1.

Registered nurses can be identified as a:

a. Organization
b. Culture
c. Group
d. Subculture
2. Among children candidates for organ transplant, when all selected children have appropriate
tissue matches for the same donated organ, the basis for the decision as to which child gets the
organ is that the organ is given to the child who:
a. Will receive the most benefit from the new organ
b. Is most likely to die without the transplant
c. Is selected by the lottery system for available organs
d. Is at the top of the list and has waited the longest time
3. The nurse uses what equipment to check for fluid between the parietal and visceral layers of the
tunica vaginalis, the outermost covering of the testes?
a. 30 cc syringe
b. Transilluminator
c. Fluid meter
d. Manometer
4. Which of the following examples best defines the term role reversal?
a. A lazy person becomes very productive in the family.
b. The good child takes on a bad child role.
c. A person who has been good provider quits his or her job.
d. The child assumes a caregiver role toward the caregiver.
5. When a nurse breaches the duty of confidentiality, he or she can be disciplined by both the
employer and the Board of Nursing. In addition to this discipline, he or she can:
a. Be held responsible for any damages that result
b. Be fined by the federal government
c. Be sentenced for up to 1 year in jail
d. Immediately lose his or her nursing license
6. A strategy for change that focuses on teaching workers new technology is:
a. Normative-reeducative
b. Training
c. Providing information
d. Power coercive
7. The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to:
a. Polyhydramnios
b. Maternal age
c. Preterm birth
d. Macrosomia
8. The nurse instructs the mother that when over stimulated the infant will:
a. Show increased alertness and eye contact
b. Respond with coordinated, synchronous body movement
c. Look away to reduce the intensity of the interaction
d. Drift off to deep sleep to shut out the interaction
9. Some strategies to maintain professional health re listed below. Which is NOT necessarily
correct?
a. Networking with others in the health care field
 b. Join a professional organization
c. Goal setting
d. Read fiction and nonfiction materials
10. The nurse is assessing an 8-month-old infant for head lag, pulling the infant by the hands from a
supine to a sitting position. The head does not stay in line with the body when being pulled
forward. Which of the following statements best represents the significance of this finding?
a. Head lag should not be tested until the child is over 1 year of age.
b. Significant head lag after the age 6 months may indicate brain injury and needs further
investigations.
c. The nurse has not conducted the test correctly and must do it again using proper technique.
d. This is a normal finding, as the infant’s head will not stay in line until after 8 months of age.
11. Which statement I correct regarding the use of cervical cap?
a. It may affect Pap smear results.
b. It does not need to be fitted by a physician.
c. It does not require the use of a spermicide.
d. It must be removed within 24 hours.
12. The major components of the communication process are:
a. Verbal, written and nonverbal
b. Speaker, listener d reply
c. Facial expression, tone of voice and gestures
d. Message, sender, channel, receiver and feedback
13. The extent of burns in children are normally assessed and expressed in terms of:
a. The amount of body surface that is unburned
b. Percentages of total body surface area (TBSA)
c. How deep the deepest burns are
d. The severity of the burns on a 1 to 5 burns scale
14. The school nurse notices a child who is wearing old, dirty, poor-fitting clothes; is always hungry;
has no lunch money; and is always tired. When the nurse asks the boy his tiredness, he talks of
playing outside until midnight. The nurse will suspect that the child is:
a. Being raised by a parent of low intelligence quotient (IQ)
b. An orphan
c. A victim of child neglect
d. The victim of poverty
15. Which of the following indicates the type (s) of acute renal failure?
a. Four types: hemorrhagic with and without clotting, and non-hemorrhagic with and without
clotting
b. One type: Acute
c. Three types: Pre-renal, intra-renal and post-renal
d. Two types: Acute and Subacute
16. A means of facilitating professional staff development is by building upon skills, abilities, and
experience of each practitioner is called:
a. The novice to expert model
b. Situational leadership model
c. Career enhancement
d. Clinical ladder
17. Which of the following questions by the nurse would best fit the philosophy of the nursing
mutual participation model of care (NMPMC)?
a. “Have you brushed your child’s teeth today?”
b. “How does your child look to you today?”
c. “Where have you been all morning?’
d. “Do you think your child’s color is worse?”
18. There are numerous definitions of the word ”health”. Which definition below is from Florence
Nightingale?
a. A state or a process of being and becoming an integrated and whole person
b. The state of being free from illness or injury
c. Being well and using every power the individual possesses to the fullest extent
d. A state of complete physical, social and mental well-being and not merely the absence of
disease or infirmity
19. Informal communication takes place when individuals talk and is best described by saying the
participants:
a. Are involved in a preexisting informal relationship
b. Talk with slang words
c. Have no particular agenda or protocol
d. Are relaxed
20. Tertiary care by the home health nurse is directed toward children with:
a. Problems in mobility
b. Short-term needs
c. Minor problems
d. Clinically apparent disease
21. The endometrium thickens during which phase of the menstrual cycle?
a. Secretory phase
b. Menstrual phase
c. Proliferative phase
d. Ischemic phase
22. A measurement tool to articulate the nursing workload for a specific patient of groups of
patients over a specific period of time is called:
a. Staffing pattern
b. Skill mix
c. Benchmarking
d. Patient classification
23. The mother of a 9-month-old infant is concerned that the head circumference of her baby is
greater than the chest circumference. The BEST response by the nurse is:
a. “These circumferences normally are the same but in some babies this just differs.”
b. “Perhaps your baby was small for gestational age or premature.”
c. “This is normal until the age of 1 year, when the chest will be greater.”
d. “Let me ask you a few questions, and perhaps we can figure out the cause of this difference.”
24. Which of the following approaches would work best when the nurse is communicating with an
infant?
a. Use an adult voice just as you would for anyone.
b. Communicate through the caregivers.
c. Allow the child time to warm up to the nurse.
d. Respond only after the child cries for a little while.
25. Evidence-based care started in medicine as a way to:
a. Promote technological advances in medicine
b. Incorporate collaboration within all health care disciplines
c. Integrate individual experience with clinical research
d. Teach medical students the art and science of medicine
26. The nurse assessing newborn babies and infants during their hospital stay after birth will notice
which of the following symptoms as a primary manifestations of Hirschsprung’s disease?
a. A fine rash over the trunk
b. Failure to pass meconium during the first 24 to 48 hours of life
c. High-grade fever
27. A client is 7 months pregnant and has just been diagnosed as having a partial placenta previa.
She is stable and has minimal spotting and is being sent home. Which of these instructions to
the client may indicate a need for further teaching?
a. Maintain bed rest with bathroom privileges
b. Avoid intercourse for three days
c. Call if contractions occur
d. Stay n left side as much as possible when lying down
28. Which of the following groups of people in the world disproportionately represents the
homeless population?
a. Hispanics
b. Asians
c. African Americans
d. Caucasians
29. The nurse notices that the infant is wearing a plastic-coated diaper. If a topical medication were
to be prescribed and it were to go on the stomach or buttocks, the nurse would teach the
caregivers to:
a. Avoid covering the area of the topical medication with the diaper
b. Avoid the use of clothing on top of the diaper
c. Put the diaper on as usual
d. Apply an icepack for 5 minutes to the outside of the diaper
30. The nurse assessing a child or adolescent with a diagnosis of dysrythmic disorder would find
which of the following symptoms?
a. Labile mood and hyperactive thyroid with an increase in circulating thyroid hormones and
associated symptoms
b. Severe shaking of the hands when trying to hold a glass of water or other object
c. A depression that is deeper, more acute, and more likely to lead to suicide than major
depressive disorder
d. A depressed or irritable mood for most of the day, on most days, for 2 or more years and low
energy or fatigue
31. You were the nurse assigned to work with a child who has had whole brain radiation. You have
assessed the child to be sleeping up to 20 hours a day and is having some nausea, malaise, fever
and dysphasia. Based on this assessment, you are to work with the parents in which of the
following areas?
a. Accepting a reoccurrence of the tumor
b. Dealing with the side effects of radiation therapy
c. Caring for the dying child
 d. Accepting the immediate death of their child
32. The nurse is planning interventions for a child who has inflammatory bowel disease (IBD) with a
nursing diagnosis of “Nutrition: Less than body requirements.” Which of the following
interventions will be most helpful in resolving this nursing problem?
a. Two large meals a day instead of several mini meals and snacks
b. Special IBD diet (diet that has been proven effective for treating IBD)
c. Salt-free diet high in potassium, vitamins and minerals
d. Diet as tolerated with lactose hydrolyzed milk instead of milk products, and omission of
highly seasoned foods, and reduction of fiber
33. Emotional intelligence consists of a number of competencies. Some of these are listed below.
Which is NOT a characteristic of emotional intelligence?
a. Self-esteem
b. Self-awareness
c. Empathy
d. Self-regulation
34. Data collection for driving and restraining forces, including costs, desirability, and feasibility, is a:
a. People issue
b. Structural issue
c. Political issue
d. Technology issue
35. One of the four factors describing the experience of sexually abused children and the effect it
has on their growth and development is stigmatization that occurs when:
a. A child blames him or herself for the sexual abuse and begins to withdraw and isolate
b. Newspapers and the media don’t keep sexual abuse private and accidentally or on purpose
reveal the name of the victim
c. The child has been blamed by the abuser for his or her sexual behaviors, saying that the
child asked to be touched or did not make the abuser stop
d. The child is shared by others members of the family or friends when the sexual abuse
becomes public knowledge.
36. The painful phenomenon known as “back labor” occurs in a client whose fetus in what position?
a. Brow position
b. Right Occipito-Anterior Position
c. Breech Position
d. Left Occipito-Anterior Position
37. FOCUS methodology stands for:
a. Focus, Organize, Clarify, Understand, Solution
b. Focus, Opportunity, Continuous, Utilize, Substantiate
c. Focus, Organize, Clarify, Understand, Substantiate
d. Focus, Opportunity, Continuous (process), Understand, Solution
38. While community health nurses focus on the individual or the family, which of the following do
they also have as their final objective?
a. The well-being of the chronically ill
b. The financial well-being of the family
c. The well-being of the extended family
d. The well-being of the community
39. Which of the following is the best example of the ethical principle of fidelity?
 a. Doing whatever the client or the client’s physician asks of you
b. Keeping a promise to return to the client’s room at a given time
c. Being a good friend to the client by sharing secrets
d. Saving the client time and money by not wasting supplies
40. Which of the following factors is most important in determining the success of relationships
used in delivering nursing care?
a. Type of illness of the client
b. Transference and countertransference
c. Effective communication
d. Personality of the participants
41. Which of the following statements best describes the term glove type burn?
a. The parent was wearing heavy gloves or stockings on his or her hands while immersing the
child in hot scalding water.
b. The parents have dipped the child into hot liquid while he or she was asleep.
c. The child was wearing a glove when immersed in hot liquid.
d. The burn has the look of a glove immersed in hot scalding water.
42. The school nurse keeps a list of enrolled students who have medical or religious objections to
immunizations and those who are likely to have decreased immunity. The nurse likely keeps this
list to:
a. Provide statistics for the Department of Health
b. Reassure the family that the nurse will respect the family’s wishes at all times
c. Meet national government requirements
d. Facilitate exclusion in case of an outbreak of a highly communicable disease in the school
43. Preschoolers are able to see things from which of the following perspectives?
a. Their peers
b. Their own and their caregiver’s
c. Their own and their mother’s
d. Only their own
44. In conflict management, the win-win approach occurs when:
a. There are two conflicts and the parties agree to each win one
b. Each party gives in on 50% of the disagreements making up the conflict
c. Both parties involved are committed to solving the conflict
d. The conflict is settled out of court so the legal system and the parties win
50. A client says she heard from a friend that you stop having periods once you are on “the pill”. The
most appropriate response would be:
a. “The pill prevents the uterus from making such endometrial lining that is why periods may
often be scant or skipped occasionally.”
b. “If your friend has missed her period, she should stop taking the pills and get a pregnancy
test as soon as possible.”
c. “The pill should cause a normal menstrual period every month. It sounds like your friend
has not been taking the pills properly.”
d. “Missed periods can be very dangerous and may lead to the formation of precancerous
cells.”
51. You are the nurse assigned to work with a child with acute glomerulonephritis. By following the
prescribed treatment regimen, the child experiences a remission. You are now checking to make
 sure the child does not have a relapse. Which finding would most lead you to the conclusion that
a relapse is happening?
a. Elevated temperature, cough, sore throat, changing complete blood count (CBC) with
differential
b. A urine dipstick measurement of 2+ proteinuria or more for 3 days, or the child found to
have 3-4+proteinuria plus edema
c. The urine dipstick showing glucose in the urine for 3 days, extreme thirst, increase in urine
output, and a moon face
d. A temperature of 37.8 degrees C (100 degrees F), flank pain, burning, frequency, urgency on
voiding and cloudy urine
52. The nurse is working with an adolescent who complains of being lonely and having a lack of
fulfillment in her life. This adolescent shies away from intimate relationships at times, yet at
other times she appears promiscuous. The nurse will likely work with this adolescent in which of
the following areas?
a. Isolation
b. Loneliness
c. Lack of fulfillment
d. Identity
53. The use of interpersonal decision making, psychomotor skills, and application of knowledge
expected in the role of a licensed health care professional in the context of public health welfare
and safety is an example of:
a. Delegation
b. Supervision
c. Responsibility
d. Competence
54. A child suffers a head injury in a tumbling accident in gym class. The nurse’s best course of action
is to:
a. Get the child up walking and make sure he or she stays awake
b. Leave the child and go get help
c. Leave the child in the care of an older child and go get help
d. Stay with the child, keep assessing and have someone call the caregivers
55. The American Academy of Pediatrics suggests that caregivers do which of the following things in
regard to physical activities for preschoolers?
a. Push the child to practice sports activities while they are more flexible.
b. Encourage a variety of physical activities in a noncompetitive environment.
c. Have the child engage in competitive sports to see where they excel.
d. Keep physical activities to a minimum until the child is in grade school.
56. Which of the following arrangements is generally considered to be best for the parents of a
hospitalized infant or young child?
a. Rooming-in
b. Separate caregiver sleeping room on the unit
c. Day visits and sleeping at home
d. Staying at a nearby hotel or motel
57. When one person allows the conflict to be resolved at his or her own expense, this is referred to
in conflict management as:
a. Losing
 b. Winning while losing
c. The win-lose approach
d. The lose-win approach
58. Which of the following statements best describes acquaintance rape?
a. Sexual intercourse when one person engaging in the activity is unsure about wanting to do
so
b. When two people don’t love each other and engage in sexual activities
c. When someone on a date tricks the other person into having sexual intercourse
d. Sexual intercourse committed with force or the threat of force without a person’s consent
59. The school nurse is teaching a health education and hygiene course to a group of high school
males, which includes a number of young men who are on competitive sports teams. Which of
the following health practices would the nurse most stress in preventing the transmission of
human immunodeficiency virus (HIV) in case any team member has HIV or acquired
immunodeficiency syndrome (AIDS)?
a. No sharing of underarm deodorant or shower soap
b. No sharing of razors or toothbrushes
c. Making certain towels have been washed in boiling water
d. Avoiding physical contact such as sports, hugs or sweats
60. At 17 weeks gestation, a type 1 diabetic undergoes an ultrasound examination. What
information about the fetus at this time in pregnancy would the results of this examination
provide?
a. Placental insufficiency
b. Estimated fetal weight
c. Gestational age
d. Fetal lung maturity
61. Which of the following best describes a difference in communicating with school-age children
versus toddlers?
a. Toddlers require more empathy and more touching and holding.
b. For toddlers, preparation for procedures is just before the procedure and much earlier for
school-age children.
c. Caregivers need less information when care involves a school-age child.
d. The number of words is more when communicating with a toddler than it is with school-age
children.
62. Genetic testing should be performed on a child only if:
a. The parents both want it performed
b. It is in the best interests of the child
c. It is necessary for the child to survive
d. No one objects
63. Infant head control is judged by the:
a. Ability to hold head without support
b. Presence or absence of head lag
c. Rigidity of the neck and head
d. Amount of neck wrinkling
64. Which of the following roles BEST exemplifies the expanded role of the nurse?
a. Circulating nurse in surgery
b. Medication nurse
 c. Obstetrical nurse
d. Pediatric nurse practitioner
65. The tone and pitch of 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
66. The plan-do-study-act cycle begins with:
a. Four stages
b. Five agendas
c. Three questions
d. Two concepts
67. During your shift, you noted one of your pregnant clients considered as “waiting case” manifest
morning sickness and which later progressed. Which assessment finding may indicate a possible
developing complication?
a. Maternal pulse 90
b. Trace glucose in the urine
c. FHT 155
d. 1+ ketones in the urine
68. 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 a very slow drip over approximately 4 hours prior to procedure
d. Nasal inhalation
69. According to DeRosa and Kochura’s (2006) article entitled “Implement Culturally Competent
Health Care in your Workplace” cultures have different patterns of verbal and nonverbal
communication. Which difference does not necessarily belong?
a. Personal behavior
b. Eye contact
c. Subject matter
d. Conversational style
70. The nurse instructs the caregivers of a newborn to notch the diapers or fold them in such a way
as to expose the cord. The major purpose of exposing the cord is to:
a. Remind the caregivers to do cord care
b. Keep the diaper from rubbing the cord
c. Provide air circulation for the cord
d. Allow visualization at all times
71. The level of health of an individual, family, group, population, or community is called:
a. Health assets
b. Health status
c. Quality of life
d. Health needs
 72. The nurse is teaching a group of expectant mothers about the prevention of diaper dermatitis.
The nurse explains that one the preventive measures is the use of:
a. Absorbent disposable diapers
b. Baby powder or cornstarch
c. Plastic panties over diapers
d. Cloth diaper
73. The Code of Nurses:
a. Delineates all obligations and responsibilities of the nurse
b. Is a binding oath, which tells nurses how to make ethical decisions
c. Assists the nurse in formulating a personal belief system
d. Supports the concepts of respect for all persons
74. The obligation to correctly perform one’s assigned duties is:
a. Delegation
b. Assignment
c. Responsibility
d. Accountability
75. During a routine postpartum assessment following a normal vaginal delivery, the nurse notes the
fundus to be slightly boggy. Which action should the nurse take to decrease the risk of uterine
inversion during uterine massage?
a. Massage only until cramping begins
b. Place one hand on the abdomen above the symphysis pubis
c. Ask the client to ambulate to the bathroom to empty her bladder
d. Position the client in a slight Trendelenberg position

Situation 1: Nurse Lisa manages her own Reproductive and Children’s Nursing Clinic in Sorsogon and
necessarily she attends to health conditions of mothers and children. The following conditions pertain to
the GROWING FETUS.

76. Obstetrical client Marichu asks how much longer Nurse Lisa will refer to the baby inside her as
an embryo. What would be your best explanation?
a. Her baby will be a fetus as soon as the placenta forms
b. From the time of implantation until 5 to 8 weeks, the baby is an embryo
c. After the 20th week of pregnancy, the baby is called a zygote
d. This term is used during the time before fertilization
77. Marichu is worried that her baby will be born with a congenital heart disease. What assessment
of a fetus at birth is important to help detect congenital heart defect?
a. Determining that the color of the umbilical cord is not green
b. Assessing whether the umbilical cord has two arteries and one vein
c. Assessing whether the Wharton’s jelly of the cord has a pH of higher than 7.2
d. Measuring the length of the cord to be certain that it is longer than 3 feet
78. Additionally, Nurse Lisa would gather more information about Marichu’s worry about what may
threaten the health of her baby. What would Nurse Lisa hope to find?
a. Has Marichu been overly anxious about something
b. Has Marichu suffered from any communicable/contagious disease at the time of her early
stage of pregnancy
c. Has Marichu engaged in sexual activity during the fetal development state of her child
 d. Has Marichu engaged in any detrimental activities during the fetal development stage e. g.
smoking, drinking, taking drugs, a bad fall, or attempts to terminate pregnancy
79. Marichu is scheduled to have an ultrasound examination. What instruction would you give her
before her examination?
a. You can have medicine for pain for any contractions caused by the test.
b. Drink at least 3 glasses of fluid before the procedure.
c. The intravenous fluid infused to dilate your uterus does not hurt the fetus.
d. Void immediately before the procedure to reduce your bladder size.
80. Marichu is scheduled to have an amniocentesis to test for fetal maturity. What instruction would
you give her before the procedure?
a. The x-ray used to reveal your fetus position has no long term effects.
b. The intravenous fluid infused to dilate your uterus does not hurt the fetus.
c. No more amniotic fluid forms afterward, which is why only a small amount is removed.
d. Void immediately before the procedure to reduce your bladder size.

Situation 2: Health Instructions are essentially given to pregnant mothers.

81. A public health nurse would instruct a pregnant woman to notify the physician immediately if
which of the following symptoms occur during pregnancy?
a. Presence of dark color in the neck
b. Increased vaginal discharge
c. Swelling of the face
d. Breast tenderness
82. A woman who is 9 weeks pregnant comes to the Health Center with moderate bright red vaginal
bleeding. On physical examination, the physician finds the client’s cervix 2 cm dilated. Which
term best describes the client’s condition?
a. Missed abortion
b. Incomplete abortion
c. Inevitable abortion
d. Threatened abortion
83. In a big government hospital Nurse Pura is taking care of a woman with a diagnosis of abruptio
placenta. What complication of this condition is of most concern to Nurse Pura?
a. Urinary tract infection
b. Pulmonary embolism
c. Hypocalcemia
d. Disseminated intravascular coagulation
84. Which of the following findings on a newly delivered woman’s chart would indicate she is at risk
for developing postpartum hemorrhage?
a. Post-term delivery
b. Epidural anesthesia
c. Grand multiparity
d. Premature rupture of membrane
85. Mrs. Hacienda Garcia, 35 y/o postpartum client is at risk of thrombophlebitis. Which of the
following nursing interventions decreases her chance of developing postpartum thromphlebitis?
a. Breastfeeding the newborn
b. Early ambulation
c. Administration of anticoagulant postpartum
 d. Immobilization and elevation of the lower extremities

Situation 3: With the increasing documented cases of CANCER, the best alternative to treatment still
remains to be PREVENTION. The following conditions apply.

86. Which among the following is the primary focus of prevention of cancer?
a. Elimination of conditions causing cancer
b. Diagnosis and treatment
c. Treatment at early stage
d. Early detection
87. In the prevention and control of cancer which of the following activities is the most important
function of the community health nurse?
a. Conduct of community assemblies
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 women about proper/correct nutrition
88. 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 scheduled for surgery
d. Those undergoing treatment
89. Who among the following are recipients of the tertiary level of care for cancer cases?
a. Those under early treatment
b. Those under supportive care
c. Those under early detection
d. Those scheduled for surgery
90. In Community Health Nursing, despite the availability and use of many equipment and devices to
facilitate the job of the community health nurse, the best tool any nurse should 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

Situation 4: Dengue Hemorrhagic Fever is a common health concern in Philippine society. It does not
only pose a threat to health but more so to the lives of both young and old, and well as rich and
marginalized sectors of society. The following conditions apply.

91. An important role of the community health nurse in the prevention and control of Dengue H-
fever includes:
a. Advising the elimination of vectors by keeping water containers covered
b. Conducting strong health education drives/campaign directed towards proper garbage
disposal
 c. Explaining to the individuals, families, groups and community the nature of the disease
and its causation
d. Practicing residual spraying with insecticides
92. Community health nurses should be alert in observing a Dengue suspect. The following is NOT
an indicator for hospitalization of H-fever suspects:
a. Marked anorexia, abdominal pain and vomiting
b. Increasing hematocrit count
c. Fever for more than 2 days
d. Persistent headache
93. The community health nurses’ primary concern in the immediate control of hemorrhage among
patients with dengue is:
a. Advising low fiber and non-fat diet
b. Providing warmth through light weight covers
c. Observing closely the patient for vital signs leading to shock
d. Keeping the patient at rest
94. Which of these signs may NOT be REGARDED as a truly positive signs indicative of Dengue H-
fever?
a. Prolonged bleeding time
b. Appearance of at least 5 petechiae
c. Steadily increasing hematocrit count
d. Fall in the platelet count
95. Which of the following is the most important treatment of patients with Dengue H-fever?
a. Give aspirin for fever
b. Replacement of body fluids
c. Avoid unnecessary movement of patient
d. Ice cap over the abdomen in case of melena

Situation 5: Two children were brought to you. One with chest in-drawing and the other had diarrhea.
The following questions apply.

96. Using Integrated Management and Childhood Illness (IMCI) approach, how would you classify
the 1st child?
a. Bronchopneumonia
b. No pneumonia: cough or cold
c. Severe pneumonia
d. Pneumonia
97. The 1st child who is 13 months has fast breathing using IMCI parameters he has:
a. 40 breaths per minute or more
b. 50 breaths per minute
c. 30 breaths per minute or more
d. 60 breaths per minute
98. Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool. She is irritable and her
eyes are sunken. The nurse offered fluids and the child drinks eagerly. How would you classify
Nina’s illness?
a. Some dehydration
b. Dysentery
c. Severe dehydration
 d. No dehydration
99. Nina’s treatment should include the following EXCEPT:
a. Reassess the child and classify him for dehydration
b. For infants under 6 months old who are not breastfed, give 100-200 ml clean water as well
during this period
c. Give in the health center the recommended amount of ORS for 4 hours
d. Do not give any other foods to the child for home treatment
100. While on treatment, Nina, 18 months old weighed 18 kgs. and her temperature
registered at 37°C. Her mother says she developed cough 3 days ago. Nina has no general danger
signs. She has 45 breaths/minute, no chest in-drawing, no stridor. How would you classify Nina’s
manifestation?
a. No pneumonia
b. Severe pneumonia
c. Pneumonia
d. Bronchopneumonia