Nov 29, 2009

NURSING BOARD EXAM PRACTICE – Community Health Nursing and Care of the Mother and Child

June 2008 Nursing Licensure Examination (NLE)
NURSING PRACTICE II – Community Health Nursing and Care of the Mother and Child
Nursing Board Exams Review Questions 56-80

Situation – With increasing documented cases of CANCER the best alternative to treatment still remains to be PREVENTION. The following conditions apply.

56. Which among the following is the primary focus of prevention of cances?

A. Elimination of conditions causing cancer

B. Diagnosis and treatment

C. Treatment at early stage

D. Early detection

57. In the prevention and control of cancer, which of the following activities is the most important function of the community health nurse?

A. Conduct community assembles

B. Referral to cancer specialist those clients with symptoms of cancer

C. Use the nine warning signs of cancer as parameters in our process of detection, control, and treatment modalities

D. Teach woman about proper/ correct nutrition

58. Who among the following are recipients of the secondary level of care for cancer cases?

A. Those under early case detection

B. Those under post case treatment

C. Those under early detection

D. Those scheduled for surgery

59. Who among the following are recipients of the tertiary level of care for cancer cases?

A. Those under treatment

B. Those under supportive care

C. Those under early detection

D. Those scheduled for surgery

60. In Community Health Nursing, despite the availability and the use of many equipment and devices to facilitate the job of the community health nurse, the best tool any nurse should be well be prepared to apply is a scientific approach. This approach ensures quality of care even at the community setting. This in nursing parlance is nothing less than the:

A. Nursing diagnosis

B. Nursing protocol

C. Nursing research

D. Nursing process

61. The tone and pitch of the voice, volume, inflection, speed, grunts and other vocalizations are referred to by which of the following terms?

A. Paraverbal clues

B. Ancillary speech

C. Third element

D. Enhancements

62. The plan-do-study-act cycle begins with:

A. Four stages

B. Five agendas

C. Three questions

D. Two concepts

63. During your shift, you noted one of your pregnant clients considered as “waiting case” manifests morning sickness and which later progressed. Which assessment finding may indicate possible developing complication?

A. Maternal pulse 90

B. Trace glucose in the urine

C. FHT 155

D. 1 + ketones in the urine

64. The nurse is working with a child who is going to have a bone marrow aspiration. The physician orders TAC (tetracaine, adrenaline and cocaine). Which of the following is the route of administration?

A. Application to the skin, covered with a dressing prior to the procedure

B. Subcutaneous

C. IV using very slow drip over approximately 4 hours prior to procedure

D. Nasal inhalation

65. Infant head control is judged by the:

A. Ability to hold the head without support

B. Presence or absence of head lag

C. Rigidity of the neck and head

D. Amount of neck wrinkling

66. Which of the following could be included in the outcome criteria for a patient with a nursing diagnosis, “Knowledge Deficit related to potential for altered tissue perfusion in fetus or mother related to maternal cardiovascular”?

A. Bedrest is maintained at home after the 36th wee of gestation

B. Fetal heart rate will remain between 120 and 160 beats a minute

C. Jugular vein distention is evident when lying at 45 degrees

D. Maternal blood pressure maintained above the 150 systolic

67. Pregnant women should be taught to be careful to avoid accidental injury. They are prone to falls for which of the following reasons?

A. additional weight from pregnancy may disturb balance when walking

B. fetal activity stimulates the nerves of the legs and causes weakness

C. high levels of hormones often impair judgment resulting in reckless behavior

D. increased adrenalin released during pregnancy causes women to move faster than usual

68 . When a nurse uses the IMCI model, the IMCI chart uses illness classification, e.g. the pink row needs:

A. no specific treatments such as antibiotics

B. urgent referral

C. appropriate antibiotics

D. no urgent measures

69. Which of the four signs of good attachment is true in this statement?

A. the chin should touch the breast while the mouth is wide open and while the lower lip is turned inward more areola is visible above than below

B. the chin should touch the breast, the mouth is wide open while the lower lip turned outward and more areola visible above than below

C. the chin should touch the breast while the mouth is wide open while the lower lip turned outward and more areola visible below than above

D. the chin should touch the breast while the mouth is wide open and the lower lip turned inward, more areola is visible above than below

70. Which type of research inquiry investigates the issues of human complexity ( e. g. understanding the human expertise?)

A. positivism

B. quantitative research

C. logical position

D. natural inquiry

71. 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. very severe febrile disease

C. severe pneumonia

D. severe malnutrition

72. Why are small for gestational age newborns at risk for difficulty maintaining body temperature?

A. their skin is more susceptible to conduction of cold

B. they are preterm so are born relatively small in size

C. they do not have as many fat stored as other infants

D. they are more active than usual so they throw off comes

73. Oxytocin is administered to Rita to augment labor. What are the first symptoms of water intoxication to observe for during this procedure?

A. headache and vomiting

B. a swollen tender tongue

C. a high choking voice

D. abdominal bleeding and pain

74. Which of the following treatment should NOT be considered if the child has severe dengue hemorrhagic fever?

A. use plan C if there is bleeding from the nose or gums

B. give ORS if there is skin Petechiae, persistent vomiting, and positive tourniquet test

C. give aspirin

D. prevent low blood sugar

75. In assessing the patient’s condition using the Integrated Management of Childhood Illness approach strategy, the first thing that a nurse should do is to:

A. ask what are the child’s problem

B. check the patient’s level of consciousness

C. check for the four main symptoms

D. check for the general danger signs

76. A child with diarrhea is observed for the following EXCEPT:

A. how long the child has diarrhea

B. skin Petechiae

C. presence of blood in the stool

D. signs of dehydration

77. The child with no dehydration needs home treatment. Which of the following is NOT included in the care for home management at this case?

A. give drugs every 4 hours

B. continue feeding the child

C. give the child more fluids

D. inform when to return to the health center

78. Ms. Jordan, RN, believes that a patient should be treated as individual. This ethical principle that the patient referred to:

A. beneficence

B. nonmaleficence

C. respect for person

D. autonomy

79. When patients cannot make decisions for themselves, the nurse advocate relies on the ethical principle of:

A. justice and beneficence

B. fidelity and nonmaleficence

C. beneficence and nonmaleficence

D. fidelity and justice

80. Being a community health nurse, you have the responsibility of participating in protecting the health of people. Consider this situation: Vendors selling bread with their bare hands. They receive money with these hands. You do not see them washing their hands. What should you say/do?

A. “Miss, may I get the bread myself because you have not washed your hands”

B. All of these

C. “Miss, it is better to use a pick up forceps/ bread tong”

D. “Miss, your hands are dirty. Wash your hands first before getting the bread”

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