b.) NSAIDS d.

) B, C
c.) Antidepressant
POST TEST PEDIATRIC NURSING d.) Insulin 9. Purpose of cardiac catheterization:
a.) Diagnostic
1. The mother of a baby born with a 6. A baby will be having surgery to b.) Therapeutic
congenital heart defect is upset, as no correct a congenital heart defect. On c.) Electrophysiologic
one else in the family has been born which topic should the parents be d.) All of the above
with this condition. What should the instructed regarding the care of the
nurse ask the mother during the child before surgery? 10. A nurse is educating the parents of a
assessment? a.) Restricting immunizations until after child born with Tetralogy of fAllot.
a.) Use of alcohol during the the surgery. Which statement will the nurse include
pregnancy b.) Preventing exposure to infection regarding this defect?
b.) Maternal father’s history of diabetes c.) Implementing no particular a.) “Increased pulmonary blood flow
c.) Father’s exposure to toxins in the precautions causes symptoms with this disease.”
work environment. d.) Restricting fluids b.) “This disease consists of pulmonic
d.) History of hypertension stenosis; left ventricular hypertrophy
7. The nurse is assessing a toddler c.) “Your child has a decreased amount
2. The nurse is analyzing data collected diagnosed with Tetralogy of Fallot. of red blood cells because of this
after assessing a child with a congenital Which assessment findings should the disease.”
heart defect that decreases pulmonary nurse determine as being consistent d.) “This disease consists of pulmonic
blood flow. Which nursing diagnosis with this child’s diagnosis? stenosis, right ventricular
would be applicable for this client? Select all that apply. hypertrophy, Ventricular Septal
a.) Risk for infection related to a.) Palpate thrill in the pulmonic area Defect, and an overriding aorta. “
engorged pulmonary vasculature b.) Nail clubbing
b.) Interrupted Family Processes c.) Cough 11. A physician caring for a client with
c.) Decreased Cardiac Output d.) Apneic periods Hypoplastic Left Heart Syndrome
d.) Excess Fluid Volume e.) Knee-chest position (HLHS) has provided the client’s family
CHOICES: with information regarding the surgical
3. The nurse is planning care for a a.) A, B, C repair necessary for this condition. The
pediatric client recovering from surgery b.) A, C, E client’s nurse knows that this procedure
to repair a congenital heart defect. c.) A, B, E is named the:
Which intervention should the nurse d.) B, D, E a.) Glenn procedure
include to support the client’s fluid b.) Jatene procedure
status? 8. A nurse working in the Neonatal c.) Fontan procedure
a.) Encourage fluids Intensive Care Unit (NICU) is caring for d.) Damus-Kaye-Stansel procedure
b.) Limit fluids a preterm infant with a congenital heart
c.) Monitor output defect. The nurse knows that these 12. Which of the following assessment
d.) Maintain intravenous therapy until conditions are categorized by: findings would the nurse most expect to
day before discharge. a.) Severity of defect find in the child who has been
b.) Pathophysiology and hemodynamics diagnosed with having Hypertrophic
4. The nurse provides discharge of defects. Pyloric Stenosis?
instructions to the parents of a child c.) Location of defect a.) Currant jelly stools and a palpable
recovering from surgery to repair a d.) Ag when defect diagnosed hard mass in the right upper quadrant.
congenital heart defect. What b.) Projectile vomiting and hungry
statement indicates that teaching 9. A nurse working in Labor and soon afterwards
provided to the parents has been Delivery is assessing heart defects. The c.) Weight loss and bloody diarrhea
effective? nurse understands that manifestations d.) Severe crampy abdominal pain and
a.) “Our child should be restricted in of an Atrial Septal Defect (ASD) may lethargy
play and activity for at least 6 months.” include:
b.) “Our child will need to take a.) Pulmonary artery hypotension and 13. A group of student nurses are
antibiotics prior to having dental congestive heart failure. reviewing nursing diagnosis for cleft lip
surgery.” b.) Midsystolic murmur at lower right and cleft palate. The students recognize
c.) “FLuids should be restricted to sternal border, due to increased blood which of the following as priority
maximize lung function.” flow across the tricuspid valve. nursing diagnosis for children with cleft
d.) “Our child should not return to c.) Mitral valve regurgitation with cleft lip and cleft palate?
normal activities for at least 2 years.” on mitral valve. a.) Ineffective bonding is related to
d.) S! Heart tone may be split due to inability to maintain effective
5. The nurse is caring for an infant forceful right ventricular contraction. mother-child feeding habits.
diagnosed with a patent ductus CHOICES: b.) Altered nutrition: ;ess than body
arteriosus. Which medication should the a.) A, B requirements related to excessive
nurse plan to provide this client? b.) A, C feeding time and child fatigue
a.) Indomethacin c.) C, D
c.) Risk for altered self perception 18. A 12-year-old is admitted to the d.) “The child’s diet should be
related to nasal quality of speech and hospital with a low-grade fever and restricted to soft foods.”
delays in speech development joint pain. Which diagnostic test finding
d.) Risk for infection related to build-up will assist to determine a diagnosis of 23. What pathologic process is believed
of fluid in the middle ear and chronic rheumatic fever? to be responsible for the development
otitis media. a.) Absence of C-reactive protein of postinfectious glomerulonephritis?
b.) Presence of Reed-Sternberg cells a.) Infarction of renal vessels
14. You are taking care of an infant c.) Decreased antistreptolysin O titer b.) Immune complex formation and
who has come back from having cleft d.) Elevated erythrocyte sedimentation glomerular deposition
lip and palate repair. The nurse would rate c.) Bacterial endotoxin deposition on
include all of the following in the plan of and destruction of glomeruli
care expect: 19. The nurse is caring for a child with a d.) Embolization of glomeruli by
a.) Use of a pacifier to prevent diagnosis of a Right-to-left cardiac bacteria and fibrin from endocardial
vigorous crying. shunt. On the review of the child’s vegetation.
b.) Holding, cuddling, and rocking of record, the nurse should expect to note
infant documentation of which most common
24. The nurse notes that a child has lost
c.) Arm restraints or mummy restraint assessment finding?
3.6 kg (8lb) after 4 days of
d.) Placing infant in the supine position a.) Severe bradycardia
hospitalization for acute
b.) Asymptomatic after feeding
glomerulonephritis. What is the most
15. The nurse is caring for the child with c.) Bluish discoloration of the skin
likely cause of this weight loss?
cleft lip and palate. Which of the d.) Higher than normal body weight
a.) Poor appetite
following does thee nurse understand b.) Reduction of edema.
as a complication of this disorder? 20. A 2-year-old has just ben diagnosed
c.) Restriction to bed rest
Select all that apply: with Cystic Fibrosis. The parents ask the
d.) Increased potassium intake
a.) Heart malformation nurse what early respiratory symptoms
b.) Otitis media they should expect to see in their child.
25. What measure of fluid balance
c.) Altered dentition Which is the nurse’s best response?
status is most useful in a child with
d.) Speech impediments a.) “You can expect your child to
acute glomerulonephritis?
e.) Encopresis develop a barrel-shaped chest.”
a.) Proteinuria
CHOICES: b.) “You can expect your child to
b.) Daily weight
a.) A, B, C develop a chronic productive cough.”
c.) Specific gravity
b.) B, C, D c.) “You can expect your child to
d.) Intake and output
c.) A, C, D develop bronchiectasis.”
d.) AOTA d.) “You can expect your child to
26. The parent of a child hospitalized
develop wheezing respirations.”
with acute glomerulonephritis asks the
16. Parents bring their 2-week-old infant nurse why blood pressure readings are
to a clinic for treatment after a 21. A 3-year-old is brought to the ER being taken so often. What knowledge
diagnosis of clubfoot was made at birth. with coughing and gagging. The parent should influence the nurse’s reply?
Which statement by the parent reports that the child was eating carrots
a.) The antibiotic therapy contributes to
indicated the need for further teaching when she began to gag. Which
labile blood pressure values
regarding this disorder? diagnostic evaluation will be used to
b.) Hypotension leading to sudden
a.) “Treatment needs to be started as determine if the child has aspirated
shock can develop at any time.
soon as possible.” carrots?
c.) Acute hypertension is a concern
b.) “I need to bring my child back to a.) Chest X-ray
that requires monitoring
the clinic in 1 month for a new cast.” b.) Bronchoscopy
d.) Blood pressure fluctuations indicate
c.) “I need to come to the clinic every c.) Arterial blood gas (ABG)
that the condition has become chronic
week with my infant for the casting.” d.) Sputum culture
d.) “I realize my infant will require 27. What laboratory finding, in
follow-up care until he reaches skeletal 22. The nurse is reviewing discharge
conjunction with the presenting
maturity.”
instructions with the parents of a child
symptoms, indicates minimal change in
who had a tonsillectomy 24 hours ago.
nephrotic syndrome?
The parents tell the nurse that the child
17. The nurse is assisting the health care a.) Low specific gravity
is a big eater, and they want to know
provider (HCP) examining an infant with b.) Decreased hemoglobin
what foods to give the child for the next
developmental dysplasia of the hip c.) Normal platelet count
24 hours. What is the nurse’s best
perform an Ortolani maneuver. The d.) Reduced serum albumin
response?
nurse knows that this maneuver is
a.) “The child’s diet should not be
performed for which purpose? 28. What is the primary objective of
restricted at all.”
a.) To assess for hip instability care for the child with minimal changes
b.) “The child’s diet should be restricted
b.) To assess for movement of the hips in nephrotic syndrome (MCNS)?
to clear liquids.”
c.) To push the femoral head into the a.) Reduce blood pressure
c.) “The child’s diet should be restricted
acetabulum b.) Lower serum
to ice cream and cold liquids.”
d.) To ensure full range of motion exists.
c.) Minimize excretion of urinary a.) Visible peristalsis 33. Barium Hydrostatic Reduction
protein b.) Sausage shaped mass Technique
d.) Increase the ability of tissue to c.) Constipation 34. Ileocecal
retain fluid. d.) Projectile vomiting 35. String sign
36. Sausage Shaped Mass
29. A hospitalized child with minimal 41. Treatment for Clubfoot except: 37. Collide Spring Appearance
change nephrotic syndrome is receiving a.) Reverse Trendelenburg 38. Bougienage
high doses of prednisone. What nursing b.) Casting
goal is appropriate for this child? c.) Denis Browne splint Qs ON OTHER SETS
a.) Stimulate appetite d.) Tenotomy 1. Communication between Pulmonary
b.) Detect evidence of edema Artery and Aorta
c.) Minimize risk of infection 42. Hip dysplasia except: a.) Coarctation of the Aorta
d.) Promote adherence to the antibiotic a.) Trendelenburg b.) Patent ductus venosus
regimen. b.) Pavlik harness c.) Patent ductus arteriosus
c.) Hip spica cast d.) Aortic stenosis
30. The nurse is teaching a child d.) Traction
experiencing severe edema associated 46. Planta Flexion
with minimal change nephrotic 43. Facial feature of Down Syndrome a.) Talipes Calcaneus
syndrome about his diet. The nurse except: b.) Talipes Equinus
should discuss what dietary needs? a.) Saddle nose c.) Talipes Varus
a.) Consuming a regular diet b.) Low set ears d.) Talipes Valgus
b.) Increasing protein c.) Chinky eyes
c.) Restricting fluids d.) Cataract 1. A 5-year-old child is brought into the
d.) Decreasing calories emergency department drooling,
strident cough, and lethargy epiglottis
44. Signs and symptoms of Kawasaki
31. A child is admitted for minimal is suspected. The priority intervention
Disease except:
change nephrotic syndrome (MCNS). for this child is to:
a.) Polymorphous rashes
The nurse recognizes that the child’s a.) Take vital signs
b.) Cervical lymph nodes
prognosis is related to what factor? b.) Secure child’s airway
c.) Strawberry tongue
a.) Admission blood pressure c.) Visualize the child’s throat with a
d.) Conjunctivitis with discharge
b.) Creatinine clearance tongue depression
c.) Amount of protein in urine d.) Obtain throat cultures
45. Signs and symptoms of Spina bifida
d.) Response to steroid therapy occulta except:
a.) Nevus 2. An 8-month-old is admitted to the
32. COA - E. Hypertension UE pediatric unit with a history of multiple
b.) Lipoma
33. TOGA - D. Arterial switching respiratory infections and suspected
c.) Dimpling
34. VSD - C. Eisenmenger Syndrome cystic fibrosis. Which symptom suggests
d.) Mass
35. PDA - B. Machinery-like murmur cystic fibrosis?
36. TOF - A. Blalock Taussig Shunt a.) Fatty stools
46. Epiglottis except
b.) Decreased appetite
a.) Haemophilus influenzae
37. Signs and symptoms of Nephrotic c.) Decreased respiratory rate
b.) Barking cough
Syndrome except: d.) Early passage of meconium in the
c.) Tripod position
a.) Hyperalbuminemia neonatal period
d.) Sudden onset
b.) Hyperlipidemia
c.) Hyperalbuminuria 3. A 10-year-old student comes to the
47. Complication of Cleft Palate except;
d.) Edema school nurse’s office, he says he is
a.) Otitis media
unable to breath, the first action is to:
d.) Dental
38. Signs and symptoms of Tetralogy of a.) Take vital signs
c.) Speech
Fallot except: b.) Call the student’s mother
d.) None
a.) Pulmonic stenosis c.) Give an aerosol treatment
b.) Aortic stenosis d.) Listen to the student’s lungs
48. Barium Hydrostatic Reduction
c.) Right ventricular hypertrophy Technique
d.) VSD 4. A result of repeated infections in
49. Nissen Fundoplication
children with cystic fibrosis is:
50. Fredet-Ramstedt
39. Minor Jones Criteria except: a.) Increased irritability
a.) Fever >5 days b.) Bone marrow depression
SET B
b.) Arthralgia c.) Enhanced academic ability
26. Coarctation of the Aorta
c.) Prolong P-R interval d.) Being prone to developing Type 1
27. Tetralogy of Fallot
d.) ASO titer 28. Tricuspid Atresia diabtes
29. Transposition of the Great Arteries
40. Signs and symptoms of Pyloric 32. Olive Shape Mass 6. A 5-year-old is brought to the ER with
Stenosis except: a temperature of 99.5 F (37 C) and
barky cough, stridor, and hoarseness. c.) “Epiglottitis is slowly progressive, so b.) White blood cell count
Which nursing intervention should the early intervention may have decreased c.) Bone marrow aspirate
nurse prepare for? the extent of your son’s symptoms.” d.) Bone scan
a.) Immediate IV placement d.) “Epiglottitis is rapidly
b.) Respiratory treatment of racemic progressive, you couldn't have 22. A child diagnosed with leukemia is
epinephrine predicted his symptoms would worsen receiving allopurinol as part of the
c.) A tracheostomy set at the bedside so quickly. treatment plan. The parents ask why
d.) Informing the child’s parents about the child is receiving this medication.
a tonsillectomy 11. A school age child is admitted to the What information about the medication
hospital for a tonsillectomy during the should the nurse provider?
7. A child is complaining of throat pain. nurse’s post. Operative assessment, the a.) Helps reduce the uric acid level
Which statement by the mother child’s parent tells the nurse that the caused by cell destruction
indicates that she needs more child is in pain. Which of the following b.) Used to make th chemotherapy work
education regarding the care and observations would be of most concern better
treatment of her daughter’s to the nurse. c.) Given to reduce the nausea and
pharyngitis? a.) The child’s heart rate and blood vomiting associated with chemotherapy
a.) “I will have my daughter gargle with pressure are elevated d.) Helps decrease pain in the bone
safe water three times a day.” b.) The child complains of having a sore marrow
b.) “I will offer my daughter ice chips throat
several times a day.” c.) The child is refusing to eat solid 23. A child with Hemophilia A fell and
c.) “I will give my daughter tylenol foods injured a knee while playing outside.
every 4 to 6 hours as needed.” d.) The child is swallowing excessively The knee is swollen and painful. Which
d.) “I will ask the nurse practitioner of the following measures should be
for some amoxicillin 12. A part of a newborn diagnosed with taken to stop the bleeding except?
myelomeningocele asks what is a a.) The extremity should be immobilized
8. A child with severe cerebral palsy is common long term complication thee b.) The extremity should be elevated
admitted to the hospital with aspiration nurse’s best response is: c.) Warm moist compresses should be
pneumonia. What is the most beneficial a.) Learning disabilities applied to decrease pain
educational information that the nurse b.) Urinary tract infections d.) Passive range-of-motion exercises
can provide to the parents? c.) Hydrocephalus should be administered to the
a.) The signs and symptoms of d.) Decubitus ulcers and skin breakdown extremity.
aspiration pneumonia e.) Factor VIII should be administered
b.) The treatment plan for aspiration 13. An infant is born with a sac
pneumonia protruding through the spine, 24. A nurse instructs the parent of a
c.) The risks associated with recurrent containing cerebrospinal fluid (CSF), a child with Sickle Cell Anemia about
aspiration pneumonia portion of the meninges, and nerve factors that might precipitate a pain
d.) The prevention of aspiration roots. This condition is referred to as: crisis in the child. Which of the following
pneumonia a.) Meningocele factors identified by the parent as
b.) Mylomeningocele being able to cause a pain crisis
9. A chloride level greater than ___ is a c.) Spina bifida occulta indicates a need for further instruction?
positive diagnostic indicator of cystic d.) Anencephaly a.) Infection
fibrosis (CF) b.) Overhydration
a.) 20 MEQ/L 14. The dit that products anticonvulsant c.) Stress at school
b.) 40 MEQ/L effects from ketosis consists of: d.) Cold environment
c.) 60 MEQ/L a.) High fat and low carbohydrate
d.) 80 MEQ/L foods 26.
b.) High fat and high carbohydrate ● The nurse is interviewing the
10. A mother is crying and tells the foods parents of a 4-month-old
nurse that she should have brought her c.) Low fat and low carbohydrate foods infant brought to the hospital
son in yesterday. When he said his d.) Low fat and high carbohydrate emergency department.
throat was sore. Which is the nurse’s foods ● The infant is dead on arrival,
best response to this parent whose child and no attempt at
is diagnosed with epiglottitis and is in 21. A 5-year-old is admitted to the resuscitation is made
severe distress and in need of hospital with complaints of leg pain and ● The parents state that the
intubation. fever on a physician examination, the baby was found in the crip
a.) “children this age rarely get child is pale and has brushing over with a blanket over the head,
epiglottitis, you should not blame various areas of the body. The physician lying face down in bloody fluid
yourself.” suspects that the child has it all. The from the nose and mouth
b.) “It is always better to have your nurse informs the parent that the ● The parents indicate no
child evaluated at the first sign of diagnosis will be confirmed by which of problems when the infant was
illness rather than wait until symptoms the following? placed in the crib asleep.
a.) Lumbar puncture Which of the following causes
worsen.”
 of death does the nurse b.) Cognitive impairment is to be 33. Aplastic Splenic - D. Sickle Cell
suspect? expected with Hydrocephalus Anemia
a.) Suffocation c.) Shunt malfunction or infection 34. Sequestration Crisis - D. Sickle Cell
b.) Child abuse requires immediate treatment Anemia
c.) Infantile apnea d.) Parental protection is essential until 35. Vaso-Occlusive Crisis - D. Sickle Cell
d.) Sudden infant death the child reaches adulthood Anemia
syndrome (SIDS) 36. Von Willebrand's - B. Hemophilia
34. The nurse is providing postoperative 37. Hemoglobin Electrophoresis - D.
27. A humidified atmosphere is care for a child with Hydrocephalus. Sickle Cell Anemia
recommended for a young child with an Which assessment does the nurse 38. Tonic-clonic - B. Grand Mal
upper respiratory tract infection recognize as a sign of infection of the 39. Absence seizure - A. Petit Mal
because it: Cerebrospinal fluid? 40. Drop Attack - C. Atonic Seizure
a.) Liquefies secretions a.) Increased ICP 41. Scissor gait - C. Spastic CP
b.) Improves oxygenation b.) Elevated temp 42. Cortex -
c.) Prompts ventilation c.) Dilation of the pupils 43. Basal ganglia -
d.) Soothes inflamed mucous d.) Improved feeding 44. Feet Wide apart -
membrane TRUE OR FALSE: HYDROCEPHALUS
35. What is the most serious 45. Brushfield Spots - F
31. The mother of a 20-month-old tells complication of placement of a 46. Poor Muscle Tone - T
the nurse that the child has a barking Ventriculoperitoneal Shunt used to 47. Macewen Sign - T
cough at night. The child’s temperature correct Hydrocephalus? 48. Dysmorphic face - F
is 37 C (98.6 F). The mother states the a.) Leakage 49. High IQ - F
child is not having difficulty breathing. b.) Infection 50. Macroglossia - F
The nurse suspects croup and should c.) Malfunction
recommend d.) Brain damage
a.) Controlling the fever with POST TEST CDN NURSING
Acetaminophen (Tylenol) and call the 36. Which child should the nurse
primary care provider if the cough gets document as being anemic? 1. Development of chancre (painless). A.
worse tonight. a.) A 7-year-old child with a hemoglobin Primary
b.) Trying a cool mist vaporizer at of 11.5 G/dL
night and watching for signs of b.) 3-year-old child with a hemoglobin 2. Highly contagious in primary stage.
difficulty breathing of 12 G/dL C. Both A and C
c.) Trying over-the-counter cough c.) 14-year-old child with a
medicine and coming to the clinic hemoglobin of 10 G/dL 3. Chancre lasts 28-42 days and heals
tomorrow if there’s no improvement d.) 1-year-old child with a hemoglobin without treatment. A. Primary
d.) Bringing the child to the hospital to of 13 G/dL
be admitted and to be observed for 4. Generalized illness followed by
impending epiglottitis 37. Which should the nurse include macular lesions in most patients, occurs
when teaching the mother of a 2-8 weeks after chancre develops. B.
32. Cystic Fibrosis may affect one 9-month-old infant about administering Secondary
system or multiple systems of the body. Liquid Iron Preparations?
What is the primary factor responsible a.) Thy should b given with meals 5. Rash develops all over body including
for possible multiple clinical b.) They should be stopped immediately soles of feet and palms of hands, heals
manifestations? if nausea and vomiting occur. within 2-12 weeks . B. Secondary
a.) Atrophic changes in the mucosal wall c.) Adequate dosage will turn the
of the intestines stools a tarry green color 6. May have open sores in mouth
b.) Hypoactivity of the Autonomic d.) Allow preparation to mix with saliva containing pus (condyloma late). B.
Nervous System and bathe the teeth before swallowing Secondary
c.) Hyperactivity of the apocrine glands
d.) Mechanical obstruction caused by 39. Iron Dextran is ordered for a young 7. May be as brief as 1 year or 5-20
increased viscosity of exocrine gland child with Severe Iron Deficiency years. E. Tertiary
secretions. Anemia. Nursing considerations include
to: 8. Presence of gummas. E. Tertiary
33. The nurse is discussing long-term a.) Administer with mals
care with the parents of a child who has b.) Administer between meals 9. Neurosyphilis or cardiovascular
a Ventriculoperitoneal Shunt to correct c.) Inject deeply into a large muscle syphilis complications. E. Tertiary
Hydrocephalus. Which information is an d.) Massage injection site for 5 minutes
important part of thee discussion with after administration of drug 10. Large sores inside the body or on
the parents? the skin. E. Tertiary
a.) Most usual childhood activities must MATCHING TYPE CHOICES:
be restricted 32. Hemathrosis - B. Hemophilia a.) Primary syphilis
b.) Secondary syphilis
c.) Both A and C the Leptospira organism, and in which contaminated the urine of infected
d.) Latent syphilis transmission is very efficient. Incidental animals, especially rats.
e.) Late (Tertiary) syphilis hosts include those species of animals a.) Rabies
that do not act as reservoirs, but that b.) Leptospirosis
11. Burst red blood cells and fever every can be infected by the organism. c.) Schistosomiasis
72 hours. a.) First statement is True d.) Tetanus
a.) P. malariae b.) Second statement is True
b.) P. vivax c.) Both statements are true 30. Plasmodium as an amoeba
c.) P. ovale d.) Both statements are false undergoes cycle. Which of the following
d.) P. falciparum is considered the definitive host of
23. The first phase consists of an malaria?
12. On what cycle does the fever/red “immune” phase characterized by a.) Humans
cell bursting occur in Plasmodium renewed fever and development of b.) Streams
falciparum? complications. During the immune c.) Mosquito
a.) Every 12-24 hours phase, leptospires are absent from the d.) Fly
b.) Every 24-38 hours blood but may appear in the urine while
c.) Every 60-72 hours the second phase consists of an acute 31. What is the protozoan form that is
d.) Every 36-48 hours febrile bacteremic phase lasting two to present in the salivary glands of the
nine days, after which there may be a mosquito?
period with little or no fever and a.) Sporozoites
13. The infective form of the malaria
apparent improvement. b.) Merozoites
parasite is.
a.) First statement is True c.) Trophozoites
a.) Oocyst
b.) Second statement is True d.) Gametocytes
b.) Sporozoite
c.) Both statements are true
c.) Bradyzoite
d.) Both statements are false 32. The protozoan stage present in the
d.) Tachyzoite
RBC multiplies and causes lysis:
14. What is chemoprophylaxis is a 24. >500 CD₄ + T lymphocytes/ mm₃. B a.) Sporozoites
method of attempting to prevent 25. 500 and 1,500 cells/ mm₃. A b.) Merozoites
malaria by. 26. 200 to 499 CD₄ + T lymphocytes/ c.) Trophozoites
a.) taking various drugs prior to, mm₃. C d.) Gametocytes
during and after exposure to malaria 25. <200 CD₄ + T lymphocytes/ mm₃. D
b.) taking various drugs prior to expose CHOICES: 33. The initial and primary site of
to malaria a.) Normal merozoite multiplication is found in the:
c.) taking various drugs during expose b.) HIV asymptomatic a.) Lungs
to malaria c.) HIV symptomatic b.) Kidneys
d.) taking various drugs after expose to d.) AIDS c.) Liver
malaria d.) Gallbladder
26. The causative agent of the
15. One tab weekly. B Schistosomiasis that have the strong 34. A client who recently traveled to
affinity with the urinary system is: China comes to the emergency
16. Start -2 weeks prior to entering the
a.) S. haematobium department (ED) with increasing
area. B
17. Use terminal prophylaxis for 8 weeks b.) S. japonicum shortness of breath and is strongly
after leaving the area. B c.) S. mansoni suspected of having a COVID-19. Which
18. One tablet daily. A d.) S. schistosomium of these prescribed actions will you take
19. Start 1-2days prior to entering the first?
area. A 27. The intermediate host of a.) Place the client on contact and
20. Use terminal prophylaxis for 28-30 schistosoma species is: airborne precautions
days after leaving the area. A a.) Oncomelania quadrasi b.) Obtain blood, urine, and sputum for
CHOICES: b.) Humans cultures
a.) Doxycycline c.) Aedes poecilus c.) Administer methylprednisolone
b.) Chloroquine Phosphate d.) Cattle (Solu-Medrol) 2 gram/IV
d.) Infuse normal saline at 100ml/hr
21. S. japonicum: intermediate and 28. The infective stage of Schistosoma
reservoir host. is: 35. Amazingly, patients with malaria
a.) oncomelania snail, reservoir in a.) Oncomelania have a cycle of cold, hot and
cattle, buffalo b.) Cercariae (larvae) diaphoretic stage. Fever is evident in a
b.) biomphilarious snail, no reservoir c.) Trophozoite particular period of time and not all
c.) bulinus snail, no reservoir d.) Gametocytes throughout the disease process
because:
d.) oncomelania snail, no reservoir
29. Entry of the bacteria through a.) During febrile stage toxins are
wounds when in contact with flood present
22. Maintenance hosts are those animal
waters, vegetation, moist soil
species which serve as a reservoir for
b.) During febrile stage, the b.) Attracts electrolytes and then a.) On public transport
microorganism simultaneously expelled causing diarrhea b.) In confined or crowded spaces
reproduce c.) Burrowing to the Peyer’s patches c.) In small shops
c.) During febrile stage, iron is of the small intestine d.) All of the above
sequestered by the liver d.) Penetrating the intestinal wall and
d.) During febrile stage, the gametocyte travels systematically
are produced
41. The following clinical manifestations
36. Which of the following health are observed during the fastidial stage,
education statements regarding except:
gonorrhea is inappropriate? a.) Typhoid psychosis
a.) Washington the sex organs before b.) Carphologia
and after sexual intercourse c.) Subsultus tendinum
b.) Regular check-up for sexually active d.) Intestinal perforation
individuals
c.) Use of birth control pills and IUDs 45. How is COVID-19 passed on?
give protection a.) Through droplets that come from
d.) None of the above your mouth and nose when you
cough or breathe out
37. The nurse was asked by the doctor b.) In sexual fluids, including semen,
to collect some of the penile discharge. vaginal fluids or anal mucous
Using standard precaution, the nurse c.) By drinking unclean water
will use: d.) All of the above
a.) Gloves
b.) Gloves and mask 46. What are the common symptoms of
c.) Gloves and gown COVID-19?
d.) None, it is non-contagious a.) A new and continuous cough
b.) Fever
38. Which blood test is used first to c.) Tiredness
identify a response to HIV infection? d.) All of the above
a.) Western blot
b.) CD₄ T-cell count 47. Can you always tell if someone has
c.) Erythrocyte sedimentation rate COVID-19?
d.) Enzyme-liinked immunosorbent a.) not everyone with COVID-19 has
assay (ELISA) symptoms
b.) it will be obviou, a person with
39. The drug of choice against malaria COVID-19 coughs a lot
is: c.) you can tell just by where a person
a.) Chloroquine comes from, their race and ethnicity
b.) N-diethyl-D-toluamide d.) None of the above
c.) Pyrethroids
d.) Biltricide 48. Can washing your hands protect you
from COVID-19?
38. A vector that transmits typhoid a.) but only if you use a strong bleach
bacillus to its infective host: b.) normal soap and water or hand
a.) Mosquito sanitizer is enough
b.) Snail c.) Washing your hands doesn’t stop
c.) Fly COVID-19
d.) Feces d.) None of the above

39. The pathognomonic sign of typhoid 49. How can people living with HIV
fever is: protect themselves from COVID-19?
a.) Rose spots on the abdomen a.) Wash their hands regularly and
b.) Butterfly rash follow the physical distancing advice
c.) Stimson’s sign b.) Keep talking their antiretroviral
d.) Forschheimer spots treatment
c.) Exercise regularly, eat well and look
40. Salmonella enterica / typhosa after their mental health
microorganism is virulent because d.) All of the above
which of the following modes of action?
a.) Pushing itself from one cell to 50. When should fabric face masks be
another by adhesion and actin tail worn?