Post Test - CHN Refresher

Refresher Phase_TRA

D. 4-5 seeds 2 hours after supper

Alyssa, a 5-year-old, has been diagnosed with ascariasis. She should receive Niyug-niyogan. What is the correct dose and frequency?

A. 8-10 seeds 2 hours before supper

B. 8-10 seeds 2 hours after supper

C. 6-7 seeds 2 hours before supper

D. 4-5 seeds 2 hours after supper

D. 1 tbsp

Jema, a 4-year-old diagnosed with asthma, is given dried Lagundi leaves prepared by Nurse Kelvin according to the Department of Health’s guide. After chopping and boiling the leaves, the correct dosage of the decoction given to Trisha is:

A. 4 tbsp

B. 2 tbsp

C. 6 tbsp

D. 1 tbsp

B. 4 tbsp

Kyle, a farmer from Sitio Maginhawa, inquires about preparing Yerba Buena for his headache and body aches. Nurse Kelvin advises that to prepare the fresh leaves of Yerba, Kyle should boil the chopped leaves in 2 glasses of water for 15 minutes and drink the decoction of about:

A. 6 tbsp

B. 4 tbsp

C. 2 tbsp

D. ½ tbsp

A. 6 tbsp

A week later, Kyle returns to the clinic asking how to prepare fresh Sambong leaves for his edema. Nurse Kelvin informs him that he should boil the chopped leaves in a glass of water for 15 minutes and drink the decoction of about:

A. 6 tbsp

B. 4 tbsp

C. 2 tbsp

D. ½ tbsp

D. 3 tbsp

Aling Pons rushes to the RHU because her 5-year-old daughter, Risa, has diarrhea. Nurse Kelvin explains that for the fresh leaves of Tsaang gubat, Aling Pons should boil the chopped leaves in 2 glasses of water for 15 minutes and have Risa drink the decoction of about:

A. 10 tbsp

B. 12 tbsp

C. 6 tbsp

D. 3 tbsp

B. 15 minutes

Nurse Jia advocates for using herbal medicines to address the issue of limited pharmacological access in their community. She knows that to manage a headache, chopped Yerba Buena leaves should be boiled in 2 glasses of water for how long?

A. 30 minutes

B. 15 minutes

C. 10 minutes

D. 90 seconds

B. 3 tbsp

For an eight-year-old child needing treatment for asthma, how much fresh Lagundi decoction should be administered?

A. 6 tbsp

B. 3 tbsp

C. 1 tbsp

D. 1.5 tbsp

C. Ulasimang bato

Which herbal plant is known for treating rheumatism and gout by lowering uric acid levels?

A. Akapulko

B. Sambong

C. Ulasimang bato

D. Yerba Buena

B. Niyug-niyogan

Identify the herbal plant used as an anti-helmintic to expel roundworms that cause ascariasis.

A. Lagundi

B. Niyug-niyogan

C. Tsaang gubat

D. Bayabas

c. Cough or cold with no pneumonia

Situation: Baby Yasmin, a 3-year-old child weighing 15 kg, is brought to the health center due to cough and diarrhea. There are no signs of general danger signs (GDS), chest indrawing, stridor, or rapid breathing. Upon evaluating for diarrhea, Nurse Kelvin observes that the child has sunken eyes and a skin pinch that returns very slowly.

Question: What classification does Baby Yasmin have for cough or difficulty breathing?

a. Very severe disease or Severe pneumonia

b. Pneumonia

c. Cough or cold with no pneumonia

d. None of the above

c. Provide guidance on safe remedies for soothing the throat and alleviating cough

Situation: Baby Yasmin, a 3-year-old child weighing 15 kg, is brought to the health center due to cough and diarrhea. There are no signs of general danger signs (GDS), chest indrawing, stridor, or rapid breathing. Upon evaluating for diarrhea, Nurse Kelvin observes that the child has sunken eyes and a skin pinch that returns very slowly.

What is the most appropriate treatment for the classification mentioned above?

a. Refer the child after giving the first dose of antibiotics

b. Administer antibiotics for 5 days

c. Provide guidance on safe remedies for soothing the throat and alleviating cough

d. None of the above

a. Severe dehydration

Situation: Baby Yasmin, a 3-year-old child weighing 15 kg, is brought to the health center due to cough and diarrhea. There are no signs of general danger signs (GDS), chest indrawing, stridor, or rapid breathing. Upon evaluating for diarrhea, Nurse Kelvin observes that the child has sunken eyes and a skin pinch that returns very slowly.

How is Baby Yasmin classified in terms of diarrhea?

a. Severe dehydration

b. Some dehydration

c. No signs of dehydration

d. None of the above

Situation: Baby Yasmin, a 3-year-old child weighing 15 kg, is brought to the health center due to cough and diarrhea. There are no signs of general danger signs (GDS), chest indrawing, stridor, or rapid breathing. Upon evaluating for diarrhea, Nurse Kelvin observes that the child has sunken eyes and a skin pinch that returns very slowly.

What should the nurse's next action be based on the identified classification?

a. Implement Plan C

b. Complete the assessment and urgently refer the child

c. Administer the first dose of the appropriate antibiotic

d. Prepare a referral note for the patient

c. Providing IV therapy

What does Plan C entail?

a. Administering oral rehydration solution (ORS) at home

b. Administering ORS at the health center

c. Providing IV therapy

d. None of the above

a. Inability to drink or breastfeed

Situation: Avy, a two-year-old child weighing 10 kg, is taken to the health center by her mother due to diarrhea during her initial visit. The health worker assessed her general danger signs (GDS). Avy is too weak to lift her head and cannot sip from a cup. She is awake and conscious, but her skin pinch returns very slowly.

How is Avy's GDS classified?

a. Inability to drink or breastfeed

b. Vomiting everything

c. Experiencing convulsions

d. Being excessively sleepy or difficult to wake

a. Rehydrate the child using Plan C

Situation: Avy, a two-year-old child weighing 10 kg, is taken to the health center by her mother due to diarrhea during her initial visit. The health worker assessed her general danger signs (GDS). Avy is too weak to lift her head and cannot sip from a cup. She is awake and conscious, but her skin pinch returns very slowly.

After identifying the sign, the health worker marked it and confirmed it. What should be her next step?

a. Rehydrate the child using Plan C

b. Complete the assessment and urgently refer the child

c. Administer the first dose of the suitable antibiotic

d. Send a referral note with the patient

a. Provide ORS by mouth

If Nurse Kelvin is untrained to administer IV fluids for severe dehydration, what is the best alternative?

a. Provide ORS by mouth

b. Offer ORS in a cup

c. Refer the patient to the hospital

d. None of the above

a. Plain LR

What IV fluid is recommended for rehydration?

a. Plain LR

b. D5 NaCl

c. D5LR

d. None of the above

b. Severe dehydration

Situation: Avy, a two-year-old child weighing 10 kg, is taken to the health center by her mother due to diarrhea during her initial visit. The health worker assessed her general danger signs (GDS). Avy is too weak to lift her head and cannot sip from a cup. She is awake and conscious, but her skin pinch returns very slowly.

What could be the likely cause of Avy's GDS?

a. Infection

b. Severe dehydration

c. Influenza

d. None of the above

d. None of the above

Situation: Baby Ivana, a 2-year-old child weighing 14 kg, is brought to the health center by her mother due to cough, fever, rash, and red eyes. They reside in a malaria risk area. During the assessment, the health worker discovers a widespread rash on the child’s body along with several mouth ulcers.

How is Baby Ivana classified in the fever box?

a. Malaria / Very Severe Febrile Disease

b. Malaria

c. Fever: no malaria

d. None of the above

c. Give paracetamol for a temperature of 38.5 °C and above

Situation: Baby Ivana, a 2-year-old child weighing 14 kg, is brought to the health center by her mother due to cough, fever, rash, and red eyes. They reside in a malaria risk area. During the assessment, the health worker discovers a widespread rash on the child’s body along with several mouth ulcers.

What treatment is appropriate for the classification identified above?

a. Administer the first dose of Quinine then refer

b. Provide an oral antimalarial drug

c. Give paracetamol for a temperature of 38.5 °C and above

d. None of the above

b. Measles with mouth or eye complications

Situation: Baby Ivana, a 2-year-old child weighing 14 kg, is brought to the health center by her mother due to cough, fever, rash, and red eyes. They reside in a malaria risk area. During the assessment, the health worker discovers a widespread rash on the child’s body along with several mouth ulcers.

How is measles classified?

a. Complicated severe measles

b. Measles with mouth or eye complications

c. Measles

d. None of the above

b. Gentian violet and Betadine

What is the classification for measles with mouth complications?

a. Gentian violet and salt water

b. Gentian violet and Betadine

c. Gentian violet

d. None of the above

C. Severe dehydration

Jenny has had diarrhea for 2 days. She presents with sunken eyes, a skin pinch that returns very slowly, and is irritable with poor drinking ability. She cannot drink, and there is no blood in her stool. How would you classify Jenny’s illness?

A. Persistent diarrhea

B. Some dehydration

C. Severe dehydration

D. No dehydration

Kinemper is a 15-month-old child weighing 5.5 kg and this is her initial visit. Her mother reports that Kinemper is not eating well and is unable to breastfeed. She has no vomiting, no convulsions, and is not excessively sleepy or difficult to wake. Her temperature is 38.9 °C. Based on the integrated management of childhood illness (IMCI) strategy, how would you classify her illness if you were the nurse in charge?

A. A child with general danger signs

B. Very severe febrile disease

C. Severe pneumonia

D. Severe malnutrition

A. Inquire about the child’s problems

In using the Integrated Management of Childhood Illness approach to assess the patient's condition, what should be the first action of the nurse?

A. Inquire about the child’s problems

B. Assess the patient's level of consciousness

C. Evaluate the four main symptoms

D. Check for general danger signs

d. Inability to breastfeed

Which of the following signs is considered a general danger sign in Kinemper’s case?

a. Absence of vomiting

b. No convulsions

c. Temperature of 38.5 °C

d. Inability to breastfeed

d. Poor eating

Which of the following signs is NOT part of the general danger signs?

a. Vomiting everything

b. Inability to drink or breastfeed

c. Experiencing convulsions

d. Poor eating

B. Skin petechiae

A child with diarrhea should be monitored for the following EXCEPT:

A. Duration of diarrhea

B. Skin petechiae

C. Presence of blood in the stool

D. Signs of dehydration

A. Administer medications every 4 hours

A child without dehydration requires home treatment. Which of the following is NOT part of the home management care for this case?

A. Administer medications every 4 hours

B. Ensure the child continues to eat

C. Provide additional fluids to the child

D. Inform when to return to the health center