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 81-100

Situation 7 – Nurse Joanna works as an OB-Gyne Nurse and attends to several HIGH-RISK

PREGNANCIES: Particular women with preexisting or Newly Acquired illness. The following

conditions apply

81. Bernadette is a 22-year old woman. Which condition would make her more prone than

others to developing a Candida infection during pregnancy?

A. Her husband plays golf 6 days a week

B. She was over 35 when she became pregnant

C. She usually drinks tomato juice for breakfast

D. She has developed gestational diabetes

82. Bernadette develops a deep vein thrombosis following an auto accident and is

prescribed heparin sub-Q. What should Joanna educate her about in regard to this?

A. Some infants will be born with allergic symptoms to heparin

B. Her infant will be born with scattered petechiae on his trunk

C. Heparin can cause darkened skin in newborns

D. Heparin does not cross placenta and so does not affect a fetus

83. The cousin of Bernadette with sickle-cell anemia alerted Joanna that she may need

further instruction on prenatal care. What statement signifies this fact?

A. I’ve stopped jogging so I don’t risk becoming dehydrated.

B. I take an iron pill every day to help grow new red blood cells

C. I am careful to drink at least eight glasses of fluid every day

D. I understand why folic acid is important for red cell formation

84. Bernadette routinely takes acetylsalicylic acid (aspirin) for arthritis. Why should she limit

or discontinue this toward the end of pregnancy?

A. Aspirin can lead to deep vein thrombosis following birth

B. Newborns develop a red rash from salicylate toxicity

C. Newbors develop withdrawal headaches from salicylates

D. Salicylates can lead to increased maternal bleeding at childbirth

85. Bernadette received a laceration on her leg from her automobile accident. Why are

lacerations of lower extremities potentially more serious in pregnant women than others?

A. Lacerations can provoke allergic responses because of gonadothropic hormone

B. Increased bleeding can occur from uterine pressure on leg veins

C. A woman is less able to keep the laceration clean because of her fatigue

D. Healing is limited during pregnancy, so these will not heal until after birth.

Situation 8 – Still in your self-managed Child Health Nursing Clinic, you encounter these

cases pertaining to the CARE OF CHILDREN WITH PULMONARY AFFECTIONS.

86. Josie brought her 3 months old child to your clinic because of cough and colds. Which of

the following is your primary action?

A. Give cotrimoxazole tablet or syrup

B. Assess the patient using the chart on management of children with

cough

C. Refer to the doctor

D. Teach the mother how to count her child’s breathing

87. In responding to the care concerns of children with severe disease, referral to the

hospital is of the essence especially if the child manifests which of the following?

A. Wheezing

B. Stop feeding well

C. Fast breathing

D. Difficulty to awaken

88. Which of the following is the most important responsibility of a nurse in the prevention

of unnecessary deaths from pneumonia and other severe diseases?

A. Giving antibiotics

B. Taking of the temperature of the sick child

C. Provision of Careful Assessment

D. Weighing of the sick child

89. You were able to identify factors that lead to respiratory problems in the community

where your health facility serve. Your primary role therefore in order to reduce morbidity

due to pneumonia is to:

A. Teach mothers how to recognize early signs and symptoms of pneumonia

B. Make home visits to sick children

C. Refer cases to hospitals

D. Seek assistance and mobilize the BHWs to have a meeting with mothers

90. Which of the following is the principal focus of the CARI program of the Department of

Health?

A. Enhancement of health team capabilities

B. Teach mothers how to detect signs and where to refer

C. Mortality reduction through early detection

D. Teach other community health workers how to assess patients.

Situation – Among common conditions found in children especially among poor

communities are ear infections/problems. The following questions apply.

91. 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

92. 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

93. A ear discharge that has been present for more than 14 days can be classified as:

A. mastoiditis

B. chronic ear infection

C. acute ear infection

D. complicated ear infection

94. An ear discharge that has been present for less than 14 days can be classified as:

A. chronic ear infection

B. mastoiditis

C. acute ear infection

D. complicate ear infection

95. 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

Situation – If the child with diarrhea registers one sign in the pink row and one in the

yellow row in the IMCI Chart:

96. We can classify the patient as:

A. moderate dehydration

B. some dehydration

C. no dehydration

D. severe dehydration

97. The child with no dehydration needs home treatment. Which of the following is not

included in the rules for home treatment in this case:

A. continue feeding the child

B. gives oresol every 4 hours

C. know when to return to the health center

D. give the child extra fluids

98. 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

99. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly,

the classification would be:

A. no dehydration

B. moderate dehydration

C. some dehydration

D. severe dehydration

100. Genetic testing should be performed on a child only if:

A. The parents both want it performed

B. It is in the best interest of the clinic

C. It is necessary for the child to survive

D. No one objects