RECALLS 3 NP1

C. “Wala naman pong problema, ibibigay ko po ngayon ang second dose nya”

Jane forgot to bring her daughter back for the second dose of OPV, she asked the nurse what to do. The nurse’s response is correct when she states:

A. “How irresponsible of you naman, mother”

B. “Kakailanganin po natin ulitin ang bakuna, bale magiging first dose po ulit ni baby ito”

C. “Wala naman pong problema, ibibigay ko po ngayon ang second dose nya”

D. “I-refer ko po kayo kay doc kung paano po ang gagawin, case-to-case basis po kasi eh”

D. Sa pagbalik nyo nalang po ako magbibigay ng bakuna.

Maricar’s 13-week-old son will be having his third dose of Pentavalent next week (April 12, 2023). Her concern is they will stay in their province from April 11 to 15, 2023. She asked the nurse about the schedule she should come back for the vaccine. The nurse does not need to be corrected when she states:

A. Pwede April 10 magpabakuna para bago po kayo umuwi ng probinsya, kumpleto na po pentavalent doses ni baby

B. Baka pwede sumunod nalang po kayo kasi kailangan po talaga eksaktong 4 weeks ang interval ng dose. Kailangan po April 12 talaga ang sunod nyang bakuna.

C. Dahil Made-delay po ang susunod na dose, doblehin nalang po natin yung bakuna sa pagbalik nyo po galing probinsya.

D. Sa pagbalik nyo nalang po ako magbibigay ng bakuna.

B. Water

The nurse is preparing to give the BCG vaccine to the infant. According to the Public Health Nursing in the Philippines book, He should clean the skin of the injection site using a cotton ball moistened with?

A. Sterillium

B. Water

C. Alcohol

D. Betadine

B. Twice daily

Vaccines are substances that are very sensitive at various temperatures. The recommended storage temperatures of EPI vaccines must be observed to avoid spoilage, and maintain its potency. Nurse Ruel is knowledgeable when he checks the storage temperature every:

A. Whenever it is necessary

B. Twice daily

C. Three times daily

D. Twice a week

A. Just leave the OPV because it is should be in the freezer

Nurse Ruel checked the storage temperature and opened the storage to check for the vaccines. He noticed that the OPV is at the freezer. What should Nurse Ruel do?

A. Just leave the OPV because it is should be in the freezer

B. OPV is a live attenuated vaccine and it should be in the refrigerator

C. Identify the person who put the OPV in the freezer and inform him privately about his mistake

D. Throw the OPV because it is considered spoiled

D. It identifies syndromes by describing the distribution and association of clinical phenomena in the population.

Epidemiology is the study of occurrences and distribution of diseases as well as the distribution and determinants of health states or events in specified populations. What is the purpose of epidemiology?

A. It completes the clinical picture of chronic diseases and describe their natural history

B. It diagnoses the health of the individual and his condition for individualized care and management.

C. It studies the work of health services with a view of improving them.

D. It identifies syndromes by describing the distribution and association of clinical phenomena in the population.

A. Epidemic

Nurse Maddy has to note the disease occurrence that happened in Barangay Poblacion. It is classified as:

A. Epidemic (POINT SOURCE)

B. Pandemic

C. Endemic

D. Sporadic

D. Extrinsic factor

The residents of the barangay were informed that the cause of the cases of vomiting and diarrhea is due to the Lugaw (porridge) and bread. Lugaw and bread is classified as:

A. Causative agent

B. Risk factor

C. Intrinsic factor

D. Extrinsic factor

B. 51

SCENARIO: Nurse Micah joined the health center in analyzing the gathered data for the community diagnosis. The following are the data:

Total Population: 6,420

Total Birth: 328

Total Death: 79

Maternal death: 6 Total Infant Death: 13 Total Males: 3,417

Total Males 50 years old and above: 751 Total Females: 3,007

Total Female 15 - 44 years old: 1,023

 

11.   Nurse Micah computed the crude birth rate of the province. The data showed: 

A. 102

B. 51 

C. 320

D. 109

A. 88 females for every 100 males

SCENARIO: Nurse Micah joined the health center in analyzing the gathered data for the community diagnosis. The following are the data:

Total Population: 6,420

Total Birth: 328

Total Death: 79

Maternal death: 6 Total Infant Death: 13 Total Males: 3,417

Total Males 50 years old and above: 751 Total Females: 3,007

Total Female 15 - 44 years old: 1,023

The demographic measurement is computed. She identified the sex ratio based from the data is:

A. 88 females for every 100 males

B. 117 females for every 100 males

C. 29 females for every 100 males

D. 29 males for every 100 females

Nurse Micah wants to know the true fertility rate of the province. She is correct when she get:

A. 321

B. 109

C. 159

D. 328

The municipal health officer instructed nurse Micah to study the morbidity rate of the province. To study morbidity, she will look for what data?

A. Incidence Rate

B. Attack Rate

C. Case Fatality Rate

D. Prevalence Rate

The community is conducting a seminar about the natural sources of vitamins and minerals that can be found in the backyard and field. The nurse was alarmed as the pregnant woman stated to be consuming this herbal medicine which is known to have abortifacient properties. This is:

A. Akapulko

B. Sambong

C. Yerba Buena

D. Tsaang gubat

The nurse is doing a home visit when a resident asks the nurse to describe which among the plants in the backyard is the ulasimang bato. The nurse correctly describes when he states:

A. It is a weed with heart-shaped leaves

B. It is a plant with rough hairy leaves

C. It is a tree with tiny white flowers

D. It is a shrub with blue and bell-shaped flowers

There was an outbreak of scabies in the barrio where Nurse Jenna is working. There was no more akapulko seen in the barrio as it is consumed by many. What alternative herbal medicine can be used by the barrio?

A. Tsaang gubat

B. Niyug-niyugan

C. Yerba Buena

D. Lagundi

She discussed the emergency obstetric and newborn care. One student was confused and asked what is it in CEmONC that BEmONC cannot provide? Nurse Donna is prepared to answer when she enumerated:

1.     Removal of retained products of conception

2.     Cesarean Section

3.     Parenteral administration of loading dose of anticonvulsants

4. Blood Transfusion

A. 1, 3

B. 3, 4

C. 1, 2

D. 2, 4

DOH, UNICEF and other organizations developed and reviewed Essential Newborn Care to handle newborn care in the critical immediate period. Among the time-bound interventions done to the newborn, what prevents the newborn from hypoglycemia and sepsis and it helps the body increase colonization with protective bacterial flora?

A. Immediate and thorough drying of the newborn

B. Keeping the mother and baby in uninterrupted skin-to-skin contact

C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops

D. Breastfeeding initiation within the first hour of life

Among the four time-bound interventions done to the newborn, what is done to prevent intraventricular hemorrhage in one of two preterm babies?

A. Immediate and thorough drying of the newborn

B. Keeping the mother and baby in uninterrupted skin-to-skin contact

C. Properly timed cord clamping and cutting until the umbilical cord pulsation stops

D. Breastfeeding initiation within the first hour of life

Nurse Atom encounters the word hypothesis. He is not correct in telling that hypothesis is:

A. A state where it can be accepted or rejected

B. A prediction about what a research will find

C. An educated guess that is untested with observation

D. A tentative explanation supported by evidence

The research is believed to use an instrument to detect fine differences among the subjects being studied. The criteria is known to be?

A. Valid

B. Objective

C. Reliable

D. Sensitive

Which of the following terms refer to the meaning that a researcher must test the correctness of data before accepting it?

A. Empirical

B. Logical

C. Critical

D. Analytical

C. Critical

Which of the following terms refer to the ability to identify and have a careful breakdown of components especially in terms of variables?

A. Empirical

B. Logical

C. Critical

D. Analytical

When the nurse visited the home, he came to the conclusion that there are two families living in a single house. What supports his thinking?

A. The family does not have an ability to maintain a healthy home environment

B. Amy and Alma prepare their own family’s meals separately.

C. Arcedo is not supportive of Arnel, being the husband of her daughter.

D. Alma does not join in the conversation of her daughter and his husband.

B. Planning should make use of all available information about the patient and family

In planning to do a home visit, there are principles involved which serve as a guide for the nurse. The following are principles except:*

A. A home visit must have a purpose

B. Planning should make use of all available information about the patient and family

C. Involve the family in planning and delivery of care

D. The plan should be fixed to avoid unnecessary problem

Guidelines are necessary to give general recommendations on how a nurse should perform the task or how to proceed in a situation. The following are not considered to be factors, except*

A. The physical needs should be considered more than the psychological and educational needs of the family.

B. Evaluate how the family avail the nursing services

C. Perform nursing care despite the patient's disapproval because the patient needs it.

D. The nurse should recognize the needs of the family since the nurse has the professional knowledge and experience.

A couple applying for a marriage license are required to receive instructions on family planning and responsible parenthood. This is governed by what law?

A. RA 3573

B. RA 7277

C. PD 825

D. PD 965

A. AO No. 2005-0014

There are national policies on Infant and Young Child feedings. The most related administrative order is:*

A. AO No. 2005-0014

B. AO No. 2006-0012

C. AO No. 2006-0015

D. Nothing is related

In the National policies on Infant and Young Child feeding with the administrative order on the previous number. The following are the specific objectives except:

A. All newborns are initiated to breastfeeding within six hours after birth

B. All infants are exclusively breastfed for 6 months

C. All infants are given timely, adequate and safe complementary foods

D. Breastfeeding is continued up to two years and beyond

Which among the following defines the implementing guidelines on hepatitis B immunizations for infants which is meant to improve effectiveness of management in the provision of three doses of routine Hepatitis B vaccine among infants including a birth dose?

A. AO No. 2005-0014

B. AO No. 2006-0012

C. AO No. 2006-0015

D. Nothing is related

This Administrative order revised implementing rules and regulations of EO 51 known as the “Milk Code”, relevant international agreements, penalizing violations thereof and for other purposes:

A. AO No. 2005-0014

B. AO No. 2006-0012

C. AO No. 2006-0015

D. Nothing is related

A. Schistosoma spp.

The nurse visited in a barrio located in Region 5 (Bicol). There is a resident presents with symptoms of diarrhea, bloody stools and enlargement of abdomen. Upon further assessment, the patient is diagnosed to have bilhariasis. What is the causative agent of bilhariasis?

A. Schistosoma spp.

B. Wuchereria bancrofti

C. Brugia malayi

D. Oncomelania quadrasi

There are different species of Schistosoma which can only be found in a particular place during its lifetime. Which among the Schistosoma species is endemic in the Philippines?

A. Schistosoma mansoni

B. Schistosoma haematobium

C. Schistosoma japonicum

D. Schistosoma mekongi

The barrio knew that one of their neighbor was diagnosed with schistosomiasis. Mass hysteria cause an outbreak of unrealistic thoughts and feelings about the mode of transmission of schistosomiasis. As a nurse, she should educate the residents on how Schistosomiasis is transmitted. She is correct when she states it is transmitted through; 

A. Drinking contaminated water

B. Skin comes in contact with cercaria

C. Skin comes in contact with miracidium

D. Sexual contact

The nurse implemented some preventive measures to control the spread of the disease, the patient and its immediate environment. Which of the following is not included?

A. Treat snail-breeding sites with molluscicides

B. Improve irrigation and agriculture practices

C. Isolate the infected person for 7 days

D. Sanitary disposal of feces and urine

The doctor prescribed medications to the infected residents. As a knowledgeable nurse who masters pharmacology. The nurse knows which among the following are known to treat schistosomiasis?

a.            i

b.            i, ii

c.            i, ii, iii

d.            i, ii, iii, iv

A. Praziquantel

B. Oxamniquine

C. Metrifonate

D. Diethylcarbamazine citrate

A. Wuchereria bancrofti

Filariasis is a disease often progresses to become chronic, debilitating and disfiguring, since its symptoms are often unnoticed and unfamiliar to health workers. The nurse is knowledgeable when she says that the disease is transmitted to a person through bites of what species?

A. Wuchereria bancrofti

B. Brugia malayi

C. Aedes poecilius

D. Anopheles spp.

The life-span of the adult parasites is about 10 years while the microfilariae live for about a year at most. Since its incubation period lasts from 8 to 16 months, the nurse knows that the patient is already at acute stage when the following manifestations are present except:

A. Lymphadenitis

B. Lymphedema

C. Funiculitis 

D. Lymphangitis

D. At night (After 8PM)

In order to detect the presence of filarial worms in the body. The patient should undergo laboratory examinations and the blood is extracted during what time of the day?

A. At daytime (after 6AM)

B. At noon (10AM-2PM)

C. Anytime of the day

D. At night (After 8PM)

The patient is confirmed with a diagnosis of filariasis. He asked about the possible treatment for microfilaria of the disease. The nurse anticipates what drugs?

             i.Diethylcarbamazine citrate (DEC)

             ii.Hetrazan

            iii.Ivermectin

A. i

B. i, ii

C. i, iii

D. i, ii, iii

The nurse educated the residents on how to prevent and control the vector. He included which among the following on the

1.     Sleep under mosquito net

2.     Give entire community medicine that kills the microscopic worms annually.

3.     Use mosquito repellent on exposed skin

4.     Wear long sleeves, long pants and socks

A. i, ii

B. i, iii, iv

C. i, ii, iv

D. i, ii, iii, iv

Nurse Michelle goes to the room of Mrs. Richards who is lying in bed. After checking client’s identity, the nurse gives her the medications. Mrs. Richards tells the nurse that she “has a hard time swallowing tablets and is afraid she might choke”. Which nursing action is MOST APPROPRIATE?

A. Ask the client to assume sitting position

B. Put the tablet in banana for easy swallowing

C. Pound the tablet and mix in client’s soup or juice

D. Tell the client the pills are small and should be taken on time.

In the next room is Mrs. Richards, 56 years old, with an order for instillation of otic drops. Nurse Michelle checks client’s identity than asks Mrs. Richards to lie on her side, opposite the ear to be medicated. When administering the otic drops nurse Michelle straightens the ear canal by pulling the pinna in which CORRECT direction:

A. Upward and forward

B. Upward and backward

C. Downward and backward

D. From side to side

Mrs. Richards has to receive SUBCUTANEOUS of epinephrine. For thin client like Mrs. Richards, nurse Michelle should ensure that the medication is correctly administered. After checking client’s identity, she prepares the skin then lifts skin fold at the injection site and injects medication at which angle?

A. 45 degrees

B. 90 degrees

C. 50 degrees

D. 20 degrees

An iron preparation is to be injected intramuscularly to Mrs. Richards. Nurse Michelle safely administer the drug using the Z-track technique. The following statements about Z-track technique are true EXCEPT:

A. The skin is pulled sideways is injected at a 45 degree angle

B. The zigzag path seals the needle track trapping the medication in the muscle

C. This method allows medication to be injected slowly to disperse evenly in muscle tissue

D. This technique is best when medication is irritating to tissue

Nurse Michelle will do a skin test for Matti. She uses a tuberculin syringe with gauge 25 needle and performs the intradermal procedure CORRECTLY when she*

A. Pinches and moves skin test for sideways and inject medication slowly

B. Massages the injection site immediately after withdrawing the needle

C. Aspirates after inserting needle to check for bleeding

D. Holds skin taut insert needle bevel up at 10 to 15 degree angle

 In the case of Nicole, her ear discharge was noted for the past 14 days therefore she can already be classified as:*

A. Acute ear infection

B. Chronic mastoiditis

C. mastoiditis

D. chronic ear infection

B. Acute ear infection

If Nicole had ear discharges for less than 14 days, Nicole's condition should be classified as:

A. Acute mastoiditis

B. Acute ear infection

C. mastoiditis

D. chronic ear infection

On the day Nicole was advised to bring Richard to the health center for IMMUNIZATION, Richard has fever at 38.5"C, watery nasal discharge, red and 2 bouts of loose watery stools within the 2 hour interval. Richard is drinking and is irritable. You will use IMCI (Integrated Management of Childhood illness) wherever/whenever applicable, so you would:

A. Reduce the amount of vaccine

B. Re-schedule the immunization

C. continue immunization

D. refer the patient

Upon reaching the age of nine (9) months, Richard will come back for measles vaccine. How is this administered?

A. Subcutaneously

B. Intradermally

C. Intramuscularly

D. Orally

Richard's mother says that her child has difficult breathing. You would recognize" chest in- drawing" on Richard if his lower chest wall goes:

A. Out when Richard breaths out

B. Out when Richard breaths in

C. in when Richard breaths in

D. in when Richard breaths out

Another child, Sam, eight (8) months old was brought to you. She weighs 6.5 kgs. Her temperature Is 38*5C, has cough for 5 days, does not have any general danger signs. Which of the following signs should be present leading to a pneumonia classification applying IMCI?

A. Cough

B. Stridor

C. 55 breaths/minute

D. not able to breastfeed PB

The nurse assisted an elderly client with his dinner and promised to come back in an hour to assist him in his evening rituals. The nurse kept her promise and proceeded to go on with the evening care. This action of the nurse is an example of:

A. Compliance

B. Integrity

C. Honesty

D. Truth telling

The nurse refers a newly admitted client to the physician upon the request of the relative to know more about this condition. The physician is obligated to tell the truth to their patient unless they have substantial reason to believe that disclosing the truth cause undue harm, this circumstance is known as:

A. Privileged communication

B. Therapeutic privilege

C. Moral responsibility

D. Ethical responsibility

  A 24-year-old was rushed in the health center complaining of a wound from working in a construction. He stated that he feels uncomfortable with needles because it is painful. As the nurse is preparing the medication to be administered, the nurse chooses the sharpest needle to be used bearing in mind what bioethical principle?

A. Beneficence

B. Non-maleficence

C. Justice

D. Autonomy

The nurse knows is aware that autonomy refers to the right to make one’s own decisions. The individual freedom to make rational and unconstrained decisions shall be respected is under what section of the code of ethics for registered nurses?

A. Section 4

B. Section 5

C. Section 6

D. Section 7

When the nurse is communicating with the patient. The nurse knows that which among the statement about communication is considered to be accurate?*

A. Verbal communication solely is essential for human relationships

B. Communication is inevitable

C. The most expressive part of the body is the hands

D. The behavior is a clear representation of feelings

Which among the following is the nurse performing an interviewing technique of attentive listening?

A. Exploring and determining the concerns of the patient with why questions

B. Reacting quickly to what the patient says.

C. Using silence or pauses to extend for several seconds to encourage the patient to talk

D. Paying attention to the total message

Nurse Samantha is faced with legal responsibilities at work and has the responsibility to perform nursing activities based on standards of nursing practice. Standards of practice is best understood as:

A. Minimum level of performance acceptable to ensure high quality care

B. Nursing care based on scientific knowledge to ensure comprehensive nursing care

C. Quality care ensured to meet the needs of the client

D. It is the traditional care performed by the nurses

Mr. Richards is scheduled for abdominal surgery in the morning. As nurse Samantha is about to give the pre - operative medication, she noticed that the client is wearing a wrist watch. No relative was around to receive the valuable. Which of the following should be the BEST action of nurse Samantha?

A. Remove and label the watch to be secured in the hospital safety deposit

B. Allow the client to keep the wrist watch then remove when inside the OR

C. Ask the client to sign a waiver when keeping the wrist watch

D. Instruct the client to remove the wrist watch and keep it inside the bedside drawer

  All referrals, once received and handled by any nurse, must undergo assessment to establish receiving, base- line data or information. Which assessment finding in a 5 year old client WITH A FEVER would be considered additional signs that requires further health intervention even in the home?

A. White coated oral mucous membranes

B. Flushed skin

C. Complaint of chills

D. Drowsiness

You understand that antibiotic therapy started in the hospital can increase the risk for infection because:

A. Antibiotic therapy also kills of normal flora, which provide protection form infection

B. The resulting dead bacteria provide a rich culture medium for viruses

C. Associated diarrhea causes intestinal ulcerations to form, creating a new portal of entry

D. IV antibiotic contain high concentration of glucose, an ideal medium for bacterial growth

Appropriate Technology or Appro-Tech refers to methods and technologies which are:

1.     Available and accessible

2.     Scientifically sound

3.     Socially acceptable

4.      Replicable and inexpensive*

A. 1 and 2 only

B. 1,2,3 and 4

C. 1,2 and 3

D. 2 and 3 only

The first declaration on primary health care (PHC) was signed in Alma-ata, USSR. The reason of the international conference was:*

A. There was a wide gap in the health of underdeveloped and developed countries and within countries

B. There is a need to support health of women, improving food security, safety and nutrition.

C. Sustainable development and equity in creating supportive environments for health

D. Promoting social responsibility for health, increasing community capacity and empowering the individual, expanding and consolidating partnerships for health.

The nurse prepares the client for the procedure. She advises that suctioning may cause coughing but emphasizes the importance of clearing the airway. The nurse adjusts the suction control for the appropriate amount of pressure for effective result to:

A. 40-50mmHg

B. 50-60 mmHg

C. 80-100 mmHg

D. 60-70mmHg

The nurse inspect the nares with a penlight to determine patency. She applies suction by gently rotating the catheter making sure all surfaces are reached. The nurse should make sure that the application of suction should not be longer than:

A. 10-15 seconds

B. 2-5 seconds

C. 30-35 seconds

D. 20-25 seconds

The nurse is inserting the catheter tip into the nares. The procedure is CORRECTLY done when the nurse*

A. Instruct the client to swallow while inserting the catheter

B. Instruct the client to sip ice chips to facilitate insertion of the catheter tip

C. Advances the catheter gently with a slight downward slant to the point marked

D. Advances the catheter slowly and gently up to the point marked.

The length of catheter to be inserted by the nurse to the client should be approximately:

A. 9-10cm

B. 4-8cm

C. 10-12cm

D. 14-16cm

In 1999, the DOH has been transformed from being the sole provider of health services to being provider of specific health services and technical assistance provider for health, as a result of the devolution of basic services to local government units

 

Executive Order No. 102 which is redirecting the functions and operations of the department of health or DOH was signed by?

A. President Ferdinand E. Marcos

B. President Corazon C. Aquino

C. President Fidel V. Ramos

D. President Joseph E. Estrada

The Department of health, in its new role as the national authority on health providing technical and other resource assistance to concerned groups as mandated by EO 102. Which among the following specific roles in the health sector is not included?

A. Leadership in Health

B. Research and Consulting Services

C. Enabler and Capacity Builder

D. Administrator of Specific Services

Mary, a newly-hired nurse was assigned to the community health center. She met Ate Fe, a traditional healer in the barrio. Mary knows that Ate Fe is considered to be a what type of primary health care worker?

A. Barangay Health Workers

B. Grass roots

C. A & B

D. Traditional healers are not considered to be part of a primary health care worker.