WorksheetsCHN (reviewer) (51-100)
Total questions: 51
Worksheet time: 28mins
A 4-month old infant was brought to the health center of cough. Her respiratory rate is 42/minute. Using the IMCI guidelines of assessment, her breathing is considered;
Fast
Slow
Normal
Insignificant
Which of the following signs will indicate that a young child is suffering from severe pneumonia?
Dyspnea
Wheezing
Fast breathing
Chest indrawing
Using IMCI guidelines, you classify a child as having severe pneumonia. What is the best management for the child?
Prescribe antibiotic
Refer him urgently to the hospital
Instruct the mother to increase fluid intake
Instruct the mother to continue breastfeeding
A 5-month old infant was brought by his mother to the health center because of diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and his eyes are sunken. Using the IMCI guidelines, you will classify this infant in which category?
No signs of dehydration
Some dehydration
Severe dehydration
The data is insufficient
Based on the assessment, you classified a 3-month old infant with the chief complaint of diarrhea in the category of SOME DEHYDRATION. Based on the IMCI management guidelines, which of the following will you do?
Bring the infant to the nearest facility where IV fluids can be given
Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours
Give the infant's mother instructions on home management
Keep the infant in your health center for close observation
A mother is using Oresol' in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits. You will tell her to:
Bring the child to the nearest hospital for further assessment
Bring the child to the health center for IV therapy
Bring the child to the health center for assessment by the physician
Let the child rest for 10 minutes then continue giving Oresol more slowly
A 1 1/2 year old child was classified as having 3rd degree of protein energy malnutrition, kwashiorkor. Which of the following signs will be most apparent in this child?
Voracious appetite
Wasting
Apathy
Edema
During the physical examination of a young child, what is the earliest sign of xerophthalmia that may observe?
Keratomalacia
Corneal opacity
Night blindness
Conjunctival xerosis
To prevent xerophthalmia, young children are given Retinol capsule every 6 months. What is the dose given to preschoolers?
10, 000 IU
20, 000 IU
100, 000 IU
200, 000 IU
The major sign of iron deficiency anemia is pallor. What part is best examined for pallor?
Palms
Nailbeds
Around the lips
Lower conjunctival sac
Food fortification is one of the strategies to prevent micronutrient deficiency conditions. RA 8976 mandates fortification of certain food items. Which of the following is among these food items?
Sugar
Bread
Margarine
Filled milk
What is the best course of action when there is a measles epidemic in a nearby municipality?
Give measles vaccine to babies aged 6 to 3 months
Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
Instruct mother to keep their babies at home to prevent disease transmission
Instruct mothers to feed their babies adequately to enhance their babies resistance
A mother brought her daughter, 4 years old, 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?
Inability to drink
High grade fever
Signs of severe dehydration
Cough for more than 30 days
Management of a child with measles includes the administration of which of the following?
Gentian violet on mouth lesions
Antibiotic to prevent pneumonia
Tetracycline eye ointment for corneal opacity
Retinol capsule regardless of when the last dose was given
A mother brought her 10 month old infant for consultation because of fever which started 4 days prior to consultation. To determine malaria risk, what will you do?
Do a tourniquet test
Ask where the family resides
Get a specimen for blood smear
Ask if the fever is present everyday
The following are strategies implemented by the DOH to prevent mosquito-borne diseases. Which of these is most effective in the control of Dengue fever?
Stream seeding with larva-eating fish
Destroying breeding places of mosquitoes
Chemoprophylaxis of non-immune persons going to endemic areas
Teaching people in endemic areas to use chemically treated mosquito nets
To improve compliance to treatment, what innovation is being implemented in DOTS?
Having the health worker follow up the client at home
Having the health worker or a responsible family member monitor drug intake
Having the patient come to the health center every month to get his medications
Having a target list to check on whether the patient has collected his monthly supply of drugs
Diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the following is an early sign of leprosy?
Macular lesions
Inability to close eyelids
Thickened painful nerves
Sinking of the nose bridge
Which of the following clients should be classified as a case of multibacillary leprosy?
3 skin lesions, negative slit skin smear
3 skin lesions, positive slit skin smear
5 skin lesions, negative slit skin smear
5 skin lesions, positive slit skin smear
In the Philippines, which condition is the most frequent cause of death associated by schistosomiasis?
Liver cancer
Liver cirrhosis
Bladder cancer
Intestinal perforation
What is the most effective way of controlling schistosomiasis in an endemic area?
Use of molluscicides
Building of foot bridges
Proper use of sanitary toilets
Use of protective footwear, such as rubber boots
For prevention of Hepatitis A, you decided to conduct health education activities. Which of the following is Irrelevant?
Use of sterile syringes and needles
Safe food preparation and food handling by vendors
Proper disposal of human excreta and personal hygiene
Immediate reporting of water pipe leaks and illegal water connections
Which biological used in EPI should not be stored in the freezer?
DPT
OPV
Measles vaccine
MMR
In IMCI, severe conditions generally require urgent referral to a hospital. Which of the following severe conditions Does not always require urgent referral to hospital?
Mastoiditis
Severe dehydration
Severe pneumonia
Severe febrile disease.
A client was diagnosed as having Dengue Fever. You will say that there is slow capillary refill when the color of the nailbed that you pressed does not return within how many seconds?
3
5
8
10
A 3-year old child was brought by his mother to the health center because of fever of 4-day duration. The child had a positive tourniquet test result. In the absence of other signs, which of the most appropriate measure that the PHN may carry out to prevent Dengue shock syndrome?
Insert an NGT and give fluids per NGT
Instruct the mother to give the child Oresol
Start the patient on IV Stat
Refer the client to the physician for appropriate management
The pathognomonic sign of measles is Koplik's spot. You may see Koplik's spot by inspecting the:
Nasal Mucosa
Buccal mucosa
Skin on the abdomen
Skin on the antecubital surface
Mosquito-borne diseases are prevented mostly with the use oi mosquito control measures.
Mosquito-borne diseases are prevented mostly with the use oi mosquito control measures. Which of the following is NOT appropriate for malaria control?
Use of chemically treated mosquito nets
Seeding of breeding places with larva-eating fish
Destruction of breeding places of the mosquito vector
Use of mosquito-repelling soaps, such as those with basil or citronella
A 4-year old client was brought to the health center with chie: complaint of severe diarrhea and the passage of 'rice water'. The client is most probably suffering from which condition?
Giardiasis
Cholera
Amebiasis
Dysentery
In the Philippines, which specie of schistosoma is endemic in certain regions?
S. mansoni
S. japonicum
S. malayensis
S. haematobium
A 32 year old client came for consultation at the health center with the chief complaint of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the onset of symptoms. Based on this history/ which disease condition will you suspect?
Hepatitis A
Hepatitis B
Tetanus
Leptospirosis
A barangay had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the barangay?
Advice them on the sign of German Measles
Avoid crowded places, such as markets and moviehouses
Consult at the health center where rubella vaccine may be given
Consult a physician who may give them rubella immunoglobulin
With regards to the Women's Health and Safe Motherhood Project, the following strategies are included to prevent maternal mortality, except one:
Establishment of BEmoNC and CEmoNC networks
TBA facilitated home deliveries
Improved Family Planning counseling
Emphasis on Facility-based deliveries.
The following qualifications reflect possible delivery in the Rural Health Unit, except for one:
Cephalic presentation
Adequate pelvis
History of caesarian section delivery
Less than five pregnancies
You are assigned to provide baby care to the newly delivered healthy baby. What procedure are you going to do first?
Examine the newborn and check for defects, deformities and birth injuries.
Provide warmth to the newborn and have a quick check for breathing
Clamp and cut the cord after cord pulsations have stopped.
Facilitate the bonding between the mother and the newborn through early skin-to-skin contact.
The basis for the improvement in strategies in maternal and neonatal care is on Millennium Development Goals, which are:
MDGs 1 & 2
MDGs 2 & 4
MDGs 3 & 5
MDGs 4 & 5
The following are the intermediate results that can lower the risk for dying from pregnancy and childbirth with the integration of the MNCHN services in the community:
Every delivery is facility-based and managed by skilled birth attendants
Every pregnancy is adequately managed during pre and postpartum courses
Every pregnancy is wanted, planned, and supported
Only answers A & C
Which is the best preventive measure for dengue hemorrhagic fever?
Frequent fogging in the vicinity to kill mosquitoes
Use of mosquito nets and mosquito coils
Use of mosquito repellent lotions
Cleaning of surroundings and proper disposal of coconut shells, tires, and containers
What are the signs and symptoms of DHF assessed as Grade II?
Herman's signs, bone, and joint pains, fever with a headache, and abdominal pain
Hypotension, anorexia, nausea and vomiting, fever, and rapid weak pulse
Herman's signs, fever with a headache, epistaxis, and melena
Narrowing pulse pressure, restlessness, and cold clammy perspiration
For planning and implementation during the course of DHF, the following are the necessary nursing considerations:
Educate client to avoid dark-colored foods and the use of hard-bristled toothbrush, razor, and other sharp objects
Monitoring the intake and output of client
Encouraging client to increase fluid intake
All of the above
What diagnostic procedure will confirm that the client is having DHF?
Blood smear
Urine and Stool examinations
Cerebrospinal fluid examination
Sputum examination
Dengue hemorrhagic fever can be fatal. The following manifestations are present in DHF, except for one.
Thrombocytosis
Prolonged bleeding time
Thrombocytopenia
Positive Rumpel Leade test
What should you look for in assessing the child's condition?
Does the child vomit everything?
Is the child able to breastfeed or drink?
Is the child lethargic or unconscious?
Is the child having sore breathing difficulties?
If the child is having fever for 9 days every day and has a stiff neck but without runny nose, what color health management will it suggest?
Green
Yellow
Pink
Violet
In a child reported to having diarrhea, assessment is an essential guide for knowing if the child is experiencing dehydration. What body part should you assess?
Buttocks
Abdomen
Eyelids
Arms
Child Isabel is already 12 weeks old. What immunizations should Isabel have received?
BCG, OPV-0, DPT+HIB-1, Hepatitis B1, and OPV-1
BCG, OPV-0, DPT+HIB-1, Hepatitis B1, DPT+HIB-2, Hepatitis B2, OPV-1 and OPV-2
BCG, OPV-O, DPT+HIB-1, Hepatitis B1, OPV-1, and Measles
BCG, OPV-0, DPT+HI8-1, and OPV-1
In preparing sugar water for the treatment of low blood sugar in a child, includes the following proportion:
200 ml of clean water plus 2 level tbsp. of sugar
400 ml of clean water plus 4 level tsp of sugar
200 ml of clean water plus 4 level tsp of sugar
200 ml of clean water plus 4 level tbsp of sugar
The AHA strategic thrusts are the keys for ensuring that all Filipinos especially the poor will receive the benefits of the health reform. These involve:
Attainment of Millennium Development Goals 2 and 3
Financial risk protection through expansion in National Health Insurance Program enrolment and benefit
Improved service delivery for health care needs through upgraded quality health care facilities
B & C only
Last April 2011, the Department of Health together with the LGUs conducted a nationwide campaign on:
Reproductive Health Bill
Disaster and Preparedness
Measles-Rubella
Isang Milyong Sipilyo
Which is incorrect regarding the training and deployment of unemployed nurses as 'RNHeals' to the rural area?
To supply the needs of poor Filipino people in far- flung areas
To contribute to the eradication of poverty and hunger
To assist in the promotion of gender and equality
To address the proliferation of 'volunteer nurses'
