treat to prevent low

blood sugar through

BF, sugar water.

34.

How do you classify a 7-month-old child who has had cough for 6 days and diarrhea with blood in the stools since yesterday when he vomited 3 times, has no general danger signs, breastfed this morning, has a respiratory rate of 44 breaths per minute, has no chest indrawing, has sunken eyes, drinks normally, in whom the skin pinch goes back immediately and has no other signs or symptoms?

a)

NO PNEUMONIA: COUGH OR COLD / NO DEHYDRATION / DYSENTERY

b)

PNEUMONIA / SEVERE DEHYDRATION / DYSENTERY

c)

PNEUMONIA / SOME DEHYDRATION / DYSENTERY

d)

NO PNEUMONIA: COUGH OR COLD / SOME DEHYDRATION / DYSENTERY

e)

NO PNEUMONIA: COUGH OR COLD / SEVERE DEHYDRATION / DYSENTERY

35.

In a 12-month-old child with cough and diarrhea, which of the following signs is an indication for urgent referral?

a)

Child unable to breastfeed

b)

Restless, irritable

c)

Respiratory rate of 65 per minute

d)

Thirsty

36.

Patient Demi has a runny nose, no measles, and no other causes of fever and negative malaria test. This could be classified as?

a)

No Malaria

b)

Malaria

c)

Malaria Unlikely

d)

Very Severe Febrile Disease

37.

Randy has measles for the last three months. There is pus draining from his right eye. This can be classified as?

a)

Measles with eye or mouth complications

b)

Severe Complicated Measles

c)

Severe Complicated Measles with eye or mouth complications

d)

Measles

38.

In soothing the throat or in relieving cough, which are included in the treatment called "Safe Remedy" or "Alternative IMCI Remedy"?

a)

Tamarind, Calamansi and Ginger

b)

Tamarind, Calamansi and Garlic

c)

Kalamansi, Suka, at Luya

d)

Kalamansi, Bawang, at Luya

39.

If dehydration is present and if diarrhea is 14 days or more, the child is classified having:

a)

Severe Persistent Diarrhea

b)

Severe Persistent Dehydration

c)

Persistent Diarrhea

d)

Persistent Dehydration

40.

In the presence of blood in the stool, the classification should be Dysentery; color _____?

a)

Yellow

b)

Pink

c)

Green

d)

Blue

41.

A 4 month old infant named Baby Manny was brought to the health center because of cough. His RR is 42 BPM. Using the IMCI guidelines of assessment, his breathing is...?

a)

Normal

b)

Slow

c)

Fast

42.

Which of the following signs will indicate that Baby Manny is suffering from severe pneumonia?

a)

Stridor

b)

Dyspnea

c)

Wheezing

d)

Chest Indrawing

43.

Which of the following actions should not be included in the nursing actions for a 46-month-old child, complaining of ear pain for 4 days, who has no general danger signs, has no severe classification, has no tender swelling behind the ear, has a history of ear discharge for 2 days and has pus draining from her right ear?

a)

Refer urgently to hospital

b)

Give an antibiotic for 5 days

c)

Dry the ear by wicking

d)

Give paracetamol for pain

e)

Follow up in 5

days.

44.

How long will Riza, a 6 months old child, be exclusively breastfed?

a)

6 months

b)

12 months

c)

3 months

d)

9 months

45.

Mrs. Sorano brought Angel. his 3 year old son to the center due to cough for 1 week, unusual irritability and episodes of vomiting. On assessment, you noted runny nose, reddish posterior palate, temperature of 37.6 'C, nagging cough and an RR of 47 BPM. Using the IMCI, Angel can be classified under:

a)

Pneumonia

b)

Severe Pneumonia or Very Severe Disease

c)

No Pneumonia: Cough or Colds

d)

Mild Pneumonia

46.

Based on Angels classification of "Pneumonia", you plan to take which of the following actions? [𝚂𝙰𝚃𝙰]

a)

Give oral Amoxicillin

b)

Soothe the throat with safe remedies

c)

Give the first dose of penicillin

d)

Refer Angel to the nearest hospital

e)

Treat to prevent low

blood sugar through

BF, sugar water.

47.

Wheezing with either which one of the two indicators are needed in classiying "Pneumonia". What are these two? [𝚂𝙰𝚃𝙰]

a)

Fast-breathing

b)

Chest Indrawing

c)

Stridor

d)

Hemoptysis

e)

Hematemesis

48.

Which questions should be asked to identify your General Danger Signs (GDS)?

a)

Is the child able to breathe with ease?

b)

Is the child able to drink or breastfeed?

c)

Does the child vomits everything?

d)

Has the child had convulsions?

49.

Jacob is 18 months old. He weighs 9 kG. His temperature is 37 C. His mother said that he had discharge coming from ear. The nurse said asked about his ear problem. The mother said that the child does not have an ear pain, but the discharge is coming from the child's ear for 3-4 davs. The nurse saw draining from the child's right ear. He did not feel any tender swelling behind either ear. How do you classify the child's ear problem?

a)

Acute Ear Infection

b)

Chronic Ear Infection

c)

Mastoiditis

d)

No Ear Infection

50.

Treatment of a child with "Acute Ear Infection" includes which of the following? [𝚂𝙰𝚃𝙰]

a)

Give Amoxicillin BID for 5 days.

b)

Give Paracetamol for Pain

c)

Dry the Ear by Wicking

d)

Refer Urgently to Hospital